| Abd paracentesis w/imaging (49083) |
$709.10 |
$1,013 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$592.20 |
$846 |
0.7× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,583.40 |
$2,262 |
0.5× |
| Adding Walker Previously Applied Cast (29440) |
$88.20 |
$126 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,200.50 |
$1,715 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$610.40 |
$872 |
0.2× |
| Anoscopy diagnostic (46600) |
$151.90 |
$217 |
1.2× |
| Anoscopy w/rmvl lesion cautery (46610) |
$382.20 |
$546 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,180.90 |
$1,687 |
0.3× |
| Application cast elbow finger short arm (29075) |
$176.05 |
$251.50 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$196.70 |
$281 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$198.10 |
$283 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$120.40 |
$172 |
2.2× |
| Application finger splint static (29130) |
$91.70 |
$131 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$186.20 |
$266 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$170.10 |
$243 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$249.20 |
$356 |
1.0× |
| Application of long leg cast (29345) |
$281.40 |
$402 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$147 |
$210 |
1.2× |
| Application short leg splint calf foot (29515) |
$165.20 |
$236 |
1.1× |
| Apply short leg cast (29405) |
$189.35 |
$270.50 |
0.7× |
| Apply short leg cast (29425) |
$189 |
$270 |
0.7× |
| Arterial puncture (36600) |
$65.10 |
$93 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$368.90 |
$527 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$631.40 |
$902 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$466.90 |
$667 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$529.55 |
$756.50 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$323.40 |
$462 |
1.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$892.50 |
$1,275 |
0.1× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$3,399.20 |
$4,856 |
0.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,219.40 |
$1,742 |
0.4× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,110.50 |
$3,015 |
0.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,272.60 |
$1,818 |
0.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,649.20 |
$2,356 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,475.60 |
$2,108 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,436 |
$3,480 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,960 |
$2,800 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,838.90 |
$2,627 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,684.50 |
$3,835 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,822.80 |
$2,604 |
0.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,356.60 |
$1,938 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,081.80 |
$2,974 |
0.3× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
likely a partial charge, not the full procedure |
$914.90 |
$1,307 |
0.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$119 |
$170 |
0.4× |
| Aspiration bladder needle (51100) |
$352.80 |
$504 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$150.50 |
$215 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$558.95 |
$798.50 |
0.2× |
| Biopsy external ear (69100) |
$135.45 |
$193.50 |
0.6× |
| Biopsy of uterus lining (58100) |
$774.20 |
$1,106 |
4.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$616 |
$880 |
0.2× |
| Biopsy tongue posterior one-third (41105) |
$260.40 |
$372 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$911.40 |
$1,302 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,003.80 |
$1,434 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$780.50 |
$1,115 |
1.2× |
| Bladder Irrigation Simple (51700) |
$288.75 |
$412.50 |
1.3× |
| Bladder Scan (51798) |
$101.50 |
$145 |
1.9× |
| Blood patch (62273) |
$543.55 |
$776.50 |
0.8× |
| Blood transfusion service (36430) |
$871.50 |
$1,245 |
2.1× |
| Bx anorectal wall anal approach (45100) |
$585.90 |
$837 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,493.45 |
$2,133.50 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$277.20 |
$396 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$1,104.60 |
$1,578 |
5.5× |
| Change Cystostomy Tube Simple (51705) |
$189 |
$270 |
0.8× |
| Chemical Cautery Tissue (17250) |
$119.70 |
$171 |
0.6× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,707.60 |
$3,868 |
4.2× |
| Chemodenerv Musc Migraine (64615) |
$1,036 |
$1,480 |
3.7× |
| Chemodenerv Musc Neck Dyston (64616) |
$2,707.60 |
$3,868 |
9.6× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$162.40 |
$232 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$2,707.60 |
$3,868 |
9.6× |
| Chest tube placement (32551) |
$499.10 |
$713 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$150.50 |
$215 |
1.2× |
| Circum 28 days or older (54161) |
$450.10 |
$643 |
0.2× |
| Circumcision (54150) |
$325.50 |
$465 |
0.2× |
| Claviculectomy; partial (23120) |
$1,180.20 |
$1,686 |
0.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Rx Med Malleolus Fx (27760) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$955.50 |
$1,365 |
0.6× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,001 |
$1,430 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,482.60 |
$2,118 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,557.50 |
$2,225 |
6.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,442.70 |
$2,061 |
1.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$532 |
$760 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,482.60 |
$2,118 |
6.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$373.10 |
$533 |
1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,132.25 |
$1,617.50 |
5.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$606.90 |
$867 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,270.50 |
$1,815 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,482.60 |
$2,118 |
6.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$718.20 |
$1,026 |
3.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$452.90 |
$647 |
2.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,329.65 |
$1,899.50 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$982.80 |
$1,404 |
4.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$976.15 |
$1,394.50 |
4.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,013.20 |
$2,876 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,220.10 |
$1,743 |
5.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$824.60 |
$1,178 |
3.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,531.25 |
$2,187.50 |
6.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$848.40 |
$1,212 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$879.20 |
$1,256 |
3.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$477.40 |
$682 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$503.30 |
$719 |
2.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,482.60 |
$2,118 |
6.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,600.90 |
$2,287 |
7.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$515.20 |
$736 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$843.50 |
$1,205 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$896.35 |
$1,280.50 |
4.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,098.30 |
$1,569 |
0.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$645.75 |
$922.50 |
2.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$842.10 |
$1,203 |
3.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$681.80 |
$974 |
3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$660.80 |
$944 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$434.70 |
$621 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,074.50 |
$1,535 |
4.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,251.60 |
$1,788 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,533.70 |
$2,191 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$702.33 |
$1,003.33 |
3.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$306.60 |
$438 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$440.30 |
$629 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,482.60 |
$2,118 |
6.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,146.60 |
$1,638 |
5.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$339.50 |
$485 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$824.60 |
$1,178 |
3.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$802.90 |
$1,147 |
3.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$709.80 |
$1,014 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$586.60 |
$838 |
2.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$755.30 |
$1,079 |
3.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$324.80 |
$464 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$974.40 |
$1,392 |
4.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$488.60 |
$698 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,000.30 |
$1,429 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$711.90 |
$1,017 |
3.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$932.05 |
$1,331.50 |
4.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$807.10 |
$1,153 |
3.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$781.20 |
$1,116 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$844.90 |
$1,207 |
0.8× |
| Colonoscopy stoma w/snare (44394) |
$968.80 |
$1,384 |
0.9× |
| Colonoscopy w/ablation (45388) |
$840.70 |
$1,201 |
0.8× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$396.90 |
$567 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$217 |
$310 |
0.1× |
| Complex Drainage, Wound (10180) |
$402.85 |
$575.50 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$333.20 |
$476 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$207.20 |
$296 |
1.7× |
Coracoacromial ligament release, with or without acromioplasty (23415)
likely a partial charge, not the full procedure |
$1,882.30 |
$2,689 |
0.3× |
| Correction hammertoe (28285) |
$809.20 |
$1,156 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$463.40 |
$662 |
3.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$296.10 |
$423 |
1.4× |
| Curettage postpartum (59160) |
$545.30 |
$779 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,212.65 |
$4,589.50 |
1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,716.60 |
$6,738 |
2.5× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,605.10 |
$2,293 |
0.8× |
| Cystourethroscopy (52000) |
$1,207.50 |
$1,725 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$74.20 |
$106 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$861 |
$1,230 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$577.50 |
$825 |
0.9× |
| Debride nail 1-5 (11720) |
$85.75 |
$122.50 |
1.6× |
| Debride nail 6 or more (11721) |
$88.55 |
$126.50 |
1.6× |
| Debride skin musc at fx site (11011) |
$647.50 |
$925 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$175 |
$250 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$368.90 |
$527 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$468.30 |
$669 |
0.3× |
| Declot vascular device (36593) |
$150.50 |
$215 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$4,152.75 |
$5,932.50 |
2.3× |
| Destroy lumb/sac facet jnt (64635) |
$3,951.15 |
$5,644.50 |
2.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$561.40 |
$802 |
1.5× |
| Destruction benign lesions 15 or more (17111) |
$181.30 |
$259 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$148.40 |
$212 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,822.05 |
$4,031.50 |
3.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,822.40 |
$4,032 |
3.5× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$2,352 |
$3,360 |
8.3× |
| Destruction Lesions Vulva Extensive (56515) |
$1,652.70 |
$2,361 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$248.50 |
$355 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$465.50 |
$665 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$184.80 |
$264 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,381 |
$4,830 |
1.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$235.90 |
$337 |
1.3× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$217 |
$310 |
0.6× |
| Destruction of skin lesions (17106) |
$568.40 |
$812 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$216.30 |
$309 |
1.2× |
| Destruction vaginal lesions simple (57061) |
$278.60 |
$398 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,540 |
$2,200 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$823.20 |
$1,176 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$645.40 |
$922 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$259 |
$370 |
0.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$146.30 |
$209 |
1.2× |
| Division of fallopian tube (58600) |
$919.10 |
$1,313 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$666.40 |
$952 |
2.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$282.80 |
$404 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$391.30 |
$559 |
2.1× |
| Drainage of eyelid abscess (67700) |
$437.50 |
$625 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$215.60 |
$308 |
0.1× |
| Drainage of hydrocele (55000) |
$257.60 |
$368 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$721.70 |
$1,031 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$733.60 |
$1,048 |
0.5× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,043.70 |
$1,491 |
0.4× |
| Draw blood off venous device (36591) |
$150.50 |
$215 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$510.65 |
$729.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$134.40 |
$192 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$73.50 |
$105 |
2.8× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$442.40 |
$632 |
0.1× |
| Dstrj lesion penis simple surg excision (54060) |
$368.20 |
$526 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$618.10 |
$883 |
0.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$671.30 |
$959 |
0.4× |
| Egd flexible foreign body removal (43247) |
$658 |
$940 |
0.8× |
| Egd place gastrostomy tube (43246) |
$768.60 |
$1,098 |
0.4× |
| Egd remove lesion snare (43251) |
$719.60 |
$1,028 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$746.90 |
$1,067 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$1,417.15 |
$2,024.50 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$70.35 |
$100.50 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$896 |
$1,280 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$989.80 |
$1,414 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,068.55 |
$1,526.50 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$837.20 |
$1,196 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$209.30 |
$299 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$366.10 |
$523 |
0.2× |
| Exc forearm les sc < 3 cm (25075) |
$1,159.20 |
$1,656 |
0.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$338.80 |
$484 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$656.60 |
$938 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$1,062.60 |
$1,518 |
0.4× |
| Exc rect tum transanal part (45171) |
$758.80 |
$1,084 |
0.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$770.70 |
$1,101 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$217 |
$310 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$203 |
$290 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$275.80 |
$394 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$281.40 |
$402 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$436.10 |
$623 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$364 |
$520 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$625.45 |
$893.50 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$549.50 |
$785 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$485.80 |
$694 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$529.90 |
$757 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$910 |
$1,300 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$685.30 |
$979 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$712.60 |
$1,018 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,777.30 |
$2,539 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,301.95 |
$3,288.50 |
2.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$189 |
$270 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,058.40 |
$1,512 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$887.60 |
$1,268 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$882.70 |
$1,261 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,033.50 |
$2,905 |
1.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,164.45 |
$1,663.50 |
0.4× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$984.20 |
$1,406 |
0.7× |
| Excision Breast Lesion (19125) |
$1,044.40 |
$1,492 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$270.90 |
$387 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$298.90 |
$427 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$319.90 |
$457 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$397.60 |
$568 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$478.80 |
$684 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$295.40 |
$422 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$380.80 |
$544 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$412.30 |
$589 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$626.50 |
$895 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$278.60 |
$398 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$331.80 |
$474 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$375.90 |
$537 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$433.30 |
$619 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$518.70 |
$741 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$346.50 |
$495 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$775.60 |
$1,108 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$260.40 |
$372 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$308 |
$440 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$995.40 |
$1,422 |
0.7× |
| Excision of hydrocele; unilateral (55040) |
$849.80 |
$1,214 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,004.85 |
$1,435.50 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$165.20 |
$236 |
0.1× |
| Excision of nail fold toe (11765) |
$199.15 |
$284.50 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$504 |
$720 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,429.40 |
$2,042 |
1.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$678.30 |
$969 |
0.3× |
| Excision olecranon bursa (24105) |
$788.20 |
$1,126 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,215.90 |
$1,737 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$977.90 |
$1,397 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$470.75 |
$672.50 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$756.70 |
$1,081 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$780.50 |
$1,115 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,060.50 |
$1,515 |
0.7× |
| External Cephalic Version (59412) |
$1,361.50 |
$1,945 |
0.5× |
| Fetal non-stress test (59025) |
$337.40 |
$482 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$240.80 |
$344 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$252 |
$360 |
1.3× |
| Hemorrhoidectomy (46255) |
$912.10 |
$1,303 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$787.50 |
$1,125 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,684.90 |
$2,407 |
0.7× |
| I&d abscess simple (10060) |
$181.65 |
$259.50 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,740.10 |
$5,343 |
1.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$366.80 |
$524 |
0.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,786.70 |
$3,981 |
0.9× |
| I&d perianal abscess superficial (46050) |
$353.50 |
$505 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$292.25 |
$417.50 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,420.30 |
$2,029 |
0.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,420.30 |
$2,029 |
0.5× |
| Incise finger tendon sheath (26055) |
$1,182.30 |
$1,689 |
0.8× |
| Incise/drain eyelid lining (68020) |
$851.90 |
$1,217 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$298.20 |
$426 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$945 |
$1,350 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$433.65 |
$619.50 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$371.70 |
$531 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$207.90 |
$297 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$273.70 |
$391 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$270.90 |
$387 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$668.50 |
$955 |
0.5× |
| Incision of lingual frenum (41010) |
$331.80 |
$474 |
0.2× |
| Incision of rectal abscess (46040) |
$2,373.70 |
$3,391 |
2.2× |
| Incision thrombosed hemorrhoid external (46083) |
$323.40 |
$462 |
1.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$382.20 |
$546 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,626.35 |
$5,180.50 |
4.5× |
| Inj tendon sheath/ligament (20550) |
$226.80 |
$324 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$462.70 |
$661 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$814.80 |
$1,164 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,753.50 |
$2,505 |
2.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$1,059.10 |
$1,513 |
3.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$962.50 |
$1,375 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$304.50 |
$435 |
0.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,592.50 |
$2,275 |
2.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,299.55 |
$1,856.50 |
1.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$3,242.40 |
$4,632 |
5.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,087.05 |
$2,981.50 |
2.6× |
| Inject Nerv Blck,Pudendal (64430) |
$1,580.95 |
$2,258.50 |
1.9× |
| Inject Tendon Origin/Insert (20551) |
$436.80 |
$624 |
1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,187.50 |
$3,125 |
3.4× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,143.45 |
$1,633.50 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,835 |
$4,050 |
4.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,544.55 |
$2,206.50 |
2.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$796.25 |
$1,137.50 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$145.60 |
$208 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$693 |
$990 |
1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,802.50 |
$2,575 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$285.95 |
$408.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$167.65 |
$239.50 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$487.20 |
$696 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,750 |
$2,500 |
6.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,365 |
$1,950 |
4.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$565.60 |
$808 |
3.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$90.30 |
$129 |
0.5× |
| Insert Drug Implant Device (11981) |
$286.65 |
$409.50 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$2,744.70 |
$3,921 |
0.9× |
| Insert pessary/other device (57160) |
$133 |
$190 |
0.7× |
| Insert picc cath (36569) |
$1,318.10 |
$1,883 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$150.50 |
$215 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$123.20 |
$176 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,005.90 |
$1,437 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,166.90 |
$1,667 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$428.40 |
$612 |
2.0× |
| Knee arthroscopy/surgery (29876) |
$1,680 |
$2,400 |
0.6× |
| Late closure of wound (13160) |
$1,544.20 |
$2,206 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$616 |
$880 |
0.4× |
| Marsup Bartholin Gland Cyst (56440) |
$492.10 |
$703 |
0.2× |
| Mastectomy partial (19301) |
$1,372.70 |
$1,961 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$1,987.30 |
$2,839 |
0.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,898 |
$4,140 |
4.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$53.20 |
$76 |
2.0× |
| Nipple exploration (19110) |
$895.30 |
$1,279 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,822.05 |
$4,031.50 |
3.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,356.55 |
$3,366.50 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,260 |
$1,800 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,406.60 |
$3,438 |
3.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$514.50 |
$735 |
0.6× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,550.50 |
$2,215 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,135 |
$3,050 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,707.90 |
$5,297 |
1.2× |
| Partial Removal Foot Fascia (28060) |
$787.50 |
$1,125 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$868 |
$1,240 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$247.80 |
$354 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$212.10 |
$303 |
0.5× |
| Preputial Stretching (54450) |
$158.90 |
$227 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$207.20 |
$296 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$162.40 |
$232 |
0.4× |
| Puncture Aspiration (10160) |
$197.05 |
$281.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$212.80 |
$304 |
0.3× |
| Pvb thoracic single inj site (64461) |
$1,498.35 |
$2,140.50 |
2.3× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$1,162.70 |
$1,661 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$5,541.20 |
$7,916 |
3.1× |
| Reduction of rectal prolapse (45900) |
$375.90 |
$537 |
0.4× |
| Removal fb intranasal (30300) |
$350 |
$500 |
2.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,845.40 |
$6,922 |
1.8× |
| Removal Foreign Body Foot Complicated (28193) |
$1,568 |
$2,240 |
1.0× |
| Removal foreign body foot deep (28192) |
$995.05 |
$1,421.50 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$421.40 |
$602 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$530.95 |
$758.50 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$450.10 |
$643 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$453.95 |
$648.50 |
8.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$83.30 |
$119 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,058.40 |
$1,512 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$276.50 |
$395 |
0.4× |
| Removal of anal fissure (46200) |
$4,409.30 |
$6,299 |
1.7× |
| Removal of heel spur (28119) |
$1,006.60 |
$1,438 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$431.20 |
$616 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$175.35 |
$250.50 |
0.6× |
| Removal of nail bed (11750) |
$332.50 |
$475 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$166.25 |
$237.50 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$138.60 |
$198 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$107.10 |
$153 |
0.4× |
| Remove drug implant device (11982) |
$319.55 |
$456.50 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$345.10 |
$493 |
1.2× |
| Remove foreign body from eye (65210) |
$140 |
$200 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$1,066.10 |
$1,523 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$865.90 |
$1,237 |
0.3× |
| Remove spine infusion device (62365) |
$205.10 |
$293 |
0.1× |
| Remove tissue expander (11971) |
$824.60 |
$1,178 |
0.3× |
| Remove wrist tendon lesion (25111) |
$731.15 |
$1,044.50 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$238.70 |
$341 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$196.70 |
$281 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$116.90 |
$167 |
1.0× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,327.90 |
$1,897 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$596.40 |
$852 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$851.20 |
$1,216 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$535.50 |
$765 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$772.10 |
$1,103 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$394.80 |
$564 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$583.80 |
$834 |
1.6× |
| Repair hallux rigidus (28289) |
$1,283.10 |
$1,833 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,320.90 |
$1,887 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$791.70 |
$1,131 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$407.40 |
$582 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$429.10 |
$613 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$506.10 |
$723 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$632.80 |
$904 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$567 |
$810 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$371.70 |
$531 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$408.80 |
$584 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$515.20 |
$736 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$623.70 |
$891 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$333.55 |
$476.50 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$394.80 |
$564 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$728 |
$1,040 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$467.60 |
$668 |
1.3× |
| Repair of hammertoe (28286) |
$2,198.70 |
$3,141 |
0.7× |
| Repair of nail bed (11760) |
$338.80 |
$484 |
0.5× |
| Repair of rectocele (45560) |
$3,999.10 |
$5,713 |
1.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,960 |
$2,800 |
0.3× |
| Repair of vagina (57260) |
$1,335.60 |
$1,908 |
0.3× |
| Repair rectum & vagina (57250) |
$1,225 |
$1,750 |
0.3× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$2,181.20 |
$3,116 |
0.3× |
| Repair Tongue Laceration (41250) |
$449.40 |
$642 |
1.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,995 |
$2,850 |
0.3× |
| Replace duod/jej tube perc (49451) |
$1,711.50 |
$2,445 |
2.1× |
| Replace g/c tube perc (49450) |
$269.50 |
$385 |
0.3× |
Resection or transplantation of long tendon of biceps (23440)
likely a partial charge, not the full procedure |
$1,414 |
$2,020 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$1,309.70 |
$1,871 |
0.7× |
| Revise ulnar nerve at elbow (64718) |
$1,034.60 |
$1,478 |
0.6× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$634.90 |
$907 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$773.50 |
$1,105 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$175.70 |
$251 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$986.30 |
$1,409 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$646.10 |
$923 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$399 |
$570 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$467.95 |
$668.50 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$367.50 |
$525 |
1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$532.70 |
$761 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$150.50 |
$215 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$308 |
$440 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$137.20 |
$196 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$159.60 |
$228 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$178.50 |
$255 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$255.50 |
$365 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$130.20 |
$186 |
0.3× |
| Shoulder arthroscopy (29805) |
$1,192.10 |
$1,703 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$178.50 |
$255 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$203 |
$290 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$158.20 |
$226 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$258.30 |
$369 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.50 |
$255 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$373.10 |
$533 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$426.30 |
$609 |
0.5× |
| Simple destruction of growth of penis using electric current (54055) |
$228.90 |
$327 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$648.90 |
$927 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$305.90 |
$437 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$350.70 |
$501 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$691.60 |
$988 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$441.70 |
$631 |
2.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$500.50 |
$715 |
2.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,414.35 |
$2,020.50 |
7.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$296.80 |
$424 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$598.50 |
$855 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$406 |
$580 |
2.2× |
| Skin pinch graft (15050) |
$924.70 |
$1,321 |
1.4× |
| Skin splt grft trnk/arm/leg (15100) |
$1,681.40 |
$2,402 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$2,366 |
$3,380 |
3.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,854.30 |
$2,649 |
0.6× |
| Small bowel endoscopy (44376) |
$682.50 |
$975 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$330.05 |
$471.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$546 |
$780 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$578.20 |
$826 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$565.95 |
$808.50 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$890.75 |
$1,272.50 |
1.4× |
| Strapping unna boot (29580) |
$92.40 |
$132 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$135.10 |
$193 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$187.25 |
$267.50 |
0.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,925 |
$2,750 |
3.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$371 |
$530 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$764.40 |
$1,092 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$380.10 |
$543 |
1.3× |
| Treat finger dislocation (26775) |
$802.90 |
$1,147 |
3.1× |
| Treat Fracture Radius & Ulna (25560) |
$1,482.60 |
$2,118 |
6.5× |
| Treat humerus fracture (24500) |
$772.80 |
$1,104 |
3.4× |
| Treat humerus fracture (23600) |
$668.85 |
$955.50 |
2.9× |
| Treat Metatarsal Fracture (28475) |
$1,647.80 |
$2,354 |
7.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$897.40 |
$1,282 |
0.6× |
| Treat wrist bone fracture (25622) |
$642.60 |
$918 |
2.8× |
| Treat Wrist Bone Fracture (25630) |
$608.30 |
$869 |
2.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,122.80 |
$1,604 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$824.60 |
$1,178 |
3.6× |
| Treatment of ankle fracture (27792) |
$4,908.40 |
$7,012 |
0.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$772.80 |
$1,104 |
3.4× |
| Trim skin lesion (11055) |
$92.40 |
$132 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$107.80 |
$154 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$29.40 |
$42 |
0.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$987.70 |
$1,411 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,441.65 |
$2,059.50 |
0.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$848.40 |
$1,212 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$340.55 |
$486.50 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,213.80 |
$1,734 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$401.80 |
$574 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$265.30 |
$379 |
0.7× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$1,555.40 |
$2,222 |
0.3× |
| Unlisted procedure foot or toes (28899) |
$536.55 |
$766.50 |
2.4× |
| Vaginal delivery only (59409) |
$1,742.30 |
$2,489 |
0.6× |
| Vaginal hysterectomy (58260) |
$1,438.50 |
$2,055 |
0.3× |
| Vasectomy (55250) |
$1,498.70 |
$2,141 |
0.8× |
| Venipuncture (36415) |
$15.40 |
$22 |
1.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$118.30 |
$169 |
0.3× |
| Windowing of cast (29730) |
$91.70 |
$131 |
0.6× |