| Abd paracentesis w/imaging (49083) |
$475 |
$950 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$400 |
$800 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$620.84 |
$1,241.67 |
0.3× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$700 |
$1,400 |
0.4× |
| Alveolectomy, including curettage of osteitis or sequestrectomy (41830) |
$931.25 |
$1,862.50 |
0.3× |
| Amputate lower leg at knee (27598) |
$650 |
$1,300 |
0.2× |
| Amputation Finger/Thumb (26951) |
$800 |
$1,600 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$650 |
$1,300 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,687.50 |
$3,375 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$322.50 |
$645 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$550 |
$1,100 |
0.2× |
| Amputation, foot; transmetatarsal (28805) |
$1,050 |
$2,100 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,000 |
$6,000 |
0.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$900 |
$1,800 |
0.3× |
| Anoscopy Ablation Lesion (46615) |
$222.50 |
$445 |
0.1× |
| Anoscopy diagnostic (46600) |
$72.50 |
$145 |
0.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$750 |
$1,500 |
0.2× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$350 |
$700 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$124.50 |
$249 |
0.9× |
| Application cast elbow finger short arm (29075) |
$79.75 |
$159.50 |
0.3× |
| Application cast shoulder hand long arm (29065) |
$89 |
$178 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$80 |
$160 |
1.6× |
| Application finger splint static (29130) |
$50 |
$100 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$58 |
$116 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$91.50 |
$183 |
0.7× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$900 |
$1,800 |
0.1× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$825 |
$1,650 |
0.1× |
| Application Short Arm Splint Dynamic (29126) |
$92.50 |
$185 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$69 |
$138 |
0.6× |
| Application short leg splint calf foot (29515) |
$67 |
$134 |
0.5× |
| Apply multlay comprs arm/hand (29584) |
$100 |
$200 |
0.7× |
| Apply of clubfoot cast (29450) |
$136.59 |
$273.18 |
1.0× |
| Apply short leg cast (29405) |
$75 |
$150 |
0.3× |
| Arterial puncture (36600) |
$39.50 |
$79 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$49.50 |
$99 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$66.25 |
$132.50 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$46.50 |
$93 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,387.50 |
$2,775 |
0.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$750 |
$1,500 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$800 |
$1,600 |
0.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$750 |
$1,500 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$787.50 |
$1,575 |
0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$975 |
$1,950 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$875 |
$1,750 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$800 |
$1,600 |
0.3× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,250 |
$2,500 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$825 |
$1,650 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$325 |
$650 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$95.99 |
$191.98 |
0.6× |
| Biopsy Bone Open Deep (20245) |
$300 |
$600 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,425 |
$2,850 |
1.0× |
| Biopsy Breast Open Incisional (19101) |
$322.50 |
$645 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$300 |
$600 |
0.2× |
| Biopsy Muscle Superficial (20200) |
$850 |
$1,700 |
0.6× |
| Biopsy of floor of mouth (41108) |
$262.50 |
$525 |
0.2× |
| Biopsy of mouth lesion (40808) |
$256.25 |
$512.50 |
0.6× |
| Biopsy of tongue (41100) |
$175 |
$350 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$300 |
$600 |
0.1× |
| Biopsy Oropharynx (42800) |
$162.50 |
$325 |
0.1× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$550 |
$1,100 |
0.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$595 |
$1,190 |
0.4× |
| Biopsy tongue posterior one-third (41105) |
$150 |
$300 |
0.1× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$296 |
$592 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$550 |
$1,100 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,487.50 |
$2,975 |
0.4× |
| Bladder Irrigation Simple (51700) |
$62.50 |
$125 |
0.3× |
| Bladder Scan (51798) |
$10 |
$20 |
0.2× |
| Blood patch (62273) |
$200 |
$400 |
0.3× |
| Blood transfusion service (36430) |
$50 |
$100 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$325 |
$650 |
0.1× |
| Bone Marrow Biopsy (38221) |
$539 |
$1,078 |
0.4× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$200 |
$400 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$225 |
$450 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$250 |
$500 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$225 |
$450 |
0.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$450 |
$900 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$512.50 |
$1,025 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$266 |
$532 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$625 |
$1,250 |
0.4× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$450 |
$900 |
0.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$40.50 |
$81 |
0.2× |
| Change Cystostomy Tube Complicated (51710) |
$95 |
$190 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$69 |
$138 |
0.3× |
| Chemical Cautery Tissue (17250) |
$72.50 |
$145 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$16 |
$32 |
0.1× |
| Chest tube placement (32551) |
$227.50 |
$455 |
0.2× |
| Chromotubation of oviduct, including materials (58350) |
$150 |
$300 |
0.0× |
| Circum 28 days or older (54161) |
$500 |
$1,000 |
0.3× |
| Closed Rx Med Malleolus Fx (27760) |
$121 |
$242 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$94.50 |
$189 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$129.50 |
$259 |
0.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$606.25 |
$1,212.50 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$85 |
$170 |
0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$153 |
$306 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$119 |
$238 |
0.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$94.50 |
$189 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$205.50 |
$411 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$555 |
$1,110 |
2.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$170.50 |
$341 |
0.4× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
likely a partial charge, not the full procedure |
$550 |
$1,100 |
0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$81 |
$162 |
0.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$61 |
$122 |
0.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$115.50 |
$231 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$90 |
$180 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$93.50 |
$187 |
0.4× |
| Closed tx septal&nose fx (21337) |
$218.50 |
$437 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$15.50 |
$31 |
0.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$90 |
$180 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$165.50 |
$331 |
0.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$216 |
$432 |
0.5× |
| Closure of vagina (57120) |
$477.50 |
$955 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$84 |
$168 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$112.50 |
$225 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$112.50 |
$225 |
0.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$89.50 |
$179 |
0.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$67.50 |
$135 |
0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$103 |
$206 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$700 |
$1,400 |
0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$49 |
$98 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$130 |
$260 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$47 |
$94 |
0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$200 |
$400 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$100 |
$200 |
0.5× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$490 |
$980 |
0.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$84 |
$168 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$475 |
$950 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$67.50 |
$135 |
0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$107.50 |
$215 |
0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$750 |
$1,500 |
0.5× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$430 |
$860 |
2.0× |
| Colonoscopy flex w/rem forcep (45384) |
$650 |
$1,300 |
0.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$300 |
$600 |
0.3× |
| Colonoscopy thru stoma (44388) |
$325 |
$650 |
0.4× |
| Colonoscopy w/ablation (45388) |
$392.50 |
$785 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$650 |
$1,300 |
0.6× |
| Complete replacement picc rs&i (36584) |
$907.50 |
$1,815 |
0.7× |
| Complex Uroflowmetry (51741) |
$44.75 |
$89.50 |
0.2× |
| Conization of cervix (57520) |
$425 |
$850 |
0.2× |
| Conization of cervix (57522) |
$350 |
$700 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$112.50 |
$225 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$79 |
$158 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$86.50 |
$173 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$100 |
$200 |
0.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$125 |
$250 |
0.6× |
| Cystometrogram W/Vp&Up (51729) |
$316.50 |
$633 |
0.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$300 |
$600 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$675 |
$1,350 |
0.2× |
| Cystourethroscopy (52000) |
$250 |
$500 |
0.4× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$400 |
$800 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$400 |
$800 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$47 |
$94 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$450 |
$900 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$109.28 |
$218.55 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$206.81 |
$413.62 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$307 |
$614 |
0.2× |
| Declot vascular device (36593) |
$157.50 |
$315 |
0.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$66.25 |
$132.50 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$67.50 |
$135 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$90 |
$180 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$55 |
$110 |
0.3× |
| Destruction Vaginal Lesions Extensive (57065) |
$250 |
$500 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$175 |
$350 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$225 |
$450 |
0.3× |
| Dilate urethra stricture (53620) |
$142.50 |
$285 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$300 |
$600 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$112.50 |
$225 |
0.1× |
Dissection, deep jugular node(s) (38542)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$150 |
$300 |
0.1× |
| Drain hand tendon sheath (26020) |
$522.50 |
$1,045 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$113 |
$226 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$224.50 |
$449 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$131 |
$262 |
0.8× |
| Drainage of deep rectal abscess (45020) |
$750 |
$1,500 |
0.3× |
| Drainage of gum lesion (41800) |
$187.50 |
$375 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$150 |
$300 |
0.1× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$400 |
$800 |
0.2× |
| Drainage of pelvic abscess (45000) |
$375 |
$750 |
0.4× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$175 |
$350 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$61 |
$122 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$122.50 |
$245 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$73.50 |
$147 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$300 |
$600 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$825 |
$1,650 |
0.5× |
| Egd flexible foreign body removal (43247) |
$400 |
$800 |
0.5× |
| Egd place gastrostomy tube (43246) |
$375 |
$750 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$900 |
$1,800 |
0.5× |
| Egd remove lesion snare (43251) |
$375 |
$750 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$530 |
$1,060 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$216.50 |
$433 |
2.0× |
| Enterorrhaphy single perforation (44602) |
$1,125 |
$2,250 |
0.3× |
| Esoph endoscopy dilation (43226) |
$288.50 |
$577 |
0.2× |
| Esophagosc dilate balloon 30 (43214) |
$200 |
$400 |
0.1× |
| Esophagoscopy flex biopsy (43202) |
$53 |
$106 |
0.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$161.25 |
$322.50 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$200 |
$400 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$162.50 |
$325 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$66.50 |
$133 |
0.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$450 |
$900 |
0.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$550 |
$1,100 |
0.4× |
| Exc abd les sc 3 cm/> (22903) |
$500 |
$1,000 |
0.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$650 |
$1,300 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$450 |
$900 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$204.90 |
$409.80 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$244.50 |
$488.99 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$1,750 |
$3,500 |
1.2× |
| Exc back tum deep < 5 cm (21932) |
$550 |
$1,100 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$300 |
$600 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$137.58 |
$275.17 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$221.54 |
$443.09 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$440 |
$880 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$700 |
$1,400 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$390 |
$780 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$450 |
$900 |
0.3× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$662.50 |
$1,325 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$175 |
$350 |
0.1× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$550 |
$1,100 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$495 |
$990 |
0.2× |
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
unusually low: confirm this is the full procedure |
$1,575 |
$3,150 |
0.3× |
| Exc Rect Tum Transanal Full (45172) |
$1,050 |
$2,100 |
0.4× |
| Exc rect tum transanal part (45171) |
$650 |
$1,300 |
0.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$500 |
$1,000 |
0.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,000 |
$2,000 |
0.4× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$143.80 |
$287.60 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$139.95 |
$279.90 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$196.26 |
$392.52 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$200 |
$400 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$258.34 |
$516.68 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$225 |
$450 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$391.76 |
$783.52 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$328.26 |
$656.51 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$500 |
$1,000 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$291.99 |
$583.98 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$477.30 |
$954.61 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$361.07 |
$722.14 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$500 |
$1,000 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$500 |
$1,000 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$850 |
$1,700 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$200 |
$400 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$112.55 |
$225.10 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$950 |
$1,900 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$450 |
$900 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$860 |
$1,720 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$625 |
$1,250 |
0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,338 |
$2,676 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$615 |
$1,230 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$350 |
$700 |
0.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$850 |
$1,700 |
0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$600 |
$1,200 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$600 |
$1,200 |
0.4× |
| Excise excess skin & tissue (15839) |
$645 |
$1,290 |
0.3× |
| Excise/repair mouth lesion (40812) |
$368.75 |
$737.50 |
0.3× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$325 |
$650 |
0.1× |
| Excision Breast Lesion (19125) |
$562.50 |
$1,125 |
0.2× |
| Excision external ear partial simple repair (69110) |
$280 |
$560 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$176.70 |
$353.40 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$208.54 |
$417.08 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$262.94 |
$525.87 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$264.24 |
$528.49 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$285.73 |
$571.46 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$154.14 |
$308.29 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$216.80 |
$433.60 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$248.62 |
$497.25 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$379.84 |
$759.69 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$177.82 |
$355.64 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$215.92 |
$431.85 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$229.26 |
$458.51 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$243.75 |
$487.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$291.01 |
$582.02 |
0.2× |
Excision malignant tumor mandible (21044)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$269.50 |
$539 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$212.50 |
$425 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$172.50 |
$345 |
0.3× |
Excision of benign tumor or cyst of facial bone other than mandible (21030)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
Excision of facial bone(s) (21026)
likely a partial charge, not the full procedure |
$500 |
$1,000 |
0.1× |
| Excision of gum lesion (41828) |
$300 |
$600 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$285 |
$570 |
0.1× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$405 |
$810 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$174.76 |
$349.52 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$113.01 |
$226.02 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,220 |
$2,440 |
0.9× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$225 |
$450 |
0.1× |
| Excision of maxillary torus palatinus (21032) |
$375 |
$750 |
0.1× |
| Excision of mouth lesion (41116) |
$1,500 |
$3,000 |
0.5× |
| Excision of mouth lesion (40816) |
$300 |
$600 |
0.1× |
| Excision of nail fold toe (11765) |
$142 |
$284 |
0.4× |
Excision of osseous tuberosities, dentoalveolar structures (41823)
likely a partial charge, not the full procedure |
$800 |
$1,600 |
0.2× |
| Excision of tongue lesion (41112) |
$312.50 |
$625 |
0.1× |
| Excision of Umbilicus (49250) |
$750 |
$1,500 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$225 |
$450 |
0.1× |
| Excision olecranon bursa (24105) |
$1,227 |
$2,454 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,000 |
$2,000 |
0.4× |
| Excision torus mandibularis (21031) |
$1,000 |
$2,000 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,500 |
$3,000 |
1.1× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$625 |
$1,250 |
0.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$587.50 |
$1,175 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$324.50 |
$649 |
0.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$550 |
$1,100 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$800 |
$1,600 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$342.50 |
$685 |
0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$605.68 |
$1,211.36 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$650 |
$1,300 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$1,000 |
$2,000 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$950 |
$1,900 |
0.4× |
Excision,Ben Tumor,Maxilla,Intra-Oral (21048)
likely a partial charge, not the full procedure |
$850 |
$1,700 |
0.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$500 |
$1,000 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$395 |
$790 |
0.3× |
Exploration maxillary sinus (31030)
likely a partial charge, not the full procedure |
$1,258.75 |
$2,517.50 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$500 |
$1,000 |
0.4× |
Explore sinus remove polyps (31032)
likely a partial charge, not the full procedure |
$575 |
$1,150 |
0.1× |
Face bone graft (21210)
likely a partial charge, not the full procedure |
$1,200 |
$2,400 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$387.50 |
$775 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$100 |
$200 |
0.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$750 |
$1,500 |
0.4× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$1,350 |
$2,700 |
0.5× |
| Guide Cathet Fluid Drainage (10030) |
$600 |
$1,200 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$600 |
$1,200 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$395 |
$790 |
0.2× |
| Hysteroscopy ablation (58563) |
$1,500 |
$3,000 |
0.3× |
| Hysteroscopy biopsy (58558) |
$462.50 |
$925 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$375 |
$750 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$400 |
$800 |
0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$800 |
$1,600 |
0.2× |
| I&d abscess simple (10060) |
$84 |
$168 |
0.5× |
| I&d below fascia foot 1 bursal space (28002) |
$475 |
$950 |
0.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,037.50 |
$2,075 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$400 |
$800 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$712.50 |
$1,425 |
0.3× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$550 |
$1,100 |
0.2× |
| I&d perianal abscess superficial (46050) |
$83 |
$166 |
0.1× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$400 |
$800 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$72.50 |
$145 |
0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$295.25 |
$590.50 |
0.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$125 |
$250 |
0.2× |
| Incise finger tendon sheath (26055) |
$850 |
$1,700 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$126.25 |
$252.50 |
0.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$392 |
$784 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$170 |
$340 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$225 |
$450 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$100 |
$200 |
0.3× |
| Incision and drainage of abscess of pelvis (57010) |
$434 |
$868 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$150 |
$300 |
0.6× |
| Incision of rectal abscess (46045) |
$300 |
$600 |
0.1× |
| Incision of rectal abscess (46040) |
$550 |
$1,100 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$150 |
$300 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$110.25 |
$220.50 |
0.2× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure |
$775 |
$1,550 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$35.25 |
$70.50 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$205 |
$410 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$49.75 |
$99.50 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$137.50 |
$275 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$212.50 |
$425 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$188.75 |
$377.50 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$135 |
$270 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$35 |
$70 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$57.50 |
$115 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$55 |
$110 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$57.50 |
$115 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$49.50 |
$99 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$68.50 |
$137 |
0.6× |
| Insert Drug Implant Device (11981) |
$129.25 |
$258.50 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$325 |
$650 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$279.50 |
$559 |
0.1× |
| Insert pessary/other device (57160) |
$62.50 |
$125 |
0.4× |
| Insert picc cath (36569) |
$295 |
$590 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$39.50 |
$79 |
0.3× |
| Insert tunneled cv cath (36561) |
$750 |
$1,500 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$37.50 |
$75 |
0.3× |
Insertion of brain neurostimulator pulse with connection to single (61885)
likely a partial charge, not the full procedure |
$465 |
$930 |
0.0× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$225 |
$450 |
0.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$380 |
$760 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$375 |
$750 |
0.1× |
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure |
$625 |
$1,250 |
0.1× |
| Intraoral i&d tongue/floor sublngl dp sprmlhyd (41006) |
$300 |
$600 |
0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$375 |
$750 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$164.50 |
$329 |
0.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$175 |
$350 |
0.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$550 |
$1,100 |
0.1× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$550 |
$1,100 |
0.1× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$500 |
$1,000 |
0.1× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$500 |
$1,000 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,550 |
$3,100 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$950 |
$1,900 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$535 |
$1,070 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$175 |
$350 |
0.1× |
| Late closure of wound (13160) |
$722 |
$1,444 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$250 |
$500 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$275 |
$550 |
0.2× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$700 |
$1,400 |
0.5× |
| Marsup Bartholin Gland Cyst (56440) |
$250 |
$500 |
0.1× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.3× |
| Mastectomy partial (19301) |
$425 |
$850 |
0.1× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,200 |
$2,400 |
0.2× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,381.25 |
$4,762.50 |
0.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$402.50 |
$805 |
0.6× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$960 |
$1,920 |
0.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$7,100 |
$14,200 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$116.25 |
$232.50 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,100 |
$6,200 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$188.75 |
$377.50 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$453.75 |
$907.50 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$423.75 |
$847.50 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$422.50 |
$845 |
0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$552.50 |
$1,105 |
0.7× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
Open rx mandible fx+dental fix (21462)
likely a partial charge, not the full procedure |
$872.50 |
$1,745 |
0.2× |
Open rx mandible fx+extern fix (21454)
likely a partial charge, not the full procedure |
$500 |
$1,000 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,400 |
$2,800 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
unusually low: confirm this is the full procedure |
$2,047.50 |
$4,095 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,505 |
$3,010 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$750 |
$1,500 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$950 |
$1,900 |
0.2× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,250 |
$2,500 |
0.1× |
Optx complicated mndblr fx (21470)
likely a partial charge, not the full procedure |
$1,015 |
$2,030 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$750 |
$1,500 |
0.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$450 |
$900 |
0.7× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$800 |
$1,600 |
0.3× |
| Perq device breast 1st imag (19281) |
$362.50 |
$725 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$157.50 |
$315 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$92.50 |
$185 |
0.1× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$133.70 |
$267.40 |
0.4× |
| Puncture Aspiration (10160) |
$69.50 |
$139 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$650 |
$1,300 |
0.2× |
Rcnst condyle mandibular prt (21248)
likely a partial charge, not the full procedure |
$825 |
$1,650 |
0.2× |
Reconstruct upper jaw bone (21206)
likely a partial charge, not the full procedure |
$900 |
$1,800 |
0.2× |
Reduction of Large Breast (19318)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
| Removal fb intranasal (30300) |
$51 |
$102 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$416.25 |
$832.50 |
0.2× |
| Removal Foreign Body Foot Complicated (28193) |
$600 |
$1,200 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$80.50 |
$161 |
0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$375 |
$750 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$32.25 |
$64.50 |
0.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$146 |
$292 |
0.1× |
| Removal Implant Deep (20680) |
$300 |
$600 |
0.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$300 |
$600 |
0.2× |
| Removal neck/armpit lesion (38550) |
$455 |
$910 |
0.1× |
| Removal of anal fissure (46200) |
$2,400 |
$4,800 |
1.0× |
| Removal of heel spur (28119) |
$750 |
$1,500 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$597 |
$1,194 |
2.3× |
| Removal of nail bed (11750) |
$171 |
$342 |
0.5× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$65 |
$130 |
0.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$85 |
$170 |
0.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$725 |
$1,450 |
0.3× |
| Remove anal fist subq (46270) |
$387.50 |
$775 |
0.2× |
| Remove drug implant device (11982) |
$146.81 |
$293.62 |
0.4× |
| Remove foreign body from eye (65210) |
$46 |
$92 |
0.1× |
| Remove in/ex hem grp w/fistu (46258) |
$532.50 |
$1,065 |
0.2× |
| Remove in/ex hem grps w/fist (46262) |
$500 |
$1,000 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$900 |
$1,800 |
0.4× |
| Remove shoulder foreign body (23330) |
$68.50 |
$137 |
0.0× |
| Remove wrist tendon lesion (25111) |
$550 |
$1,100 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$54 |
$108 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$37.50 |
$75 |
0.3× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$900 |
$1,800 |
0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$298 |
$596 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$411 |
$822 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$240 |
$480 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$400 |
$800 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$300 |
$600 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$330.26 |
$660.51 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$253.76 |
$507.51 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$306.32 |
$612.65 |
0.5× |
| Repair gum (41872) |
$1,500 |
$3,000 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$600 |
$1,200 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,000 |
$4,000 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$270.50 |
$541 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$155 |
$310 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$167 |
$334 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$338 |
$676 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$188 |
$376 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$206.50 |
$413 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$393.50 |
$787 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$177.50 |
$355 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$135 |
$270 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$166 |
$332 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$193.50 |
$387 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$313.50 |
$627 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$228.50 |
$457 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$124 |
$248 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$210.50 |
$421 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$319.75 |
$639.50 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$238.50 |
$477 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$306 |
$612 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
| Repair of vagina (57260) |
$900 |
$1,800 |
0.2× |
Repair oro-maxillary fistula (30580)
likely a partial charge, not the full procedure |
$1,300 |
$2,600 |
0.3× |
| Repair rectum & vagina (57250) |
$725 |
$1,450 |
0.2× |
| Repair Tongue Laceration (41250) |
$132.50 |
$265 |
0.3× |
| Repair tooth socket (41874) |
$750 |
$1,500 |
0.3× |
| Replace g/c tube perc (49450) |
$250 |
$500 |
0.3× |
| Reposition gastrostomy tube (43761) |
$121.75 |
$243.50 |
0.6× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
| Revise median n/carpal tunnel surg (64721) |
$600 |
$1,200 |
0.4× |
| Revision of cervix (57720) |
$350 |
$700 |
0.1× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$675 |
$1,350 |
0.1× |
| Revision of upper eyelid (15823) |
$500 |
$1,000 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$250 |
$500 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$94 |
$188 |
0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$350 |
$700 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$500 |
$1,000 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$68 |
$136 |
0.0× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$650 |
$1,300 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$487.50 |
$975 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$237.50 |
$475 |
0.4× |
| Rplc gtube revj gstrst trc (43763) |
$155 |
$310 |
0.7× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$650 |
$1,300 |
0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$275 |
$550 |
0.2× |
| Rpr ing hernia init blocked (49501) |
$750 |
$1,500 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$284.50 |
$569 |
0.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$200 |
$400 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$250 |
$500 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$300 |
$600 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$103.04 |
$206.08 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$93.41 |
$186.82 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$88.22 |
$176.44 |
0.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$225 |
$450 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$250 |
$500 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$280 |
$560 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$228.50 |
$457 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$96 |
$192 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$110 |
$220 |
0.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$275 |
$550 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$183 |
$366 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$292.25 |
$584.50 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$300 |
$600 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$92 |
$184 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$248.50 |
$497 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$135 |
$270 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$318.50 |
$637 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$332.25 |
$664.50 |
0.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$462 |
$924 |
0.3× |
| Skin Tissue Procedure (17999) |
$112.50 |
$225 |
0.7× |
| Skin tissue rearrangement (14040) |
$620.84 |
$1,241.67 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$453 |
$906 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,000 |
$2,000 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$105 |
$210 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$169.50 |
$339 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$216 |
$432 |
0.6× |
| Sphincterotomy (46080) |
$325 |
$650 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$206.25 |
$412.50 |
0.3× |
| Spinal Puncture Therapeutic (62272) |
$330 |
$660 |
0.5× |
| Strapping ankle (29540) |
$72.50 |
$145 |
0.5× |
| Strapping elbow/wrist (29260) |
$72.50 |
$145 |
1.4× |
| Strapping hand/finger (29280) |
$15.50 |
$31 |
0.3× |
| Strapping knee (29530) |
$62 |
$124 |
0.5× |
| Strapping shoulder (29240) |
$91.50 |
$183 |
0.8× |
| Strapping toes (29550) |
$72.50 |
$145 |
1.4× |
| Strapping unna boot (29580) |
$101 |
$202 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$494 |
$988 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$82.50 |
$165 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,425 |
$2,850 |
2.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,350 |
$2,700 |
2.5× |
| Thyroid biopsy (60100) |
$262.50 |
$525 |
0.4× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$1,800 |
$3,600 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,375 |
$4,750 |
0.2× |
| Trach Tube Change (31502) |
$47.50 |
$95 |
0.2× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services (64738) |
$625 |
$1,250 |
0.4× |
| Transection or avulsion of; infraorbital nerve Other Surgical Services (64734) |
$437.50 |
$875 |
0.3× |
| Transection or avulsion of; mental nerve Other Surgical Services (64736) |
$837.50 |
$1,675 |
0.5× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$750 |
$1,500 |
0.1× |
| Treat finger dislocation (26775) |
$310 |
$620 |
1.3× |
| Treat Finger Fracture Each (26727) |
$650 |
$1,300 |
0.2× |
| Treat fx distal radial (25606) |
$900 |
$1,800 |
0.3× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,025 |
$2,050 |
0.2× |
| Treat humerus fracture (24500) |
$126.50 |
$253 |
0.6× |
Treat lower jaw fracture (21465)
likely a partial charge, not the full procedure |
$800 |
$1,600 |
0.2× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,850 |
$3,700 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$200 |
$400 |
0.9× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$925 |
$1,850 |
0.1× |
| Treatment of foot infection (28003) |
$475 |
$950 |
0.2× |
Treatment of heel fracture (28406)
likely a partial charge, not the full procedure |
$900 |
$1,800 |
0.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$79.50 |
$159 |
0.4× |
| Trim skin lesion (11055) |
$60 |
$120 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$37.50 |
$75 |
0.2× |
| Trim skin lesions over 4 (11057) |
$50 |
$100 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$325 |
$650 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$179.50 |
$359 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$132 |
$264 |
0.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$250 |
$500 |
1.4× |
| Unlisted procedure anus (46999) |
$550 |
$1,100 |
0.7× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$150 |
$300 |
0.7× |
| Unlisted Procedure Rectum (45999) |
$2,400 |
$4,800 |
3.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$75 |
$150 |
0.1× |
| Unlisted procedure, stomach (43999) |
$1,022.50 |
$2,045 |
1.3× |
| Vaginal delivery only (59409) |
$1,135 |
$2,270 |
0.4× |
| Vaginal hysterectomy (58260) |
$875 |
$1,750 |
0.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,000 |
$2,000 |
0.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$1,000 |
$2,000 |
0.2× |
| Vasectomy (55250) |
$550 |
$1,100 |
0.3× |
| Venipuncture (36415) |
$10 |
$20 |
1.1× |
Vestibuloplasty Anterior (40840)
likely a partial charge, not the full procedure |
$675 |
$1,350 |
0.1× |