| Abd paracentesis w/imaging (49083) |
$390.60 |
$1,260 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$294.70 |
$922.25 |
0.4× |
| Ablate inf turbinate submuc (30802) |
$159.25 |
$455 |
0.1× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$6,035.39 |
$19,469 |
0.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$99.05 |
$283 |
0.1× |
| Abrasion single lesion (15786) |
$110.25 |
$315 |
0.6× |
| Acne Surgery (10040) |
$59.15 |
$169 |
0.3× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$5,019.88 |
$16,193.16 |
1.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,351.09 |
$4,358.34 |
0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$805 |
$2,300 |
0.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$632.45 |
$1,807 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$705.25 |
$2,015 |
0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$584.15 |
$1,669 |
0.3× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$530.60 |
$1,516 |
0.3× |
| Amniocentesis diagnostic (59000) |
$126 |
$360 |
0.2× |
| Amputation Finger/Thumb (26951) |
$2,648.30 |
$8,542.91 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$4,041.51 |
$13,037.12 |
1.4× |
| Amputation of finger/thumb (26952) |
$2,443.56 |
$7,882.45 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,465.74 |
$7,954 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,000.17 |
$9,677.95 |
1.0× |
| Amputation, foot; transmetatarsal (28805) |
$3,257.35 |
$10,507.58 |
1.1× |
| Analyze infusn pump+reprogram (62368) |
$44.52 |
$136.57 |
0.2× |
| Analyze spine infus pump (62367) |
$84.96 |
$268.50 |
0.3× |
| Anoscopy control bleeding (46614) |
$129.85 |
$371 |
0.1× |
| Anoscopy diagnostic (46600) |
$78.43 |
$224.08 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$143.50 |
$410 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,744.70 |
$5,628.05 |
0.7× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$788.20 |
$2,252 |
0.2× |
| Anterior Tibial Tubercleplasty (27418) |
$17,013.30 |
$54,881.61 |
2.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$73.50 |
$210 |
0.5× |
| Application cast elbow finger short arm (29075) |
$244.37 |
$733.86 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$58.59 |
$189 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$193.40 |
$623.86 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$55.30 |
$158 |
1.1× |
| Application finger splint static (29130) |
$88.07 |
$277.66 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$85.07 |
$274.41 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$88.90 |
$254 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$101.90 |
$317.16 |
0.7× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$6,854.78 |
$22,112.18 |
0.6× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$5,150.71 |
$16,615.21 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$100.10 |
$286 |
0.4× |
| Application of long leg cast (29345) |
$269.06 |
$807.50 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$115.04 |
$351.50 |
0.5× |
| Application Short Arm Splint Dynamic (29126) |
$55.58 |
$167.50 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$85.07 |
$274.41 |
0.7× |
| Application short leg splint calf foot (29515) |
$85.07 |
$274.41 |
0.6× |
| Application, cast; figure-of-eight (29049) |
$60.90 |
$174 |
0.2× |
| Apply Body Cast,Risser Jacket (29010) |
$140.70 |
$402 |
0.6× |
| Apply of clubfoot cast (29450) |
$95.55 |
$273 |
0.7× |
| Apply short leg cast (29405) |
$193.40 |
$623.86 |
0.8× |
| Apply short leg cast (29425) |
$210.18 |
$678 |
0.9× |
| Arterial puncture (36600) |
$30.11 |
$93 |
0.3× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,540.98 |
$11,422.51 |
1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$3,421.78 |
$11,038.02 |
0.7× |
| Artery-vein autograft (36825) |
$4,067.69 |
$13,121.60 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$425.06 |
$1,296 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$553.04 |
$1,784 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$465.62 |
$1,502 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$320.97 |
$959 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$417.01 |
$1,273 |
1.5× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$14,353.86 |
$46,302.78 |
1.3× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$23,785.92 |
$76,728.77 |
1.0× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$9,900.96 |
$31,938.59 |
1.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$12,571.55 |
$40,553.38 |
0.8× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$16,799.06 |
$54,190.52 |
1.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$10,707.58 |
$34,540.57 |
1.7× |
| Arthroscopy ankle; ext debridem (29898) |
$3,806.53 |
$12,279.14 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,263.30 |
$13,752.58 |
1.5× |
| Arthroscopy of joint (29999) |
$715.75 |
$2,045 |
3.3× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$13,664.91 |
$44,080.37 |
2.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,636.73 |
$14,957.18 |
1.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,413.52 |
$14,237.16 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,207.32 |
$13,571.99 |
1.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,231.22 |
$13,649.10 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,363.64 |
$14,076.25 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,760.91 |
$21,809.38 |
2.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,751.48 |
$25,004.79 |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,401.49 |
$30,327.40 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,864.50 |
$18,917.73 |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$8,116.53 |
$26,182.36 |
2.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$5,904.02 |
$19,045.21 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,854.73 |
$25,337.84 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,394.44 |
$30,304.65 |
1.5× |
| Aspir/inj thyroid cyst (60300) |
$73.50 |
$210 |
0.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$173.40 |
$522 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$262.50 |
$750 |
0.1× |
| Av fistula revision (36833) |
$5,487.55 |
$17,701.77 |
1.1× |
| Av Fuse Uppr Arm Basilic (36819) |
$3,530.23 |
$11,387.84 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$95.33 |
$307.51 |
0.5× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$903.03 |
$2,913 |
0.9× |
| Biopsy Bone Open Deep (20245) |
$456.75 |
$1,305 |
0.2× |
| Biopsy bone open superficial (20240) |
$350 |
$1,000 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$653.79 |
$1,982.88 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$324.98 |
$1,017.62 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$274.05 |
$783 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$498.66 |
$1,608.59 |
0.6× |
| Biopsy external auditory canal (69105) |
$65.80 |
$188 |
0.0× |
| Biopsy external ear (69100) |
$93.10 |
$266 |
0.4× |
| Biopsy intranasal (30100) |
$63.70 |
$182 |
0.0× |
| Biopsy muscle deep (20205) |
$429.45 |
$1,353 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$402.27 |
$1,297.64 |
0.3× |
| Biopsy Muscle Superficial (20200) |
$671.18 |
$2,165.10 |
0.5× |
| Biopsy of eyelid lining (68100) |
$247.45 |
$707 |
0.1× |
| Biopsy of floor of mouth (41108) |
$93.10 |
$266 |
0.1× |
| Biopsy of lacrimal gland (68510) |
$473.55 |
$1,353 |
0.2× |
| Biopsy of lip (40490) |
$91 |
$260 |
0.4× |
| Biopsy of mouth lesion (40808) |
$119 |
$340 |
0.2× |
| Biopsy of nail unit (11755) |
$65.45 |
$187 |
0.1× |
| Biopsy of palate, uvula (42100) |
$108.50 |
$310 |
0.1× |
| Biopsy of penis (54100) |
$146.65 |
$419 |
0.1× |
| Biopsy of tongue (41100) |
$117.25 |
$335 |
0.2× |
| Biopsy of urethra (53200) |
$222.25 |
$635 |
0.1× |
| Biopsy of uterus lining (58100) |
$124.17 |
$400.56 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,016.48 |
$3,235.50 |
0.3× |
| Biopsy Oropharynx (42800) |
$122.50 |
$350 |
0.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$510.27 |
$1,646.03 |
0.3× |
| Biopsy Salivary Gland Incisional (42405) |
$184.45 |
$527 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$541.88 |
$1,748 |
0.9× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$400.40 |
$1,144 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$486.12 |
$1,536.50 |
0.3× |
| Biopsy soft tissue shoulder superficial (23065) |
$133 |
$380 |
0.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$325.15 |
$929 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,225.12 |
$3,952 |
0.8× |
| Biopsy tongue posterior one-third (41105) |
$110.60 |
$316 |
0.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$172.55 |
$493 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$429.16 |
$1,384.38 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$4,137.90 |
$13,348.06 |
1.2× |
| Biopsy/removal lymph nodes (38510) |
$3,502.89 |
$11,299.64 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$177.63 |
$573 |
0.3× |
| Bladder Irrigation Simple (51700) |
$85.37 |
$261.72 |
0.4× |
| Bladder Scan (51798) |
$61.19 |
$197.40 |
1.2× |
| Blood patch (62273) |
$813.42 |
$2,623.95 |
1.3× |
| Blood transfusion service (36430) |
$212.59 |
$685.76 |
0.5× |
| Bone marrow aspiration only (38220) |
$728.50 |
$2,350 |
0.5× |
| Bone Marrow Biopsy (38221) |
$666.19 |
$2,149 |
0.5× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$284.08 |
$875.80 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$913.98 |
$2,948.32 |
0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$959.57 |
$3,095.40 |
0.3× |
| Bronch ebus samplng 1/2 node (31652) |
$2,211.38 |
$7,133.50 |
0.7× |
| Bronch ebus samplng 3/> node (31653) |
$2,257.88 |
$7,283.50 |
0.7× |
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure |
$2,223.94 |
$7,174 |
0.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$580.55 |
$1,827.20 |
0.4× |
Bronchoscopy bronch stents (31636)
unusually low: confirm this is the full procedure |
$2,223.94 |
$7,174 |
0.4× |
| Bronchoscopy dilate/fx repr (31630) |
$2,697 |
$8,700 |
0.8× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,097.41 |
$6,765.85 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$913.98 |
$2,948.32 |
0.6× |
Bronchoscopy w/markers (31626)
unusually low: confirm this is the full procedure |
$2,223.94 |
$7,174 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$701.46 |
$2,172.66 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,302.62 |
$4,202 |
0.8× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$301.63 |
$973 |
0.9× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$913.98 |
$2,948.32 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$913.98 |
$2,948.32 |
0.6× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$9.04 |
$29.16 |
0.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$337.63 |
$1,038.82 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$234.85 |
$671 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$390.60 |
$1,260 |
0.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$953.30 |
$3,075.15 |
0.7× |
| Bx vulva/perineum 1 lesion (56605) |
$239.78 |
$773.48 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$1,336.41 |
$4,311 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$1,356.56 |
$4,376 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$127.41 |
$411 |
0.7× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$190.71 |
$615.20 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$289.80 |
$828 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$389.43 |
$1,256.23 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$216.01 |
$696.80 |
1.0× |
| Chemical Cautery Tissue (17250) |
$113.73 |
$366.86 |
0.6× |
| Chemical peel facial epidermal (15788) |
$267.75 |
$765 |
0.7× |
| Chemical peel nonfacial epidermal (15792) |
$259 |
$740 |
0.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$140 |
$400 |
0.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$122.50 |
$350 |
0.2× |
| Chemodenerv Musc Migraine (64615) |
$215.47 |
$669.25 |
0.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$200.98 |
$625.75 |
0.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$258.13 |
$808.48 |
0.4× |
| Chemodenerv trunk musc 6/> (64647) |
$10.26 |
$33.11 |
0.0× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$189 |
$540 |
0.3× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$49 |
$140 |
0.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$360.25 |
$1,118.80 |
1.3× |
| Chest tube placement (32551) |
$705.74 |
$2,222.12 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$75.95 |
$245 |
0.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$79.45 |
$227 |
0.0× |
| Chorionic villus sampling (59015) |
$112.35 |
$321 |
0.1× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$367.50 |
$1,050 |
0.2× |
| Circum 28 days or older (54161) |
$237.65 |
$679 |
0.1× |
| Circumcision (54150) |
$1,212.16 |
$3,910.18 |
0.7× |
| Circumcision Neonate (54160) |
$705.83 |
$2,240.09 |
1.1× |
| Clean out mastoid cavity (69222) |
$116.20 |
$332 |
0.2× |
| Clearance of tear duct (68530) |
$506.80 |
$1,448 |
1.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$623.21 |
$2,010.37 |
0.4× |
| Close tear duct opening (68761) |
$141.40 |
$404 |
0.5× |
| Close Tear Duct Opening (68760) |
$226.80 |
$648 |
0.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$341.25 |
$975 |
1.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$380.80 |
$1,088 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$288.75 |
$825 |
1.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$601.45 |
$1,940.17 |
0.4× |
| Closed Rx Med Malleolus Fx (27760) |
$269.50 |
$770 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,582.37 |
$5,104.42 |
1.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,212.72 |
$3,912 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,212.72 |
$3,912 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$185.50 |
$594 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$283.50 |
$810 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$301 |
$860 |
1.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$560.48 |
$1,808 |
0.4× |
| Closed Rx Trimalleolar Fx (27816) |
$271.25 |
$775 |
1.2× |
| Closed Treat Vert Body Fract (22310) |
$202.94 |
$601.50 |
0.9× |
| Closed treat wrist dislocation (25660) |
$330.75 |
$945 |
1.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$137.55 |
$393 |
0.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$229.60 |
$656 |
0.1× |
| Closed treatment of broken top of shin bone at knee (27538) |
$348.95 |
$1,051 |
1.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$225.06 |
$726 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$213.28 |
$688 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$201.60 |
$576 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$359.10 |
$1,026 |
1.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$108.50 |
$310 |
0.5× |
| Closed Treatment Sternum Fracture (21820) |
$168 |
$480 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$254.45 |
$727 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$209.05 |
$619.38 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$665.83 |
$2,073.32 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$283.50 |
$810 |
1.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,582.37 |
$5,104.42 |
7.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$231 |
$660 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$438.20 |
$1,252 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$374.97 |
$1,137 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$267.75 |
$765 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$783.52 |
$2,527.50 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$176.75 |
$505 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$278.83 |
$843 |
1.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$231 |
$660 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$371.96 |
$1,139.82 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$323.75 |
$925 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$399.70 |
$1,142 |
0.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$206.50 |
$590 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$86.06 |
$277.60 |
0.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$213.50 |
$624 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$187.16 |
$560.50 |
0.9× |
| Closure cystostomy separate procedure (51880) |
$375.55 |
$1,073 |
0.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$158.72 |
$512 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$186.20 |
$543 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$196 |
$560 |
0.9× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$98 |
$303 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,196.88 |
$3,860.90 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$260.16 |
$790.84 |
1.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$411.68 |
$1,328 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,212.72 |
$3,912 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$175 |
$511 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$250.50 |
$750 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$226.92 |
$732 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$373.10 |
$1,066 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$119.89 |
$386.75 |
0.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$281.45 |
$855.65 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$185.07 |
$550.88 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$169.75 |
$485 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$288.66 |
$850.50 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$419.91 |
$1,348.63 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$365.40 |
$1,178 |
1.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$366.80 |
$1,126 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$121.45 |
$347 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$139.70 |
$450.65 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$122.95 |
$386.75 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$304.50 |
$870 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$283.50 |
$810 |
1.3× |
| Cltx greater trochanteric fx w/o manj (27246) |
$350 |
$1,000 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$239.78 |
$773.48 |
1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,212.72 |
$3,912 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$118.92 |
$361.88 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$178.07 |
$530.88 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$691.25 |
$1,975 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$187.25 |
$535 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$257.25 |
$735 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$104.36 |
$316 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$191.20 |
$568.38 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$143.50 |
$450.65 |
0.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,046.25 |
$3,375 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$216.05 |
$639.38 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$300.65 |
$859 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$255.50 |
$730 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,212.72 |
$3,912 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$122.22 |
$371.50 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$440.30 |
$1,258 |
0.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$467.60 |
$1,336 |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$159.60 |
$456 |
0.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,212.72 |
$3,912 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$418.16 |
$1,271.82 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$748.36 |
$2,414.06 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$702.46 |
$2,266 |
0.7× |
| Colonoscopy for bleeding (44391) |
$655.82 |
$2,115.56 |
0.6× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$655.82 |
$2,115.56 |
0.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$623.30 |
$2,010.66 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$642.90 |
$2,073.88 |
0.6× |
| Colonoscopy stoma w/snare (44394) |
$655.82 |
$2,115.56 |
0.6× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$630.38 |
$2,033.50 |
0.6× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$670.58 |
$2,163.15 |
0.8× |
| Colonoscopy thru stoma (44388) |
$642.90 |
$2,073.88 |
0.8× |
| Colonoscopy w/ablation (45388) |
$762.77 |
$2,460.56 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$903.03 |
$2,913 |
0.9× |
| Colonoscopy w/fb removal (45379) |
$666.89 |
$2,151.25 |
0.6× |
| Colonoscopy w/resection (45390) |
$813.28 |
$2,623.50 |
0.3× |
| Colporrhaphy suture injury vagina (57200) |
$312.90 |
$894 |
0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$190.71 |
$615.20 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$115.40 |
$372.25 |
0.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$364.70 |
$1,042 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$302.40 |
$864 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$190.71 |
$615.20 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$148.38 |
$459.10 |
0.6× |
| Colposcopy vulva (56820) |
$115.40 |
$372.25 |
0.6× |
| Colposcopy vulva w/biopsy (56821) |
$109.90 |
$314 |
0.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$190.71 |
$615.20 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$429.16 |
$1,384.38 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$746.68 |
$2,408.65 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$738.88 |
$2,383.50 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$637.05 |
$2,055 |
0.6× |
| Complete replacement picc rs&i (36584) |
$454.08 |
$1,453.50 |
0.3× |
| Complex Cystometrogram (51726) |
$276.50 |
$790 |
1.3× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$310.52 |
$947.50 |
0.5× |
| Complex Drainage, Wound (10180) |
$1,066.11 |
$3,439.06 |
0.4× |
| Complex Uroflowmetry (51741) |
$62 |
$200 |
0.3× |
| Conization of cervix (57520) |
$2,721.83 |
$8,780.11 |
1.0× |
| Conization of cervix (57522) |
$1,777.32 |
$5,733.30 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$132.82 |
$395.34 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$86.06 |
$277.60 |
0.7× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$4,905.55 |
$15,824.34 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$564.30 |
$1,686.44 |
0.4× |
| Corneal smear (65430) |
$270.20 |
$772 |
0.7× |
| Correct lid retraction (67911) |
$366.10 |
$1,046 |
0.2× |
| Correction hammertoe (28285) |
$371 |
$1,060 |
0.1× |
| Create eardrum opening (69436) |
$1,772.09 |
$5,716.41 |
1.3× |
| Create Lesion Strtctc Prq Neurolytic Gasserian (61790) |
$13.11 |
$42.29 |
0.0× |
| Create tear duct drain (68745) |
$445.55 |
$1,273 |
0.1× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$4,965.85 |
$16,018.86 |
1.0× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$7,813.47 |
$25,204.74 |
0.9× |
| Cryotherapy of skin (17340) |
$43.40 |
$124 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$122.13 |
$364.80 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$182.35 |
$549 |
0.9× |
| Curette/treat cornea (65436) |
$305.55 |
$873 |
0.1× |
| Curette/treat cornea (65435) |
$68.95 |
$197 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$421.40 |
$1,204 |
0.2× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$400.05 |
$1,143 |
0.1× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$231 |
$660 |
0.0× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$355.25 |
$1,015 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,677.16 |
$8,636 |
0.9× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$626.50 |
$1,790 |
0.1× |
| Cysto w/destruction of lesions (52214) |
$2,677.16 |
$8,636 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$2,084.33 |
$6,723.65 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,334.64 |
$4,305.30 |
0.7× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$478.45 |
$1,367 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$425.25 |
$1,215 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$850.50 |
$2,430 |
0.3× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$553 |
$1,580 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$478.45 |
$1,367 |
0.2× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$297.50 |
$850 |
0.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$606.55 |
$1,733 |
0.1× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$411.25 |
$1,175 |
0.1× |
| Cysto/uretero w/lithotripsy (52356) |
$393.75 |
$1,125 |
0.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$1,062.95 |
$3,037 |
0.2× |
| Cystolithotomy w rem stone wo vn res (51050) |
$413 |
$1,180 |
0.1× |
| Cystometrogram w/vp (51728) |
$274.75 |
$785 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$308 |
$880 |
0.5× |
| Cystoscopy & duct catheter (52010) |
$402.50 |
$1,150 |
0.7× |
| Cystoscopy and treatment (52290) |
$192.50 |
$550 |
0.1× |
| Cystoscopy and treatment (52330) |
$691.60 |
$1,976 |
0.2× |
| Cystoscopy and treatment (52301) |
$238 |
$680 |
0.1× |
| Cystoscopy implant stent (52282) |
$700 |
$2,000 |
0.2× |
| Cystoscopy inject material (52327) |
$1,025.50 |
$2,930 |
0.2× |
| Cystoscopy stone removal (52325) |
$329 |
$940 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$1,214.81 |
$3,918.75 |
0.7× |
| Cystoscopy w/complex removal stone & stent (52315) |
$581 |
$1,660 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,341.57 |
$4,327.65 |
0.7× |
| Cystoscopy,insert ureteral stent (52332) |
$596.05 |
$1,703 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$700 |
$2,000 |
0.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$360.50 |
$1,030 |
0.2× |
| Cystotomy,extract &/or frag ureter calc (51065) |
$437.50 |
$1,250 |
0.1× |
| Cystotomy/cystostomy fulg&/insj radact matrl (51020) |
$535.15 |
$1,529 |
0.2× |
| Cystourethroscopy (52000) |
$500.31 |
$1,613.92 |
0.8× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$192.50 |
$550 |
0.1× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$196 |
$560 |
0.1× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$389.43 |
$1,256.23 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$161 |
$460 |
0.1× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$318.50 |
$910 |
0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$340.55 |
$973 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$340.20 |
$972 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$455 |
$1,300 |
0.2× |
| Cystourethroscopy, with internal urethrotomy; female Other Surgical Services (52270) |
$409.50 |
$1,170 |
0.2× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$328.30 |
$938 |
0.2× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$283.50 |
$810 |
0.1× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$278.95 |
$797 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$478.45 |
$1,367 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$413 |
$1,180 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$90.65 |
$259 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,375.48 |
$10,888.65 |
1.3× |
| Debride nail 1-5 (11720) |
$27.30 |
$78 |
0.5× |
| Debride nail 6 or more (11721) |
$49 |
$140 |
0.9× |
| Debride skin musc at fx site (11011) |
$2,112.15 |
$6,813.39 |
3.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$96.25 |
$275 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$502.90 |
$1,622.25 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$463.08 |
$1,412.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$645 |
$2,080.66 |
0.4× |
| Declot vascular device (36593) |
$237.39 |
$765.78 |
0.8× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$434.70 |
$1,242 |
0.2× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$393.05 |
$1,123 |
0.2× |
| Delivery placenta separate procedure (59414) |
$2,284.39 |
$7,369 |
0.8× |
| Dermabrasion segmental face (15781) |
$272.30 |
$778 |
0.4× |
| Dermabrasion superficial any site (15783) |
$253.40 |
$724 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$1,336.72 |
$4,312 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,357.64 |
$4,379.50 |
0.8× |
| Destroy nerve of eye muscle (67345) |
$199.85 |
$571 |
0.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$161 |
$460 |
0.4× |
| Destruc retinal lesn,photocoag (67210) |
$493.85 |
$1,411 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$104.30 |
$298 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$135.20 |
$418.39 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$673.46 |
$2,172.45 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$573.38 |
$1,849.60 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$355.95 |
$1,017 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$108.50 |
$310 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$115.15 |
$329 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$134.75 |
$385 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$133 |
$380 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$88.90 |
$254 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$108.50 |
$310 |
0.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$121.80 |
$348 |
0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$127.75 |
$365 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$147 |
$420 |
0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$95.20 |
$272 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$78.75 |
$225 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$98.70 |
$282 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$96.25 |
$275 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$141.40 |
$404 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$155.75 |
$445 |
0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$65.80 |
$188 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$820.07 |
$2,585.72 |
0.5× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$1,506.58 |
$4,859.95 |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$108.50 |
$310 |
0.6× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$110.25 |
$315 |
0.3× |
| Destruction of multiple growths of penis (54065) |
$210 |
$600 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$69.63 |
$214.98 |
0.4× |
| Destruction vaginal lesions simple (57061) |
$2,284.39 |
$7,369 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$385.97 |
$1,207.42 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$214.14 |
$675.67 |
0.3× |
| Dil urethra,female,subsequent (53661) |
$86.10 |
$246 |
0.7× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$52.50 |
$150 |
0.0× |
| Dilate urethra stricture (53620) |
$1,525.63 |
$4,921.40 |
2.5× |
| Dilate urethra stricture (53621) |
$52.50 |
$150 |
0.2× |
| Dilate Urethra Stricture (53600) |
$102.90 |
$294 |
0.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$222.55 |
$699.58 |
0.3× |
| Dilation Esophagus Guide Wire (43453) |
$795.50 |
$2,485.50 |
0.5× |
| Dilation Nasolacrimal Duct (68801) |
$129.85 |
$371 |
0.3× |
| Dilation of anal sphincter (45905) |
$2,216.89 |
$7,151.26 |
2.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$94.55 |
$305 |
0.8× |
| Dilation of salivary duct (42650) |
$59.50 |
$170 |
0.0× |
| Dilation of urethra (53665) |
$74.20 |
$212 |
0.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$94.85 |
$271 |
0.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$155.05 |
$443 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$212.67 |
$660.86 |
0.3× |
| Drain outer ear canal lesion (69020) |
$166.25 |
$475 |
0.3× |
| Drain perineal urin leak,uncomplic (53080) |
$399.35 |
$1,141 |
0.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$138.26 |
$446 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$288.84 |
$931.73 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$651.64 |
$2,044 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$174.73 |
$520.10 |
1.0× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$105.70 |
$302 |
0.2× |
| Drainage of deep periurethral abscess (53040) |
$570.50 |
$1,630 |
0.2× |
| Drainage of eye (65815) |
$387.80 |
$1,108 |
0.2× |
| Drainage of eye (65800) |
$114.45 |
$327 |
0.1× |
| Drainage of eyelid abscess (67700) |
$245.46 |
$746.84 |
0.9× |
| Drainage of gum lesion (41800) |
$113.21 |
$365.20 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,058.26 |
$3,382.22 |
0.7× |
| Drainage of hydrocele (55000) |
$348.16 |
$1,123.09 |
0.6× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$185.85 |
$531 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$988.28 |
$3,188 |
0.7× |
| Draw blood off venous device (36591) |
$73.16 |
$236.01 |
0.6× |
| Dressing change under anesthesia (15852) |
$135.80 |
$388 |
0.2× |
| Drg privesical/prevesical space absc (51080) |
$333.55 |
$953 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$314.92 |
$988.45 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$113.73 |
$366.86 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$113.73 |
$366.86 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$81.14 |
$261.74 |
3.2× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$171.50 |
$490 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$147 |
$420 |
0.4× |
| Dstrj lesion anus simple cryosurgery (46916) |
$157.50 |
$450 |
0.9× |
| Dstrj lesion anus simple surg excision (46922) |
$168 |
$480 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$157.50 |
$450 |
0.1× |
| Dstrj lesion penis simple surg excision (54060) |
$204.05 |
$583 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$500.64 |
$1,579.50 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$659.18 |
$2,126.38 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$738.88 |
$2,383.50 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$752.04 |
$2,425.95 |
0.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$752.04 |
$2,425.95 |
0.4× |
| Egd Endo Mucosal Resection (43254) |
$1,414.22 |
$4,562 |
0.8× |
| Egd flexible foreign body removal (43247) |
$785.24 |
$2,533.02 |
1.0× |
| Egd guide wire insertion (43248) |
$752.04 |
$2,425.95 |
0.9× |
| Egd injection varices (43243) |
$672.25 |
$2,168.55 |
0.4× |
| Egd place gastrostomy tube (43246) |
$1,237.98 |
$3,993.50 |
0.7× |
| Egd rem tumr/polyp forcep (43250) |
$752.04 |
$2,425.95 |
0.4× |
| Egd remove lesion snare (43251) |
$752.04 |
$2,425.95 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$661.86 |
$2,135.03 |
0.4× |
| Egd tube/cath insertion (43241) |
$752.04 |
$2,425.95 |
0.4× |
| Egd Varices Ligation (43244) |
$752.04 |
$2,425.95 |
0.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$119.49 |
$371 |
0.4× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$21.83 |
$70.41 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$168 |
$480 |
1.5× |
| Endocervical Curettage (57505) |
$224.19 |
$707 |
0.3× |
| Endoscopic Injection/Implant (51715) |
$222.95 |
$637 |
0.1× |
| Endoscopy of bowel pouch (44385) |
$402.16 |
$1,262.14 |
0.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$678.62 |
$2,189.10 |
0.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$1,512.87 |
$4,876.75 |
0.5× |
| Endoven ther chem adhes 1st (36482) |
$4,152.14 |
$13,394 |
0.8× |
| Endovenous rf 1st vein (36475) |
$2,184.25 |
$7,045.98 |
0.8× |
| Epidural lysis mult sessions (62263) |
$784.13 |
$2,529.45 |
1.0× |
| Epidural lysis on single day (62264) |
$32.97 |
$106.34 |
0.0× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,432.97 |
$4,622.48 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,432.97 |
$4,622.48 |
0.4× |
| Ercp ea duct/ampulla dilate (43277) |
$1,368.93 |
$4,415.91 |
0.4× |
| Ercp lithotripsy calculi (43265) |
$3,359.08 |
$10,835.75 |
0.6× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,368.93 |
$4,415.91 |
0.4× |
| Ercp remove forgn body duct (43275) |
$1,389.88 |
$4,483.50 |
0.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,359.08 |
$10,835.75 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$1,368.93 |
$4,415.91 |
0.4× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,368.93 |
$4,415.91 |
0.4× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,004.18 |
$3,133.24 |
0.3× |
| Escharotomy initial incision (16035) |
$192.50 |
$550 |
0.5× |
| Esoph endoscopy dilation (43226) |
$495.20 |
$1,553.48 |
0.3× |
| Esoph scope w/submucous inj (43201) |
$628 |
$2,025.80 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$716.51 |
$2,311.31 |
0.9× |
| Esophagosc dilate balloon 30 (43214) |
$738.88 |
$2,383.50 |
0.4× |
| Esophagoscopy flex biopsy (43202) |
$650.46 |
$2,098.26 |
0.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$785.43 |
$2,533.65 |
0.5× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$175 |
$500 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$452.63 |
$1,413.13 |
0.6× |
| Esophagoscopy lesion ablate (43229) |
$2,139.95 |
$6,903.08 |
0.6× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$752.04 |
$2,425.95 |
0.4× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$752.04 |
$2,425.95 |
0.4× |
| Esophagus endoscopy/ligation (43205) |
$752.04 |
$2,425.95 |
0.4× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$824.07 |
$2,658.29 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$32.86 |
$106 |
0.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,487.44 |
$8,024 |
1.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,409.09 |
$7,771.25 |
1.7× |
| Exc abd les sc 3 cm/> (22903) |
$350.89 |
$1,002.55 |
0.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$332.50 |
$950 |
0.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,225.12 |
$3,952 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$953.30 |
$3,075.15 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,734.11 |
$5,593.91 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$599.52 |
$1,860.50 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$3,433.23 |
$11,074.92 |
1.3× |
| Exc face les sbq 2 cm/> (21012) |
$1,225.12 |
$3,952 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$541.88 |
$1,748 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,225.12 |
$3,952 |
0.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$303.45 |
$867 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$953.30 |
$3,075.15 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$1,225.12 |
$3,952 |
0.8× |
| Exc frenum labial/buccal (40819) |
$210 |
$600 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$481.25 |
$1,375 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$108.50 |
$310 |
0.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$350 |
$1,000 |
0.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$140 |
$400 |
0.0× |
| Exc neck tum deep < 5 cm (21556) |
$986.30 |
$3,114 |
0.4× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$2,921.65 |
$9,424.67 |
0.6× |
| Exc Rect Tum Transanal Full (45172) |
$3,379.73 |
$10,902.37 |
1.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$953.30 |
$3,075.15 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$421.41 |
$1,359.38 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$430.40 |
$1,369.15 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$430.40 |
$1,388.40 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$666.96 |
$2,151.50 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,225.12 |
$3,952 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,734.11 |
$5,593.91 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$267.40 |
$764 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,064.60 |
$6,660 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$953.30 |
$3,075.15 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$646.82 |
$2,026.50 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,229.88 |
$3,894.50 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$329.35 |
$941 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,372.97 |
$4,428.94 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$977.64 |
$3,094 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$150.50 |
$430 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$430.40 |
$1,351.65 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,496.95 |
$8,054.67 |
1.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$486.50 |
$1,390 |
0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,924.25 |
$15,884.68 |
1.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,754.28 |
$8,884.77 |
1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$953.30 |
$3,075.15 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$376.25 |
$1,075 |
0.1× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$459.20 |
$1,312 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,283.98 |
$7,367.67 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,605.77 |
$5,179.90 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$953.30 |
$3,075.15 |
0.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$463.05 |
$1,323 |
0.2× |
| Exc urethral diverticulum spx female (53230) |
$624.75 |
$1,785 |
0.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$341.25 |
$975 |
0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$930 |
$3,000 |
0.3× |
| Exchange nephrostomy cath (50435) |
$693.58 |
$2,205.09 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$400.75 |
$1,145 |
0.2× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$286.30 |
$818 |
0.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,316.48 |
$7,472.51 |
1.6× |
| Excise excess skin & tissue (15839) |
$473.90 |
$1,354 |
0.2× |
| Excise lesion testis (54512) |
$9,182.57 |
$29,621.18 |
2.9× |
Excise parotid gland/lesion (42410)
unusually low: confirm this is the full procedure |
$2,099.42 |
$6,772.31 |
0.4× |
| Excise pharynx lesion (42808) |
$199.50 |
$570 |
0.1× |
| Excise/repair mouth lesion (40812) |
$143.85 |
$411 |
0.1× |
| Excision Breast Lesion (19125) |
$3,715.36 |
$11,985.04 |
1.1× |
| Excision Chalazion Single (67800) |
$108.85 |
$311 |
0.4× |
Excision exostosis(es), external auditory canal (69140)
unusually low: confirm this is the full procedure |
$1,775.96 |
$5,728.91 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$225.75 |
$645 |
0.1× |
| Excision hidradenitis axillary complex repair (11451) |
$3,548.71 |
$11,447.46 |
1.4× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,654.51 |
$8,562.94 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$147 |
$420 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$105.35 |
$301 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$386.46 |
$1,246.65 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$197.44 |
$564.10 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$645 |
$2,080.66 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$645 |
$2,080.66 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$541.88 |
$1,748 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$421.41 |
$1,359.38 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$541.88 |
$1,748 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,225.12 |
$3,952 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$103.25 |
$295 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$541.88 |
$1,748 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$541.88 |
$1,748 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$249.55 |
$713 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$263.55 |
$753 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$189 |
$540 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$421.41 |
$1,359.38 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$421.41 |
$1,359.38 |
0.7× |
Excision of bone lower jaw (21025)
likely a partial charge, not the full procedure |
$483 |
$1,380 |
0.1× |
| Excision of bulbourethral gland (53250) |
$304.50 |
$870 |
0.1× |
| Excision of chalazion; multiple, different lids (67805) |
$283.85 |
$811 |
1.0× |
| Excision of gum flap (41821) |
$42 |
$120 |
0.0× |
| Excision of hydrocele; unilateral (55040) |
$2,707.75 |
$8,734.67 |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$273 |
$780 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$205.45 |
$587 |
0.1× |
| Excision of lesion of tongue without closure (41110) |
$127.40 |
$364 |
0.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$645 |
$2,080.66 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$512 |
$1,638.58 |
0.4× |
| Excision of nail fold toe (11765) |
$164.87 |
$515.06 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,314.13 |
$7,464.94 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$414.23 |
$1,313 |
0.4× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,824.27 |
$9,110.54 |
1.1× |
| Excision of submandibular (submaxillary) gland (42440) |
$3,860.17 |
$12,452.15 |
0.7× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281)
unusually low: confirm this is the full procedure |
$2,208.44 |
$7,123.99 |
0.4× |
| Excision of tongue lesion (41112) |
$262.15 |
$749 |
0.1× |
Excision of tracheal tumor or carcinoma; cervical (31785)
likely a partial charge, not the full procedure |
$1,124.20 |
$3,212 |
0.2× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure |
$507.15 |
$1,449 |
0.1× |
| Excision of urethral diverticulum (separate procedure); male Other Surgical Services (53235) |
$456.05 |
$1,303 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$200.90 |
$574 |
0.1× |
| Excision olecranon bursa (24105) |
$2,696.40 |
$8,698.07 |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,879.25 |
$9,287.90 |
1.0× |
| Excision or fulguration; Skene's glands (53270) |
$273.35 |
$781 |
0.1× |
| Excision or fulguration; urethral caruncle (53265) |
$262.50 |
$750 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,106.02 |
$10,019.41 |
1.2× |
| Excision Prepatellar Bursa (27340) |
$2,969.12 |
$9,577.80 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$178.50 |
$510 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$686.65 |
$2,137.58 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$953.30 |
$3,075.15 |
0.7× |
| Excision, graft, extremity (35903) |
$4,515.56 |
$14,566.33 |
1.6× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$175 |
$500 |
0.1× |
| Excision, nasal polyp(s), simple (30110) |
$120.40 |
$344 |
0.1× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$420 |
$1,200 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$953.30 |
$3,075.15 |
0.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,064.60 |
$6,660 |
0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$332.01 |
$948.60 |
0.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,624.60 |
$8,466.46 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$3,061.69 |
$9,876.41 |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,225.12 |
$3,952 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$260.75 |
$745 |
0.1× |
| Excision/fulguration urethral prolapse (53275) |
$218.05 |
$623 |
0.1× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$577.85 |
$1,651 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$294 |
$840 |
0.2× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$391.30 |
$1,118 |
0.1× |
| Exploration penetrating wound spx chest (20101) |
$849.10 |
$2,426 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$988.28 |
$3,188 |
0.7× |
| Explore parathyroid glands (60500) |
$5,290.72 |
$17,066.83 |
1.0× |
| Explore/biopsy eye socket (67400) |
$636.30 |
$1,818 |
0.2× |
| Explore/irrigate tear ducts (68840) |
$147.70 |
$422 |
0.5× |
| Explore/treat elbow joint (24101) |
$2,483.75 |
$8,012.11 |
0.9× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,505.03 |
$8,080.73 |
1.8× |
| Fasciotomy palmar open partial (26045) |
$2,636.64 |
$8,505.30 |
0.9× |
| Fasciotomy palmar percutaneous (26040) |
$440.65 |
$1,259 |
0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,847.72 |
$9,186.19 |
1.0× |
| Fetal non-stress test (59025) |
$99.62 |
$321.36 |
0.6× |
| Fill contour defct <1cc (11950) |
$56.70 |
$162 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$408.44 |
$1,249.72 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$448.88 |
$1,448 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$119.27 |
$384.73 |
0.3× |
| Fitting of diaphragm/cap (57170) |
$70 |
$200 |
0.4× |
| Fix ectropion,entensv lid repair (67917) |
$497 |
$1,420 |
0.2× |
| Fixation of knee joint (27570) |
$1,685.36 |
$5,436.65 |
1.2× |
| Fixation of shoulder (23700) |
$1,709.20 |
$5,513.54 |
1.2× |
| Fluid pressure muscle (20950) |
$110.25 |
$315 |
0.2× |
| Follow-up surgery of eye (66250) |
$378.35 |
$1,081 |
0.2× |
| Forehead flap w/vasc pedicle (15731) |
$770 |
$2,200 |
0.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$93.45 |
$267 |
0.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$515.55 |
$1,473 |
0.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$521.50 |
$1,490 |
0.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$474.60 |
$1,356 |
0.3× |
| Fusion Finger Joint (26860) |
$4,430.27 |
$14,291.20 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$179.17 |
$577.98 |
0.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$3,425.63 |
$11,050.43 |
2.0× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$171.50 |
$490 |
0.1× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$386.40 |
$1,104 |
0.1× |
| Guide Cathet Fluid Drainage (10030) |
$404.56 |
$1,215.88 |
0.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$338.80 |
$968 |
0.1× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$4,160.86 |
$13,422.14 |
1.7× |
| Hip arthro acetabuloplasty (29915) |
$9,257.58 |
$29,863.15 |
1.4× |
| Hip arthro w/labral repair (29916) |
$10,712.89 |
$34,557.72 |
1.7× |
| Hysteroscopy ablation (58563) |
$981.40 |
$2,804 |
0.2× |
| Hysteroscopy biopsy (58558) |
$1,777.32 |
$5,733.30 |
0.6× |
| Hysteroscopy dx sep proc (58555) |
$2,284.39 |
$7,369 |
0.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,284.39 |
$7,369 |
0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,237.88 |
$16,896.38 |
1.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$280 |
$800 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$133 |
$413 |
0.6× |
| I&d abscess simple (10060) |
$672.16 |
$2,047 |
3.8× |
| I&d below fascia foot 1 bursal space (28002) |
$316.75 |
$905 |
0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$602 |
$1,720 |
0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,064.60 |
$6,660 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,214.81 |
$3,918.75 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,223.88 |
$3,948 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$289.34 |
$933.36 |
0.5× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$424.97 |
$1,332.69 |
0.5× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$642.75 |
$2,073.38 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$843.20 |
$2,720 |
0.6× |
| Implant neuroelectrodes (63650) |
$4,373.40 |
$14,107.73 |
0.8× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$1,813.96 |
$5,851.50 |
0.2× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$11,441.04 |
$36,906.58 |
0.7× |
| Impression & Preparation Auricular Prosthesis (21086) |
$1,346.80 |
$3,848 |
0.5× |
| Incise finger tendon sheath (26055) |
$542.50 |
$1,550 |
0.4× |
| Incise inner ear (69801) |
$893.90 |
$2,554 |
0.7× |
| Incise inner eye adhesns,laser (65860) |
$207.55 |
$593 |
0.4× |
| Incise/drain eyelid lining (68020) |
$244.30 |
$698 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,150.64 |
$3,711.75 |
3.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,397.19 |
$7,732.86 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$988.28 |
$3,188 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,225.12 |
$3,952 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$207.47 |
$669.26 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$124.17 |
$400.56 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$124.19 |
$400.60 |
0.5× |
| Incision bone cortex foot (28005) |
$531.65 |
$1,519 |
0.2× |
| Incision drainage of lacrimal sac (68420) |
$378.35 |
$1,081 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$2,261.55 |
$7,295.32 |
1.6× |
| Incision labial frenum frenotomy (40806) |
$119.70 |
$342 |
0.3× |
| Incision of achilles tendon (27605) |
$345.80 |
$988 |
0.2× |
| Incision of eardrum (69420) |
$127.40 |
$364 |
0.6× |
| Incision of lingual frenum (41010) |
$916.56 |
$2,956.65 |
0.7× |
| Incision of rectal abscess (46040) |
$1,123.93 |
$3,625.58 |
1.1× |
| Incision of thigh tendons (27307) |
$389.90 |
$1,114 |
0.1× |
| Incision of urethra (53010) |
$224 |
$640 |
0.0× |
| Incision of urethra (53000) |
$261.45 |
$747 |
0.1× |
| Incision of urethra (53020) |
$167.30 |
$478 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$160.82 |
$499 |
0.7× |
| Incision&drainage bursa foot (28001) |
$229.25 |
$655 |
0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$203.35 |
$581 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$510.26 |
$1,646 |
0.8× |
| Induced abortion by d&c (59840) |
$189 |
$540 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$69.14 |
$223.02 |
0.4× |
| Inj dupuytren cord w/enzyme (20527) |
$68.33 |
$195.23 |
0.3× |
| Inj neurolytic subarachnoid (62280) |
$872.34 |
$2,814 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,070.43 |
$3,453 |
1.4× |
| Inj subq fill material >10cc (11954) |
$229.67 |
$718.10 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$318.22 |
$1,026.50 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$365.86 |
$1,180.20 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$717.03 |
$2,313 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$233.87 |
$729.58 |
0.4× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$52.50 |
$150 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$932.32 |
$3,007.50 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$227.54 |
$734 |
0.8× |
| Inject Intravitreal Pharmcologic (67028) |
$385 |
$1,100 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$374.32 |
$1,207.50 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$586.23 |
$1,891.05 |
0.8× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$238.68 |
$753.18 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$534.44 |
$1,724 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$283.04 |
$887.22 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$607.38 |
$1,959.30 |
0.8× |
| Inject Nerv Blck,Pudendal (64430) |
$290.58 |
$915.75 |
0.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$738.04 |
$2,380.78 |
0.9× |
| Inject scleros soln in hemorrhoids (46500) |
$122.50 |
$350 |
0.1× |
| Inject Sinus Tract Theraputic (20500) |
$760.90 |
$2,174 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$279.46 |
$901.50 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$567.64 |
$1,831.10 |
0.9× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$717.03 |
$2,313 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$325.96 |
$1,051.50 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$233.79 |
$734.02 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$242.05 |
$756.60 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$274.24 |
$868.32 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$485.65 |
$1,566.60 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$579.39 |
$1,869 |
0.7× |
| Injection for identification of sentinel node (38792) |
$103.58 |
$329.03 |
0.3× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$831.73 |
$2,683 |
1.1× |
| Injection of drug into cavity behind eye (67500) |
$60.90 |
$174 |
0.2× |
| Injection peyronie disease (54200) |
$105.70 |
$302 |
0.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$190.10 |
$590.64 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$255.50 |
$770 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$465.46 |
$1,501.50 |
1.7× |
| Injection therapeutic carpal tunnel (20526) |
$278.95 |
$797 |
1.0× |
| Injection(s) spider veins (36468) |
$105 |
$300 |
0.3× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$646.15 |
$2,084.34 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$503.33 |
$1,623.65 |
1.9× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$375.63 |
$1,211.70 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$119.44 |
$376.82 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$117.27 |
$371.82 |
0.7× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$120.40 |
$344 |
0.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$575.48 |
$1,856.40 |
0.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$603.80 |
$1,947.75 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$1,438.56 |
$4,640.50 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$2,140.69 |
$6,905.45 |
0.4× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$5,116.03 |
$16,503.32 |
0.6× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,116.03 |
$16,503.32 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$115.70 |
$350 |
1.0× |
| Insert cervical dilator (59200) |
$164.68 |
$516.50 |
0.6× |
| Insert Drug Implant Device (11981) |
$113.75 |
$325 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$634.88 |
$2,048 |
0.4× |
| Insert nasal septal button (30220) |
$140 |
$400 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,003.42 |
$3,236.85 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,106.63 |
$3,569.76 |
0.4× |
| Insert pessary/other device (57160) |
$115.40 |
$372.25 |
0.6× |
| Insert picc cath (36569) |
$702.41 |
$2,212.62 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,106.63 |
$1,852.38 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$98.47 |
$317.66 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,832.74 |
$9,137.87 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$56.99 |
$172.22 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,770.16 |
$8,936 |
0.9× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$655.82 |
$2,115.56 |
0.4× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$280 |
$800 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$846.92 |
$2,732 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$367.04 |
$1,184 |
0.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$5,971.49 |
$19,262.88 |
0.8× |
Insj inflatable urethral/bladder neck sphincter (53445)
likely a partial charge, not the full procedure |
$1,230.60 |
$3,516 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,542.29 |
$8,200.94 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,155.53 |
$13,404.93 |
1.5× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$10,602.63 |
$34,202.04 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$2,942.85 |
$9,493.05 |
0.4× |
| Insrt/redo spine n generator (63685) |
$20,063.94 |
$64,722.38 |
0.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$541.99 |
$1,748.34 |
0.4× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
unusually low: confirm this is the full procedure |
$1,911.33 |
$6,165.59 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$345.92 |
$1,094.05 |
1.7× |
| Irrigate corpora cavernosa for priapism (54220) |
$149.80 |
$456.50 |
0.7× |
| Irrigate vagina w meds (57150) |
$49 |
$140 |
0.9× |
| Irrigation maxillary sinus (31000) |
$96.95 |
$277 |
0.5× |
| Kidney endoscopy (50553) |
$597.80 |
$1,708 |
0.1× |
| Kidney endoscopy (50551) |
$287.70 |
$822 |
0.1× |
Kidney endoscopy & biopsy (50555)
likely a partial charge, not the full procedure |
$715.05 |
$2,043 |
0.1× |
| Knee arthroscopy/surgery (29887) |
$4,757.75 |
$15,347.57 |
0.7× |
| Knee arthroscopy/surgery (29883) |
$3,905.25 |
$12,597.59 |
1.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$5,200.14 |
$16,774.64 |
0.8× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low: confirm this is the full procedure |
$2,782.15 |
$7,949 |
0.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,721 |
$18,454.83 |
0.9× |
| Lap ing hernia repair init (49650) |
$5,553.05 |
$17,913.06 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$3,805.25 |
$12,275.02 |
0.7× |
| Lap jejunostomy (44186) |
$4,922.62 |
$15,879.42 |
0.9× |
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure |
$1,169 |
$3,340 |
0.1× |
Laparo sling operation (51992)
likely a partial charge, not the full procedure |
$950.60 |
$2,716 |
0.2× |
| Laparoscopy appendectomy (44970) |
$5,390.33 |
$17,388.17 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$5,051.70 |
$16,295.79 |
0.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$8,705.98 |
$28,083.79 |
0.9× |
| Laparoscopy w/lysis of adhesions (58660) |
$4,456.35 |
$14,375.33 |
0.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,738.94 |
$15,286.89 |
0.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,803.53 |
$12,269.46 |
0.7× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$6,689.95 |
$21,580.49 |
0.7× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$6,665.85 |
$21,502.76 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$7,481.40 |
$24,133.55 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,153.31 |
$19,849.38 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$11,378.85 |
$36,705.98 |
1.2× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$11,062.01 |
$35,683.90 |
1.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,818.23 |
$18,768.48 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,200.79 |
$16,776.76 |
1.0× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$735 |
$2,100 |
0.1× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$3,791.63 |
$12,231.08 |
0.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$374.50 |
$1,070 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$150.23 |
$457.39 |
0.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$215.60 |
$616 |
0.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$165.54 |
$534 |
0.5× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$93.80 |
$268 |
0.5× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$104.30 |
$298 |
0.3× |
| Laryngoscopy indirect with biopsy (31510) |
$130.55 |
$373 |
0.0× |
| Laryngoscopy w/biopsy (31535) |
$285.25 |
$815 |
0.1× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$244.65 |
$699 |
0.2× |
| Laryngoscopy with biopsy (31576) |
$1,302.62 |
$4,202 |
0.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$196.35 |
$561 |
0.1× |
| Larynscop w/tumr exc + scope (31541) |
$2,790.71 |
$9,002.28 |
0.8× |
| Laser repair to improve eye fluid flow (65855) |
$319.55 |
$913 |
0.7× |
| Laser vaporization surgery prostate, complete (52648) |
$2,387 |
$6,820 |
0.5× |
| Late closure of wound (13160) |
$1,086.21 |
$3,415.40 |
0.3× |
| Lateral canthopexy (21282) |
$240.45 |
$687 |
0.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$10,344.72 |
$33,370.05 |
1.6× |
| Ligate/strip long leg vein (37722) |
$1,575.88 |
$5,083.50 |
0.6× |
| Ligation of a-v fistula (37607) |
$313.95 |
$897 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$424.33 |
$1,368.80 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$276.85 |
$791 |
0.2× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,141.88 |
$3,683.50 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$878.85 |
$2,511 |
0.3× |
| Lithotripsy (50590) |
$884.10 |
$2,526 |
0.3× |
| Liver Biopsy (47000) |
$490.20 |
$1,581.30 |
0.3× |
| Lysis Intranasal Synechia (30560) |
$119.35 |
$341 |
0.3× |
| Lysis of labial adhesions (56441) |
$129.15 |
$369 |
0.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,558.99 |
$5,029 |
0.8× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$733.60 |
$2,096 |
0.1× |
| Manipulation finger joint under anes each joint (26340) |
$308 |
$880 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$337.40 |
$964 |
0.1× |
| Marsupialization of urethral diverticulum, male or female Other Surgical Services (53240) |
$322.70 |
$922 |
0.1× |
| Mast mod rad (19307) |
$5,002.28 |
$16,136.39 |
0.9× |
| Mastectomy partial (19301) |
$7,849.36 |
$25,320.52 |
2.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$4,399.66 |
$14,192.45 |
0.8× |
| Mastectomy simple complete (19303) |
$5,289.29 |
$17,062.24 |
0.9× |
| Measure Kidney Pressure Thru Tube (50396) |
$94.50 |
$270 |
0.2× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$526.40 |
$1,504 |
0.8× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$492.10 |
$1,406 |
0.8× |
| Multiple Punctures Anterior Cornea (65600) |
$268.80 |
$768 |
0.1× |
| Myelography Lumbar Injection (62305) |
$421 |
$1,300 |
0.6× |
| Myelography Lumbar Injection (62304) |
$374.62 |
$1,167.50 |
0.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$383.38 |
$1,192.50 |
0.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$236.25 |
$675 |
0.3× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$620.55 |
$1,773 |
0.2× |
| Myringoplasty (69620) |
$2,184.17 |
$7,045.70 |
0.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$159.60 |
$456 |
0.9× |
| Nasal sinus therapy (30210) |
$103.25 |
$295 |
0.1× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$144.90 |
$414 |
0.4× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$163.10 |
$466 |
0.1× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$893.90 |
$2,554 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$893.90 |
$2,554 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$596.05 |
$1,703 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$755.65 |
$2,159 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$425.60 |
$1,216 |
0.3× |
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295)
likely a partial charge, not the full procedure |
$980 |
$2,800 |
0.2× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$755.65 |
$2,159 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
unusually low: confirm this is the full procedure |
$2,925.40 |
$9,436.78 |
0.5× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$691.60 |
$1,976 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$574.70 |
$1,642 |
0.4× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$574.70 |
$1,642 |
0.1× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,547.23 |
$11,442.66 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$88.17 |
$276.44 |
0.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$135.45 |
$387 |
0.6× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$613.58 |
$1,979.29 |
0.7× |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
$287 |
$820 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$75.25 |
$242.74 |
2.9× |
Nerve Pedicle Xfer,First Stage (64905)
likely a partial charge, not the full procedure |
$647.50 |
$1,850 |
0.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$355.57 |
$1,147 |
0.9× |
| Nipple/areola reconstruction (19350) |
$646.45 |
$1,847 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$536.10 |
$1,729.35 |
0.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$180.32 |
$581.68 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,127.51 |
$6,862.93 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,082.98 |
$3,493.50 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$541.78 |
$1,747.68 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$646.15 |
$2,084.34 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$296.11 |
$920.09 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$557.25 |
$1,797.58 |
0.7× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,327.88 |
$4,283.50 |
0.7× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,259.14 |
$4,061.75 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$212.48 |
$672.50 |
0.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$354.95 |
$1,145 |
0.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$301.01 |
$971 |
0.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$306.59 |
$989 |
0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,486.01 |
$11,245.19 |
1.0× |
| Open rx carpal bone fx,each bone (25645) |
$2,766.17 |
$8,923.13 |
1.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$5,734.21 |
$18,497.46 |
0.9× |
| Open thrombect av fistula (36831) |
$4,190.44 |
$13,517.53 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,267.45 |
$20,217.58 |
1.0× |
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure |
$5,178.59 |
$16,705.14 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,948.62 |
$15,963.30 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$3,819.80 |
$12,321.94 |
0.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$7,509.04 |
$24,222.70 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,363.51 |
$20,527.45 |
1.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$10,548.15 |
$34,026.28 |
0.9× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$6,095.22 |
$19,662 |
1.0× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$9,618.53 |
$31,027.52 |
1.5× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$5,226.79 |
$16,860.62 |
0.8× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,079.05 |
$22,835.64 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$367.50 |
$1,050 |
0.1× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$5,839 |
$18,835.50 |
0.9× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$417.55 |
$1,193 |
0.1× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$4,841.60 |
$15,618.07 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$442.75 |
$1,265 |
0.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$6,758.55 |
$21,801.77 |
1.1× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$4,007.45 |
$12,927.26 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,307.82 |
$10,670.38 |
1.1× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$9,839.50 |
$31,740.32 |
0.9× |
| Open/Perq Place Stent Same (37238) |
$6,779.70 |
$21,870 |
0.7× |
Open/Perq Placement Intravascular Stent Initial (37236)
unusually low: confirm this is the full procedure |
$3,813 |
$12,300 |
0.4× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$9,153.24 |
$29,526.58 |
0.8× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$7,749.18 |
$24,997.37 |
0.7× |
Optx orb floor blwt fx pri/bital appr w/allplstc (21390)
likely a partial charge, not the full procedure |
$1,100.05 |
$3,143 |
0.2× |
| Osteochondral allograft, knee, open (27415) |
$10,497.11 |
$33,861.63 |
0.9× |
| Osteotomy Radius Distal Third (25350) |
$7,496.07 |
$24,180.87 |
1.2× |
| Partial excision of lip (40520) |
$374.50 |
$1,070 |
0.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$209.30 |
$598 |
0.1× |
| Partial Removal Foot Fascia (28060) |
$411.25 |
$1,175 |
0.1× |
| Partial removal of thyroid (60220) |
$4,575.15 |
$14,758.54 |
0.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$4,822.37 |
$15,556.03 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$399 |
$1,140 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$2,171.61 |
$7,005.19 |
0.8× |
| Penis plastic surgery (54360) |
$568.40 |
$1,624 |
0.2× |
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080)
likely a partial charge, not the full procedure |
$897.75 |
$2,565 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$3,228.80 |
$10,415.48 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$258.26 |
$805.49 |
0.4× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$2,277.83 |
$7,347.83 |
0.2× |
| Percutaneous diskectomy (62287) |
$1,426.67 |
$4,602.15 |
0.8× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,753.64 |
$15,334.33 |
0.7× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,507.74 |
$8,089.50 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$193.55 |
$553 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$409.95 |
$1,248.22 |
0.7× |
| Perq device breast 1st imag (19281) |
$417.39 |
$1,346.43 |
0.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$630.66 |
$2,007.62 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$105 |
$300 |
0.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$9,049.83 |
$29,193 |
0.9× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$14,644.09 |
$47,239 |
0.9× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$9,049.83 |
$29,193 |
0.9× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$9,049.83 |
$29,193 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$316.06 |
$1,019.55 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$260.40 |
$840 |
0.4× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure |
$3,863.08 |
$12,461.55 |
0.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,315.51 |
$13,921 |
0.9× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure |
$1,321.36 |
$4,180.20 |
0.2× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,260.43 |
$3,989.12 |
0.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$872.15 |
$2,727.82 |
0.3× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$900.72 |
$2,815.22 |
0.3× |
| Phleb Veins - Extrem 20+ (37766) |
$1,344.79 |
$4,338.03 |
0.5× |
| Pin finger fracture each (26756) |
$2,361.74 |
$7,618.52 |
0.8× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$1,634.50 |
$4,670 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$119.27 |
$384.73 |
0.3× |
| Placement of seton (46020) |
$226.99 |
$648.53 |
0.1× |
| Plastic repair of canaliculi (68700) |
$363.65 |
$1,039 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$800.68 |
$2,470.50 |
0.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$189 |
$540 |
0.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$227.60 |
$650.28 |
0.1× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$231 |
$660 |
0.1× |
| Prepare face/oral prosthesis (21085) |
$468.30 |
$1,338 |
2.2× |
| Preputial Stretching (54450) |
$63 |
$180 |
0.3× |
| Prim art mech thrombectomy (37184) |
$10,169.55 |
$32,805 |
0.6× |
| Probe nasolacrimal duct (68810) |
$181.30 |
$518 |
0.6× |
| Probe nasolacrimal duct (68815) |
$460.95 |
$1,317 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$278.13 |
$881 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$295.62 |
$942 |
0.4× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$341.25 |
$975 |
0.7× |
| Prostatectomy (turp) (52601) |
$706.65 |
$2,019 |
0.1× |
| Prostatic microwave thermotx (53850) |
$2,581.25 |
$7,375 |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$384.09 |
$1,239 |
0.6× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$630 |
$1,800 |
0.1× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$4,373.40 |
$14,107.73 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$930 |
$3,000 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,554.71 |
$8,241 |
0.8× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$2,477.98 |
$7,993.49 |
0.9× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$2,379.36 |
$7,675.35 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$148.23 |
$445.56 |
0.4× |
| Puncture Aspiration (10160) |
$375.55 |
$1,133 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$402.27 |
$1,297.64 |
0.6× |
Radical resection of tumor; wing of ilium, 1 pubic or ischial ra mus or symphysis pubis (27075)
likely a partial charge, not the full procedure |
$1,666.35 |
$4,761 |
0.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$855.32 |
$2,686.44 |
0.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$3,774.40 |
$12,175.50 |
0.6× |
| Realignment extensor tendon hand each tendon (26437) |
$2,596.05 |
$8,374.35 |
0.9× |
| Reconstr disloc patella w mscl adv (27422) |
$9,277.30 |
$29,926.79 |
1.4× |
| Reconstruc Ant Male Urethra (53410) |
$759.50 |
$2,170 |
0.2× |
| Reconstruc Eyelid,Second Stage (67975) |
$450.45 |
$1,287 |
0.2× |
| Reconstruct extra finger (26587) |
$554.75 |
$1,585 |
0.2× |
| Reconstruct urethra stage 1 (53420) |
$724.50 |
$2,070 |
0.2× |
| Reconstruct urethra stage 2 (53425) |
$735 |
$2,100 |
0.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$4,890.18 |
$15,774.77 |
1.7× |
| Reconstruction of urethra (53430) |
$742 |
$2,120 |
0.2× |
| Reconstruction tongue fold (41520) |
$1,330.68 |
$4,292.50 |
0.5× |
| Reconstruction, knee (27429) |
$18,807.02 |
$60,667.81 |
1.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$5,696.44 |
$18,375.61 |
0.9× |
| Release of big toe (28240) |
$347.90 |
$994 |
0.1× |
| Release palm contracture (26121) |
$2,679.01 |
$8,641.97 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$112.35 |
$321 |
0.1× |
| Removal fb intranasal (30300) |
$92.86 |
$274.72 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,814.98 |
$5,854.79 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$437.13 |
$1,367.83 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,225.12 |
$3,952 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$50.06 |
$152 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50.97 |
$164.43 |
1.0× |
| Removal Implant Deep (20680) |
$304.50 |
$870 |
0.1× |
| Removal Implant From Finger/Hand (26320) |
$2,121.02 |
$6,841.99 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,225.12 |
$3,952 |
0.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$421.41 |
$1,359.38 |
0.7× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$1,059.84 |
$3,418.85 |
0.3× |
| Removal Intact Mammary Implant (19328) |
$442.40 |
$1,264 |
0.1× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$3,998.29 |
$12,897.72 |
0.6× |
| Removal of arm foreign body (24200) |
$386.46 |
$1,246.65 |
0.3× |
| Removal of bladder lesion (51520) |
$469 |
$1,340 |
0.2× |
| Removal of bone lesion (23140) |
$3,533.85 |
$11,399.51 |
1.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,959.43 |
$6,320.74 |
1.4× |
| Removal of eye lesion (65400) |
$394.80 |
$1,128 |
0.4× |
| Removal of Head of Radius (24130) |
$3,972.98 |
$12,816.06 |
1.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$305.44 |
$959.50 |
0.6× |
| Removal of infusion pump (36262) |
$111.76 |
$360.52 |
0.0× |
| Removal of intrauterine device (iud) (58301) |
$190.71 |
$615.20 |
0.7× |
| Removal of kidney stone (50081) |
$5,651.57 |
$18,230.87 |
0.7× |
| Removal of nail bed (11750) |
$386.46 |
$1,246.65 |
1.1× |
| Removal of salivary stone (42330) |
$995.66 |
$3,186.50 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$56.96 |
$183.75 |
0.3× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,069.96 |
$3,451.50 |
0.6× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,323.49 |
$10,720.92 |
1.1× |
| Removal of testis (54520) |
$4,630.92 |
$14,938.45 |
1.5× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,049.02 |
$6,609.75 |
0.4× |
| Removal of tonsils (42826) |
$2,222.36 |
$7,168.91 |
0.8× |
| Removal of urethra (53210) |
$565.95 |
$1,617 |
0.2× |
| Removal of urethra (53215) |
$958.65 |
$2,739 |
0.2× |
| Removal of wrist bone (25210) |
$2,897.25 |
$9,345.98 |
1.0× |
| Removal or relocation of corneal conjunctiva (65420) |
$373.10 |
$1,066 |
0.2× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$3,513.75 |
$11,334.69 |
0.5× |
| Removal subq cardiac rhythm monitor (33286) |
$559.83 |
$1,805.90 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$67.55 |
$193 |
0.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,678.94 |
$8,641.73 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$210.18 |
$678 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$38.50 |
$110 |
0.2× |
| Remove anal fist subq (46270) |
$327.25 |
$935 |
0.1× |
| Remove bladder stone (52318) |
$500.15 |
$1,429 |
0.2× |
| Remove Brain Cavity Fluid (61020) |
$113.75 |
$325 |
0.1× |
| Remove by ligat int hem grp (46945) |
$4,363.79 |
$14,076.74 |
1.8× |
| Remove cerclage suture (59871) |
$112 |
$320 |
0.0× |
| Remove drug implant device (11982) |
$183.09 |
$590.60 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$292.25 |
$835 |
1.0× |
| Remove eyelid lesions (67801) |
$269.85 |
$771 |
0.3× |
| Remove eyelid lining lesion (68115) |
$289.45 |
$827 |
0.1× |
| Remove eyelid lining lesion (68135) |
$268.45 |
$767 |
0.1× |
| Remove femur lesion/bursa (27062) |
$7,178.57 |
$23,156.68 |
2.5× |
| Remove foreign body from eye (65210) |
$108.85 |
$311 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$3,696.24 |
$11,923.36 |
1.5× |
| Remove knee cyst (27347) |
$2,692.44 |
$8,685.28 |
0.9× |
| Remove part thorax vertebra (22101) |
$4,531.85 |
$14,618.88 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$2,670.71 |
$8,615.20 |
1.0× |
| Remove prostate regrowth (52630) |
$679 |
$1,940 |
0.1× |
| Remove renal tube w/fluoro (50389) |
$52.50 |
$150 |
0.1× |
| Remove shoulder foreign body (23330) |
$216.65 |
$619 |
0.1× |
| Remove spinal canal catheter (62355) |
$1,388.02 |
$4,477.50 |
0.8× |
| Remove spine infusion device (62365) |
$17.39 |
$56.10 |
0.0× |
Remove thyroid duct lesion (60280)
unusually low: confirm this is the full procedure |
$1,949.13 |
$6,287.51 |
0.4× |
| Remove tissue expander (11971) |
$869.40 |
$2,484 |
0.3× |
| Remove uro sphincter (53446) |
$490 |
$1,400 |
0.1× |
| Remove vagina tissue part (57107) |
$964.25 |
$2,755 |
0.3× |
| Remove wrist tendon lesion (25111) |
$2,373.49 |
$7,656.43 |
1.7× |
| Remove&replace pm gen singl (33227) |
$7,103.65 |
$22,915 |
1.0× |
Remove/replace ur sphincter (53447)
likely a partial charge, not the full procedure |
$623 |
$1,780 |
0.0× |
| Remove/revise male sling (53442) |
$584.50 |
$1,670 |
0.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,435.10 |
$4,629.37 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$101.95 |
$325 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$87.75 |
$264.28 |
0.7× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$7,033.08 |
$22,687.35 |
0.4× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$10,602.63 |
$34,202.04 |
0.4× |
| Remv&replc pm gen dual lead (33228) |
$4,872.41 |
$15,717.45 |
0.5× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$6,315.37 |
$20,372.16 |
0.4× |
| Renal biopsy (50200) |
$552.54 |
$1,650.12 |
0.4× |
Renal ndsc nephros/pyelostomy fulg&/inc w/wo bi (50557)
likely a partial charge, not the full procedure |
$721 |
$2,060 |
0.1× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$697.20 |
$1,992 |
0.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$595 |
$1,700 |
0.1× |
| Repair arm tendon/muscle (24341) |
$4,561.23 |
$14,713.64 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,771 |
$8,938.71 |
1.0× |
| Repair brow defect (67900) |
$469.35 |
$1,341 |
0.2× |
| Repair collat ankle ligmnt,secondary (27698) |
$8,180.89 |
$26,389.98 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$259.35 |
$741 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$404.40 |
$1,212 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$233.29 |
$710.80 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$374.73 |
$1,135.64 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$193.90 |
$554 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$273.71 |
$826.30 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$178.15 |
$509 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$352.55 |
$1,137.27 |
0.5× |
| Repair detached retina (67110) |
$817.95 |
$2,337 |
0.4× |
| Repair ectropion suture (67914) |
$451.50 |
$1,290 |
0.2× |
| Repair elbow deb/attch open (24359) |
$3,495.15 |
$11,274.67 |
1.2× |
| Repair entropion excision tarsal wedge (67923) |
$594.30 |
$1,698 |
0.3× |
| Repair Entropion Suture (67921) |
$436.10 |
$1,246 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,604.88 |
$8,402.83 |
1.8× |
| Repair eyelid defect (67916) |
$603.05 |
$1,723 |
0.3× |
| Repair eyelid defect (67908) |
$439.95 |
$1,257 |
0.2× |
| Repair eyelid defect (67904) |
$628.25 |
$1,795 |
0.3× |
| Repair eyelid defect (67903) |
$462.70 |
$1,322 |
0.2× |
| Repair eyelid wound (67930) |
$430.85 |
$1,231 |
0.2× |
| Repair finger tendon (26432) |
$1,212.72 |
$3,912 |
0.9× |
| Repair finger/hand tendon (26350) |
$3,132.26 |
$10,104.06 |
1.1× |
| Repair forearm tendon/muscle (25270) |
$2,364.26 |
$7,626.65 |
0.8× |
| Repair hand tendon (26410) |
$1,212.72 |
$3,912 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,077.35 |
$13,152.74 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$287.06 |
$926 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$196.01 |
$604.30 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$172.64 |
$511.90 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$213.22 |
$647.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$157.19 |
$467.79 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$116.24 |
$350.79 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$129.37 |
$388.29 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$195.36 |
$598 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$181.87 |
$538.29 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$110.29 |
$333.79 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$240.46 |
$774.59 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$178.89 |
$546.54 |
0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$276.21 |
$891 |
0.2× |
| Repair kneecap tendon (27380) |
$5,450.58 |
$17,582.51 |
0.9× |
| Repair lower leg tendons (27676) |
$3,469.52 |
$11,191.99 |
0.5× |
Repair nasal vestibular stenosis (30465)
likely a partial charge, not the full procedure |
$675.50 |
$1,930 |
0.1× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$7,623.25 |
$24,591.14 |
1.3× |
Repair of eardrum structures (69631)
unusually low: confirm this is the full procedure |
$2,495.83 |
$8,051.08 |
0.5× |
| Repair of eye wound (65280) |
$469 |
$1,340 |
0.1× |
| Repair of eye wound (65286) |
$392.70 |
$1,122 |
0.2× |
| Repair of leg tendon each (27658) |
$3,134.70 |
$10,111.94 |
1.1× |
| Repair of nail bed (11760) |
$122.50 |
$350 |
0.2× |
| Repair of nasal septum (30520) |
$2,470.64 |
$7,969.79 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$7,096.07 |
$22,890.55 |
1.1× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$505.75 |
$1,445 |
0.2× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,706.10 |
$24,858.38 |
1.2× |
| Repair of thigh musc (27385) |
$5,308.19 |
$17,123.20 |
0.8× |
| Repair of tibia (27720) |
$5,889.07 |
$18,996.99 |
0.9× |
| Repair of urethra defect (53520) |
$430.50 |
$1,230 |
0.1× |
| Repair of urethra injury (53515) |
$612.50 |
$1,750 |
0.1× |
| Repair of urethra injury (53502) |
$378 |
$1,080 |
0.1× |
Repair oro-maxillary fistula (30580)
likely a partial charge, not the full procedure |
$467.60 |
$1,336 |
0.1× |
| Repair rotator cuff acute (23410) |
$7,143.78 |
$23,044.44 |
1.1× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,936.63 |
$25,602.04 |
1.2× |
| Repair symblepharon (68340) |
$534.80 |
$1,528 |
0.3× |
| Repair Tongue Laceration (41250) |
$156.55 |
$505 |
0.4× |
| Repair tooth socket (41874) |
$192.50 |
$550 |
0.1× |
| Repair tympanic membrane (69610) |
$238.70 |
$682 |
0.2× |
Repair uro sphincter (53449)
likely a partial charge, not the full procedure |
$479.50 |
$1,370 |
0.1× |
| Repair vagina/perineum (57210) |
$339.15 |
$969 |
0.1× |
| Repair wrist joints (25447) |
$3,896.16 |
$12,568.27 |
1.3× |
| Replace duod/jej tube perc (49451) |
$556 |
$1,588.58 |
0.7× |
| Replace eye fluid (67025) |
$670.60 |
$1,916 |
0.3× |
| Replace g/c tube perc (49450) |
$551.28 |
$1,683.95 |
0.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$676.08 |
$2,032.50 |
0.8× |
| Reposition gastrostomy tube (43761) |
$509.08 |
$1,642.20 |
2.3× |
| Reposition pacing-defib lead (33215) |
$1,059.84 |
$3,418.85 |
0.4× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$78.75 |
$225 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$4,168.73 |
$13,447.51 |
1.3× |
| Resect enlarged toe tissue (28340) |
$448 |
$1,280 |
0.2× |
| Revis reconst shoulder joint (23473) |
$8,250.18 |
$26,613.50 |
0.7× |
| Revise arm/leg nerve (64708) |
$2,822.53 |
$9,104.95 |
1.6× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$362.95 |
$1,037 |
0.1× |
| Revise eyelashes (67825) |
$189 |
$540 |
0.7× |
| Revise Eyelashes,Forceps (67820) |
$78.40 |
$224 |
0.7× |
| Revise eyelid lining (68330) |
$327.25 |
$935 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$635.60 |
$1,816 |
0.4× |
| Revise tear duct opening (68705) |
$277.20 |
$792 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$3,090.40 |
$9,969.04 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$2,563.28 |
$8,268.64 |
1.5× |
| Revise urethra stage 2 (53405) |
$679 |
$1,940 |
0.1× |
| Revise Urethra, 1st Stage (53400) |
$619.50 |
$1,770 |
0.1× |
| Revise/graft eyelid lining (68320) |
$341.25 |
$975 |
0.2× |
| Revision of eyelid (67950) |
$400.40 |
$1,144 |
0.2× |
| Revision of eyelid (67880) |
$442.75 |
$1,265 |
0.2× |
| Revision of eyelid (67882) |
$547.75 |
$1,565 |
0.3× |
| Revision of eyelid (67961) |
$514.15 |
$1,469 |
0.2× |
| Revision of eyelid (21280) |
$347.55 |
$993 |
0.1× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$485.45 |
$1,387 |
0.2× |
| Revision of iris (66761) |
$261.80 |
$748 |
0.5× |
| Revision of iris (66762) |
$275.45 |
$787 |
0.6× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge, not the full procedure |
$1,724.10 |
$4,926 |
0.2× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$27,848.22 |
$89,832.97 |
1.8× |
| Revision of upper eyelid (15823) |
$542.50 |
$1,550 |
0.3× |
| Revision of urethra (53460) |
$345.45 |
$987 |
0.1× |
| Revision of urethra (53450) |
$309.05 |
$883 |
0.1× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$1,689.96 |
$5,451.50 |
0.5× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$4,681.01 |
$15,100.03 |
0.8× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$434.70 |
$1,242 |
0.1× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$857.50 |
$2,450 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,789.68 |
$5,773.15 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$537.75 |
$1,734.68 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$218.93 |
$706.22 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$159.32 |
$468.78 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$460.18 |
$1,441.86 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,602.90 |
$5,170.64 |
0.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$208.95 |
$597 |
0.1× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$1,271.74 |
$4,102.40 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,088.60 |
$3,502.75 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$488.25 |
$1,575 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$210 |
$600 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$243.66 |
$786 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,430.36 |
$11,065.68 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,851.69 |
$9,198.98 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,018.56 |
$16,188.90 |
0.9× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,678.94 |
$15,093.34 |
0.8× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,371.63 |
$10,876.23 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,482.01 |
$11,232.28 |
1.1× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$3,696.45 |
$11,924.04 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,478.62 |
$14,447.16 |
0.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$4,616.32 |
$14,891.36 |
1.6× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$160.30 |
$458 |
0.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$289.54 |
$934 |
0.6× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$4,661.14 |
$15,035.92 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,297.37 |
$7,410.86 |
0.8× |
| Severing of tarsorrhaphy (67710) |
$237.65 |
$679 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$454 |
$1,464.50 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$363.53 |
$1,125 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$156.55 |
$505 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$88.55 |
$253 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$46.20 |
$132 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$97.35 |
$297 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$121.65 |
$392.43 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$75.95 |
$217 |
0.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$234.32 |
$755.88 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$121.65 |
$392.43 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$234.32 |
$755.88 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$121.65 |
$392.43 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$73.50 |
$210 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$121.65 |
$392.43 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$416.11 |
$1,342.29 |
0.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$465.39 |
$1,501.27 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$427.51 |
$1,379.06 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$454 |
$1,464.50 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$293.88 |
$926 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$468.41 |
$1,511 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$528.24 |
$1,703.99 |
0.5× |
| Simple biopsy of growth of throat behind nose (42804) |
$150.50 |
$430 |
0.1× |
| Simple Cystometrogram (51725) |
$177.30 |
$534.50 |
0.8× |
| Simple destruction of growth of penis using electric current (54055) |
$210 |
$600 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$101.37 |
$327 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$106.27 |
$322.29 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$111.52 |
$337.29 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$121.67 |
$366.29 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$101.24 |
$326.58 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$103.99 |
$326.58 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$115.19 |
$347.79 |
0.7× |
Sinus endo w/balloon dil (31296)
likely a partial charge, not the full procedure |
$1,050 |
$3,000 |
0.2× |
Sinus endo w/balloon dil (31297)
likely a partial charge, not the full procedure |
$910 |
$2,600 |
0.1× |
| Skin Pedicle Flap Trunk (15570) |
$497 |
$1,420 |
0.3× |
| Skin splt grft trnk/arm/leg (15100) |
$647.50 |
$1,850 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$746.14 |
$2,406.90 |
1.1× |
| Skin sub graft trnk/arm/leg (15271) |
$834.02 |
$2,690.40 |
1.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$789.48 |
$2,508.02 |
0.4× |
| Skin Tissue Procedure (17999) |
$210 |
$600 |
1.2× |
| Skin tissue rearrangement (14040) |
$439.25 |
$1,255 |
0.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,697.05 |
$8,700.17 |
0.9× |
| Skn sub grft f/n/hf/g child (15277) |
$469.32 |
$1,478.45 |
0.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,738.60 |
$12,060 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,431.83 |
$11,070.41 |
0.8× |
| Slitting of prepuce (54001) |
$1,647.43 |
$5,314.29 |
0.9× |
| Small Bowel Endoscopy (44373) |
$752.04 |
$2,425.95 |
0.4× |
| Small bowel endoscopy (44366) |
$715.50 |
$2,308.07 |
0.4× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$753.39 |
$2,430.28 |
0.4× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$678.62 |
$2,189.10 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$106.62 |
$326.58 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$131.82 |
$395.29 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$174.84 |
$564 |
0.5× |
| Snip incision lacrimal punctum (68440) |
$234.15 |
$669 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$303.53 |
$955.98 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$400.04 |
$1,290.45 |
0.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,344.79 |
$4,338.03 |
0.5× |
| Strapping ankle (29540) |
$28 |
$80 |
0.2× |
| Strapping elbow/wrist (29260) |
$85.07 |
$274.41 |
1.6× |
| Strapping hand/finger (29280) |
$42.35 |
$121 |
0.8× |
| Strapping knee (29530) |
$43.75 |
$125 |
0.4× |
| Strapping shoulder (29240) |
$68.26 |
$210.70 |
0.6× |
| Strapping toes (29550) |
$55.48 |
$174.20 |
1.1× |
| Strapping unna boot (29580) |
$85.07 |
$274.41 |
0.6× |
| Subconjunctival injection (68200) |
$100.10 |
$286 |
0.3× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$236.53 |
$763 |
0.6× |
Suprahyoid lymphadenectomy (38700)
unusually low: confirm this is the full procedure |
$2,093.61 |
$6,753.59 |
0.4× |
| Surgery/speech prosthesis (31611) |
$635.25 |
$1,815 |
0.2× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$346.15 |
$989 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$479.85 |
$1,371 |
0.2× |
| Suspension of testis (54640) |
$3,158.79 |
$10,189.66 |
1.0× |
| Suture Eyelid Wound,Full Thick (67935) |
$598.85 |
$1,711 |
0.3× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$379.75 |
$1,085 |
0.1× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,255.37 |
$7,275.39 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$78.05 |
$223 |
0.2× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$130.20 |
$372 |
0.2× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$13,983.17 |
$45,107 |
0.8× |
| Temporary Closure Eyelids Suture (67875) |
$345.10 |
$986 |
0.4× |
| Tenodesis long tendon biceps (23430) |
$6,663.58 |
$21,495.42 |
1.0× |
| Tenolysis extensor foot single tendon (28225) |
$315.70 |
$902 |
0.1× |
| Tenolysis flexor foot single tendon (28220) |
$351.40 |
$1,004 |
0.2× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$571.55 |
$1,633 |
0.2× |
| Tenotomy adductor hip percutaneous spx (27000) |
$366.80 |
$1,048 |
0.3× |
| Tenotomy hip flexor open separate procedure (27005) |
$569.45 |
$1,627 |
0.2× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$312.55 |
$893 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$287.70 |
$822 |
0.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$338.45 |
$967 |
0.1× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$506.80 |
$1,448 |
0.1× |
Tenotomy shoulder multiple thru same incision (23406)
likely a partial charge, not the full procedure |
$630.35 |
$1,801 |
0.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$317.45 |
$907 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$350.15 |
$1,105.05 |
0.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$5,983.31 |
$19,301 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$263.44 |
$831.75 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$613.80 |
$1,980 |
1.1× |
| Thoracoscopy w/bx pleura (32609) |
$13,747.58 |
$44,347.02 |
2.6× |
| Thrombolytic Therapy, Stroke (37195) |
$221.65 |
$715 |
0.8× |
| Thyroid biopsy (60100) |
$259.76 |
$816.32 |
0.4× |
| Thyroidectomy, total or complete (60240) |
$5,224.07 |
$16,851.84 |
1.0× |
| Tibial arthroscopy/surgery (29855) |
$6,837.19 |
$22,055.46 |
1.1× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$368.90 |
$1,054 |
0.2× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$472.15 |
$1,349 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,214.76 |
$7,144.38 |
0.8× |
| Total hip arthroplasty (27130) |
$12,563.80 |
$40,528.38 |
1.1× |
| Total knee arthroplasty (27447) |
$11,330.15 |
$36,548.88 |
1.0× |
| Trach Tube Change (31502) |
$108.81 |
$351 |
0.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$554.81 |
$1,753.66 |
1.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$601.45 |
$1,940.17 |
2.9× |
| Tracheostomy planned (31600) |
$499.10 |
$1,426 |
0.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$270.94 |
$874 |
1.0× |
| Transurethral incision of prostate (52450) |
$509.95 |
$1,457 |
0.2× |
| Transurethral resection of bladder neck (52500) |
$427 |
$1,220 |
0.1× |
| Treat ectopic pregnancy (59151) |
$5,348.35 |
$17,252.73 |
1.0× |
| Treat elbow fracture (24586) |
$12,221.80 |
$39,425.17 |
1.1× |
| Treat eyelid lesion (67850) |
$279.30 |
$798 |
0.3× |
| Treat Finger Fracture Each (26727) |
$2,436.96 |
$7,861.17 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$231.35 |
$661 |
1.1× |
| Treat fracture radius/ulna (25575) |
$5,453.52 |
$17,592 |
0.9× |
| Treat fx distal radial (25606) |
$3,500.67 |
$11,292.50 |
1.2× |
| Treat fx rad extra-articul (25607) |
$5,849.20 |
$18,868.37 |
0.9× |
| Treat humerus fracture (24500) |
$253.75 |
$775 |
1.2× |
| Treat humerus fracture (23600) |
$271.25 |
$775 |
1.2× |
| Treat kneecap dislocation (27566) |
$4,945.83 |
$15,954.29 |
0.8× |
| Treat lower leg fracture (27826) |
$3,932.43 |
$12,685.26 |
0.6× |
| Treat lower leg fracture (27828) |
$10,644.57 |
$34,337.32 |
0.9× |
| Treat Lower Leg Fracture (27827) |
$6,585.37 |
$21,243.13 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$226.80 |
$648 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,212.72 |
$3,912 |
0.9× |
| Treat toe fracture (28525) |
$1,151.86 |
$3,644.50 |
0.4× |
| Treat ulnar fracture (24685) |
$6,911.91 |
$22,296.49 |
1.1× |
| Treat Vaginal Bleeding (57180) |
$3,782.07 |
$12,200.23 |
21.2× |
| Treat wrist bone fracture (25635) |
$623.21 |
$2,010.37 |
0.4× |
| Treat wrist bone fracture (25622) |
$249.08 |
$763.15 |
1.1× |
| Treat Wrist Bone Fracture (25630) |
$236.25 |
$675 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$295.40 |
$844 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$212.72 |
$629.88 |
1.0× |
| Treatment extensive retinopathy photocoagulation (67228) |
$708.75 |
$2,025 |
1.5× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$733.25 |
$2,095 |
0.1× |
| Treatment of ankle fracture (27792) |
$5,400.99 |
$17,422.55 |
0.8× |
| Treatment of bone cyst (20615) |
$325.50 |
$1,050 |
0.5× |
| Treatment of choroid lesion (67220) |
$656.95 |
$1,877 |
1.4× |
| Treatment of foot infection (28003) |
$551.60 |
$1,576 |
0.2× |
| Treatment of retina (67141) |
$362.25 |
$1,035 |
1.3× |
| Treatment of retinal lesion (67208) |
$569.80 |
$1,628 |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$196.70 |
$562 |
0.9× |
| Treatment of tibia fracture (27759) |
$8,406.62 |
$27,118.14 |
0.7× |
| Treatment of urethra lesion (53260) |
$246.75 |
$705 |
0.1× |
| Treatment of urethra lesion (53220) |
$348.25 |
$995 |
0.1× |
| Trim skin lesion (11055) |
$55.34 |
$178.50 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$139.10 |
$438.93 |
0.8× |
| Trim skin lesions over 4 (11057) |
$121.65 |
$392.43 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$32.86 |
$106 |
0.6× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$4,315.51 |
$13,921 |
0.9× |
| Trurl drainage prostatic abscess (52700) |
$358.05 |
$1,023 |
0.1× |
| Trurl rescj postop bladder neck contracture (52640) |
$380.45 |
$1,087 |
0.1× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$8,361.66 |
$26,973.10 |
0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,456.29 |
$7,923.51 |
0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$261.10 |
$746 |
0.1× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$315 |
$900 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,181.04 |
$3,809.81 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$456.01 |
$1,471 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$107.80 |
$308 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$239.05 |
$683 |
0.2× |
| Tympanostomy (69433) |
$394.01 |
$1,271 |
0.8× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure |
$1,993.60 |
$5,696 |
0.4× |
Unlisted laparoscopy procedure, stomach (43659)
likely a partial charge, not the full procedure |
$1,579.20 |
$4,512 |
0.3× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$880.60 |
$2,516 |
0.2× |
| Unlisted procedure anus (46999) |
$2,534.41 |
$8,175.52 |
3.1× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$2,298.22 |
$7,413.62 |
11.0× |
| Unlisted procedure femur or knee (27599) |
$4,655.87 |
$15,018.94 |
21.4× |
| Unlisted procedure foot or toes (28899) |
$3,928.25 |
$12,671.79 |
18.0× |
| Unlisted procedure larynx (31599) |
$149.80 |
$428 |
0.7× |
| Unlisted procedure maternity care & delivery (59899) |
$131.75 |
$425 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$433.89 |
$1,399.65 |
1.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$5,293.56 |
$17,076.01 |
24.3× |
| Unlisted Procedure Small Intestine (44799) |
$668.23 |
$2,155.58 |
0.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$486.40 |
$1,569.02 |
0.9× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$543.20 |
$1,552 |
2.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$97.03 |
$313 |
0.5× |
| Ureter endoscopy (50970) |
$322 |
$920 |
0.1× |
| Ureter endoscopy & treatment (50980) |
$283.50 |
$810 |
0.1× |
| Ureter endoscopy & treatment (50957) |
$710.15 |
$2,029 |
0.1× |
| Ureter endoscopy & treatment (50976) |
$402.50 |
$1,150 |
0.1× |
| Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) |
$788.20 |
$2,252 |
0.2× |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
$612.85 |
$1,751 |
0.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$303.80 |
$868 |
0.1× |
| Ureteral endoscopy via ureterostomy w/biopsy (50955) |
$747.25 |
$2,135 |
0.2× |
| Ureteral endoscopy via ureterot w/o imaging w/bx (50974) |
$420 |
$1,200 |
0.1× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$374.50 |
$1,070 |
0.1× |
| Urethrorrhaphy sutr urethral wound/inj perineal (53510) |
$493.50 |
$1,410 |
0.1× |
| Urine Flow Measurement (51736) |
$60.90 |
$188 |
0.5× |
| Vaginal delivery only (59409) |
$728 |
$2,080 |
0.3× |
| Vasectomy (55250) |
$1,214.81 |
$3,918.75 |
0.7× |
| Venipuncture (36415) |
$5.36 |
$16.32 |
0.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$210 |
$600 |
0.1× |
| Ventricular puncture previous burr hole w/inj (61026) |
$110.95 |
$317 |
0.2× |
| Vulvectomy simple; complete (56625) |
$2,596.15 |
$8,374.68 |
0.9× |
| Wedging of cast (29740) |
$64.40 |
$184 |
0.3× |
| Wedging of clubfoot cast (29750) |
$73.15 |
$209 |
0.3× |
| Wound Prep F/N/Hf/G (15004) |
$357.07 |
$1,151.85 |
1.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$790.08 |
$2,548.65 |
1.2× |