| Abd paracentesis w/imaging (49083) |
$1,325.50 |
$1,325.50 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$765.77 |
$765.77 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,058 |
$1,058 |
0.5× |
| Amputate metacarpal bone (26910) |
$2,315.50 |
$2,315.50 |
0.7× |
| Amputate Thigh,Re-Amputatn (27596) |
$3,241 |
$3,241 |
1.0× |
| Amputation Finger/Thumb (26951) |
$6,780.50 |
$6,780.50 |
2.1× |
| Amputation of finger/thumb (26952) |
$2,670.50 |
$2,670.50 |
0.8× |
| Amputation thigh through femur any level (27590) |
$3,824 |
$3,824 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$3,217.50 |
$3,217.50 |
1.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,665.50 |
$3,665.50 |
1.1× |
| Amputation, foot; transmetatarsal (28805) |
$3,677 |
$3,677 |
1.1× |
| Amputation, leg, through tibia and fibula; (27880) |
$4,226 |
$4,226 |
0.6× |
| Anoscopy (46611) |
$3,200 |
$3,200 |
3.4× |
| Anoscopy diagnostic (46600) |
$3,194.50 |
$3,194.50 |
23.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$325 |
$325 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$877.50 |
$877.50 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$677 |
$677 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$305 |
$305 |
1.9× |
| Application cast elbow finger short arm (29075) |
$322 |
$322 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$306.50 |
$306.50 |
1.9× |
| Application cast shoulder hand long arm (29065) |
$275.50 |
$275.50 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$248.50 |
$248.50 |
4.2× |
| Application finger splint static (29130) |
$203 |
$203 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$206.75 |
$206.75 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$354 |
$354 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$244 |
$244 |
1.5× |
| Application of long leg cast (29345) |
$287.50 |
$287.50 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$213.25 |
$213.25 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$250.75 |
$250.75 |
1.9× |
| Application short leg splint calf foot (29515) |
$239 |
$239 |
1.5× |
| Apply long leg cast brace (29358) |
$154 |
$154 |
0.5× |
| Apply short leg cast (29405) |
$292 |
$292 |
1.0× |
| Apply short leg cast (29425) |
$154 |
$154 |
0.5× |
| Arterial puncture (36600) |
$270.50 |
$270.50 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$326.50 |
$326.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$275 |
$275 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$414 |
$414 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,832.50 |
$8,832.50 |
1.2× |
| Arthroscopy of joint (29999) |
$9,503.50 |
$9,503.50 |
38.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$8,029 |
$8,029 |
2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$254.25 |
$254.25 |
1.3× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$5,607 |
$5,607 |
0.9× |
| Biopsy bone open superficial (20240) |
$5,470.50 |
$5,470.50 |
1.9× |
| Biopsy Breast Open Incisional (19101) |
$637 |
$637 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$162 |
$162 |
0.1× |
| Biopsy of mouth lesion (40808) |
$7,500 |
$7,500 |
13.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,285 |
$3,285 |
0.8× |
| Biopsy/removal lymph nodes (38525) |
$5,733 |
$5,733 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$3,621 |
$3,621 |
0.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$455.50 |
$455.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$1,214 |
$1,214 |
4.8× |
| Blood transfusion service (36430) |
$1,522.50 |
$1,522.50 |
3.4× |
| Bx anorectal wall anal approach (45100) |
$229 |
$229 |
0.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,830.50 |
$2,830.50 |
1.7× |
| Bx/exc lymph node needle superficial (38505) |
$356.50 |
$356.50 |
0.2× |
| Cataract surgery complex (66982) |
$4,622.50 |
$4,622.50 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$210.50 |
$210.50 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$180.50 |
$180.50 |
0.7× |
| Chest tube placement (32551) |
$1,073.75 |
$1,073.75 |
0.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$83 |
$83 |
0.6× |
| Circum 28 days or older (54161) |
$1,543.50 |
$1,543.50 |
0.7× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$307 |
$307 |
0.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,077 |
$2,077 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$248.50 |
$248.50 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$677.50 |
$677.50 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$266 |
$266 |
0.2× |
| Closed Rx Radial Shaft Fx (25500) |
$5,645 |
$5,645 |
22.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$298 |
$298 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,015.50 |
$1,015.50 |
4.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$2,573 |
$2,573 |
10.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$248.50 |
$248.50 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$248.50 |
$248.50 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$4,133.50 |
$4,133.50 |
16.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,768.92 |
$1,768.92 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$674 |
$674 |
2.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$1,643.75 |
$1,643.75 |
6.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$248.50 |
$248.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$395.75 |
$395.75 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$351.50 |
$351.50 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$899.75 |
$899.75 |
3.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$248.50 |
$248.50 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$248.50 |
$248.50 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$538 |
$538 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$715.75 |
$715.75 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$559.25 |
$559.25 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$179.50 |
$179.50 |
0.7× |
| Closure of gastrostomy surgical (43870) |
$2,778 |
$2,778 |
0.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$406.50 |
$406.50 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$248.50 |
$248.50 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$910 |
$910 |
3.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$248.50 |
$248.50 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$2,965 |
$2,965 |
12.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$780 |
$780 |
3.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$266 |
$266 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$248.50 |
$248.50 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$248.50 |
$248.50 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$248.50 |
$248.50 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$248.50 |
$248.50 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$522.25 |
$522.25 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$802 |
$802 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$829.50 |
$829.50 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$2,965 |
$2,965 |
12.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$248.50 |
$248.50 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$248.50 |
$248.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$392.50 |
$392.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,379.50 |
$1,379.50 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,987.50 |
$2,987.50 |
12.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$434.35 |
$434.35 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$752.25 |
$752.25 |
3.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$248.50 |
$248.50 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$3,548.50 |
$3,548.50 |
14.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,177 |
$1,177 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$248.50 |
$248.50 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$461.75 |
$461.75 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$853 |
$853 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$713.50 |
$713.50 |
2.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,161.50 |
$1,161.50 |
4.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$248.50 |
$248.50 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$603.50 |
$603.50 |
2.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,405 |
$1,405 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,527.77 |
$1,527.77 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,266.50 |
$2,266.50 |
1.4× |
| Colonoscopy flex w/rem forcep (45384) |
$2,496 |
$2,496 |
2.1× |
| Colonoscopy stoma w/biopsy (44389) |
$2,054.25 |
$2,054.25 |
1.7× |
| Colonoscopy stoma w/snare (44394) |
$1,243 |
$1,243 |
1.0× |
| Colonoscopy thru stoma (44388) |
$3,101 |
$3,101 |
3.3× |
| Colonoscopy w/band ligation (45398) |
$1,736.50 |
$1,736.50 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$1,654 |
$1,654 |
1.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,012.50 |
$2,012.50 |
1.7× |
| Complex Drainage, Wound (10180) |
$162 |
$162 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$267 |
$267 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$304.50 |
$304.50 |
2.3× |
| Correction hammertoe (28285) |
$3,432.50 |
$3,432.50 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,304 |
$5,304 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$318.75 |
$318.75 |
2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$384.50 |
$384.50 |
1.6× |
| Cystourethroscopy (52000) |
$3,611 |
$3,611 |
5.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$660.50 |
$660.50 |
1.6× |
| Debride nail 1-5 (11720) |
$2,656 |
$2,656 |
44.8× |
| Debride nail 6 or more (11721) |
$182 |
$182 |
3.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$444 |
$444 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$390 |
$390 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$634 |
$634 |
0.4× |
| Declot vascular device (36593) |
$91.50 |
$91.50 |
0.3× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$4,319.50 |
$4,319.50 |
2.1× |
| Delivery placenta separate procedure (59414) |
$808 |
$808 |
0.2× |
| Destruction anal lesion(s) (46924) |
$2,646 |
$2,646 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$226.25 |
$226.25 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$374 |
$374 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,792 |
$1,792 |
1.9× |
| Dilate Urethra Stricture (53600) |
$192 |
$192 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,949 |
$4,949 |
1.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$973 |
$973 |
1.1× |
| Division of fallopian tube (58600) |
$5,862 |
$5,862 |
1.8× |
| Drain outer ear canal lesion (69020) |
$181 |
$181 |
0.3× |
| Drain shoulder lesion (23030) |
$447 |
$447 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$154 |
$154 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$478.25 |
$478.25 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$206 |
$206 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$347.50 |
$347.50 |
1.7× |
| Drainage mouth roof lesion (42000) |
$419 |
$419 |
1.8× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$531 |
$531 |
1.0× |
| Drainage of deep rectal abscess (45020) |
$1,532.50 |
$1,532.50 |
0.5× |
| Drainage of eyelid abscess (67700) |
$511.50 |
$511.50 |
1.6× |
| Drainage of gum lesion (41800) |
$1,154.50 |
$1,154.50 |
8.6× |
| Drainage of hematoma/fluid (10140) |
$444 |
$444 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$3,087.25 |
$3,087.25 |
1.9× |
| Draw blood off venous device (36591) |
$1,640 |
$1,640 |
12.3× |
| Dressing change under anesthesia (15852) |
$121.50 |
$121.50 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$496 |
$496 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$324 |
$324 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$319 |
$319 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$2,802 |
$2,802 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,959.50 |
$2,959.50 |
1.4× |
| Egd flexible foreign body removal (43247) |
$2,315 |
$2,315 |
2.5× |
| Egd place gastrostomy tube (43246) |
$246 |
$246 |
0.1× |
| Egd rem tumr/polyp forcep (43250) |
$3,067 |
$3,067 |
1.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,502.50 |
$1,502.50 |
0.8× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$8,338 |
$8,338 |
1.7× |
| Esophagoscopy flex biopsy (43202) |
$1,261 |
$1,261 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$5,857 |
$5,857 |
6.4× |
| Evacuation of subungual hematoma (11740) |
$111.50 |
$111.50 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,846 |
$2,846 |
1.7× |
| Exc abd les sc 3 cm/> (22903) |
$2,861 |
$2,861 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,574.50 |
$2,574.50 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,756.58 |
$4,756.58 |
2.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,019 |
$2,019 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,726.25 |
$2,726.25 |
1.6× |
| Exc back les sc < 3 cm (21930) |
$4,537 |
$4,537 |
2.7× |
| Exc back tum deep < 5 cm (21932) |
$3,442 |
$3,442 |
1.2× |
| Exc face les sbq 2 cm/> (21012) |
$3,709.86 |
$3,709.86 |
2.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,262.50 |
$3,262.50 |
4.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,625.75 |
$2,625.75 |
1.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$4,794.50 |
$4,794.50 |
2.9× |
| Exc forearm les sc 3 cm/> (25071) |
$4,491.50 |
$4,491.50 |
2.7× |
| Exc forearm les sc < 3 cm (25075) |
$4,619 |
$4,619 |
2.8× |
| Exc hand les sc < 1.5 cm (26115) |
$4,455 |
$4,455 |
2.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$5,407.50 |
$5,407.50 |
1.5× |
| Exc neck tum deep < 5 cm (21556) |
$2,966 |
$2,966 |
1.0× |
| Exc rect tum transanal part (45171) |
$3,197.50 |
$3,197.50 |
1.1× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,769.75 |
$2,769.75 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,454 |
$1,454 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$111.50 |
$111.50 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$803 |
$803 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,159.50 |
$1,159.50 |
1.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,224 |
$1,224 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,694 |
$1,694 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,486.50 |
$2,486.50 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,611 |
$2,611 |
1.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,346.50 |
$1,346.50 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,486.50 |
$2,486.50 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,432.50 |
$3,432.50 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,886 |
$1,886 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,182 |
$3,182 |
1.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$229.50 |
$229.50 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,118.50 |
$4,118.50 |
2.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,756.58 |
$4,756.58 |
1.6× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$4,677 |
$4,677 |
2.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,350 |
$2,350 |
1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,785 |
$2,785 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,455 |
$4,455 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,232.50 |
$5,232.50 |
3.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,015 |
$4,015 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$4,944 |
$4,944 |
1.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,444.50 |
$5,444.50 |
3.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,476.50 |
$3,476.50 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,966 |
$2,966 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,875.50 |
$4,875.50 |
3.0× |
| Exchange intraocular lens (66986) |
$5,593.50 |
$5,593.50 |
2.4× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$7,186.77 |
$7,186.77 |
4.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,219.50 |
$1,219.50 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$648.50 |
$648.50 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$648.50 |
$648.50 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$648.50 |
$648.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,346.50 |
$1,346.50 |
1.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$3,818.50 |
$3,818.50 |
5.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$667.50 |
$667.50 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,736 |
$1,736 |
1.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$2,966 |
$2,966 |
4.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,367.50 |
$1,367.50 |
1.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,323 |
$1,323 |
0.8× |
| Excision of bartholin's gland or cyst (56740) |
$4,582 |
$4,582 |
1.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$667.50 |
$667.50 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,220.02 |
$1,220.02 |
1.7× |
| Excision of hydrocele; unilateral (55040) |
$3,307.50 |
$3,307.50 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,346.50 |
$1,346.50 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,694 |
$1,694 |
1.0× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$3,182 |
$3,182 |
2.0× |
| Excision of lingual tonsil (42870) |
$5,670 |
$5,670 |
1.0× |
| Excision of nail fold toe (11765) |
$373 |
$373 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$169.50 |
$169.50 |
0.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,346.50 |
$1,346.50 |
0.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,142.50 |
$1,142.50 |
0.5× |
| Excision of tongue lesion (41112) |
$331 |
$331 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$4,711 |
$4,711 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,315.50 |
$2,315.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,966 |
$2,966 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,574.50 |
$2,574.50 |
1.6× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,322.50 |
$3,322.50 |
1.1× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,935 |
$1,935 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$5,163.50 |
$5,163.50 |
3.1× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,425.50 |
$2,425.50 |
0.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,573 |
$2,573 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,312 |
$2,312 |
0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,537 |
$4,537 |
2.7× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,824 |
$3,824 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,816 |
$1,816 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,617.50 |
$1,617.50 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,766 |
$1,766 |
1.1× |
| Eye surgery procedure (66999) |
$233.50 |
$233.50 |
0.1× |
| Fasciotomy palmar percutaneous (26040) |
$2,964.50 |
$2,964.50 |
1.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,977 |
$2,977 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$315.50 |
$315.50 |
0.8× |
| Fix ectropion,entensv lid repair (67917) |
$2,802 |
$2,802 |
1.2× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$501.50 |
$501.50 |
0.2× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,117 |
$2,117 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$264.75 |
$264.75 |
1.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$7,640.50 |
$7,640.50 |
2.0× |
| Glaucoma surgery (66170) |
$3,415 |
$3,415 |
1.5× |
| Hemorrhoidectomy (46255) |
$4,669.16 |
$4,669.16 |
1.7× |
| Hemorrhoidectomy external complete (46250) |
$2,549.58 |
$2,549.58 |
0.9× |
| Hysteroscopy biopsy (58558) |
$8,127 |
$8,127 |
2.5× |
| I&D Abscess Peritonsillar (42700) |
$355.50 |
$355.50 |
1.5× |
| I&d abscess simple (10060) |
$312.75 |
$312.75 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,530.50 |
$2,530.50 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$335 |
$335 |
0.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,137.50 |
$3,137.50 |
1.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,283.35 |
$3,283.35 |
1.0× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,741.50 |
$2,741.50 |
0.8× |
| I&d perianal abscess superficial (46050) |
$2,548.50 |
$2,548.50 |
2.7× |
| I&d pilonidal cyst simple (10080) |
$441 |
$441 |
0.6× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$3,324 |
$3,324 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$13,466 |
$13,466 |
11.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,514.75 |
$1,514.75 |
0.5× |
| Incise finger tendon sheath (26055) |
$3,652 |
$3,652 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$260 |
$260 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$278.50 |
$278.50 |
0.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$342 |
$342 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$357 |
$357 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$284.50 |
$284.50 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$441.25 |
$441.25 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,816.75 |
$1,816.75 |
5.9× |
| Incision extensor tendon sheath wrist (25000) |
$7,600.75 |
$7,600.75 |
4.7× |
| Incision of rectal abscess (46040) |
$2,684 |
$2,684 |
2.2× |
| Incision thrombosed hemorrhoid external (46083) |
$552.50 |
$552.50 |
2.2× |
| Incision&drainage bursa foot (28001) |
$248.50 |
$248.50 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$661.50 |
$661.50 |
3.3× |
| Inj tendon sheath/ligament (20550) |
$2,965 |
$2,965 |
9.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,234.75 |
$2,234.75 |
2.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,110.50 |
$2,110.50 |
2.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,110.50 |
$2,110.50 |
2.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,369.50 |
$1,369.50 |
4.4× |
| Injection anes other peripheral nerve/branch (64450) |
$324.50 |
$324.50 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$522 |
$522 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$443 |
$443 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$221.25 |
$221.25 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$1,692.25 |
$1,692.25 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,433.50 |
$1,433.50 |
0.5× |
| Insert picc cath (36569) |
$2,056.25 |
$2,056.25 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$35 |
$35 |
0.3× |
| Insert tunneled cv cath (36561) |
$1,213 |
$1,213 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116 |
$116 |
0.9× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$4,183 |
$4,183 |
1.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,249.50 |
$5,249.50 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,732 |
$3,732 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$405 |
$405 |
1.7× |
| Lap ing hernia repair init (49650) |
$6,086.50 |
$6,086.50 |
1.0× |
| Laparoscopy appendectomy (44970) |
$3,307.50 |
$3,307.50 |
0.5× |
| Laparoscopy Tubal Cautery (58670) |
$11,493 |
$11,493 |
1.9× |
| Laparoscopy w/lysis of adhesions (58660) |
$8,272 |
$8,272 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,191.70 |
$9,191.70 |
1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,493 |
$11,493 |
1.9× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$7,166.50 |
$7,166.50 |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$597 |
$597 |
0.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$146 |
$146 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$871 |
$871 |
0.9× |
| Ligation or biopsy temporal artery (37609) |
$1,783 |
$1,783 |
1.1× |
| Marsup Bartholin Gland Cyst (56440) |
$207.50 |
$207.50 |
0.1× |
| Mast mod rad (19307) |
$6,441.50 |
$6,441.50 |
1.0× |
| Mastectomy gynecomastia (19300) |
$232 |
$232 |
0.1× |
| Mastectomy partial (19301) |
$7,498 |
$7,498 |
1.9× |
Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$2,900 |
$2,900 |
0.4× |
| Mastectomy simple complete (19303) |
$5,903.50 |
$5,903.50 |
0.9× |
| Musculoskeletal surgery (20999) |
$1,654 |
$1,654 |
6.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$1,010.75 |
$1,010.75 |
2.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$233 |
$233 |
0.1× |
| Nipple exploration (19110) |
$6,530 |
$6,530 |
1.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$2,994 |
$2,994 |
11.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$177 |
$177 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,319.50 |
$13,319.50 |
1.8× |
| Open Treatment Lunate Dislocation (25695) |
$6,432 |
$6,432 |
0.9× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$8,235 |
$8,235 |
2.5× |
| Ovarian cystectomy (58925) |
$12,441.50 |
$12,441.50 |
2.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$944.38 |
$944.38 |
3.8× |
| Placement of needle for intraosseous infusion (36680) |
$124.50 |
$124.50 |
0.3× |
| Placement of seton (46020) |
$2,128.25 |
$2,128.25 |
0.8× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$7,841.50 |
$7,841.50 |
4.1× |
| Proctosigmoidoscopy w/bx (45305) |
$4,038 |
$4,038 |
3.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$896 |
$896 |
1.0× |
| Puncture Aspiration (10160) |
$970.25 |
$970.25 |
2.4× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,879.50 |
$3,879.50 |
2.4× |
| Reconstruct wrist joint (25445) |
$11,123 |
$11,123 |
1.5× |
| Reduction of rectal prolapse (45900) |
$2,946 |
$2,946 |
3.2× |
| Removal fb intranasal (30300) |
$257 |
$257 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$248.50 |
$248.50 |
0.1× |
| Removal Foreign Body Foot Complicated (28193) |
$1,026 |
$1,026 |
0.6× |
| Removal foreign body foot deep (28192) |
$884.50 |
$884.50 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$1,336 |
$1,336 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,175 |
$1,175 |
0.7× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,220 |
$1,220 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$168 |
$168 |
2.8× |
| Removal Implant Deep (20680) |
$3,751 |
$3,751 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,427.75 |
$1,427.75 |
0.9× |
| Removal Intact Mammary Implant (19328) |
$6,463 |
$6,463 |
1.6× |
| Removal of arm foreign body (24200) |
$1,108 |
$1,108 |
0.7× |
| Removal of calcium deposits (23000) |
$600 |
$600 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$6,098.50 |
$6,098.50 |
3.8× |
| Removal of eye lesion (65400) |
$4,577 |
$4,577 |
4.6× |
| Removal of intrauterine device (iud) (58301) |
$379.25 |
$379.25 |
1.2× |
| Removal of nail bed (11750) |
$702 |
$702 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$182 |
$182 |
0.9× |
| Removal of sperm cord lesion (55520) |
$3,142.50 |
$3,142.50 |
0.9× |
| Removal of testis (54520) |
$3,865.50 |
$3,865.50 |
1.1× |
| Removal of tonsils (42825) |
$3,836.50 |
$3,836.50 |
0.6× |
| Removal of tonsils (42826) |
$11,229 |
$11,229 |
3.4× |
| Removal or relocation of corneal conjunctiva (65420) |
$2,438.50 |
$2,438.50 |
1.0× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,271.50 |
$2,271.50 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$206 |
$206 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$90.50 |
$90.50 |
0.3× |
| Remove anal fist subq (46270) |
$4,669.17 |
$4,669.17 |
1.7× |
| Remove by ligat int hem grp (46945) |
$2,951 |
$2,951 |
1.1× |
| Remove Eyelid Foreign Body (67938) |
$395.50 |
$395.50 |
1.2× |
| Remove foreign body from eye (65210) |
$182.75 |
$182.75 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$4,669.16 |
$4,669.16 |
1.7× |
| Remove in/ex hem grp w/fistu (46258) |
$4,669.17 |
$4,669.17 |
1.7× |
| Remove Pilonidal Cyst Exten (11771) |
$652 |
$652 |
0.2× |
| Remove shoulder foreign body (23330) |
$2,052.25 |
$2,052.25 |
1.2× |
| Remove wrist tendon lesion (25111) |
$2,992 |
$2,992 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$203.50 |
$203.50 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$551.50 |
$551.50 |
4.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$731 |
$731 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$713 |
$713 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,185 |
$1,185 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$891.25 |
$891.25 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,183.25 |
$1,183.25 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$539.25 |
$539.25 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$713 |
$713 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$862.25 |
$862.25 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$636 |
$636 |
0.9× |
| Repair elbow deb/attch open (24359) |
$7,935.69 |
$7,935.69 |
2.4× |
| Repair entropion excision tarsal wedge (67923) |
$2,969 |
$2,969 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$334 |
$334 |
0.2× |
| Repair eyelid defect (67916) |
$2,438.50 |
$2,438.50 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$2,987.50 |
$2,987.50 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$7,652 |
$7,652 |
2.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$5,250 |
$5,250 |
1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,019.12 |
$6,019.12 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$735.25 |
$735.25 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$477 |
$477 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$670.75 |
$670.75 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$533.25 |
$533.25 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$296 |
$296 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$637.75 |
$637.75 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$415 |
$415 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$525.25 |
$525.25 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,309.50 |
$1,309.50 |
3.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$617 |
$617 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$496 |
$496 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,075.50 |
$1,075.50 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$523.50 |
$523.50 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$296 |
$296 |
0.1× |
Repair of humerus (24430) unusually low: confirm this is the full procedure |
$5,246.68 |
$5,246.68 |
0.4× |
| Repair of nail bed (11760) |
$770.50 |
$770.50 |
1.0× |
| Repair of shoulder (23420) |
$10,694.50 |
$10,694.50 |
1.5× |
| Repair of vagina (57260) |
$4,553.50 |
$4,553.50 |
0.9× |
| Repair Tongue Laceration (41250) |
$534.25 |
$534.25 |
1.2× |
| Replace duod/jej tube perc (49451) |
$349.50 |
$349.50 |
0.4× |
| Replace g/c tube perc (49450) |
$731 |
$731 |
0.8× |
| Reposition gastrostomy tube (43761) |
$617.50 |
$617.50 |
2.5× |
| Repositioning io lens prosthesis req inc spx (66825) |
$3,252.50 |
$3,252.50 |
1.4× |
| Rerepair ing hernia blocked (49521) |
$6,824.50 |
$6,824.50 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$5,070 |
$5,070 |
1.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,110.50 |
$2,110.50 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$4,577 |
$4,577 |
2.3× |
| Revise ulnar nerve at wrist (64719) |
$4,359 |
$4,359 |
2.2× |
| Revision of eyelid (67880) |
$3,352 |
$3,352 |
1.4× |
| Revision of upper eyelid (15823) |
$4,319.50 |
$4,319.50 |
2.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$140 |
$140 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$288 |
$288 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$268.25 |
$268.25 |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$487 |
$487 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,048.75 |
$2,048.75 |
0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,258.50 |
$2,258.50 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,385 |
$3,385 |
2.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$947.50 |
$947.50 |
1.5× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$3,914 |
$3,914 |
1.7× |
| Rpr ing hernia init blocked (49501) |
$4,311 |
$4,311 |
1.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$169.50 |
$169.50 |
0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,659.50 |
$1,659.50 |
2.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$781 |
$781 |
0.6× |
| Shoulder arthroscopy (29805) |
$11,025 |
$11,025 |
3.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$435.25 |
$435.25 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$469 |
$469 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$525.50 |
$525.50 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$409 |
$409 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$427 |
$427 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$490 |
$490 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$403.75 |
$403.75 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$186.50 |
$186.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$426.50 |
$426.50 |
2.1× |
| Skin splt grft trnk/arm/leg (15100) |
$2,111.50 |
$2,111.50 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$324.50 |
$324.50 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$501.50 |
$501.50 |
0.7× |
| Skin Tissue Procedure (17999) |
$105.50 |
$105.50 |
0.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,913 |
$3,913 |
1.1× |
| Slitting of prepuce (54001) |
$1,784.75 |
$1,784.75 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$384 |
$384 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$634 |
$634 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$775.50 |
$775.50 |
1.9× |
| Sphincterotomy (46080) |
$3,558.25 |
$3,558.25 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$2,961 |
$2,961 |
4.2× |
| Strapping ankle (29540) |
$229.25 |
$229.25 |
1.4× |
| Strapping elbow/wrist (29260) |
$248.50 |
$248.50 |
4.2× |
| Strapping hand/finger (29280) |
$341.75 |
$341.75 |
5.8× |
| Strapping Hip (29520) |
$200.25 |
$200.25 |
1.5× |
| Strapping knee (29530) |
$201 |
$201 |
1.5× |
| Strapping shoulder (29240) |
$178.50 |
$178.50 |
1.3× |
| Strapping thorax (29200) |
$195.75 |
$195.75 |
1.2× |
| Strapping toes (29550) |
$169 |
$169 |
2.9× |
| Strapping unna boot (29580) |
$154 |
$154 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,517 |
$3,517 |
1.3× |
| Suspension of testis (54640) |
$7,536 |
$7,536 |
2.1× |
| Tenotomy elbow lateral/medial debride open (24358) |
$606.50 |
$606.50 |
0.2× |
| Therapeutic pneumothorax (32960) |
$1,154 |
$1,154 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,217 |
$1,217 |
1.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$209 |
$209 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$224.50 |
$224.50 |
0.7× |
| Trach Tube Change (31502) |
$649 |
$649 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,836.25 |
$1,836.25 |
7.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$3,853 |
$3,853 |
2.5× |
| Treat finger dislocation (26775) |
$2,183 |
$2,183 |
7.8× |
| Treat Fracture Radius & Ulna (25560) |
$1,183 |
$1,183 |
4.8× |
| Treat fx rad extra-articul (25607) |
$13,971.50 |
$13,971.50 |
1.9× |
| Treat humerus fracture (24500) |
$387.25 |
$387.25 |
1.6× |
| Treat Metatarsal Fracture (28475) |
$179.50 |
$179.50 |
0.7× |
| Treat ulnar fracture (24685) |
$30,368.76 |
$30,368.76 |
4.2× |
| Treat wrist bone fracture (25635) |
$248.50 |
$248.50 |
0.2× |
| Treat Wrist Bone Fracture (25630) |
$381.50 |
$381.50 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$916 |
$916 |
3.7× |
| Treatment of ankle fracture (27792) |
$5,716 |
$5,716 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$248.50 |
$248.50 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,075 |
$4,075 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$886.75 |
$886.75 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$248.50 |
$248.50 |
0.2× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$5,888.50 |
$5,888.50 |
1.0× |
| Unlisted procedure anus (46999) |
$1,409.75 |
$1,409.75 |
1.5× |
| Unlisted procedure foot or toes (28899) |
$2,927.50 |
$2,927.50 |
11.8× |
| Unlisted procedure leg/ankle (27899) |
$248.50 |
$248.50 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,533 |
$1,533 |
1.6× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$4,497 |
$4,497 |
18.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$679.50 |
$679.50 |
0.7× |
| Unlisted procedure, male genital system (55899) |
$1,830 |
$1,830 |
7.3× |
| Unlisted procedure, salivary glands or ducts (42699) |
$351.50 |
$351.50 |
1.5× |
| Unlisted procedure, stomach (43999) |
$1,316 |
$1,316 |
1.4× |
| Unlisted procedure, vestibule of mouth (40899) |
$353 |
$353 |
1.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$10,980.60 |
$10,980.60 |
54.1× |
| Uvulectomy excision uvula (42140) |
$2,293.50 |
$2,293.50 |
0.7× |
| Vaginal delivery only (59409) |
$2,317 |
$2,317 |
0.7× |
| Vaginal hysterectomy (58260) |
$6,615 |
$6,615 |
1.3× |
| Vasectomy (55250) |
$1,626.50 |
$1,626.50 |
0.8× |
| Vbac delivery only (59612) |
$2,671.50 |
$2,671.50 |
0.8× |
| Venipuncture (36415) |
$26 |
$26 |
2.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$671.50 |
$671.50 |
5.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$521.50 |
$521.50 |
1.2× |
| Windowing of cast (29730) |
$141 |
$141 |
0.9× |