| Abd paracentesis w/imaging (49083) |
$745.88 |
$877.50 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$431.38 |
$507.50 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$452.20 |
$532 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,657.50 |
$1,950 |
0.8× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,354.50 |
$2,770 |
0.7× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$1,729.75 |
$2,035 |
0.4× |
| Application cast elbow finger short arm (29075) |
$204 |
$240 |
0.7× |
| Application finger splint static (29130) |
$140.25 |
$165 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$185.30 |
$218 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$171.70 |
$202 |
1.3× |
| Apply long leg splint (29505) |
$225.25 |
$265 |
1.4× |
| Apply short leg cast (29425) |
$323 |
$380 |
1.2× |
| Apply short leg splint (29515) |
$201.45 |
$237 |
1.3× |
| Arterial puncture (36600) |
$72.25 |
$85 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$191.25 |
$225 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$221 |
$260 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$295.90 |
$348.12 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$157.25 |
$185 |
0.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,256.30 |
$1,478 |
0.4× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,728.50 |
$3,210 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,142 |
$2,520 |
0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,945.25 |
$3,465 |
0.9× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887)
unusually low: confirm this is the full procedure |
$2,777.80 |
$3,268 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,202.35 |
$2,591 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,466.30 |
$4,078 |
1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$3,740 |
$4,400 |
0.5× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,100.80 |
$3,648 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,457.80 |
$4,068 |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$3,845.40 |
$4,524 |
0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,910 |
$4,600 |
0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$5,737.50 |
$6,750 |
0.8× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,608.65 |
$3,069 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$531.25 |
$625 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$127.50 |
$150 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$175.10 |
$206 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$1,074.40 |
$1,264 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$453.90 |
$534 |
0.3× |
| Biopsy external ear (69100) |
$208.25 |
$245 |
0.9× |
| Biopsy intranasal (30100) |
$229.50 |
$270 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$480.25 |
$565 |
0.3× |
| Biopsy of mouth lesion (40808) |
$374 |
$440 |
0.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$382.50 |
$450 |
0.4× |
| Bladder Irrigation Simple (51700) |
$187 |
$220 |
0.8× |
| Blood transfusion service (36430) |
$450.08 |
$529.50 |
1.0× |
| Bone marrow aspiration only (38220) |
$387.60 |
$456 |
0.2× |
| Bone Marrow Biopsy (38221) |
$470.90 |
$554 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$748 |
$880 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$480.25 |
$565 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$552.50 |
$650 |
0.8× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$637.50 |
$750 |
2.1× |
| Closed Rx Radial Shaft Fx (25500) |
$609.45 |
$717 |
2.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,819 |
$2,140 |
1.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$671.50 |
$790 |
2.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,700 |
$2,000 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,530 |
$1,800 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$485.35 |
$571 |
2.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$552.50 |
$650 |
2.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$296.65 |
$349 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,275 |
$1,500 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$829.60 |
$976 |
3.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$765 |
$900 |
3.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$551.65 |
$649 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$677.45 |
$797 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,249.50 |
$1,470 |
0.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,298.80 |
$1,528 |
5.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$345.10 |
$406 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$969.85 |
$1,141 |
3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$760.75 |
$895 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,055.70 |
$1,242 |
0.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$435.20 |
$512 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$892.50 |
$1,050 |
3.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$357 |
$420 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$100.30 |
$118 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$1,028.50 |
$1,210 |
0.9× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
unusually low: confirm this is the full procedure |
$2,482 |
$2,920 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$2,176 |
$2,560 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$596.70 |
$702 |
4.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$450.50 |
$530 |
3.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$450.50 |
$530 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$607.75 |
$715 |
4.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$532.95 |
$627 |
0.3× |
| Cystourethroscopy (52000) |
$442 |
$520 |
0.6× |
| Debride tissue/muscle (11043) |
$473.45 |
$557 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$260.10 |
$306 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$654.50 |
$770 |
0.4× |
| Declot vascular device (36593) |
$157.25 |
$185 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$1,405.90 |
$1,654 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$2,275.45 |
$2,677 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$133.45 |
$157 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,365.10 |
$1,606 |
0.7× |
| Destruction Premalignant Lesion 15/> (17004) |
$327.25 |
$385 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$96.90 |
$114 |
0.5× |
| Dilation and curettage (58120) |
$879.75 |
$1,035 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$224.40 |
$264 |
0.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,457.75 |
$1,715 |
0.5× |
| Draw blood off venous device (36591) |
$85 |
$100 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$136.85 |
$161 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$954.12 |
$1,122.50 |
0.5× |
| Egd flexible foreign body removal (43247) |
$959.65 |
$1,129 |
1.1× |
| Egd remove lesion snare (43251) |
$1,064.20 |
$1,252 |
0.6× |
| Endovenous laser, 1st vein (36478) |
$1,916.75 |
$2,255 |
0.6× |
| Endovenous rf 1st vein (36475) |
$2,652 |
$3,120 |
0.9× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$706.35 |
$831 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$72.25 |
$85 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$186.15 |
$219 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$180.20 |
$212 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$340.85 |
$401 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$261.80 |
$308 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$211.65 |
$249 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$413.95 |
$487 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$153 |
$180 |
0.1× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$752.25 |
$885 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$219.30 |
$258 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$305.15 |
$359 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$839.80 |
$988 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$748 |
$880 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,038.70 |
$1,222 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$833 |
$980 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$387.60 |
$456 |
0.2× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,538.50 |
$1,810 |
0.9× |
| Exchange nephrostomy cath (50435) |
$1,174.70 |
$1,382 |
0.6× |
| Excise pharynx lesion (42808) |
$637.50 |
$750 |
0.2× |
| Excise/repair mouth lesion (40812) |
$510 |
$600 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,132.20 |
$1,332 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$266.90 |
$314 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$324.70 |
$382 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$374 |
$440 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$433.50 |
$510 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$467.50 |
$550 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$332.35 |
$391 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$479.40 |
$564 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$287.30 |
$338 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$343.40 |
$404 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$391 |
$460 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$641.75 |
$755 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$668.95 |
$787 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$264.35 |
$311 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$980.90 |
$1,154 |
0.6× |
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281)
unusually low: confirm this is the full procedure |
$2,550 |
$3,000 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,924.40 |
$2,264 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,037 |
$1,220 |
0.6× |
| Exploration maxillary sinus (31020) |
$750.55 |
$883 |
0.2× |
| Fetal contraction stress test (59020) |
$162.24 |
$190.87 |
0.8× |
| Fetal non-stress test (59025) |
$140.90 |
$165.76 |
0.7× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,190 |
$1,400 |
1.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$952.85 |
$1,121 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$703.80 |
$828 |
1.0× |
| Fixation of shoulder (23700) |
$688.50 |
$810 |
0.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$527 |
$620 |
0.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,709.35 |
$2,011 |
0.8× |
Fusion of elbow joint (24800)
unusually low: confirm this is the full procedure |
$2,975 |
$3,500 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$85 |
$100 |
0.4× |
| Hysteroscopy biopsy (58558) |
$2,023 |
$2,380 |
0.6× |
| Hysteroscopy w endometrial ablation (58563) |
$1,776.50 |
$2,090 |
0.4× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,190 |
$1,400 |
0.4× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$2,314.55 |
$2,723 |
0.5× |
| I&d abscess simple (10060) |
$217.60 |
$256 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$272 |
$320 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,345.55 |
$1,583 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$362.95 |
$427 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,202.75 |
$1,415 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$539.75 |
$635 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$234.60 |
$276 |
0.6× |
| Incision and drainage perianal abscess superficial (46050) |
$425 |
$500 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,232.50 |
$1,450 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$371.45 |
$437 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$151.30 |
$178 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,203.60 |
$1,416 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$174.68 |
$205.50 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$523.26 |
$615.60 |
0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,101.60 |
$1,296 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$694.88 |
$817.50 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$929.05 |
$1,093 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$701.25 |
$825 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$950.72 |
$1,118.50 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$743.75 |
$875 |
1.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$361.25 |
$425 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$527 |
$620 |
1.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$917.15 |
$1,079 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$361.25 |
$425 |
0.5× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$182.75 |
$215 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$178.50 |
$210 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$182.75 |
$215 |
0.6× |
| Injection(s) spider veins (36468) |
$127.50 |
$150 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$233.75 |
$275 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$453.05 |
$533 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$182.75 |
$215 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$130.90 |
$154 |
1.0× |
| Insj picc rs&i 5 yr+ (36573) |
$936.70 |
$1,102 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$638.52 |
$751.20 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$307.28 |
$361.50 |
1.3× |
| Knee Arthroscopy/Surgery (29874) |
$2,290.75 |
$2,695 |
0.7× |
| Knee Arthroscopy/Surgery (29879) |
$2,840.70 |
$3,342 |
0.9× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,650.70 |
$1,942 |
0.3× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure |
$3,570 |
$4,200 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure |
$2,465 |
$2,900 |
0.4× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,890 |
$3,400 |
0.5× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$3,060 |
$3,600 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572)
unusually low: confirm this is the full procedure |
$4,047.70 |
$4,762 |
0.4× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
unusually low: confirm this is the full procedure |
$4,114 |
$4,840 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,796.50 |
$3,290 |
0.5× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
unusually low: confirm this is the full procedure |
$2,040 |
$2,400 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
unusually low: confirm this is the full procedure |
$2,890 |
$3,400 |
0.5× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,438.20 |
$1,692 |
0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,374.50 |
$3,970 |
0.6× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$1,967.75 |
$2,315 |
0.3× |
| Late closure of wound (13160) |
$1,771.40 |
$2,084 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$590.75 |
$695 |
0.6× |
| Liver Biopsy (47000) |
$798.15 |
$939 |
0.5× |
| Lysis Intranasal Synechia (30560) |
$452.20 |
$532 |
0.8× |
| Manipulation knee joint under general anesthesia (27570) |
$634.10 |
$746 |
0.4× |
| Myringoplasty (69620) |
$2,380 |
$2,800 |
0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$454.75 |
$535 |
0.7× |
| N Block Inj, Plantar Digit (64455) |
$335.92 |
$395.20 |
1.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$1,494.30 |
$1,758 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,105 |
$1,300 |
0.6× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$1,751.85 |
$2,061 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$207.40 |
$244 |
0.5× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$1,212.95 |
$1,427 |
0.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,588.25 |
$3,045 |
1.6× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,567.40 |
$1,844 |
0.8× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,210 |
$2,600 |
1.1× |
| Njx aa&/strd sciatic nerve (64445) |
$511.28 |
$601.50 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$726.75 |
$855 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,134.32 |
$1,334.50 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$937.98 |
$1,103.50 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$539.75 |
$635 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$937.14 |
$1,102.52 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$369.75 |
$435 |
0.9× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$1,836 |
$2,160 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,788 |
$3,280 |
0.4× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,034.05 |
$2,393 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure |
$3,570 |
$4,200 |
0.5× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure |
$1,899.75 |
$2,235 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$2,278 |
$2,680 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,244 |
$2,640 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$1,257.15 |
$1,479 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,313.25 |
$1,545 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,870 |
$2,200 |
0.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,225.70 |
$1,442 |
1.8× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,795.62 |
$2,112.50 |
0.3× |
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure |
$1,455.62 |
$1,712.50 |
0.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,805 |
$3,300 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,805 |
$3,300 |
0.9× |
| Phleb veins - extrem 20+ (37766) |
$2,065.50 |
$2,430 |
0.7× |
| Picc line placement (36569) |
$469.20 |
$552 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$250.75 |
$295 |
0.6× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$1,751 |
$2,060 |
0.4× |
| Prq skel fixj metar fx w/manj (28476) |
$756.50 |
$890 |
0.2× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,494.30 |
$1,758 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$142.80 |
$168 |
0.4× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure |
$2,557.65 |
$3,009 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$437.75 |
$515 |
0.6× |
| Removal foreign body intranasal (30300) |
$344.25 |
$405 |
2.6× |
| Removal foreign body shoulder subcutaneous (23330) |
$335.75 |
$395 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$63.75 |
$75 |
1.1× |
| Removal implant deep (20680) |
$1,530 |
$1,800 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$763.30 |
$898 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$233.75 |
$275 |
0.5× |
| Removal of iud (58301) |
$244.80 |
$288 |
0.8× |
| Removal of nail bed (11750) |
$279.65 |
$329 |
0.7× |
| Removal Of Tendon Lesion (27630) |
$1,296.25 |
$1,525 |
0.4× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,105 |
$1,300 |
0.2× |
| Removal of tonsils (42826) |
$1,190 |
$1,400 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$124.10 |
$146 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$1,190 |
$1,400 |
0.7× |
Remove thyroid duct lesion (60280)
unusually low: confirm this is the full procedure |
$2,465 |
$2,900 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$280.50 |
$330 |
2.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$187 |
$220 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$822.80 |
$968 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,349.80 |
$1,588 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$663.85 |
$781 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,101.60 |
$1,296 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$545.70 |
$642 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$765.85 |
$901 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$519.35 |
$611 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$638.35 |
$751 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,008.10 |
$1,186 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$447.10 |
$526 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$522.75 |
$615 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,200.20 |
$1,412 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$614.55 |
$723 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$781.15 |
$919 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$725.90 |
$854 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$413.95 |
$487 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$478.55 |
$563 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$595.85 |
$701 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$736.95 |
$867 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$402.05 |
$473 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$502.35 |
$591 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$836.40 |
$984 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$583.10 |
$686 |
1.5× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,252.50 |
$2,650 |
0.4× |
| Repair of leg tendon each (27658) |
$1,360 |
$1,600 |
0.4× |
| Repair of nail bed (11760) |
$613.70 |
$722 |
0.8× |
| Repair of nasal septum (30520) |
$2,805 |
$3,300 |
0.9× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$3,200.25 |
$3,765 |
0.4× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$3,183.25 |
$3,745 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,815.60 |
$2,136 |
0.5× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$3,485 |
$4,100 |
0.5× |
| Repair Tongue Laceration (41250) |
$408 |
$480 |
0.9× |
| Repeat control of nosebleed (30906) |
$617.95 |
$727 |
2.6× |
| Reposition cv cath w/fluoro (36597) |
$340 |
$400 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$2,624.80 |
$3,088 |
1.4× |
| Revise vag graft via vagina (57295) |
$2,864.50 |
$3,370 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$255 |
$300 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$555.05 |
$653 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$878.05 |
$1,033 |
1.2× |
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620)
unusually low: confirm this is the full procedure |
$2,741.25 |
$3,225 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$106.25 |
$125 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$192.10 |
$226 |
0.5× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,246.55 |
$2,643 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$168.30 |
$198 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$133.45 |
$157 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$199.75 |
$235 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$164.05 |
$193 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$682.55 |
$803 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$348.50 |
$410 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$384.20 |
$452 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$861.90 |
$1,014 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$447.95 |
$527 |
2.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$551.65 |
$649 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$246.08 |
$289.50 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$402.90 |
$474 |
2.0× |
| Skin sub graft trnk/arm/leg (15271) |
$303.45 |
$357 |
0.4× |
| Skin sub grft t/arm/lg child (15273) |
$662.15 |
$779 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,208.75 |
$3,775 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$340.85 |
$401 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$509.15 |
$599 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$616.25 |
$725 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$586.50 |
$690 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$629 |
$740 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,848.75 |
$2,175 |
0.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$459 |
$540 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,468.40 |
$2,904 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$134.30 |
$158 |
0.3× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$2,791.40 |
$3,284 |
0.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,360 |
$1,600 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$376.55 |
$443 |
0.6× |
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure |
$2,340.90 |
$2,754 |
0.3× |
| Tnot elbow lateral/medial debride open (24358) |
$1,955 |
$2,300 |
0.6× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$2,507.50 |
$2,950 |
0.3× |
| Trim skin lesion (11055) |
$55.25 |
$65 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$75.65 |
$89 |
0.4× |
| Trim skin lesions over 4 (11057) |
$88.40 |
$104 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$862.75 |
$1,015 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$496.40 |
$584 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$369.75 |
$435 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$861.90 |
$1,014 |
0.6× |
| Unlisted procedure nervous system (64999) |
$950.72 |
$1,118.50 |
3.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$884 |
$1,040 |
1.4× |
| Us urine capacity measure (51798) |
$88.40 |
$104 |
1.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$2,653.70 |
$3,122 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$829.60 |
$976 |
0.4× |
| Venipuncture (36415) |
$21.25 |
$25 |
2.3× |
| Wedge excision skin nail fold (11765) |
$161.50 |
$190 |
0.4× |