| Abd paracentesis w/imaging (49083) |
$528.96 |
$826.50 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,275.52 |
$1,993 |
1.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$78.21 |
$122.20 |
0.1× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,654.40 |
$8,835 |
1.1× |
| Amniocentesis diagnostic (59000) |
$369.73 |
$577.70 |
0.5× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$628 |
$981.25 |
0.2× |
| Amputate metacarpal bone (26910) |
$917.76 |
$1,434 |
0.3× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,169.60 |
$1,827.50 |
0.4× |
| Amputation Finger/Thumb (26951) |
$2,773.28 |
$4,333.25 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$1,006.08 |
$1,572 |
0.4× |
| Amputation thigh through femur any level (27590) |
$1,621.76 |
$2,534 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$413.60 |
$646.25 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,006.08 |
$1,572 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$1,166.40 |
$1,822.50 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,591.20 |
$2,486.25 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,078.40 |
$1,685 |
0.4× |
| Ankle scope,part synovectomy (29895) |
$858.40 |
$1,341.25 |
0.3× |
| Anoscopy diagnostic (46600) |
$178.56 |
$279 |
1.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$366.40 |
$572.50 |
2.6× |
| Application cast elbow finger short arm (29075) |
$118.08 |
$184.50 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$136.96 |
$214 |
0.6× |
| Application finger splint static (29130) |
$62.88 |
$98.25 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$128.80 |
$201.25 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$113.60 |
$177.50 |
0.8× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$455.20 |
$711.25 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$394.24 |
$616 |
1.6× |
| Application of long leg cast (29345) |
$394.24 |
$616 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$426.88 |
$667 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$98 |
$153.12 |
0.9× |
| Application short leg splint calf foot (29515) |
$100.56 |
$157.12 |
0.7× |
| Apply long leg cast brace (29358) |
$394.24 |
$616 |
1.6× |
| Apply short leg cast (29405) |
$262.08 |
$409.50 |
1.1× |
| Apply short leg cast (29425) |
$141.44 |
$221 |
0.6× |
| Arterial puncture (36600) |
$42.38 |
$66.22 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$95.36 |
$149 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$876.80 |
$1,370 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$249.28 |
$389.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$381.44 |
$596 |
1.4× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$1,896.96 |
$2,964 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,310.08 |
$2,047 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,224 |
$5,037.50 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,842.56 |
$2,879 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$957.60 |
$1,496.25 |
0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$711.20 |
$1,111.25 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$680.96 |
$1,064 |
0.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,070.40 |
$1,672.50 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,132.80 |
$1,770 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$702.72 |
$1,098 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,272.32 |
$1,988 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,237.12 |
$1,933 |
0.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,589.12 |
$2,483 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,744.64 |
$2,726 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,212.16 |
$1,894 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$964 |
$1,506.25 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,068 |
$1,668.75 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,695.36 |
$2,649 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,512.32 |
$2,363 |
0.2× |
| Arthrotomy W/Synovectomy Hip Joint (27054) |
$1,039.36 |
$1,624 |
0.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$719.36 |
$1,124 |
0.3× |
| Aspir/inj thyroid cyst (60300) |
$1,059.84 |
$1,656 |
1.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$77.44 |
$121 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,913.28 |
$4,552 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$102.40 |
$160 |
0.6× |
| Biopsy Bone Open Deep (20245) |
$957.44 |
$1,496 |
0.4× |
| Biopsy bone open superficial (20240) |
$421.60 |
$658.75 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$742.14 |
$1,159.60 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$434.56 |
$679 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,512 |
$2,362.50 |
1.1× |
| Biopsy of uterus lining (58100) |
$277.76 |
$434 |
1.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$444.16 |
$694 |
0.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$600.10 |
$937.65 |
0.4× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$965.76 |
$1,509 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$695.68 |
$1,087 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$777.60 |
$1,215 |
0.2× |
| Bladder Irrigation Simple (51700) |
$353.92 |
$553 |
1.6× |
| Bladder Scan (51798) |
$93.44 |
$146 |
1.8× |
| Blood patch (62273) |
$424.16 |
$662.75 |
0.7× |
| Blood transfusion service (36430) |
$444.16 |
$694 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$337.92 |
$528 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$348 |
$543.75 |
0.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$307.20 |
$480 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$368 |
$575 |
0.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$400 |
$625 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$360 |
$562.50 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$600.10 |
$937.65 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$383.20 |
$598.75 |
0.2× |
| Bx breast 1st lesion mr imag (19085) |
$1,216 |
$1,900 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,024 |
$1,600 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$1,724.16 |
$2,694 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$138.24 |
$216 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$519.52 |
$811.75 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$123.20 |
$192.50 |
0.6× |
| Chemical Cautery Tissue (17250) |
$279.04 |
$436 |
1.6× |
| Chest tube placement (32551) |
$327.46 |
$511.65 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$178.56 |
$279 |
1.6× |
| Circumcision (54150) |
$320 |
$500 |
0.2× |
| Claviculectomy; partial (23120) |
$1,030.40 |
$1,610 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,536 |
$2,400 |
1.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$600.80 |
$938.75 |
0.4× |
| Closed Rx Med Malleolus Fx (27760) |
$476.16 |
$744 |
2.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,700.80 |
$4,220 |
1.9× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$670.82 |
$1,048.15 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$922.88 |
$1,442 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$450.40 |
$703.75 |
2.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,481.44 |
$2,314.75 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,379.44 |
$2,155.38 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$604.80 |
$945 |
2.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$507.84 |
$793.50 |
2.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,245.57 |
$1,946.20 |
0.9× |
| Closed treat wrist dislocation (25660) |
$376.96 |
$589 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$523.20 |
$817.50 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$696 |
$1,087.50 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$790.72 |
$1,235.50 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$633.60 |
$990 |
3.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$713.60 |
$1,115 |
3.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$429.79 |
$671.55 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$426.88 |
$667 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$873.60 |
$1,365 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$650.40 |
$1,016.25 |
3.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$572 |
$893.75 |
2.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$544.40 |
$850.62 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$418.24 |
$653.50 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$870.40 |
$1,360 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$174.24 |
$272.25 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$478.72 |
$748 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$428.80 |
$670 |
2.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$240.80 |
$376.25 |
1.2× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$729.60 |
$1,140 |
0.5× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$869.60 |
$1,358.75 |
4.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$591.20 |
$923.75 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$483.28 |
$755.12 |
2.3× |
| Cltr skin autograft t/a/l 1st 25 cm/< (15150) |
$836.80 |
$1,307.50 |
0.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,199.68 |
$3,437 |
1.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$232.32 |
$363 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$227.84 |
$356 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$702.72 |
$1,098 |
3.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$562.56 |
$879 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$544.80 |
$851.25 |
2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$346.24 |
$541 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$489.60 |
$765 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$950.80 |
$1,485.62 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,140.48 |
$1,782 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$660 |
$1,031.25 |
3.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$139.39 |
$217.80 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$258.56 |
$404 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$252 |
$393.75 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$179.62 |
$280.65 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$646.40 |
$1,010 |
3.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$629.76 |
$984 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$122.40 |
$191.25 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$516.80 |
$807.50 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$377.01 |
$589.08 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$416 |
$650 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$116.16 |
$181.50 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$116.16 |
$181.50 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$576 |
$900 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$320.64 |
$501 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$801.60 |
$1,252.50 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$552 |
$862.50 |
2.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,199.68 |
$3,437 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$544 |
$850 |
2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$247.20 |
$386.25 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$664 |
$1,037.50 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,199.68 |
$3,437 |
1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$174.40 |
$272.50 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$896.80 |
$1,401.25 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$569.50 |
$889.85 |
0.4× |
| Colporrhaphy suture injury vagina (57200) |
$3,954.56 |
$6,179 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$96.80 |
$151.25 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$182.40 |
$285 |
1.6× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure |
$2,711.20 |
$4,236.25 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$649.28 |
$1,014.50 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$400 |
$625 |
3.5× |
| Curettage postpartum (59160) |
$384 |
$600 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,913.28 |
$4,552 |
1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$89.82 |
$140.35 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,367.36 |
$3,699 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$705.28 |
$1,102 |
1.2× |
| Debride nail 1-5 (11720) |
$37.60 |
$58.75 |
0.7× |
| Debride nail 6 or more (11721) |
$99.84 |
$156 |
2.0× |
| Debride skin musc at fx site (11011) |
$531.20 |
$830 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$165.60 |
$258.75 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$535.68 |
$837 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$409.60 |
$640 |
0.3× |
| Decompression of leg (27892) |
$752 |
$1,175 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$889.28 |
$1,389.50 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,541.12 |
$2,408 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$117.12 |
$183 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$480 |
$750 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$857.60 |
$1,340 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,040.96 |
$1,626.50 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$74.40 |
$116.25 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$128 |
$200 |
0.2× |
| Dilate urethra stricture (53620) |
$941.44 |
$1,471 |
1.6× |
| Dilate Urethra Stricture (53600) |
$43.36 |
$67.75 |
0.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$37.18 |
$58.10 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$246.40 |
$385 |
0.4× |
| Drain shoulder lesion (23030) |
$639.20 |
$998.75 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$221.60 |
$346.25 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$894.72 |
$1,398 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$477.60 |
$746.25 |
2.8× |
| Drainage of eyelid abscess (67700) |
$512 |
$800 |
1.9× |
| Drainage of gum lesion (41800) |
$105.60 |
$165 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$154.24 |
$241 |
0.1× |
| Draw blood off venous device (36591) |
$178.56 |
$279 |
1.6× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$392.89 |
$613.89 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$380.64 |
$594.75 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$225.52 |
$352.38 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$187.92 |
$293.62 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$32 |
$50 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$320.80 |
$501.25 |
0.1× |
| Egd place gastrostomy tube (43246) |
$447.36 |
$699 |
0.3× |
| Enterorrhaphy single perforation (44602) |
$1,344.64 |
$2,101 |
0.4× |
| Escharotomy initial incision (16035) |
$367.20 |
$573.75 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$60 |
$93.75 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$705.60 |
$1,102.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$241.28 |
$377 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$630.40 |
$985 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$156 |
$243.75 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$694.40 |
$1,085 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$627.20 |
$980 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$706.56 |
$1,104 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$598.40 |
$935 |
0.2× |
| Exc rect tum transanal part (45171) |
$826.24 |
$1,291 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$179.84 |
$281 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$169.60 |
$265 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$192 |
$300 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$219.20 |
$342.50 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$316.80 |
$495 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$389.76 |
$609 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,328 |
$2,075 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$201.20 |
$314.38 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$147.20 |
$230 |
0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$964.80 |
$1,507.50 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$908.80 |
$1,420 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$689.60 |
$1,077.50 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$903.20 |
$1,411.25 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$789.60 |
$1,233.75 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$571.52 |
$893 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$948.80 |
$1,482.50 |
0.4× |
| Exchange nephrostomy cath (50435) |
$1,076 |
$1,681.25 |
0.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$824.38 |
$1,288.10 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$977.92 |
$1,528 |
0.7× |
| Excision Breast Lesion (19125) |
$600.32 |
$938 |
0.2× |
| Excision Chalazion Single (67800) |
$474.88 |
$742 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$227.84 |
$356 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$245.76 |
$384 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$275.20 |
$430 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$280 |
$437.50 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$328 |
$512.50 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$272 |
$425 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$197.12 |
$308 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$748 |
$1,168.75 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$200.32 |
$313 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$140.72 |
$219.88 |
0.1× |
| Excision of nail fold toe (11765) |
$121.60 |
$190 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$296.32 |
$463 |
0.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$705.28 |
$1,102 |
0.3× |
| Excision olecranon bursa (24105) |
$600.96 |
$939 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$975.36 |
$1,524 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$707.84 |
$1,106 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$827.52 |
$1,293 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$815.36 |
$1,274 |
0.6× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$910.40 |
$1,422.50 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$293.12 |
$458 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$726.40 |
$1,135 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$402.11 |
$628.30 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$506.24 |
$791 |
0.4× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$646.40 |
$1,010 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$461.28 |
$720.75 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$528.64 |
$826 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,686.46 |
$2,635.10 |
1.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$816 |
$1,275 |
1.8× |
| Explore/treat ankle joint (27610) |
$984.80 |
$1,538.75 |
0.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$591.20 |
$923.75 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$700 |
$1,093.75 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,259.20 |
$1,967.50 |
0.4× |
| Fetal non-stress test (59025) |
$220.80 |
$345 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$896 |
$1,400 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$513.92 |
$803 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$110.40 |
$172.50 |
0.3× |
| Fixation of knee joint (27570) |
$281.60 |
$440 |
0.2× |
| Fixation of shoulder (23700) |
$372.64 |
$582.25 |
0.3× |
| Fluid pressure muscle (20950) |
$144.80 |
$226.25 |
0.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$876 |
$1,368.75 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$73.57 |
$114.95 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,347.20 |
$2,105 |
0.4× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$1,741.44 |
$2,721 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$525.44 |
$821 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$808.96 |
$1,264 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$626.40 |
$978.75 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$345.60 |
$540 |
1.7× |
| I&d abscess simple (10060) |
$135.68 |
$212 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$499.20 |
$780 |
0.3× |
| I&d perianal abscess superficial (46050) |
$262.40 |
$410 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$164.80 |
$257.50 |
0.3× |
| Image Cath Fluid Colxn Visc (49405) |
$1,088.32 |
$1,700.50 |
0.8× |
| Implant neuroelectrodes (63650) |
$4,491.20 |
$7,017.50 |
0.8× |
| Incise finger tendon sheath (26055) |
$888.32 |
$1,388 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$216.32 |
$338 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$126.21 |
$197.20 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$287.36 |
$449 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$139.36 |
$217.75 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$191.20 |
$298.75 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$194.72 |
$304.25 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$650.24 |
$1,016 |
0.5× |
| Incision of rectal abscess (46045) |
$388.80 |
$607.50 |
0.2× |
| Incision of rectal abscess (46040) |
$588 |
$918.75 |
0.6× |
| Incision thrombosed hemorrhoid external (46083) |
$307.20 |
$480 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$291.20 |
$455 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$89.60 |
$140 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$474.88 |
$742 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$98.56 |
$154 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$259.01 |
$404.70 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$147.20 |
$230 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$102.40 |
$160 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$557.44 |
$871 |
0.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$814.08 |
$1,272 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$405.92 |
$634.25 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$206.08 |
$322 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$409.60 |
$640 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$278.40 |
$435 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$345.60 |
$540 |
0.5× |
| Inject Nerv Blck,Pudendal (64430) |
$960 |
$1,500 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$190.40 |
$297.50 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$213.76 |
$334 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$800 |
$1,250 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$227.84 |
$356 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$244.96 |
$382.75 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$126.72 |
$198 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$153.60 |
$240 |
0.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$280 |
$437.50 |
0.4× |
| Injection for identification of sentinel node (38792) |
$306.08 |
$478.25 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87.04 |
$136 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$98.56 |
$154 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$112.80 |
$176.25 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$687.36 |
$1,074 |
2.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$132 |
$206.25 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$64 |
$100 |
0.4× |
| Ins endovas vena cava filtr (37191) |
$2,880 |
$4,500 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$202.08 |
$315.75 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$419.20 |
$655 |
0.2× |
| Insert picc cath (36569) |
$444.80 |
$695 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$135.49 |
$211.70 |
1.2× |
| Insert tunneled cv cath (36561) |
$1,557.76 |
$2,434 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$178.56 |
$279 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,264.32 |
$1,975.50 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$215.28 |
$336.38 |
1.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$387.84 |
$606 |
1.8× |
| Knee arthroscopy/surgery (29883) |
$1,184 |
$1,850 |
0.4× |
| Knee arthroscopy/surgery (29876) |
$1,022.40 |
$1,597.50 |
0.4× |
| Knee arthroscopy/surgery (29851) |
$1,574.40 |
$2,460 |
1.1× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$707.20 |
$1,105 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$777.60 |
$1,215 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$240 |
$375 |
0.0× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,297.28 |
$2,027 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,379.20 |
$2,155 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$409.60 |
$640 |
0.1× |
| Late closure of wound (13160) |
$832.80 |
$1,301.25 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$198.40 |
$310 |
0.2× |
| Liver Biopsy (47000) |
$633.70 |
$990.15 |
0.4× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,509.76 |
$2,359 |
0.3× |
| Mastectomy gynecomastia (19300) |
$1,313.28 |
$2,052 |
0.4× |
| Mastectomy partial (19301) |
$544 |
$850 |
0.2× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,203.20 |
$1,880 |
0.2× |
| Myelography Lumbar Injection (62305) |
$774.40 |
$1,210 |
1.1× |
| Myelography Lumbar Injection (62304) |
$608 |
$950 |
0.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$388.10 |
$606.40 |
0.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$388.10 |
$606.40 |
0.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$274.56 |
$429 |
1.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,844.16 |
$4,444 |
1.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$159.74 |
$249.60 |
0.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$750.40 |
$1,172.50 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$19.20 |
$30 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$258.56 |
$404 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$792.96 |
$1,239 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$754.08 |
$1,178.25 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$747.28 |
$1,167.62 |
1.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$450.40 |
$703.75 |
0.1× |
| Open rx carpal bone fx,each bone (25645) |
$1,006.40 |
$1,572.50 |
0.4× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,203.84 |
$1,881 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,331.84 |
$2,081 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,037.60 |
$1,621.25 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$930.40 |
$1,453.75 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$1,048.32 |
$1,638 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,068.80 |
$1,670 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$1,664 |
$2,600 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,840.64 |
$2,876 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge, not the full procedure |
$1,634.40 |
$2,553.75 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,600 |
$2,500 |
0.1× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,575.20 |
$2,461.25 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,295.36 |
$2,024 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low: confirm this is the full procedure |
$1,896.32 |
$2,963 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,605.76 |
$2,509 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,283.20 |
$2,005 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$821.76 |
$1,284 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,163.52 |
$1,818 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$800.80 |
$1,251.25 |
0.3× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$1,539.20 |
$2,405 |
0.2× |
Open Tx Femoral Fracture Proximal End He (27269)
likely a partial charge, not the full procedure |
$1,767.20 |
$2,761.25 |
0.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$464.64 |
$726 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$919.20 |
$1,436.25 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$961.60 |
$1,502.50 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$992 |
$1,550 |
0.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,338.24 |
$2,091 |
0.1× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
unusually low: confirm this is the full procedure |
$2,176 |
$3,400 |
0.3× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$1,807.20 |
$2,823.75 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$706.40 |
$1,103.75 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,041.60 |
$1,627.50 |
0.4× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$5,654.40 |
$8,835 |
1.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$459.20 |
$717.50 |
0.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$600.10 |
$937.65 |
1.0× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,597.60 |
$2,496.25 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$864 |
$1,350 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$574.40 |
$897.50 |
0.2× |
| Peri-implant capsulectomy breast complete (19371) |
$512 |
$800 |
0.2× |
| Peritoneal Lavage (49084) |
$483.20 |
$755 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$1,152 |
$1,800 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$906.40 |
$1,416.25 |
1.5× |
| Perq device breast 1st imag (19281) |
$714.56 |
$1,116.50 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$229.60 |
$358.75 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$284 |
$443.75 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$120.80 |
$188.75 |
0.2× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,126 |
$8,009.38 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,644.29 |
$8,819.20 |
0.9× |
| Pin finger fracture each (26756) |
$756.80 |
$1,182.50 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$240.13 |
$375.20 |
0.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,852.48 |
$2,894.50 |
1.0× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$566.40 |
$885 |
0.2× |
| Preputial Stretching (54450) |
$70.40 |
$110 |
0.3× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495)
likely a partial charge, not the full procedure |
$1,815.20 |
$2,836.25 |
0.3× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$441.60 |
$690 |
0.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$9,544.96 |
$14,914 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$217.60 |
$340 |
0.6× |
| Puncture Aspiration (10160) |
$254.88 |
$398.25 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$399.04 |
$623.50 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,123.20 |
$1,755 |
0.7× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,074.40 |
$1,678.75 |
0.2× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$1,342.08 |
$2,097 |
0.2× |
Reduction of Large Breast (19318)
unusually low: confirm this is the full procedure |
$1,764.80 |
$2,757.50 |
0.3× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,364.80 |
$2,132.50 |
0.2× |
| Removal fb intranasal (30300) |
$252 |
$393.75 |
2.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,982.72 |
$6,223 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$511.20 |
$798.75 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$433.60 |
$677.50 |
0.3× |
| Removal foreign body pharynx (42809) |
$319.04 |
$498.50 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$508.80 |
$795 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75.20 |
$117.50 |
1.5× |
| Removal Implant Deep (20680) |
$581.76 |
$909 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$510.40 |
$797.50 |
0.4× |
| Removal of anal fissure (46200) |
$412 |
$643.75 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$755.84 |
$1,181 |
0.5× |
| Removal of Head of Radius (24130) |
$896.80 |
$1,401.25 |
0.3× |
| Removal of heel bone (28118) |
$914.40 |
$1,428.75 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$38.72 |
$60.50 |
0.1× |
| Removal of nail bed (11750) |
$445.90 |
$696.72 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$94.80 |
$148.12 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$100 |
$156.25 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$83.20 |
$130 |
0.3× |
| Remove anal fist subq (46270) |
$495.36 |
$774 |
0.2× |
| Remove elbow lesion (24120) |
$735.20 |
$1,148.75 |
0.3× |
| Remove eyelid lesions (67801) |
$1,351.68 |
$2,112 |
1.6× |
| Remove foreign body from eye (65210) |
$50.34 |
$78.65 |
0.1× |
| Remove in/ex hem groups 2+ (46260) |
$736.64 |
$1,151 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$597.76 |
$934 |
0.2× |
| Remove shoulder foreign body (23330) |
$144 |
$225 |
0.1× |
| Remove tissue expander (11971) |
$565.60 |
$883.75 |
0.2× |
| Remove wrist tendon lesion (25111) |
$597.12 |
$933 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$137.60 |
$215 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$42.24 |
$66 |
0.4× |
| Renal biopsy (50200) |
$618.11 |
$965.80 |
0.4× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,186.40 |
$1,853.75 |
0.2× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,067.20 |
$1,667.50 |
0.2× |
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure |
$1,161.60 |
$1,815 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$486.40 |
$760 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$584 |
$912.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$353.60 |
$552.50 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520.80 |
$813.75 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$315.20 |
$492.50 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$435.20 |
$680 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$383.12 |
$598.62 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,084.16 |
$1,694 |
0.8× |
| Repair finger tendon (26433) |
$1,006.40 |
$1,572.50 |
0.4× |
| Repair forearm tendon/muscle (25270) |
$1,012 |
$1,581.25 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,255.04 |
$1,961 |
0.4× |
| Repair hallux rigidus (28289) |
$800 |
$1,250 |
0.3× |
| Repair hand tendon (26410) |
$999.04 |
$1,561 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$428.80 |
$670 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$280.80 |
$438.75 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$294.40 |
$460 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$329.60 |
$515 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$368 |
$575 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$342.40 |
$535 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$243.20 |
$380 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$295.20 |
$461.25 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$326.40 |
$510 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$348.80 |
$545 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$224.88 |
$351.38 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$273.92 |
$428 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$471.20 |
$736.25 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$310.88 |
$485.75 |
0.9× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$682.24 |
$1,066 |
0.1× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$931.20 |
$1,455 |
0.1× |
| Repair of nail bed (11760) |
$166.80 |
$260.62 |
0.3× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$921.60 |
$1,440 |
0.1× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,537.60 |
$2,402.50 |
0.2× |
| Repair Tongue Laceration (41250) |
$108.42 |
$169.40 |
0.3× |
| Repair wrist joints (25447) |
$1,296.80 |
$2,026.25 |
0.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,023.20 |
$1,598.75 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$860.80 |
$1,345 |
0.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$620.80 |
$970 |
0.8× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,033.60 |
$1,615 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$874.40 |
$1,366.25 |
0.3× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$3,224 |
$5,037.50 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$3,288 |
$5,137.50 |
0.3× |
| Revise arm/leg nerve (64708) |
$752.80 |
$1,176.25 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$758.40 |
$1,185 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$771.20 |
$1,205 |
0.5× |
Revision of ankle joint (27700)
likely a partial charge, not the full procedure |
$1,056.80 |
$1,651.25 |
0.2× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
likely a partial charge, not the full procedure |
$2,476.16 |
$3,869 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$2,940.16 |
$4,594 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$2,257.60 |
$3,527.50 |
0.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$574.08 |
$897 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$102.40 |
$160 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$58.08 |
$90.75 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$161.92 |
$253 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$628.80 |
$982.50 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$444.16 |
$694 |
0.3× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$777.60 |
$1,215 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$368 |
$575 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$355.84 |
$556 |
0.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,257.92 |
$1,965.50 |
2.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$246.27 |
$384.80 |
1.2× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$916 |
$1,431.25 |
0.1× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$464 |
$725 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$984.96 |
$1,539 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$188.80 |
$295 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$526.08 |
$822 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$254.02 |
$396.90 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$226.40 |
$353.75 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$262.40 |
$410 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$331.20 |
$517.50 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$194.40 |
$303.75 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$382.40 |
$597.50 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$238.40 |
$372.50 |
1.4× |
| Skin pinch graft (15050) |
$808.96 |
$1,264 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$1,052.80 |
$1,645 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,568 |
$2,450 |
2.5× |
| Skin sub graft trnk/arm/leg (15271) |
$840.80 |
$1,313.75 |
1.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$5,196.80 |
$8,120 |
2.9× |
| Skin tissue rearrangement (14040) |
$2,593.92 |
$4,053 |
1.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,032.80 |
$1,613.75 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,568 |
$2,450 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$205.60 |
$321.25 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$299.20 |
$467.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$331.20 |
$517.50 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$581.76 |
$909 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$364.80 |
$570 |
0.6× |
| Strapping ankle (29540) |
$53.63 |
$83.80 |
0.4× |
| Strapping elbow/wrist (29260) |
$77.63 |
$121.30 |
1.5× |
| Strapping hand/finger (29280) |
$77.63 |
$121.30 |
1.5× |
| Strapping knee (29530) |
$81.60 |
$127.50 |
0.7× |
| Strapping shoulder (29240) |
$93.63 |
$146.30 |
0.8× |
| Strapping thorax (29200) |
$84.80 |
$132.50 |
0.6× |
| Strapping toes (29550) |
$52.80 |
$82.50 |
1.0× |
| Strapping unna boot (29580) |
$244.48 |
$382 |
1.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$741.76 |
$1,159 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$216.96 |
$339 |
0.6× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,304 |
$2,037.50 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$399.04 |
$623.50 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$300 |
$468.75 |
0.6× |
| Thyroid biopsy (60100) |
$389.54 |
$608.65 |
0.6× |
Tissue expander placement breast reconstruction (19357)
likely a partial charge, not the full procedure |
$1,994.40 |
$3,116.25 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,682.40 |
$4,191.25 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,867.84 |
$4,481 |
0.3× |
| Trach Tube Change (31502) |
$66.88 |
$104.50 |
0.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,142.08 |
$3,347 |
1.6× |
| Transplant hand tendon (26480) |
$814.40 |
$1,272.50 |
0.3× |
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure |
$981.12 |
$1,533 |
0.2× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$988.80 |
$1,545 |
0.2× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$1,798.40 |
$2,810 |
0.2× |
| Treat Finger Fracture Each (26727) |
$860.16 |
$1,344 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$414.08 |
$647 |
1.9× |
| Treat fx distal radial (25606) |
$1,032.80 |
$1,613.75 |
0.4× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,052.16 |
$1,644 |
0.2× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$1,931.20 |
$3,017.50 |
0.3× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$1,066.40 |
$1,666.25 |
0.2× |
| Treat humerus fracture (24500) |
$471.36 |
$736.50 |
2.2× |
| Treat humerus fracture (23600) |
$584.32 |
$913 |
2.7× |
| Treat knee fracture (27532) |
$4,392.96 |
$6,864 |
1.6× |
| Treat knuckle dislocation (26715) |
$707.20 |
$1,105 |
0.3× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,979.52 |
$3,093 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$531.20 |
$830 |
2.5× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$1,203.20 |
$1,880 |
0.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$309.12 |
$483 |
0.2× |
| Treat toe fracture (28525) |
$715.20 |
$1,117.50 |
0.3× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,145.60 |
$1,790 |
0.2× |
| Treat Wrist Bone Fracture (25630) |
$513.60 |
$802.50 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$300.80 |
$470 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$702.80 |
$1,098.12 |
3.3× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,469.44 |
$2,296 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,086.40 |
$1,697.50 |
0.2× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$824.96 |
$1,289 |
0.1× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,457.60 |
$3,840 |
0.4× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$1,989.76 |
$3,109 |
0.3× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$1,908 |
$2,981.25 |
0.2× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$1,677.60 |
$2,621.25 |
0.2× |
| Trim skin lesion (11055) |
$188.16 |
$294 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$279.04 |
$436 |
1.6× |
| Trim skin lesions over 4 (11057) |
$279.04 |
$436 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$99.84 |
$156 |
2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$457.60 |
$715 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,372.64 |
$2,144.75 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$253.44 |
$396 |
0.4× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,148 |
$1,793.75 |
0.2× |
| Unlisted Procedure Nervous System (64999) |
$719.36 |
$1,124 |
2.7× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,752 |
$2,737.50 |
8.2× |
| Unlisted procedure, male genital system (55899) |
$387.84 |
$606 |
1.8× |
| Vaginal delivery only (59409) |
$293.76 |
$459 |
0.1× |
| Venipuncture (36415) |
$7.23 |
$11.30 |
0.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$144.80 |
$226.25 |
1.3× |
| Wedging of cast (29740) |
$394.24 |
$616 |
1.6× |
| Windowing of cast (29730) |
$90.43 |
$141.30 |
0.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$412 |
$643.75 |
0.6× |