| Abd paracentesis w/imaging (49083) |
$1,195 |
$2,062 |
1.4× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,555 |
$11,000 |
0.6× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$9,555 |
$11,000 |
1.4× |
| Analyze infusn pump+reprogram (62368) |
$405 |
$500 |
1.4× |
| Analyze spine infus pump (62367) |
$405 |
$757.89 |
1.4× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$16,900 |
$50,373 |
1.4× |
| Arterial puncture (36600) |
$15 |
$91 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$405 |
$1,896 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$405 |
$756 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$405 |
$1,067 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$405 |
$1,930 |
1.4× |
| Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$16,900 |
$21,600 |
1.4× |
| Arthrodesis posterior craniocervical (22590) |
$9,555 |
$11,000 |
0.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$23,085 |
$29,000 |
1.4× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$23,085 |
$27,800 |
0.9× |
| Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for… (22556) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$16,900 |
$21,600 |
0.6× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$9,555 |
$11,000 |
1.4× |
| Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22532) |
$9,070 |
$14,940 |
0.7× |
Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22533)
likely a partial charge, not the full procedure |
$4,925 |
$12,806 |
0.3× |
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$23,085 |
$27,800 |
0.9× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$16,900 |
$21,600 |
1.0× |
| Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) |
$9,070 |
$14,940 |
0.7× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804)
likely a partial charge, not the full procedure |
$2,308 |
$8,350 |
0.1× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) |
$23,085 |
$27,800 |
1.4× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$23,085 |
$31,073 |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$23,085 |
$33,866 |
1.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$4,310 |
$5,000 |
1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,555 |
$11,000 |
1.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,555 |
$11,000 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,310 |
$5,000 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,310 |
$5,000 |
1.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,310 |
$5,000 |
1.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,555 |
$11,000 |
1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,555 |
$11,000 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$405 |
$1,045 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$265 |
$358 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,175 |
$2,993 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,175 |
$2,500 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$2,175 |
$2,500 |
1.4× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$3,825 |
$6,256 |
1.4× |
| Biopsy Salivary Gland,Needle (42400) |
$935 |
$1,617.33 |
1.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,175 |
$3,592 |
1.4× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$2,175 |
$2,515 |
1.4× |
| Bladder Scan (51798) |
$80 |
$231 |
1.4× |
| Blood patch (62273) |
$930 |
$2,829 |
1.4× |
| Blood transfusion service (36430) |
$110.50 |
$331 |
0.3× |
| Bone marrow aspiration only (38220) |
$2,175 |
$5,490 |
1.4× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$930 |
$1,100 |
1.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,175 |
$4,709.90 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$2,175 |
$2,700 |
1.4× |
| Bx/exc lymph node needle superficial (38505) |
$2,175 |
$3,126 |
1.4× |
| Cerv artific diskectomy (22856) |
$23,085 |
$27,800 |
1.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$930 |
$1,269 |
1.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$405 |
$1,067 |
1.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$930 |
$2,594 |
1.4× |
| Chemodenerv trunk musc 6/> (64647) |
$930 |
$2,594 |
1.4× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$405 |
$1,067 |
1.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$33 |
$199 |
0.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$405 |
$1,067 |
1.4× |
| Coccygectomy Primary (27080) |
$4,310 |
$4,465 |
1.4× |
| Complex Drainage, Wound (10180) |
$3,825 |
$4,100 |
1.4× |
| Contour cranial bone lesion (21181) |
$7,795 |
$9,090 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,175 |
$2,500 |
1.4× |
| Correction hammertoe (28285) |
$4,310 |
$5,000 |
1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,310 |
$5,000 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$540 |
$560 |
1.4× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,550 |
$3,219 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,689 |
$6,768 |
1.4× |
| Destroy lumb/sac facet jnt (64635) |
$1,604 |
$6,768 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,165 |
$4,283 |
1.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,165 |
$2,829 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,575 |
$3,438 |
1.4× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$2,575 |
$3,300 |
1.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$930 |
$2,594 |
1.4× |
| Dilate urethra stricture (53620) |
$920 |
$1,166 |
1.4× |
| Dilate Urethra Stricture (53600) |
$330 |
$600 |
1.4× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$9,555 |
$11,000 |
1.4× |
| Drain spinal cord cyst (62268) |
$1,165 |
$1,286.45 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$2,175 |
$2,500 |
1.4× |
| Draw blood off venous device (36591) |
$12 |
$72 |
0.1× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$1,165 |
$3,363 |
1.4× |
| Dx bone marrow bx & aspir (38222) |
$3,825 |
$4,100 |
1.4× |
| Elbow arthroscopy/surgery (29836) |
$9,555 |
$11,000 |
1.4× |
| Elbow arthroscopy/surgery (29838) |
$4,310 |
$5,000 |
1.4× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)
unusually low: confirm this is the full procedure |
$2,575 |
$3,234 |
0.5× |
| Epidural lysis on single day (62264) |
$1,165 |
$1,471 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,175 |
$3,592 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$2,175 |
$3,400 |
1.4× |
| Exc forearm les sc 3 cm/> (25071) |
$2,175 |
$2,500 |
1.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,175 |
$2,462 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$935 |
$1,600 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$935 |
$1,600 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,175 |
$3,400 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,825 |
$4,100 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,825 |
$4,743 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,175 |
$7,478 |
1.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,825 |
$6,177 |
1.4× |
| Excise Neurofibroma Extensive (64792) |
$4,500 |
$10,813 |
1.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$935 |
$2,993 |
1.4× |
| Excision of hydrocele; unilateral (55040) |
$4,715 |
$10,598 |
1.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,175 |
$3,592 |
1.4× |
| Excision olecranon bursa (24105) |
$4,310 |
$5,000 |
1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,175 |
$3,400 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,175 |
$3,000 |
1.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,825 |
$6,430 |
1.4× |
| Expl retroperitoneum w/wo bx spx (49010) |
$8,525 |
$9,268 |
1.4× |
| Exploration of spinal fusion (22830) |
$9,555 |
$21,600 |
1.4× |
| Explore/treat elbow joint (24101) |
$4,310 |
$6,500 |
1.4× |
| Fasciotomy foot and/or toe (28008) |
$4,310 |
$7,361 |
1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$935 |
$1,100 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$94 |
$564 |
0.2× |
| Fna bx w/fluor gdn 1st les (10007) |
$267 |
$1,600 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$583.50 |
$2,512.50 |
0.9× |
| I&d abscess simple (10060) |
$265 |
$500 |
1.4× |
| I&d deep absc neck/chst+rib cut (21502) |
$4,310 |
$9,920 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,825 |
$4,100 |
1.4× |
| Implant neuroelectrodes (63650) |
$8,390 |
$14,680.50 |
1.4× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$4,500 |
$10,000 |
0.5× |
| Impltj revj/rpsg ithcl/edrl cath w/lam (62351) |
$9,555 |
$10,964 |
1.4× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$663 |
$3,980 |
0.0× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$23,730 |
$29,800 |
1.4× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$14,670 |
$19,700 |
1.4× |
| Incis 1 vertebral seg lumbar (22214) |
$9,555 |
$11,000 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$530 |
$530 |
1.4× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) |
$9,555 |
$11,000 |
1.4× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$9,555 |
$11,000 |
1.4× |
| Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (thoracic spine) to correct… (22212) |
$9,555 |
$11,000 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,535 |
$4,243.50 |
1.8× |
| Inj subq fill material 1.1-5.0 (11951) |
$900 |
$900 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$405 |
$2,306 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,165 |
$1,864 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$930 |
$1,135 |
1.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,535 |
$4,243.50 |
1.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$405 |
$1,047 |
1.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,165 |
$2,436 |
1.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,165 |
$2,829 |
1.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$930 |
$1,770 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,165 |
$2,829 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$930 |
$1,930 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,165 |
$2,829 |
1.4× |
| Inject Nerv Blck,Pudendal (64430) |
$1,165 |
$2,828 |
1.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,165 |
$6,606 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$405 |
$2,306 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$930 |
$1,875 |
1.4× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,165 |
$1,471 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$930 |
$1,875 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$930 |
$3,350 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$930 |
$1,864 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$405 |
$913.05 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$930 |
$3,173 |
1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,165 |
$2,829 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$405 |
$2,306 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$405 |
$1,930 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$405 |
$700 |
1.4× |
| Injection treatment of nerve (64600) |
$1,165 |
$4,238 |
1.4× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,165 |
$3,194.65 |
1.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$405 |
$2,306 |
1.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$405 |
$500 |
1.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$265 |
$536 |
1.4× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,165 |
$4,283 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$7,325 |
$13,058 |
1.4× |
| Insert picc cath (36569) |
$2,075 |
$3,207.50 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$180 |
$231 |
1.4× |
| Insert/ preplace infusn pump,nonprogram (62361) |
$23,730 |
$29,800 |
1.4× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$23,085 |
$27,800 |
1.4× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$25,540 |
$51,500 |
1.4× |
| Insrt/redo spine n generator (63685) |
$40,620 |
$51,500 |
1.4× |
| Install spinal shunt (63741) |
$4,500 |
$10,000 |
0.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) |
$9,555 |
$11,000 |
1.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$9,555 |
$11,000 |
1.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) |
$9,555 |
$9,922 |
1.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) |
$9,555 |
$11,195 |
1.4× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$25,540 |
$35,800 |
1.4× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$9,555 |
$11,000 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,555 |
$11,000 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$9,555 |
$11,000 |
1.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,555 |
$11,000 |
1.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$9,555 |
$11,195 |
1.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,555 |
$11,000 |
1.4× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$9,555 |
$11,000 |
1.4× |
| Late closure of wound (13160) |
$2,720 |
$3,400 |
0.8× |
| Liver Biopsy (47000) |
$2,175 |
$2,500 |
1.4× |
| Manipulation, elbow, under anesthesia (24300) |
$2,120 |
$2,510 |
1.4× |
| Myelography Lumbar Injection (62305) |
$1,035 |
$2,538 |
1.4× |
| Myelography Lumbar Injection (62304) |
$1,035 |
$1,919 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,035 |
$2,538 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,035 |
$2,538 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,165 |
$2,829 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,535 |
$4,243.50 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$930 |
$2,535.95 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$930 |
$2,538 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,165 |
$3,194.65 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,165 |
$1,471 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$930 |
$2,535.95 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,165 |
$3,194.65 |
1.4× |
Open bone biopsy (20251)
likely a partial charge, not the full procedure |
$1,072 |
$6,430 |
0.2× |
| Open bone biopsy (20250) |
$4,310 |
$5,000 |
1.4× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) |
$16,900 |
$21,600 |
1.4× |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) |
$16,900 |
$21,600 |
1.4× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$9,555 |
$11,000 |
1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,555 |
$11,000 |
1.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$4,310 |
$5,000 |
1.4× |
| Osteotomy Clavicle W Bone Graft (23485) |
$16,900 |
$33,866 |
1.4× |
| Osteotomy spine posterior 3 column lumbar (22207) |
$9,555 |
$11,000 |
1.4× |
| Osteotomy spine posterior 3 column thoracic (22206) |
$9,555 |
$11,000 |
1.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,310 |
$5,000 |
1.4× |
Partial excision of vertebral body for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
unusually low: confirm this is the full procedure |
$2,308 |
$8,348 |
0.3× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) |
$9,555 |
$15,050 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,555 |
$11,000 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,555 |
$11,000 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,310 |
$11,000 |
1.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$935 |
$1,100 |
1.4× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$8,390 |
$18,561 |
1.4× |
| Puncture Aspiration (10160) |
$540 |
$699 |
1.4× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$9,555 |
$11,000 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,575 |
$2,828 |
1.4× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$9,555 |
$25,588 |
1.4× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$16,900 |
$50,373 |
1.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$9,555 |
$11,000 |
1.4× |
| Reinsertion Spinal Fixation Device (22849) |
$16,900 |
$27,800 |
1.4× |
| Removal Implant Deep (20680) |
$3,825 |
$4,521 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,175 |
$3,400 |
1.4× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$9,555 |
$21,600 |
1.4× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64570) |
$4,500 |
$10,813 |
1.4× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$9,555 |
$21,600 |
1.4× |
| Removal of posterior segmental instrumentation (22852) |
$9,555 |
$21,600 |
1.4× |
| Removal of sesamoid bone (28315) |
$4,310 |
$5,000 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$265 |
$500 |
1.4× |
| Removal of sperm cord lesion (55520) |
$4,640 |
$5,609 |
1.4× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,542.50 |
$3,065.50 |
0.8× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$4,605 |
$5,700 |
1.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,720 |
$3,400 |
1.4× |
| Remove cerv artif disc (22864) |
$9,555 |
$21,600 |
1.4× |
| Remove part thorax vertebra (22101) |
$9,555 |
$10,964 |
1.4× |
| Remove spinal canal catheter (62355) |
$2,575 |
$3,100 |
1.4× |
| Remove spine infusion device (62365) |
$4,500 |
$10,000 |
1.4× |
| Remove/graft forearm lesion (25126) |
$4,310 |
$4,338 |
1.4× |
| Renal biopsy (50200) |
$2,175 |
$3,568 |
1.4× |
| Repair arm tendon/muscle (24341) |
$9,555 |
$11,195 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$540 |
$887 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$975 |
$1,300 |
1.4× |
| Repair elbow deb/attch open (24359) |
$4,310 |
$5,000 |
1.4× |
| Repair elbow perc (24357) |
$4,310 |
$12,009 |
1.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,715 |
$5,600 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$150 |
$460 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$540 |
$2,357 |
1.4× |
| Repair multi-comp penis pros (54408) |
$2,744 |
$7,053 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,500 |
$6,198 |
0.6× |
| Repair Of Foot Tendon (28208) |
$4,310 |
$5,000 |
1.4× |
| Repair of shoulder (23420) |
$9,555 |
$9,596 |
1.4× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,310 |
$5,000 |
1.4× |
| Rerepair fem hernia reduce (49555) |
$4,715 |
$5,600 |
1.4× |
| Rerepair ing hernia blocked (49521) |
$8,525 |
$9,776 |
1.4× |
| Rerepair ing hernia reduce (49520) |
$4,715 |
$4,874 |
1.4× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$16,900 |
$17,000 |
1.4× |
| Revise arm/leg nerve (64708) |
$2,575 |
$3,300 |
1.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,575 |
$3,100 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
$2,575 |
$3,100 |
1.4× |
| Revise/remove neuroelectrode (61880) |
$4,605 |
$14,609 |
1.4× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$14,670 |
$19,700 |
1.4× |
Revision or removal of cranial neurostimulator pulse generator or receiver (61888)
likely a partial charge, not the full procedure |
$3,191 |
$8,881 |
0.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$4,605 |
$5,700 |
1.4× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$8,390 |
$10,800 |
1.4× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$4,605 |
$5,700 |
1.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,605 |
$5,700 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,960 |
$9,800 |
1.4× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,715 |
$5,313 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,715 |
$5,313 |
1.4× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$4,715 |
$5,313 |
0.8× |
| Rpr blood vessel direct lower extremity (35226) |
$935 |
$7,806 |
1.4× |
| Sequestrectomy olecranon process (24138) |
$9,555 |
$11,000 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$92 |
$275 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$169.50 |
$554.22 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$975 |
$6,135 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$930 |
$1,512 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$930 |
$1,135 |
1.4× |
| Tenodesis long tendon biceps (23430) |
$9,555 |
$11,576 |
1.4× |
| Tenotomy adductor hip percutaneous spx (27000) |
$2,120 |
$3,693 |
1.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$930 |
$2,538 |
1.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$16,900 |
$22,038 |
1.4× |
| Thyroid biopsy (60100) |
$935 |
$1,728 |
1.4× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$23,085 |
$27,800 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,045 |
$6,605 |
1.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$9,555 |
$11,000 |
1.4× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$9,555 |
$11,000 |
1.4× |
| Treat clavicle dislocation (23552) |
$9,555 |
$11,576 |
1.4× |
| Treat radius fracture (24665) |
$9,555 |
$11,000 |
1.4× |
| Treat scapula fracture (23585) |
$9,555 |
$11,000 |
1.4× |
| Treat thorax spine fracture (22327) |
$16,900 |
$22,954 |
1.4× |
| Treat ulnar fracture (24685) |
$9,555 |
$11,000 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$975 |
$1,300 |
1.4× |
| Unlisted Procedure Nervous System (64999) |
$405 |
$4,512 |
1.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$325 |
$29,000 |
1.4× |
| Unlisted procedure spine (22899) |
$325 |
$3,500 |
1.4× |
| Venipuncture (36415) |
$3.50 |
$21 |
0.4× |