| Amniocentesis therapeutic (59001) |
$420 |
$420 |
1.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$184 |
$184 |
0.1× |
| Application cast elbow finger short arm (29075) |
$108 |
$108 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$70 |
$70 |
0.5× |
| Apply short leg cast (29405) |
$101 |
$101 |
0.3× |
| Arterial puncture (36600) |
$113 |
$113 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$63 |
$63 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$87 |
$87 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$62.50 |
$62.50 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$98 |
$98 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$61 |
$61 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$800 |
$800 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$668.50 |
$668.50 |
0.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$70 |
$70 |
0.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$60 |
$60 |
0.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$241.50 |
$241.50 |
1.2× |
| Biopsy bone open superficial (20240) |
$103 |
$103 |
0.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$309 |
$309 |
0.3× |
| Biopsy of mouth lesion (40808) |
$159 |
$159 |
0.3× |
| Biopsy of nail unit (11755) |
$81 |
$81 |
0.1× |
| Biopsy of uterus lining (58100) |
$103 |
$103 |
0.5× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$856 |
$856 |
1.2× |
| Bladder Scan (51798) |
$256 |
$256 |
4.2× |
| Blood transfusion service (36430) |
$870 |
$870 |
1.9× |
| Bx vulva/perineum 1 lesion (56605) |
$1,460 |
$1,460 |
1.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$251 |
$251 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$101 |
$101 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$335.50 |
$335.50 |
1.3× |
| Circum 28 days or older (54161) |
$443 |
$443 |
0.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$676 |
$676 |
2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$465 |
$465 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$618 |
$618 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$791 |
$791 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$948 |
$948 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$346 |
$346 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$415 |
$415 |
1.6× |
| Cltx greater trochanteric fx w/o manj (27246) |
$703 |
$703 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$652 |
$652 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$682 |
$682 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$445 |
$445 |
1.7× |
| Colonoscopy stoma w/snare (44394) |
$3,994 |
$3,994 |
3.2× |
| Colonoscopy thru stoma (44388) |
$2,828 |
$2,828 |
2.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$179 |
$179 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$1,814 |
$1,814 |
5.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,788 |
$1,788 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$125 |
$125 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$94.50 |
$94.50 |
0.7× |
| Correction hammertoe (28285) |
$497.50 |
$497.50 |
0.1× |
| Create eardrum opening (69436) |
$146 |
$146 |
0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$173 |
$173 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,003 |
$1,003 |
0.5× |
| Cystoscopy w/biopsy (52204) |
$442 |
$442 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$68 |
$68 |
0.0× |
| Cystourethroscopy (52000) |
$712.50 |
$712.50 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,113 |
$1,113 |
0.5× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$827 |
$827 |
0.2× |
| Debride nail 1-5 (11720) |
$19.50 |
$19.50 |
0.3× |
| Debride nail 6 or more (11721) |
$32 |
$32 |
0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$140 |
$140 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$127 |
$127 |
0.3× |
| Declot vascular device (36593) |
$115 |
$115 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$149 |
$149 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$124 |
$124 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$424 |
$424 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,573 |
$1,573 |
1.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,549 |
$1,549 |
1.6× |
| Drain/inj small joint/bursa w/us (20604) |
$78 |
$78 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$121 |
$121 |
0.1× |
| Egd remove lesion snare (43251) |
$2,730 |
$2,730 |
1.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$380 |
$380 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$59 |
$59 |
0.4× |
| Exc abd les sc 3 cm/> (22903) |
$1,302 |
$1,302 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$614 |
$614 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$567 |
$567 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$567 |
$567 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$406 |
$406 |
0.2× |
| Exc forearm les sc < 3 cm (25075) |
$563 |
$563 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$203.50 |
$203.50 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$301.50 |
$301.50 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$353 |
$353 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$385 |
$385 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$541 |
$541 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$803 |
$803 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$334 |
$334 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$499 |
$499 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$380 |
$380 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$410 |
$410 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$281 |
$281 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$983 |
$983 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$540 |
$540 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$640 |
$640 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$525 |
$525 |
0.3× |
| Excision lesion mouth roof (42104) |
$193 |
$193 |
0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$265 |
$265 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$300 |
$300 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$317 |
$317 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$220 |
$220 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$254 |
$254 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$286 |
$286 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$395 |
$395 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$210 |
$210 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$245 |
$245 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$272 |
$272 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$315 |
$315 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$341 |
$341 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$359 |
$359 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$255 |
$255 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$258 |
$258 |
0.2× |
| Excision of nail fold toe (11765) |
$126 |
$126 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$264 |
$264 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$964 |
$964 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$660 |
$660 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$488 |
$488 |
0.3× |
| I&d abscess simple (10060) |
$359 |
$359 |
1.7× |
| Incise finger tendon sheath (26055) |
$608 |
$608 |
0.4× |
| Incision of eardrum (69420) |
$266.50 |
$266.50 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$183 |
$183 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,465 |
$1,465 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$66 |
$66 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,900 |
$1,900 |
2.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$294 |
$294 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$66 |
$66 |
0.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,077 |
$1,077 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$83 |
$83 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$63 |
$63 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$71 |
$71 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$95 |
$95 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$72 |
$72 |
0.5× |
| Insert Drug Implant Device (11981) |
$103 |
$103 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,300 |
$4,300 |
2.2× |
| Insert pessary/other device (57160) |
$75 |
$75 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$147 |
$147 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$22 |
$22 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,020 |
$3,020 |
1.8× |
| Knee arthroscopy/surgery (29876) |
$1,059 |
$1,059 |
0.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$117.50 |
$117.50 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$337 |
$337 |
0.3× |
| Middle ear surgery proc unlisted (69799) |
$145 |
$145 |
0.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$108 |
$108 |
0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,595 |
$1,595 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$333 |
$333 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,297 |
$1,297 |
1.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$232 |
$232 |
0.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$271 |
$271 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$321 |
$321 |
0.1× |
| Penis plastic surgery (54360) |
$1,983 |
$1,983 |
0.5× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,469 |
$2,469 |
1.0× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$283 |
$283 |
0.0× |
Prq impltj neurostimulator eltrd peripheral nrv (64555)
likely a partial charge, not the full procedure |
$1,010 |
$1,010 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$80 |
$80 |
0.2× |
| Puncture Aspiration (10160) |
$169 |
$169 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.50 |
$56.50 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$43 |
$43 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$108 |
$108 |
0.3× |
| Removal of nail bed (11750) |
$137.50 |
$137.50 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$260 |
$260 |
1.2× |
| Remove drug implant device (11982) |
$119 |
$119 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$699 |
$699 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$81 |
$81 |
0.6× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$247 |
$247 |
0.1× |
| Revise median n/carpal tunnel surg (64721) |
$2,442 |
$2,442 |
1.2× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$416.50 |
$416.50 |
0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$393 |
$393 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$228 |
$228 |
0.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$168 |
$168 |
0.4× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$47 |
$47 |
0.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$111 |
$111 |
0.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$926 |
$926 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,959 |
$1,959 |
2.0× |
| Skin tissue rearrangement (14040) |
$1,495 |
$1,495 |
0.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,523 |
$1,523 |
0.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$401 |
$401 |
0.2× |
| Treat humerus fracture (23600) |
$726 |
$726 |
2.8× |
| Treat wrist bone fracture (25622) |
$644 |
$644 |
2.5× |
| Trim skin lesion (11055) |
$21 |
$21 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$30 |
$30 |
0.1× |
| Trim skin lesions over 4 (11057) |
$49 |
$49 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$13 |
$13 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$296 |
$296 |
0.4× |
| Tympanostomy (69433) |
$362 |
$362 |
0.6× |
| Vasectomy (55250) |
$2,261 |
$2,261 |
1.0× |