| Abd paracentesis (49082) |
$961.60 |
$1,202 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$152.80 |
$191 |
0.2× |
| Acne surgery (10040) |
$48.80 |
$61 |
0.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$947.20 |
$1,184 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$472.80 |
$591 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,065.60 |
$5,082 |
1.2× |
| Amputation, metatarsal, with toe, single Other Surgical Services (28810) |
$1,420.80 |
$1,776 |
0.4× |
| Analyze infusn pump+reprogram (62368) |
$628.80 |
$786 |
2.0× |
| Anoplasty, plastic operation for stricture; adult Other Surgical Services (46700) |
$899.20 |
$1,124 |
0.3× |
| Anoscopy and biopsy (46606) |
$205.20 |
$256.50 |
0.2× |
| Anoscopy diagnostic (46600) |
$80.80 |
$101 |
0.6× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$81.60 |
$102 |
0.1× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$486.40 |
$608 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$888 |
$1,110 |
0.1× |
| Appl cast plaster velpeau (29058) |
$496 |
$620 |
1.7× |
| Appl finger splint static (29130) |
$39.60 |
$49.50 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$244.80 |
$306 |
4.0× |
| Application long leg splint thigh ankle/toes (29505) |
$48 |
$60 |
0.3× |
| Application of clubfoot cast with molding or manipulation, long or short leg Other Surgical Services (29450) |
$667.20 |
$834 |
3.9× |
| Application of hip spica cast; 1 and one-half spica or both legs Other Surgical Services (29325) |
$1,072.80 |
$1,341 |
3.7× |
| Application of hip spica cast; 1 leg Other Surgical Services (29305) |
$992.80 |
$1,241 |
3.4× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$650.40 |
$813 |
2.2× |
| Application of long leg cast (thigh to toes); (29345) |
$109.20 |
$136.50 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$22.40 |
$28 |
0.1× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$317.60 |
$397 |
1.1× |
| Application, cast; figure-of-eight Other Surgical Services (29049) |
$385.60 |
$482 |
1.3× |
| Application, cast; shoulder to hand (long arm) (29065) |
$65.60 |
$82 |
0.2× |
| Apply cast finger (29086) |
$130.40 |
$163 |
0.8× |
| Apply hand/wrist cast (29085) |
$67.20 |
$84 |
0.4× |
| Apply long arm splint (29105) |
$56.80 |
$71 |
0.3× |
| Apply Lower Leg Splint (29515) |
$76 |
$95 |
0.4× |
| Apply multi-layer compression lower leg (29581) |
$244.80 |
$306 |
1.4× |
| Apply patella tendon bearing cast (29435) |
$268.80 |
$336 |
0.9× |
| Apply rigid leg cast (29445) |
$523.20 |
$654 |
1.8× |
| Apply short arm splint static (29125) |
$136.80 |
$171 |
1.0× |
| Apply Short Leg Cast (29405) |
$57.60 |
$72 |
0.2× |
| Apply shoulder cast,spica (29055) |
$868 |
$1,085 |
3.0× |
| Apply splint short arm dynamic (29126) |
$160.80 |
$201 |
1.2× |
| Arterial puncture (36600) |
$40 |
$50 |
0.3× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services (36821) |
$935.20 |
$1,169 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$50.40 |
$63 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$51.20 |
$64 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$76.80 |
$96 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$60 |
$75 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$60.80 |
$76 |
0.2× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$43.20 |
$54 |
0.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$1,180.80 |
$1,476 |
0.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$3,168 |
$3,960 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,180.80 |
$1,476 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$3,168 |
$3,960 |
0.9× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
$803.20 |
$1,004 |
0.2× |
| Aspir/inj thyroid cyst (60300) |
$46.80 |
$58.50 |
0.1× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$40.80 |
$51 |
0.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$129.60 |
$162 |
0.6× |
| Biopsy bone open superficial (20240) |
$320.80 |
$401 |
0.1× |
| Biopsy external ear (69100) |
$45.60 |
$57 |
0.2× |
| Biopsy intranasal (30100) |
$62 |
$77.50 |
0.0× |
| Biopsy muscle deep (20205) |
$270.80 |
$338.50 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$54.40 |
$68 |
0.0× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Other Surgical Services (19100) |
$105.60 |
$132 |
0.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$228.80 |
$286 |
0.2× |
| Biopsy of uterus lining (58100) |
$101.20 |
$126.50 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$250.40 |
$313 |
0.1× |
| Biopsy oropharynx (42800) |
$104.80 |
$131 |
0.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,746.40 |
$2,183 |
1.0× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$322.40 |
$403 |
0.2× |
| Biopsy vestibule mouth (40808) |
$99.20 |
$124 |
0.2× |
| Biopsy Vulva/Perineum,One Lesn (56605) |
$69.60 |
$87 |
0.1× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Other Surgical Services (20245) |
$2,565.60 |
$3,207 |
0.8× |
| Biopsy, soft tissue of back or flank; deep Other Surgical Services (21925) |
$331.60 |
$414.50 |
0.2× |
| Biopsy, soft tissue of back or flank; superficial Other Surgical Services (21920) |
$147.20 |
$184 |
0.1× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Other Surgical Services (27324) |
$4,300 |
$5,375 |
1.4× |
| Biopsy, vertebral body, open; thoracic Other Surgical Services (20250) |
$352.80 |
$441 |
0.1× |
| Bladder irrigation (51700) |
$444.80 |
$556 |
1.7× |
| Blood transfusion service (36430) |
$478 |
$597.50 |
1.0× |
| Bone Biopsy Deep (20225) |
$246.40 |
$308 |
0.1× |
| Bone Marrow Biopsy (38221) |
$768.80 |
$961 |
0.4× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$292.80 |
$366 |
0.1× |
| Bronch diagnostic (31622) |
$199.20 |
$249 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$296.80 |
$371 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$726.40 |
$908 |
0.4× |
| Cast short arm (29075) |
$60 |
$75 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$166.80 |
$208.50 |
0.6× |
| Chemical cauterization of granulation tissue (17250) |
$68.40 |
$85.50 |
0.3× |
| Chemodenervation Internal Anal Sphincter (46505) |
$222.40 |
$278 |
0.2× |
| Chest tube placement (32551) |
$468.40 |
$585.50 |
0.3× |
| Circumcision age >28 days (54161) |
$291.20 |
$364 |
0.1× |
| Close Rx Dist Fingr Fx (26750) |
$251.60 |
$314.50 |
1.0× |
| Closed rx acetabular fx (27220) |
$2,316.80 |
$2,896 |
9.0× |
| Closed Rx Big Toe Fx,Manip (28495) |
$267.20 |
$334 |
1.0× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$499.20 |
$624 |
0.3× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$1,724 |
$2,155 |
1.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$233.60 |
$292 |
0.9× |
| Closed treatment of dislocated jaw joint (21480) |
$260 |
$325 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$284 |
$355 |
1.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$345.60 |
$432 |
1.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$267.60 |
$334.50 |
1.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$321.60 |
$402 |
1.2× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$248 |
$310 |
1.0× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$456 |
$570 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,492 |
$1,865 |
5.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$714.40 |
$893 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$433.60 |
$542 |
0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,866.40 |
$2,333 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$621.60 |
$777 |
0.4× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$321.60 |
$402 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$458.80 |
$573.50 |
1.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$452 |
$565 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$657.60 |
$822 |
0.4× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$2,240 |
$2,800 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,062.40 |
$2,578 |
8.0× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$284 |
$355 |
1.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$315.20 |
$394 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/mnpj (23675) |
$2,079.20 |
$2,599 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,096.80 |
$1,371 |
0.7× |
| Collect blood from catheter venous nos (36592) |
$74 |
$92.50 |
0.5× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) |
$654 |
$817.50 |
0.5× |
| Colposcopy cervix (57452) |
$105.60 |
$132 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical… (57460) |
$254.40 |
$318 |
0.1× |
| Colpotomy; with exploration Other Surgical Services (57000) |
$1,088.40 |
$1,360.50 |
0.3× |
| Complex Drainage, Wound (10180) |
$290 |
$362.50 |
0.1× |
| Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice… (31611) |
$488 |
$610 |
0.1× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$134.40 |
$168 |
1.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$217.20 |
$271.50 |
1.6× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge, not the full procedure |
$1,197.60 |
$1,497 |
0.2× |
| Cryosurgery penis lesion s (54056) |
$98.40 |
$123 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$416.80 |
$521 |
3.0× |
| Cylinder cast (29365) |
$524 |
$655 |
1.8× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$284 |
$355 |
0.4× |
| Deb bone/muscle 20 sq cm/< (11044) |
$224.80 |
$281 |
0.1× |
| Deb musc/fascia 20 sq cm/< (11043) |
$302.40 |
$378 |
0.4× |
| Debride mastoid cavity simple (69220) |
$47.60 |
$59.50 |
0.2× |
| Debride skin at fx site (11010) |
$656 |
$820 |
0.9× |
| Debridement nails 1-5 (11720) |
$198.40 |
$248 |
3.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$52 |
$65 |
0.1× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$48 |
$60 |
0.8× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$97.60 |
$122 |
0.2× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services (69222) |
$122.40 |
$153 |
0.2× |
| Destruct lesion 15 or more (17111) |
$91.20 |
$114 |
0.4× |
| Destruction benign lesions up to 14 (17110) |
$60.80 |
$76 |
0.3× |
| Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) |
$48 |
$60 |
0.2× |
| Diagnostic bone marrow aspirations (38220) |
$768.80 |
$961 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$88.80 |
$111 |
0.1× |
| Dilation/Curettage,Diagnostic (58120) |
$2,648 |
$3,310 |
0.8× |
| Drain blood under nail (11740) |
$47.60 |
$59.50 |
0.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$142.40 |
$178 |
0.1× |
| Drain lower leg lesion (27603) |
$693.60 |
$867 |
0.2× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$106.80 |
$133.50 |
0.4× |
| Drainage external auditory canal, abscess (69020) |
$263.20 |
$329 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$259.60 |
$324.50 |
0.4× |
| Drainage finger abscess simple (26010) |
$222.40 |
$278 |
1.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$179.20 |
$224 |
0.2× |
| Drainage of abscess; parotid, simple Other Surgical Services (42300) |
$140 |
$175 |
0.1× |
| Drainage of eyelid abscess (67700) |
$411.60 |
$514.50 |
1.2× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$281.20 |
$351.50 |
0.2× |
| Drainage of mouth lesion (41017) |
$1,209.20 |
$1,511.50 |
0.3× |
| Drainage scrotal wall abscess (55100) |
$160 |
$200 |
0.1× |
| Draw blood off venous device (36591) |
$56.80 |
$71 |
0.4× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,548.80 |
$1,936 |
0.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,468 |
$3,085 |
1.2× |
| Dstrj neurolytic agent other peripheral nerve (64640) |
$1,613.60 |
$2,017 |
1.7× |
| Ed proc remve fb nasal- hospital (30300) |
$121.60 |
$152 |
0.9× |
| Ed prof burn - large - hospital (16030) |
$131.20 |
$164 |
0.3× |
| Ed prof burn medium - hospital (16025) |
$140 |
$175 |
0.7× |
| Ed prof burn small - hospital (16020) |
$130.40 |
$163 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$136.80 |
$171 |
1.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$148.80 |
$186 |
0.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$266.40 |
$333 |
0.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$200.80 |
$251 |
0.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$386.40 |
$483 |
1.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$71.20 |
$89 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$272.80 |
$341 |
0.1× |
| Egd percutaneous placement gastrostomy tube (43246) |
$364.80 |
$456 |
0.2× |
| Egd transoral control bleeding any method (43255) |
$190.80 |
$238.50 |
0.1× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,580.80 |
$1,976 |
0.7× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Other… (15110) |
$1,536 |
$1,920 |
0.7× |
| Escharotomy; initial incision (16035) |
$745.60 |
$932 |
1.8× |
| Esophageal dilation (43450) |
$124.80 |
$156 |
0.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$316.80 |
$396 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$300.80 |
$376 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$231.20 |
$289 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$324 |
$405 |
0.3× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$172 |
$215 |
0.1× |
| Exc face-mm b9 (11440) |
$97.60 |
$122 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$76.80 |
$96 |
0.0× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$194.40 |
$243 |
0.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$117.20 |
$146.50 |
0.0× |
| Exc neck tum deep < 5 cm (21556) |
$472 |
$590 |
0.2× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$158 |
$197.50 |
0.2× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$149.20 |
$186.50 |
0.4× |
| Exc skin malig 0.6-1cm face,facial (11641) |
$150.40 |
$188 |
0.2× |
| Exc skin malig 1.1-2 cm face,facial (11642) |
$260.80 |
$326 |
0.4× |
| Exc skin malig >4 cm remaindr body (11626) |
$315.60 |
$394.50 |
0.1× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$154 |
$192.50 |
0.2× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$88.40 |
$110.50 |
0.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$188 |
$235 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$307.60 |
$384.50 |
0.2× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$624.80 |
$781 |
0.2× |
| Exc tumor soft tiss face&scalp subfascial 2+cm (21014) |
$486 |
$607.50 |
0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$692.40 |
$865.50 |
0.2× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$91.20 |
$114 |
0.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$607.20 |
$759 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$732.80 |
$916 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$128 |
$160 |
0.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$596.80 |
$746 |
0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$338.40 |
$423 |
0.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$307.20 |
$384 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$536 |
$670 |
0.2× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$246.40 |
$308 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$143.20 |
$179 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$157.20 |
$196.50 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$189.60 |
$237 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$208.80 |
$261 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$276.80 |
$346 |
0.2× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$506.40 |
$633 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$116 |
$145 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$144 |
$180 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$195.20 |
$244 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$205.60 |
$257 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$264.40 |
$330.50 |
0.2× |
| Excision malignant lesion trunk/arm/leg > 4.0 cm (11606) |
$312 |
$390 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$168.80 |
$211 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$2,072 |
$2,590 |
0.6× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Other… (19125) |
$655.20 |
$819 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Other Surgical Services (25112) |
$357.60 |
$447 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services (67840) |
$288 |
$360 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$182.40 |
$228 |
0.1× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$319.20 |
$399 |
0.2× |
| Excision of lip; transverse wedge excision with primary closure Other Surgical Services (40510) |
$328.40 |
$410.50 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$248 |
$310 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Other Surgical Services (11451) |
$303.60 |
$379.50 |
0.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Other Surgical… (11462) |
$234.40 |
$293 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$180.40 |
$225.50 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Other Surgical… (26210) |
$408.40 |
$510.50 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$684.40 |
$855.50 |
0.2× |
| Excision pilonidal cyst/sinus extensive (11771) |
$764.80 |
$956 |
0.3× |
| Excision pilonidal cyst/sinus simple (11770) |
$351.20 |
$439 |
0.1× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$355.20 |
$444 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$304 |
$380 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$257.60 |
$322 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$172.80 |
$216 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$156.80 |
$196 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$240 |
$300 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Other… (11640) |
$120 |
$150 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other… (11643) |
$307.20 |
$384 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$115.20 |
$144 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$161.60 |
$202 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$206.40 |
$258 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$218.40 |
$273 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$313.60 |
$392 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$313.60 |
$392 |
0.1× |
| Excision, sacral pressure ulcer, with primary suture; Other Surgical Services (15931) |
$647.20 |
$809 |
0.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$284.40 |
$355.50 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Other Surgical Services (23075) |
$293.60 |
$367 |
0.2× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Other Surgical… (27328) |
$677.60 |
$847 |
0.2× |
| Exploration penetrating wound spx chest (20101) |
$588 |
$735 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$817.60 |
$1,022 |
0.5× |
| Explore wound abdomen (20102) |
$491.20 |
$614 |
0.2× |
| Explore wound neck (20100) |
$998.40 |
$1,248 |
1.8× |
| Fit&inse pessary or other intravaginal support device (57160) |
$54.40 |
$68 |
0.3× |
| Fna w/o imaging guidance (10021) |
$67.20 |
$84 |
0.2× |
| Gastric lavage (43753) |
$85.20 |
$106.50 |
0.4× |
| Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical… (43830) |
$873.60 |
$1,092 |
0.4× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$2,240 |
$2,800 |
0.3× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$91.20 |
$114 |
0.0× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$186.80 |
$233.50 |
0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$663.20 |
$829 |
0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$593.60 |
$742 |
0.2× |
| I&d bartholins gland abscess (56420) |
$193.20 |
$241.50 |
0.9× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,933.60 |
$2,417 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$184.80 |
$231 |
0.1× |
| I&d perianal abscess superficial (46050) |
$115.20 |
$144 |
0.1× |
| I&d perirectal abscess (46040) |
$410.40 |
$513 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$115.20 |
$144 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$224 |
$280 |
0.2× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$252.80 |
$316 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$167.60 |
$209.50 |
0.5× |
| Incise external hemorrhoid (46083) |
$160 |
$200 |
0.6× |
| Incise finger tendon sheath (26055) |
$1,212.80 |
$1,516 |
0.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$203.20 |
$254 |
0.5× |
| Incision & Drainage Abscess Simple/Single (10060) |
$127.20 |
$159 |
0.6× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical… (46045) |
$406 |
$507.50 |
0.1× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$445.20 |
$556.50 |
0.2× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$240.80 |
$301 |
0.3× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services (25028) |
$876.80 |
$1,096 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$177.60 |
$222 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$98.40 |
$123 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$2,134.40 |
$2,668 |
1.3× |
| Incision of eardrum (69420) |
$112.80 |
$141 |
0.5× |
| Incision of windpipe (31603) |
$1,022.40 |
$1,278 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$327.20 |
$409 |
0.4× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$130 |
$162.50 |
0.6× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,560.80 |
$1,951 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$345.60 |
$432 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$372.80 |
$466 |
0.5× |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
$1,560.80 |
$1,951 |
2.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,560.80 |
$1,951 |
1.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,613.60 |
$2,017 |
1.7× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$319.20 |
$399 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,560.80 |
$1,951 |
1.7× |
| Inject Tendon Origin/Insert (20551) |
$39.60 |
$49.50 |
0.1× |
| Inject Tendon Sheath/Ligament (20550) |
$54.40 |
$68 |
0.2× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$191.20 |
$239 |
0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,560.80 |
$1,951 |
1.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$953.20 |
$1,191.50 |
1.3× |
| Injection for identification of sentinel node (38792) |
$64.80 |
$81 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$54 |
$67.50 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$36.80 |
$46 |
0.1× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$40 |
$50 |
0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$29.20 |
$36.50 |
0.1× |
| Ins tunn cv cath no pump 5yrs (36558) |
$255.20 |
$319 |
0.1× |
| Insert drug implant device (11981) |
$85.60 |
$107 |
0.6× |
| Insert gastrostomy tube percutaneous (49440) |
$1,046.40 |
$1,308 |
0.5× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$212.80 |
$266 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$143.20 |
$179 |
1.0× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$114.80 |
$143.50 |
0.8× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Other Surgical Services (36800)
likely a partial charge, not the full procedure |
$267.20 |
$334 |
0.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,898.40 |
$3,623 |
0.9× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$1,387.60 |
$1,734.50 |
0.4× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$38,512 |
$48,140 |
1.2× |
| Intubation endotracheal (31500) |
$395.20 |
$494 |
1.6× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$844.80 |
$1,056 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$657.60 |
$822 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge, not the full procedure |
$483.20 |
$604 |
0.1× |
Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579)
likely a partial charge, not the full procedure |
$1,268 |
$1,585 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Other Surgical Services (58660)
likely a partial charge, not the full procedure |
$1,037.60 |
$1,297 |
0.2× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge, not the full procedure |
$1,544 |
$1,930 |
0.1× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge, not the full procedure |
$771.20 |
$964 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$593.60 |
$742 |
0.1× |
| Laryngoscopy flex diagnostic (31575) |
$122.40 |
$153 |
0.6× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$332.80 |
$416 |
0.8× |
| Laryngoscopy indirect diagnostic (31505) |
$44.40 |
$55.50 |
0.2× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$172.80 |
$216 |
0.4× |
| Ligation/biopsy temporal artery (37609) |
$486.40 |
$608 |
0.3× |
| Lumbar puncture (62270) |
$798.40 |
$998 |
1.1× |
| Mastectomy gynecomastia (19300) |
$387.20 |
$484 |
0.1× |
| Mastectomy partial (19301) |
$1,235.20 |
$1,544 |
0.3× |
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$949.60 |
$1,187 |
0.1× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
likely a partial charge, not the full procedure |
$1,259.60 |
$1,574.50 |
0.2× |
| Mastotomy expl drg absc dp (19020) |
$297.60 |
$372 |
0.2× |
| Myringoplasty (69620) |
$441.60 |
$552 |
0.1× |
| Nasal endoscopy, dx (31231) |
$60 |
$75 |
0.3× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services (31238) |
$2,188.40 |
$2,735.50 |
1.2× |
| Ndl EMG stds EMG anal/urtl sphnctr any tq (51785) |
$650.40 |
$813 |
2.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$411.20 |
$514 |
0.2× |
| Nicu/Picu Insert Picc W/O Imag<5yrs (36568) |
$1,123.20 |
$1,404 |
0.7× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Other… (19110) |
$634.80 |
$793.50 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,560.80 |
$1,951 |
1.7× |
| Njx dx/ther agt pvrt facet jt crv/thrc 1 level (64490) |
$1,560.80 |
$1,951 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,940 |
$2,425 |
2.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,657.60 |
$2,072 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,840.80 |
$2,301 |
2.5× |
Open rx distal radius fx, intra-articular, 3+ frag (25609)
likely a partial charge, not the full procedure |
$975.60 |
$1,219.50 |
0.1× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
likely a partial charge, not the full procedure |
$313.60 |
$392 |
0.0× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
likely a partial charge, not the full procedure |
$182.40 |
$228 |
0.0× |
| Open tx distal fibular fracture lat malleolus (27792) |
$4,147.20 |
$5,184 |
0.5× |
| Open tx metacarpal fracture single ea bone (26615) |
$533.20 |
$666.50 |
0.2× |
| Ot strapping hand or finger (29280) |
$244.80 |
$306 |
4.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,089.60 |
$2,612 |
0.6× |
| Perq device breast 1st imag (19281) |
$149.60 |
$187 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$396.80 |
$496 |
1.5× |
| Picc Or Central Cath Rep (36575) |
$96.80 |
$121 |
0.1× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$82.40 |
$103 |
0.1× |
| Placement Needle Intraosseous Infusion (36680) |
$342.40 |
$428 |
0.7× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Other Surgical… (44300) |
$1,214.40 |
$1,518 |
0.6× |
| PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29877) |
$1,650.40 |
$2,063 |
0.5× |
| PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29828) |
$5,027.20 |
$6,284 |
0.7× |
| Pr inj. intralesional gt 7 lesions (11901) |
$45.20 |
$56.50 |
0.2× |
PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563)
likely a partial charge, not the full procedure |
$1,080.80 |
$1,351 |
0.2× |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
$967.20 |
$1,209 |
0.3× |
| Preputial stretching (54450) |
$268.40 |
$335.50 |
1.0× |
| Proctosigmoidoscopy diagnostic (45300) |
$48.80 |
$61 |
0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$100 |
$125 |
0.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services (45305) |
$72 |
$90 |
0.1× |
| Prq impltj nstim electrode array epidural (63650) |
$14,533.60 |
$18,167 |
2.2× |
| Punch biopsy skin single lesion (11104) |
$48 |
$60 |
0.1× |
| Puncture Aspiration (10160) |
$90.40 |
$113 |
0.2× |
| Puncture aspiration of cyst of breast (19000) |
$55.20 |
$69 |
0.1× |
| Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Other Surgical Services (23420) |
$4,468.80 |
$5,586 |
0.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$839.20 |
$1,049 |
1.1× |
| Removal foreign body shoulder subcutaneous (23330) |
$340.80 |
$426 |
0.2× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$31.20 |
$39 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$6.40 |
$8 |
0.1× |
| Removal Implantable Contraceptive Capsules (11976) |
$86.80 |
$108.50 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$211.60 |
$264.50 |
0.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$129.60 |
$162 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$104 |
$130 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$182 |
$227.50 |
0.4× |
| Removal of foreign body, foot; deep (28192) |
$640 |
$800 |
0.4× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$603.20 |
$754 |
0.2× |
| Removal of nail bed (11750) |
$99.20 |
$124 |
0.2× |
| Removal of salivary stone (42330) |
$151.60 |
$189.50 |
0.0× |
| Removal of skin lesion (11423) |
$150.40 |
$188 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$88.40 |
$110.50 |
0.4× |
| Removal tunneled cv cath (36590) |
$188.80 |
$236 |
0.1× |
| Remove eyelid foreign body,embedded (67938) |
$504 |
$630 |
1.5× |
| Remove fb pelvis/hip subq (27086) |
$344 |
$430 |
0.1× |
| Remove foreign body larynx (31511) |
$176.80 |
$221 |
0.8× |
| Remove pharynx foreign body (42809) |
$146.40 |
$183 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$45.60 |
$57 |
0.3× |
| Remv foreign body,knee/thigh,deep (27372) |
$568 |
$710 |
0.2× |
| Remv/Revisn Full Arm/Leg Cast (29705) |
$16 |
$20 |
0.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$270.40 |
$338 |
0.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$304.80 |
$381 |
0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$228 |
$285 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$258.40 |
$323 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$428 |
$535 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$3,281.60 |
$4,102 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Other Surgical Services (49553) |
$955.20 |
$1,194 |
0.3× |
| Repair initial femoral hernia, any age; reducible Other Surgical Services (49550) |
$879.20 |
$1,099 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$165.60 |
$207 |
0.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$223.20 |
$279 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$215.20 |
$269 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$294.40 |
$368 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$240 |
$300 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$211.20 |
$264 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$379.20 |
$474 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$194 |
$242.50 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$300.80 |
$376 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$262.40 |
$328 |
0.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$210.40 |
$263 |
0.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$357.20 |
$446.50 |
0.8× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$640.80 |
$801 |
1.5× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$320.80 |
$401 |
0.1× |
| Repair nail bed (11760) |
$174 |
$217.50 |
0.2× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$493.60 |
$617 |
2.0× |
| Repair of spica, body cast or jacket Other Surgical Services (29720) |
$18.40 |
$23 |
0.1× |
| Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services (55060) |
$354.40 |
$443 |
0.1× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services (49521)
likely a partial charge, not the full procedure |
$1,189.60 |
$1,487 |
0.2× |
Repair rotator cuff, acute (23410)
likely a partial charge, not the full procedure |
$1,480.80 |
$1,851 |
0.2× |
Repair rotator cuff, chronic (23412)
likely a partial charge, not the full procedure |
$1,260 |
$1,575 |
0.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$703.20 |
$879 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$778 |
$972.50 |
1.0× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$299.60 |
$374.50 |
0.4× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$507.20 |
$634 |
0.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$873.60 |
$1,092 |
0.9× |
| Replace tunneled cv cath (36582) |
$273.20 |
$341.50 |
0.1× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$236.80 |
$296 |
1.1× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$195.60 |
$244.50 |
0.9× |
| Revision of colostomy simple (44340) |
$817.60 |
$1,022 |
0.2× |
| Revision of ileostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services (44312) |
$816.80 |
$1,021 |
0.2× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$140 |
$175 |
0.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$212 |
$265 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$230.40 |
$288 |
0.1× |
| Rmvl of access device (36589) |
$226.40 |
$283 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$440 |
$550 |
1.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$308.80 |
$386 |
0.2× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$870.40 |
$1,088 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$293.20 |
$366.50 |
0.4× |
Rpr non-union mtcrpl/phalanx (26546)
likely a partial charge, not the full procedure |
$903.20 |
$1,129 |
0.1× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$872 |
$1,090 |
0.2× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$4,008.80 |
$5,011 |
1.1× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other… (11300) |
$33.20 |
$41.50 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$44.40 |
$55.50 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$36 |
$45 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$48.40 |
$60.50 |
0.2× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical… (45338) |
$84.80 |
$106 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$171.20 |
$214 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$196 |
$245 |
0.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$190.40 |
$238 |
0.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$146.80 |
$183.50 |
0.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$143.20 |
$179 |
0.7× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$160.40 |
$200.50 |
0.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$279.20 |
$349 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$211.20 |
$264 |
1.0× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$127.60 |
$159.50 |
0.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$135.20 |
$169 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$152 |
$190 |
0.4× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$984.40 |
$1,230.50 |
0.3× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$692 |
$865 |
0.3× |
| Strapping elbow or wrist (29260) |
$244.80 |
$306 |
4.0× |
| Strapping hip (29520) |
$221.60 |
$277 |
1.6× |
| Strapping of ankle (29540) |
$278.80 |
$348.50 |
1.6× |
| Strapping of chest (29200) |
$224.80 |
$281 |
1.3× |
| Strapping of knee (29530) |
$244.80 |
$306 |
1.8× |
| Strapping of shoulder (29240) |
$244.80 |
$306 |
1.8× |
| Strapping of toes (29550) |
$92 |
$115 |
1.5× |
| Strapping unna boot (29580) |
$176 |
$220 |
1.0× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$92 |
$115 |
0.1× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$3,764 |
$4,705 |
4.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,172 |
$1,465 |
2.8× |
| Tangential biopsy skin single lesion (11102) |
$327.20 |
$409 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$4,560.80 |
$5,701 |
0.6× |
| Tracheostomy emerg cricothyroid (31605) |
$629.60 |
$787 |
2.5× |
| Tracheotomy tube change (31502) |
$183.60 |
$229.50 |
0.7× |
| Treat finger dislocation (26775) |
$1,085.20 |
$1,356.50 |
3.7× |
| Treat wrist dislocation (25675) |
$1,816 |
$2,270 |
7.0× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$665.20 |
$831.50 |
2.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,499.20 |
$1,874 |
0.9× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$21.60 |
$27 |
0.1× |
| Trim skin lesion (11055) |
$21.60 |
$27 |
0.1× |
| Trim skin lesion 4 or more (11057) |
$27.60 |
$34.50 |
0.1× |
| Trimming of nondystrophic nails, any number (11719) |
$94.40 |
$118 |
1.5× |
| Tx superficial wound dehiscence simple closure (12020) |
$246.80 |
$308.50 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$128 |
$160 |
0.3× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other… (69610) |
$266 |
$332.50 |
0.2× |
| Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services (69433) |
$124 |
$155 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Other Surgical Services (49659)
likely a partial charge, not the full procedure |
$771.20 |
$964 |
0.1× |
| Vaginal delivery only (59409) |
$3,720 |
$4,650 |
1.1× |
| Venipuncture (36415) |
$13.60 |
$17 |
1.5× |
| Wedge excision skin nail fold (11765) |
$74.40 |
$93 |
0.2× |