| Abd paracentesis w/imaging (49083) |
$385.20 |
$428 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$177.30 |
$197 |
0.2× |
| Acne Surgery (10040) |
$136.80 |
$152 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,574.55 |
$1,749.50 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,190.70 |
$1,323 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,336.40 |
$2,596 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$1,140.30 |
$1,267 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,216.80 |
$1,352 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,669.40 |
$2,966 |
0.4× |
| Anoscopy diagnostic (46600) |
$135 |
$150 |
1.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,768.50 |
$1,965 |
0.4× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$1,858.50 |
$2,065 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$189.90 |
$211 |
1.3× |
| Application cast elbow finger short arm (29075) |
$178.20 |
$198 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$369 |
$410 |
1.4× |
| Application finger splint static (29130) |
$100.80 |
$112 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$282.60 |
$314 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$126 |
$140 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$256.50 |
$285 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$177.30 |
$197 |
1.4× |
| Application short leg splint calf foot (29515) |
$136.35 |
$151.50 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$297 |
$330 |
2.0× |
| Apply short leg cast (29405) |
$214.20 |
$238 |
0.8× |
| Apply short leg cast (29425) |
$243.90 |
$271 |
0.9× |
| Arterial puncture (36600) |
$109.80 |
$122 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$472.50 |
$525 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$661.50 |
$735 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$648 |
$720 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$873 |
$970 |
3.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$128.70 |
$143 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$394.20 |
$438 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$154.80 |
$172 |
0.8× |
| Biopsy bone open superficial (20240) |
$418.50 |
$465 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$382.50 |
$425 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$257.66 |
$286.29 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$693 |
$770 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$263.70 |
$293 |
0.3× |
| Biopsy external ear (69100) |
$128.70 |
$143 |
0.6× |
| Biopsy of epididymis (54800) |
$396.90 |
$441 |
0.3× |
| Biopsy of lip (40490) |
$194.40 |
$216 |
0.9× |
| Biopsy of mouth lesion (40808) |
$243 |
$270 |
0.5× |
| Biopsy of nail unit (11755) |
$171 |
$190 |
0.3× |
| Biopsy of ovary(s) (58900) |
$1,186.20 |
$1,318 |
0.4× |
| Biopsy of penis (54100) |
$411.30 |
$457 |
0.3× |
| Biopsy of uterus lining (58100) |
$197.10 |
$219 |
1.1× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$1,516.50 |
$1,685 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$697.50 |
$775 |
0.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$445.50 |
$495 |
0.3× |
| Biopsy testis incisional separate procedure (54505) |
$615.60 |
$684 |
0.2× |
| Biopsy Testis Needle Separate Procedure (54500) |
$226.80 |
$252 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$130.50 |
$145 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,090.80 |
$1,212 |
0.3× |
| Bladder Scan (51798) |
$167.40 |
$186 |
3.1× |
| Blood patch (62273) |
$1,721.25 |
$1,912.50 |
2.7× |
| Blood transfusion service (36430) |
$761.40 |
$846 |
1.9× |
| Bone Marrow Biopsy (38221) |
$298.80 |
$332 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$787.95 |
$875.50 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$292.50 |
$325 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$136.35 |
$151.50 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$570.60 |
$634 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$86.40 |
$96 |
0.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$194.40 |
$216 |
0.7× |
| Chemical Cautery Tissue (17250) |
$102.15 |
$113.50 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$519.75 |
$577.50 |
1.8× |
| Chemodenervation internal anal sphincter (46505) |
$688.50 |
$765 |
0.6× |
| Chest tube placement (32551) |
$429.30 |
$477 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$30.60 |
$34 |
0.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$882 |
$980 |
0.3× |
| Circum 28 days or older (54161) |
$581.40 |
$646 |
0.3× |
| Circumcision (54150) |
$413.10 |
$459 |
0.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$761.40 |
$846 |
3.4× |
| Closed Rx Med Malleolus Fx (27760) |
$686.70 |
$763 |
3.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$810.90 |
$901 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$486.90 |
$541 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$472.50 |
$525 |
2.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$628.20 |
$698 |
2.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,318.50 |
$1,465 |
0.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$668.70 |
$743 |
2.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$426.60 |
$474 |
1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$765 |
$850 |
3.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$395.10 |
$439 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$906.30 |
$1,007 |
4.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$700.20 |
$778 |
3.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$423.90 |
$471 |
1.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$339.30 |
$377 |
1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$217.80 |
$242 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$546.30 |
$607 |
2.4× |
| Closure of gastrostomy surgical (43870) |
$2,022.30 |
$2,247 |
0.6× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$437.40 |
$486 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$511.20 |
$568 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$987.30 |
$1,097 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$545.40 |
$606 |
2.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$266.40 |
$296 |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$423.90 |
$471 |
1.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$508.50 |
$565 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$708.30 |
$787 |
3.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$450 |
$500 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$617.40 |
$686 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$864.90 |
$961 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$211.50 |
$235 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$265.50 |
$295 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$225.90 |
$251 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$502.20 |
$558 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$396 |
$440 |
1.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$421.20 |
$468 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$910.80 |
$1,012 |
4.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$346.50 |
$385 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$495.90 |
$551 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$472.50 |
$525 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$400.50 |
$445 |
1.8× |
| Colonoscopy flex w/rem forcep (45384) |
$967.95 |
$1,075.50 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$990 |
$1,100 |
0.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$3,111.30 |
$3,457 |
2.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$882 |
$980 |
0.8× |
| Colonoscopy stoma w/biopsy (44389) |
$730.80 |
$812 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$900 |
$1,000 |
0.8× |
| Colonoscopy thru stoma (44388) |
$861.30 |
$957 |
1.0× |
| Colonoscopy w/ablation (45388) |
$3,261.60 |
$3,624 |
3.0× |
| Colonoscopy w/band ligation (45398) |
$1,224 |
$1,360 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$905.40 |
$1,006 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$386.10 |
$429 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$274.50 |
$305 |
1.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$393.30 |
$437 |
1.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$661.50 |
$735 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$558 |
$620 |
0.5× |
| Complete replacement picc rs&i (36584) |
$1,668.60 |
$1,854 |
1.2× |
| Complex Drainage, Wound (10180) |
$491.85 |
$546.50 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$450.90 |
$501 |
3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$198.90 |
$221 |
1.6× |
| Curettage postpartum (59160) |
$628.20 |
$698 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$553.50 |
$615 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$387.90 |
$431 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$669.60 |
$744 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$413.10 |
$459 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$774.90 |
$861 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$2,070 |
$2,300 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$383.40 |
$426 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$625.50 |
$695 |
0.3× |
| Cystourethroscopy (52000) |
$218.70 |
$243 |
0.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$461.70 |
$513 |
0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$720.90 |
$801 |
0.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$785.70 |
$873 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$81 |
$90 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$265.50 |
$295 |
0.4× |
| Debride nail 1-5 (11720) |
$42.30 |
$47 |
0.8× |
| Debride nail 6 or more (11721) |
$70.20 |
$78 |
1.3× |
| Debride skin musc at fx site (11011) |
$747 |
$830 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$169.65 |
$188.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$426.60 |
$474 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$615.60 |
$684 |
0.4× |
| Declot vascular device (36593) |
$39.60 |
$44 |
0.1× |
| Delivery placenta separate procedure (59414) |
$177.30 |
$197 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$3,443.40 |
$3,826 |
1.9× |
| Destroy lumb/sac facet jnt (64635) |
$3,290.40 |
$3,656 |
1.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$225.90 |
$251 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$195.30 |
$217 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$183.60 |
$204 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,467.80 |
$2,742 |
3.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,467.80 |
$2,742 |
3.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$2,467.80 |
$2,742 |
8.7× |
| Destruction Lesions Vulva Simple (56501) |
$325.80 |
$362 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$297 |
$330 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$375.30 |
$417 |
2.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$429.30 |
$477 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$291.15 |
$323.50 |
1.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$376.20 |
$418 |
2.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$238.50 |
$265 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$267.30 |
$297 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$332.10 |
$369 |
1.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$5,279.40 |
$5,866 |
2.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$232.65 |
$258.50 |
1.3× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$394.20 |
$438 |
1.1× |
| Destruction of skin lesions (17106) |
$756.90 |
$841 |
2.0× |
| Destruction premalignant lesion 1st (17000) |
$121.50 |
$135 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,009.80 |
$1,122 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$224.10 |
$249 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$618.30 |
$687 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$311.40 |
$346 |
0.4× |
| Drain outer ear canal lesion (69020) |
$319.50 |
$355 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$522 |
$580 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$468 |
$520 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$73.80 |
$82 |
0.4× |
| Drainage of eyelid abscess (67700) |
$325.80 |
$362 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$326.70 |
$363 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$500.40 |
$556 |
0.3× |
| Draw blood off venous device (36591) |
$30.60 |
$34 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$376.20 |
$418 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$349.20 |
$388 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$130.95 |
$145.50 |
0.7× |
| Dstrj lesion anus simple chemical (46900) |
$652.50 |
$725 |
1.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$700.20 |
$778 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,323 |
$1,470 |
0.7× |
| Egd flexible foreign body removal (43247) |
$616.05 |
$684.50 |
0.7× |
| Egd injection varices (43243) |
$733.50 |
$815 |
0.4× |
| Egd place gastrostomy tube (43246) |
$612.90 |
$681 |
0.3× |
| Egd rem tumr/polyp forcep (43250) |
$1,104.30 |
$1,227 |
0.6× |
| Egd remove lesion snare (43251) |
$540 |
$600 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$756 |
$840 |
0.4× |
| Endoscopic Injection/Implant (51715) |
$545.40 |
$606 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$4,252.50 |
$4,725 |
1.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,002.60 |
$1,114 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$437.40 |
$486 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$91.35 |
$101.50 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,440 |
$1,600 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$418.50 |
$465 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$404.55 |
$449.50 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$302.40 |
$336 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$405.90 |
$451 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$429.30 |
$477 |
0.3× |
| Exc frenum labial/buccal (40819) |
$360.45 |
$400.50 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,109.70 |
$1,233 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$297.45 |
$330.50 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$436.95 |
$485.50 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$387 |
$430 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$459.45 |
$510.50 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$459 |
$510 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$562.50 |
$625 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$447.30 |
$497 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$622.80 |
$692 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$764.10 |
$849 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,044.90 |
$1,161 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$924.30 |
$1,027 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$765 |
$850 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,152.90 |
$1,281 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$365.40 |
$406 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$230.40 |
$256 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,228.50 |
$1,365 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,710 |
$1,900 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$810 |
$900 |
0.5× |
| Excision Breast Lesion (19125) |
$1,308.60 |
$1,454 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$306 |
$340 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$437.40 |
$486 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$469.80 |
$522 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$445.50 |
$495 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$531 |
$590 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$496.80 |
$552 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$484.20 |
$538 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$788.40 |
$876 |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$677.70 |
$753 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$479.70 |
$533 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$567 |
$630 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$486 |
$540 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$527.40 |
$586 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$596.70 |
$663 |
0.4× |
| Excision of bartholin's gland or cyst (56740) |
$870.30 |
$967 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$337.50 |
$375 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$399.60 |
$444 |
0.6× |
| Excision of hydrocele; unilateral (55040) |
$966.60 |
$1,074 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$359.55 |
$399.50 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$215.55 |
$239.50 |
0.1× |
| Excision of nail fold toe (11765) |
$239.40 |
$266 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$928.80 |
$1,032 |
0.8× |
| Excision of vaginal cyst or tumor (57135) |
$229.50 |
$255 |
0.1× |
| Excision or fulguration; Skene's glands (53270) |
$569.70 |
$633 |
0.2× |
| Excision or fulguration; urethral caruncle (53265) |
$587.70 |
$653 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,253.70 |
$1,393 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,395 |
$1,550 |
0.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,350 |
$1,500 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,109.70 |
$1,233 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$853.20 |
$948 |
0.6× |
| Fetal non-stress test (59025) |
$195.30 |
$217 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$151.20 |
$168 |
0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,530.90 |
$1,701 |
0.8× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,979.80 |
$4,422 |
1.1× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,943.10 |
$2,159 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$342.90 |
$381 |
0.5× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$853.20 |
$948 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,350 |
$1,500 |
0.5× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$1,482.30 |
$1,647 |
0.6× |
| I&d abscess simple (10060) |
$284.40 |
$316 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$614.70 |
$683 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$286.20 |
$318 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$495.45 |
$550.50 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$353.25 |
$392.50 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$434.70 |
$483 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$340.20 |
$378 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$279.90 |
$311 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$294.75 |
$327.50 |
1.1× |
| Incision of lingual frenum (41010) |
$207.90 |
$231 |
0.1× |
| Incision of rectal abscess (46040) |
$1,171.80 |
$1,302 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$333.90 |
$371 |
1.5× |
| Incision&drainage bursa foot (28001) |
$495 |
$550 |
0.3× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$189 |
$210 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$205.65 |
$228.50 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$132.30 |
$147 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,784.60 |
$3,094 |
3.4× |
| Inj tendon sheath/ligament (20550) |
$263.25 |
$292.50 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$535.50 |
$595 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,454.40 |
$1,616 |
2.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$421.20 |
$468 |
1.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$803.25 |
$892.50 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,467.80 |
$2,742 |
3.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,071 |
$1,190 |
1.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$585 |
$650 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,090.80 |
$1,212 |
1.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,290.60 |
$1,434 |
1.6× |
| Inject Nerv Blck,Pudendal (64430) |
$1,607.40 |
$1,786 |
2.0× |
| Inject Tendon Origin/Insert (20551) |
$526.50 |
$585 |
1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$3,060 |
$3,400 |
4.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,524.50 |
$2,805 |
3.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$727.20 |
$808 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,071 |
$1,190 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$2,295 |
$2,550 |
8.1× |
| Injection anes other peripheral nerve/branch (64450) |
$290.25 |
$322.50 |
0.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,467.80 |
$2,742 |
3.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$351 |
$390 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$391.50 |
$435 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$783 |
$870 |
2.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,071 |
$1,190 |
3.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,224 |
$1,360 |
4.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$391.50 |
$435 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$121.95 |
$135.50 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$305.10 |
$339 |
2.6× |
| Insert Drug Implant Device (11981) |
$125.10 |
$139 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,088.80 |
$3,432 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,530 |
$1,700 |
0.5× |
| Insert pessary/other device (57160) |
$198 |
$220 |
1.1× |
| Insert picc cath (36569) |
$990 |
$1,100 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$990 |
$1,100 |
0.7× |
| Insert picvad cath (36570) |
$1,530 |
$1,700 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$118.80 |
$132 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,657.70 |
$2,953 |
0.9× |
Insert Tunneled Cv Cath With Pump (36563)
likely a partial charge, not the full procedure |
$1,530 |
$1,700 |
0.3× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,530 |
$1,700 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108.90 |
$121 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,111.50 |
$1,235 |
0.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$877.50 |
$975 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,565.90 |
$2,851 |
0.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,385 |
$2,650 |
0.8× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
likely a partial charge, not the full procedure |
$1,530 |
$1,700 |
0.3× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$1,530 |
$1,700 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,404 |
$1,560 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$353.70 |
$393 |
1.6× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,183.50 |
$1,315 |
0.2× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
unusually low: confirm this is the full procedure |
$3,448.80 |
$3,832 |
0.4× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$3,987 |
$4,430 |
0.4× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$1,682.10 |
$1,869 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$968.40 |
$1,076 |
0.2× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$1,542.60 |
$1,714 |
0.3× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$1,890.45 |
$2,100.50 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$2,937.60 |
$3,264 |
0.3× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,610.80 |
$4,012 |
0.4× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,049.40 |
$1,166 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$1,050.30 |
$1,167 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$917.10 |
$1,019 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$3,156.30 |
$3,507 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,336.40 |
$2,596 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
unusually low: confirm this is the full procedure |
$3,077.10 |
$3,419 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,592 |
$2,880 |
0.5× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,533.15 |
$1,703.50 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,062.90 |
$1,181 |
0.2× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,626.20 |
$2,918 |
0.3× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$2,962.80 |
$3,292 |
0.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$225.90 |
$251 |
1.2× |
| Ligation of abdomen artery (37617) |
$4,065.30 |
$4,517 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$650.70 |
$723 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$945 |
$1,050 |
0.3× |
| Liver Biopsy (47000) |
$485.10 |
$539 |
0.3× |
| Mast mod rad (19307) |
$3,284.10 |
$3,649 |
0.5× |
| Mastectomy partial (19301) |
$1,260 |
$1,400 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,623.50 |
$2,915 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,467.80 |
$2,742 |
3.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$334.80 |
$372 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,746.80 |
$3,052 |
3.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,721.25 |
$1,912.50 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$956.70 |
$1,063 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$382.50 |
$425 |
0.5× |
| Occlude fallopian tube(s) (58615) |
$883.80 |
$982 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,207.80 |
$1,342 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$825.30 |
$917 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,046.70 |
$1,163 |
0.3× |
| Pelvic exam under anesthesia (57410) |
$272.25 |
$302.50 |
0.1× |
| Peritoneal Lavage (49084) |
$270 |
$300 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$238.50 |
$265 |
1.0× |
| Placement of seton (46020) |
$558 |
$620 |
0.2× |
| Prostatectomy (turp) (52601) |
$2,003.40 |
$2,226 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$135.45 |
$150.50 |
0.4× |
| Puncture Aspiration (10160) |
$273.60 |
$304 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$165.60 |
$184 |
0.3× |
| Pvb thoracic single inj site (64461) |
$1,414.80 |
$1,572 |
2.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,362.55 |
$7,069.50 |
3.5× |
| Reduce testis torsion (54600) |
$1,337.40 |
$1,486 |
0.4× |
| Removal Anal Seton Other Marker (46030) |
$226.80 |
$252 |
0.2× |
| Removal fb intranasal (30300) |
$319.50 |
$355 |
2.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$748.80 |
$832 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$383.40 |
$426 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$393.30 |
$437 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$413.10 |
$459 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$89.10 |
$99 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$89.10 |
$99 |
1.6× |
| Removal of anal fissure (46200) |
$855 |
$950 |
0.3× |
| Removal of anorectal lesion (45108) |
$953.10 |
$1,059 |
0.4× |
| Removal of arm foreign body (24200) |
$445.50 |
$495 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$171 |
$190 |
0.6× |
| Removal of nail bed (11750) |
$309.49 |
$343.88 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$207.90 |
$231 |
1.1× |
| Remove anal fist subq (46270) |
$1,071 |
$1,190 |
0.4× |
| Remove by ligat int hem grp (46945) |
$248.40 |
$276 |
0.1× |
| Remove drug implant device (11982) |
$176.40 |
$196 |
0.4× |
| Remove foreign body from eye (65235) |
$1,467 |
$1,630 |
0.7× |
| Remove foreign body from eye (65210) |
$355.50 |
$395 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$1,224 |
$1,360 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,220.40 |
$1,356 |
0.5× |
| Remove wrist tendon lesion (25111) |
$900 |
$1,000 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$191.70 |
$213 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$144.90 |
$161 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$325.80 |
$362 |
2.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,092.50 |
$2,325 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$551.70 |
$613 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$792 |
$880 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$600.30 |
$667 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$765 |
$850 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$637.20 |
$708 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$810 |
$900 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$585.90 |
$651 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$680.40 |
$756 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$844.20 |
$938 |
0.6× |
| Repair incomplete circumcision (54163) |
$600.30 |
$667 |
0.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,594.80 |
$1,772 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,766.70 |
$1,963 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,604.70 |
$1,783 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,625.40 |
$1,806 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$818.10 |
$909 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$464.40 |
$516 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$548.10 |
$609 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,593 |
$1,770 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$810 |
$900 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$943.20 |
$1,048 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,144.80 |
$1,272 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$850.50 |
$945 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$364.05 |
$404.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$537.30 |
$597 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$585.90 |
$651 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$950.40 |
$1,056 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$656.10 |
$729 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$418.50 |
$465 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$562.05 |
$624.50 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$764.10 |
$849 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$564.30 |
$627 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$888.30 |
$987 |
0.5× |
| Repair of nail bed (11760) |
$250.20 |
$278 |
0.4× |
| Repair of vagina (57260) |
$2,305.80 |
$2,562 |
0.5× |
| Repair rectum & vagina (57250) |
$1,771.20 |
$1,968 |
0.4× |
| Repair Tongue Laceration (41250) |
$324 |
$360 |
0.8× |
| Replace g/c tube perc (49450) |
$166.50 |
$185 |
0.2× |
| Rerepair fem hernia blocked (49557) |
$2,054.70 |
$2,283 |
0.6× |
| Rerepair fem hernia reduce (49555) |
$1,675.80 |
$1,862 |
0.5× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,301.30 |
$2,557 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$1,774.80 |
$1,972 |
0.5× |
| Revise Eyelashes,Forceps (67820) |
$112.50 |
$125 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$229.50 |
$255 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$209.70 |
$233 |
1.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$593.10 |
$659 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,311.30 |
$1,457 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,110.60 |
$1,234 |
1.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$285.30 |
$317 |
0.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,530 |
$1,700 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,530 |
$1,700 |
1.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,530 |
$1,700 |
0.5× |
Rplcmt compl tun ctr vad w/subq pmp (36583)
likely a partial charge, not the full procedure |
$1,530 |
$1,700 |
0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,530 |
$1,700 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,530 |
$1,700 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$1,836 |
$2,040 |
0.3× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$1,350 |
$1,500 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$859.95 |
$955.50 |
0.3× |
| Rpr blood vessel direct lower extremity (35226) |
$2,238.30 |
$2,487 |
3.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,575.80 |
$2,862 |
1.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$855.90 |
$951 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$382.50 |
$425 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$900 |
$1,000 |
1.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$97.20 |
$108 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$575.10 |
$639 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$157.95 |
$175.50 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$265.05 |
$294.50 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$111.60 |
$124 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$162.45 |
$180.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$188.55 |
$209.50 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$197.10 |
$219 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$114.75 |
$127.50 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$191.25 |
$212.50 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$159.75 |
$177.50 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$150.30 |
$167 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$216.45 |
$240.50 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$182.70 |
$203 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$348.30 |
$387 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$197.10 |
$219 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$922.50 |
$1,025 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$323.10 |
$359 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$442.80 |
$492 |
2.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$990 |
$1,100 |
2.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$516.60 |
$574 |
2.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$700.20 |
$778 |
3.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$696.60 |
$774 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$208.80 |
$232 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$670.50 |
$745 |
3.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$376.20 |
$418 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$276.30 |
$307 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$243 |
$270 |
0.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$572.40 |
$636 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$260.10 |
$289 |
0.1× |
| Slitting of prepuce (54001) |
$448.20 |
$498 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$234.45 |
$260.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$344.25 |
$382.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$484.20 |
$538 |
1.3× |
| Sphincterotomy (46080) |
$549 |
$610 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,021.05 |
$1,134.50 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$1,228.50 |
$1,365 |
1.9× |
| Strapping elbow/wrist (29260) |
$81 |
$90 |
1.5× |
| Strapping hand/finger (29280) |
$112.50 |
$125 |
2.1× |
| Strapping shoulder (29240) |
$86.40 |
$96 |
0.7× |
| Strapping unna boot (29580) |
$98.55 |
$109.50 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$108 |
$120 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$598.50 |
$665 |
0.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,147.50 |
$1,275 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$558.90 |
$621 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$224.10 |
$249 |
0.4× |
| Transfer Any Pedicle Flap Any Location (15650) |
$1,037.70 |
$1,153 |
0.5× |
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure |
$2,143.80 |
$2,382 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$574.20 |
$638 |
2.5× |
| Treat humerus fracture (24500) |
$659.70 |
$733 |
2.9× |
| Treat humerus fracture (23600) |
$479.70 |
$533 |
2.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$558 |
$620 |
0.4× |
| Treat wrist bone fracture (25622) |
$1,008.90 |
$1,121 |
4.4× |
| Treat Wrist Bone Fracture (25630) |
$648.90 |
$721 |
2.9× |
| Treatment closed elbow dislocation req anes (24605) |
$733.50 |
$815 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$647.10 |
$719 |
2.9× |
| Trim skin lesion (11055) |
$45.90 |
$51 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$65.25 |
$72.50 |
0.4× |
| Trim skin lesions over 4 (11057) |
$86.40 |
$96 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$23.40 |
$26 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$899.10 |
$999 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$706.50 |
$785 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$456.30 |
$507 |
0.7× |
| Unlisted Procedure Lungs & Pleura (32999) |
$183.60 |
$204 |
0.3× |
| Vaginal delivery only (59409) |
$1,932.30 |
$2,147 |
0.6× |
| Vasectomy (55250) |
$567 |
$630 |
0.3× |
| Venipuncture (36415) |
$27.90 |
$31 |
3.0× |