| Abd paracentesis w/imaging (49083) |
$1,931 |
$1,931 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$931.50 |
$931.50 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$3,427 |
$3,427 |
2.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,870 |
$1,870 |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$8,047 |
$8,047 |
2.4× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$4,106 |
$4,106 |
2.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,548 |
$2,548 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,640 |
$4,640 |
2.2× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,921 |
$1,921 |
0.6× |
| Amputation Finger/Thumb (26951) |
$8,690 |
$8,690 |
2.6× |
| Amputation metatarsal with toe single (28810) |
$6,866 |
$6,866 |
2.1× |
| Amputation thigh through femur any level (27590) |
$1,921 |
$1,921 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$6,866 |
$6,866 |
2.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,866 |
$6,866 |
2.1× |
| Amputation, foot; transmetatarsal (28805) |
$4,950 |
$4,950 |
1.5× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,921 |
$1,921 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,911 |
$1,911 |
0.6× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$6,402 |
$6,402 |
2.3× |
| Anoscopy Ablation Lesion (46615) |
$4,835 |
$4,835 |
1.7× |
| Anoscopy diagnostic (46600) |
$89.50 |
$89.50 |
0.7× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$2,310 |
$2,310 |
1.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,729 |
$2,729 |
2.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,244 |
$4,244 |
1.5× |
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure |
$1,275 |
$1,275 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$12,540 |
$12,540 |
2.5× |
| Appendectomy (44950) |
$9,004 |
$9,004 |
1.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$447 |
$447 |
2.7× |
| Application cast elbow finger short arm (29075) |
$368.50 |
$368.50 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$728 |
$728 |
2.6× |
| Application finger splint static (29130) |
$152.50 |
$152.50 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$207.50 |
$207.50 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$152 |
$152 |
0.9× |
| Application of long leg cast (29345) |
$783 |
$783 |
2.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$783 |
$783 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$327 |
$327 |
2.4× |
| Application short leg splint calf foot (29515) |
$269.50 |
$269.50 |
1.7× |
| Arterial puncture (36600) |
$220 |
$220 |
1.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,395 |
$9,395 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$166 |
$166 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$333 |
$333 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$392.50 |
$392.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$333 |
$333 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$178.50 |
$178.50 |
0.6× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$15,223 |
$15,223 |
1.2× |
| Arthroscopy of joint (29999) |
$9,579 |
$9,579 |
38.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$6,277 |
$6,277 |
1.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$6,277 |
$6,277 |
1.9× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$6,277 |
$6,277 |
1.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$8,047 |
$8,047 |
2.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$6,277 |
$6,277 |
1.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,277 |
$6,277 |
1.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,576 |
$6,576 |
2.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$8,469 |
$8,469 |
2.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$8,047 |
$8,047 |
2.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$8,047 |
$8,047 |
2.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,048 |
$4,048 |
1.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$5,085 |
$5,085 |
3.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$6,126 |
$6,126 |
2.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$313 |
$313 |
1.6× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$12,365 |
$12,365 |
2.0× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$5,349 |
$5,349 |
0.5× |
| Biopsy Bone Open Deep (20245) |
$7,672 |
$7,672 |
2.6× |
| Biopsy bone open superficial (20240) |
$6,496 |
$6,496 |
2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,412 |
$2,412 |
1.5× |
| Biopsy Breast Open Incisional (19101) |
$6,323 |
$6,323 |
1.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,419 |
$1,419 |
1.5× |
| Biopsy external auditory canal (69105) |
$3,693 |
$3,693 |
2.4× |
| Biopsy external ear (69100) |
$1,059 |
$1,059 |
4.5× |
| Biopsy intranasal (30100) |
$1,887 |
$1,887 |
1.2× |
| Biopsy muscle deep (20205) |
$3,911 |
$3,911 |
1.3× |
| Biopsy of cornea (65410) |
$2,046 |
$2,046 |
0.9× |
| Biopsy of lip (40490) |
$1,059 |
$1,059 |
4.5× |
| Biopsy of nail unit (11755) |
$1,106 |
$1,106 |
1.6× |
| Biopsy of palate, uvula (42100) |
$1,884 |
$1,884 |
1.2× |
| Biopsy of tongue (41100) |
$1,884 |
$1,884 |
3.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,108 |
$3,108 |
0.8× |
| Biopsy Oropharynx (42800) |
$6,468 |
$6,468 |
4.1× |
| Biopsy Salivary Gland Incisional (42405) |
$5,676 |
$5,676 |
3.6× |
| Biopsy soft tissue neck/thorax (21550) |
$4,422 |
$4,422 |
2.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$828.50 |
$828.50 |
0.5× |
| Biopsy tongue posterior one-third (41105) |
$3,693 |
$3,693 |
1.1× |
| Biopsy/removal lymph nodes (38525) |
$6,840 |
$6,840 |
1.7× |
| Biopsy/removal lymph nodes (38510) |
$7,733 |
$7,733 |
2.0× |
| Bladder Irrigation Simple (51700) |
$110 |
$110 |
0.4× |
| Blood transfusion service (36430) |
$924 |
$924 |
2.1× |
| Bone Marrow Biopsy (38221) |
$4,400 |
$4,400 |
2.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,076 |
$3,076 |
1.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,089 |
$3,089 |
1.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,069 |
$3,069 |
1.8× |
| Bx anorectal wall anal approach (45100) |
$4,244 |
$4,244 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$3,069 |
$3,069 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$4,455 |
$4,455 |
2.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,430 |
$1,430 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$248 |
$248 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$6,866 |
$6,866 |
2.1× |
| Cataract surgery complex (66982) |
$5,113 |
$5,113 |
2.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$381 |
$381 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$600 |
$600 |
2.4× |
| Chemical Cautery Tissue (17250) |
$121.50 |
$121.50 |
0.6× |
| Chest tube placement (32551) |
$627.50 |
$627.50 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$221 |
$221 |
1.7× |
| Circum 28 days or older (54161) |
$2,686 |
$2,686 |
1.3× |
| Circumcision (54150) |
$5,958 |
$5,958 |
2.8× |
| Claviculectomy; partial (23120) |
$7,590 |
$7,590 |
2.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$336 |
$336 |
0.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$464 |
$464 |
1.9× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$793.50 |
$793.50 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$572.50 |
$572.50 |
2.3× |
| Closed Rx Med Malleolus Fx (27760) |
$512 |
$512 |
2.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,559.50 |
$1,559.50 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$3,623 |
$3,623 |
2.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$996 |
$996 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$418 |
$418 |
1.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$834.50 |
$834.50 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$782.50 |
$782.50 |
3.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$621.50 |
$621.50 |
2.5× |
| Closed treat wrist dislocation (25660) |
$2,451.50 |
$2,451.50 |
9.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,740 |
$3,740 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$712.50 |
$712.50 |
2.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$375.50 |
$375.50 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$543 |
$543 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$805 |
$805 |
3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$749 |
$749 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$593.50 |
$593.50 |
2.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$406 |
$406 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$837 |
$837 |
3.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$940 |
$940 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$487.50 |
$487.50 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,740 |
$3,740 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$628 |
$628 |
2.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$493.50 |
$493.50 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$834.50 |
$834.50 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$406 |
$406 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,079 |
$2,079 |
1.3× |
| Closed tx septal&nose fx (21337) |
$7,150 |
$7,150 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$152 |
$152 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$256 |
$256 |
0.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$449 |
$449 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$400 |
$400 |
1.6× |
| Closure of gastrostomy surgical (43870) |
$8,283 |
$8,283 |
2.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$394.50 |
$394.50 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$680.50 |
$680.50 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$330 |
$330 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,090 |
$2,090 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$406.50 |
$406.50 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,249.50 |
$1,249.50 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$522.50 |
$522.50 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$697 |
$697 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$485 |
$485 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$500.50 |
$500.50 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$144 |
$144 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$585 |
$585 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,071 |
$1,071 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$245.50 |
$245.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$527.50 |
$527.50 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$238.50 |
$238.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$603 |
$603 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$244 |
$244 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$726 |
$726 |
2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$225.50 |
$225.50 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$457 |
$457 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$743 |
$743 |
3.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$573 |
$573 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$294 |
$294 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$548.50 |
$548.50 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$251 |
$251 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$770 |
$770 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$457.50 |
$457.50 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$928.50 |
$928.50 |
3.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$463.50 |
$463.50 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$445.50 |
$445.50 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,650.50 |
$1,650.50 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$947.50 |
$947.50 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$3,119 |
$3,119 |
2.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,728 |
$1,728 |
1.4× |
| Colonoscopy thru stoma (44388) |
$2,310 |
$2,310 |
2.5× |
| Colonoscopy w/ablation (45388) |
$1,372 |
$1,372 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$2,310 |
$2,310 |
1.9× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$11,606 |
$11,606 |
1.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$1,419 |
$1,419 |
7.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$908 |
$908 |
3.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,305 |
$2,305 |
1.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$3,080 |
$3,080 |
2.6× |
| Complex Drainage, Wound (10180) |
$4,769 |
$4,769 |
1.6× |
| Complex Uroflowmetry (51741) |
$420 |
$420 |
1.9× |
| Conization of cervix (57522) |
$6,882 |
$6,882 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$200.50 |
$200.50 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$213 |
$213 |
1.6× |
| Correction hammertoe (28285) |
$5,119 |
$5,119 |
1.6× |
| Correction of astigmatism (65772) |
$2,046 |
$2,046 |
2.0× |
| Correction of astigmatism (65775) |
$4,477 |
$4,477 |
1.9× |
| Correction of bunion (28298) |
$7,808 |
$7,808 |
1.1× |
| Correction of bunion (28292) |
$9,175 |
$9,175 |
2.8× |
| Correction of bunion (28299) |
$7,808 |
$7,808 |
1.1× |
| Correction of bunion (28297) |
$10,540 |
$10,540 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$10,540 |
$10,540 |
3.2× |
| Create eardrum opening (69436) |
$4,985 |
$4,985 |
3.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$277 |
$277 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$259 |
$259 |
1.1× |
| Cysto w/removal of tumors small (52234) |
$1,554 |
$1,554 |
0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,464 |
$5,464 |
2.6× |
| Cystometrogram w/vp (51728) |
$1,815 |
$1,815 |
2.6× |
| Cystometrogram W/Vp&Up (51729) |
$1,814 |
$1,814 |
2.6× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$11,497 |
$11,497 |
1.2× |
| Cystoscopy w/biopsy (52204) |
$8,206 |
$8,206 |
3.9× |
| Cystoscopy,insert ureteral stent (52332) |
$7,810 |
$7,810 |
2.2× |
| Cystourethroscopy (52000) |
$1,590 |
$1,590 |
2.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,237.50 |
$1,237.50 |
1.7× |
| Debride nail 6 or more (11721) |
$208 |
$208 |
3.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$287 |
$287 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$193.50 |
$193.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,010 |
$2,010 |
2.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,794.50 |
$3,794.50 |
2.3× |
| Decompression of tibia nerve (28035) |
$4,036 |
$4,036 |
2.1× |
| Decompression; plantar digital nerve (64726) |
$4,036 |
$4,036 |
2.1× |
| Delivery placenta separate procedure (59414) |
$886 |
$886 |
0.3× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$4,106 |
$4,106 |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,290 |
$1,290 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$5,280 |
$5,280 |
2.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$825 |
$825 |
2.0× |
| Destruction anal lesion(s) (46924) |
$5,665 |
$5,665 |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$287 |
$287 |
1.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,200 |
$2,200 |
2.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$440 |
$440 |
2.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$440 |
$440 |
2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$440 |
$440 |
2.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$440 |
$440 |
2.2× |
| Destruction premalignant lesion 1st (17000) |
$440 |
$440 |
2.2× |
| Destruction vaginal lesions simple (57061) |
$5,386 |
$5,386 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,439 |
$1,439 |
1.5× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$4,244 |
$4,244 |
3.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,386 |
$5,386 |
1.7× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$1,059 |
$1,059 |
2.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,459 |
$2,459 |
2.7× |
| Dilation of salivary duct (42650) |
$3,696 |
$3,696 |
2.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,891 |
$1,891 |
2.7× |
| Drain outer ear canal lesion (69020) |
$184.50 |
$184.50 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$333 |
$333 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$373.50 |
$373.50 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$289 |
$289 |
1.4× |
| Drainage of eye (65810) |
$2,041 |
$2,041 |
0.9× |
| Drainage of eyelid abscess (67700) |
$300.50 |
$300.50 |
0.9× |
| Drainage of gum lesion (41800) |
$330 |
$330 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$1,293.50 |
$1,293.50 |
0.8× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$3,108 |
$3,108 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$1,690.50 |
$1,690.50 |
1.0× |
| Dressing change under anesthesia (15852) |
$385 |
$385 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$442 |
$442 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$297.50 |
$297.50 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$207 |
$207 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$5,663 |
$5,663 |
2.0× |
| Dx gastr intub w/asp spec (43754) |
$281 |
$281 |
1.3× |
| Eardrum revision (69450) |
$10,890 |
$10,890 |
3.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$3,105 |
$3,105 |
1.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,105 |
$3,105 |
1.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,106 |
$3,106 |
1.6× |
| Egd flexible foreign body removal (43247) |
$2,937 |
$2,937 |
3.2× |
| Egd guide wire insertion (43248) |
$2,176 |
$2,176 |
2.4× |
| Egd injection varices (43243) |
$2,176 |
$2,176 |
1.1× |
| Egd place gastrostomy tube (43246) |
$3,649.50 |
$3,649.50 |
1.9× |
| Egd rem tumr/polyp forcep (43250) |
$3,106 |
$3,106 |
1.6× |
| Egd remove lesion snare (43251) |
$3,106 |
$3,106 |
1.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$3,106 |
$3,106 |
1.6× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,008 |
$4,008 |
1.2× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$2,485 |
$2,485 |
1.3× |
| Enterorrhaphy single perforation (44602) |
$1,275 |
$1,275 |
0.3× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$5,176 |
$5,176 |
2.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$5,176 |
$5,176 |
2.5× |
| Epidural lysis on single day (62264) |
$1,960 |
$1,960 |
2.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$6,442 |
$6,442 |
1.7× |
| Esophagoscopy flex biopsy (43202) |
$2,176 |
$2,176 |
1.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,310 |
$2,310 |
2.5× |
| Ethmoidectomy Intranasal Anterior (31200) |
$10,890 |
$10,890 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$117 |
$117 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$7,182 |
$7,182 |
2.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$7,669 |
$7,669 |
2.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,422 |
$4,422 |
2.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,201 |
$3,201 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,279 |
$5,279 |
3.2× |
| Exc back les sc < 3 cm (21930) |
$3,911 |
$3,911 |
2.4× |
| Exc face les sbq 2 cm/> (21012) |
$6,301 |
$6,301 |
3.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,251 |
$1,251 |
1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,420 |
$2,420 |
1.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$3,911 |
$3,911 |
2.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$6,521 |
$6,521 |
1.8× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,740 |
$3,740 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$5,086 |
$5,086 |
3.1× |
| Exc neck tum deep < 5 cm (21556) |
$5,322 |
$5,322 |
1.8× |
| Exc rect tum transanal part (45171) |
$5,663 |
$5,663 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,412 |
$2,412 |
3.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,106 |
$1,106 |
2.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,493 |
$1,493 |
2.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$573.50 |
$573.50 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,420 |
$2,420 |
1.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,788 |
$3,788 |
2.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$5,320 |
$5,320 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$7,184 |
$7,184 |
2.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,283 |
$5,283 |
3.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,412 |
$2,412 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$5,320 |
$5,320 |
1.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,422 |
$4,422 |
2.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$4,244 |
$4,244 |
3.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$2,401 |
$2,401 |
3.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,914 |
$3,914 |
1.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,911 |
$3,911 |
1.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,322 |
$5,322 |
1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,911 |
$3,911 |
2.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,322 |
$5,322 |
1.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,960 |
$3,960 |
1.4× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$3,960 |
$3,960 |
1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,911 |
$3,911 |
2.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$8,124 |
$8,124 |
2.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,911 |
$3,911 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,911 |
$3,911 |
1.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,911 |
$3,911 |
1.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$5,086 |
$5,086 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$5,086 |
$5,086 |
3.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,581 |
$3,581 |
2.2× |
| Excise Inferior Turbinate (30130) |
$5,676 |
$5,676 |
1.7× |
| Excise lesion testis (54512) |
$5,287 |
$5,287 |
1.5× |
| Excise pharynx lesion (42808) |
$5,676 |
$5,676 |
1.7× |
| Excise/repair mouth lesion (40812) |
$3,740 |
$3,740 |
2.4× |
| Excision brach clft cyst,superficial (42810) |
$5,676 |
$5,676 |
1.7× |
| Excision Breast Lesion (19125) |
$6,323 |
$6,323 |
1.6× |
| Excision external ear partial simple repair (69110) |
$4,422 |
$4,422 |
1.5× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$5,320 |
$5,320 |
1.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$2,411 |
$2,411 |
3.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,251 |
$1,251 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,106 |
$1,106 |
2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,726 |
$2,726 |
3.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,726 |
$2,726 |
3.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,726 |
$2,726 |
3.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$2,412 |
$2,412 |
3.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,412 |
$2,412 |
3.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,914 |
$3,914 |
2.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,411 |
$2,411 |
1.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$2,726 |
$2,726 |
3.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,409 |
$2,409 |
3.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,412 |
$2,412 |
1.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,244 |
$4,244 |
1.5× |
| Excision of bartholin's gland or cyst (56740) |
$5,386 |
$5,386 |
1.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,104 |
$1,104 |
1.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,108 |
$3,108 |
4.4× |
| Excision of hydrocele; unilateral (55040) |
$7,805 |
$7,805 |
2.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$2,046 |
$2,046 |
2.0× |
| Excision of lesion of tongue without closure (41110) |
$3,740 |
$3,740 |
1.1× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$5,676 |
$5,676 |
1.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,412 |
$2,412 |
1.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$414.50 |
$414.50 |
0.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$6,600 |
$6,600 |
4.1× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$5,676 |
$5,676 |
1.7× |
| Excision of local lesion of epididymis (54830) |
$5,287 |
$5,287 |
1.5× |
| Excision of mouth lesion (41116) |
$5,676 |
$5,676 |
1.7× |
| Excision of nail fold toe (11765) |
$425 |
$425 |
1.0× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$4,036 |
$4,036 |
2.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,182 |
$7,182 |
2.5× |
| Excision of single external papilla or tag, anus (46220) |
$4,798 |
$4,798 |
4.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$5,320 |
$5,320 |
1.8× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$5,979 |
$5,979 |
2.8× |
| Excision of sublingual gland (42450) |
$10,880 |
$10,880 |
1.8× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$5,676 |
$5,676 |
1.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$10,890 |
$10,890 |
1.8× |
| Excision of tongue lesion (41112) |
$3,740 |
$3,740 |
1.1× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$11,914 |
$11,914 |
2.0× |
| Excision of vaginal cyst or tumor (57135) |
$5,386 |
$5,386 |
1.7× |
| Excision olecranon bursa (24105) |
$4,844 |
$4,844 |
1.5× |
| Excision or fulguration; urethral caruncle (53265) |
$4,752 |
$4,752 |
2.3× |
| Excision Prepatellar Bursa (27340) |
$4,844 |
$4,844 |
1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$8,124 |
$8,124 |
4.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$7,182 |
$7,182 |
4.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,086 |
$5,086 |
3.1× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$3,693 |
$3,693 |
1.1× |
| Excision, nasal polyp(s), simple (30110) |
$1,887 |
$1,887 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,411 |
$2,411 |
1.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,322 |
$5,322 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,320 |
$5,320 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$5,320 |
$5,320 |
1.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,960 |
$3,960 |
2.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,693 |
$3,693 |
1.1× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$1,167 |
$1,167 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$4,772 |
$4,772 |
2.9× |
| Exploration maxillary sinus (31030) |
$10,890 |
$10,890 |
1.8× |
| Exploration maxillary sinus (31020) |
$5,676 |
$5,676 |
1.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,308.50 |
$1,308.50 |
0.8× |
| Explore limb vessels (35860) |
$7,293 |
$7,293 |
2.3× |
| Explore sinus remove polyps (31032) |
$10,890 |
$10,890 |
1.8× |
| Extensive mastoid surgery (69511) |
$10,890 |
$10,890 |
1.8× |
| Eye surgery procedure (66999) |
$2,200 |
$2,200 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$6,446 |
$6,446 |
2.0× |
| Fetal non-stress test (59025) |
$427 |
$427 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$825 |
$825 |
2.0× |
| Fixation of knee joint (27570) |
$3,356 |
$3,356 |
2.1× |
| Flap; neurovascular pedicle (15750) |
$4,106 |
$4,106 |
1.2× |
| Follow-up surgery of eye (66250) |
$5,778 |
$5,778 |
2.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$5,676 |
$5,676 |
1.7× |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
$4,105 |
$4,105 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,658.50 |
$2,658.50 |
1.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$4,106 |
$4,106 |
2.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$4,640 |
$4,640 |
2.2× |
| Fusion Finger Joint (26860) |
$6,445 |
$6,445 |
2.0× |
| Fusion of elbow joint (24800) |
$12,408 |
$12,408 |
1.7× |
| Fusion of foot bones (28730) |
$15,223 |
$15,223 |
1.2× |
| Fusion of toes (28280) |
$5,086 |
$5,086 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$365 |
$365 |
1.7× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,275 |
$1,275 |
0.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$5,584 |
$5,584 |
2.9× |
| Glaucoma surgery (66170) |
$5,115 |
$5,115 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,540 |
$10,540 |
1.4× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$2,613 |
$2,613 |
0.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$5,086 |
$5,086 |
1.5× |
| Hemorrhoidectomy (46255) |
$7,645 |
$7,645 |
2.7× |
| Hemorrhoidectomy external complete (46250) |
$1,151.50 |
$1,151.50 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$7,587 |
$7,587 |
2.7× |
| Hysteroscopy ablation (58563) |
$11,606 |
$11,606 |
2.3× |
| Hysteroscopy biopsy (58558) |
$7,480 |
$7,480 |
2.3× |
| Hysteroscopy dx sep proc (58555) |
$6,881 |
$6,881 |
2.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$3,693 |
$3,693 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$1,059 |
$1,059 |
4.5× |
| I&d abscess simple (10060) |
$391 |
$391 |
1.9× |
| I&d below fascia foot 1 bursal space (28002) |
$6,540 |
$6,540 |
4.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,772 |
$4,772 |
1.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,287 |
$5,287 |
2.5× |
| I&d perianal abscess superficial (46050) |
$2,193 |
$2,193 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$212 |
$212 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$4,244 |
$4,244 |
3.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,910.50 |
$2,910.50 |
1.8× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,472 |
$3,472 |
2.1× |
| Implant neuroelectrodes (63650) |
$18,959 |
$18,959 |
3.0× |
| Incise finger tendon sheath (26055) |
$3,581 |
$3,581 |
2.2× |
| Incise inner eye adhesions (65875) |
$5,115 |
$5,115 |
2.2× |
| Incise inner eye adhesns,laser (65860) |
$1,294 |
$1,294 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$500.50 |
$500.50 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,870 |
$1,870 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,911 |
$3,911 |
2.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$454.50 |
$454.50 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$344 |
$344 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$303 |
$303 |
1.0× |
| Incision bone cortex foot (28005) |
$6,866 |
$6,866 |
2.1× |
| Incision extensor tendon sheath wrist (25000) |
$4,844 |
$4,844 |
3.0× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$15,431 |
$15,431 |
2.4× |
| Incision of eardrum (69421) |
$3,693 |
$3,693 |
1.1× |
| Incision of eardrum (69420) |
$1,059 |
$1,059 |
4.5× |
| Incision of lingual frenum (41010) |
$1,870 |
$1,870 |
1.2× |
| Incision of metatarsal (28308) |
$5,086 |
$5,086 |
1.5× |
| Incision of rectal abscess (46040) |
$1,478.50 |
$1,478.50 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$254.50 |
$254.50 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$871 |
$871 |
2.7× |
| Initial tx 1st degree burn local tx (16000) |
$183 |
$183 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,960 |
$1,960 |
2.2× |
| Inj tendon sheath/ligament (20550) |
$660 |
$660 |
2.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,650 |
$1,650 |
2.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,793 |
$1,793 |
2.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,960 |
$1,960 |
2.2× |
| Inject Nerv Blck,Pudendal (64430) |
$1,960 |
$1,960 |
2.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,793 |
$1,793 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$762 |
$762 |
2.5× |
| Injection anes other peripheral nerve/branch (64450) |
$326.50 |
$326.50 |
0.5× |
| Injection for identification of sentinel node (38792) |
$817 |
$817 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$696 |
$696 |
2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$667 |
$667 |
2.2× |
| Injection treatment of nose (30200) |
$1,884 |
$1,884 |
3.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,087 |
$1,087 |
3.5× |
| Injection,ant chamber,eye,air/liquid (66020) |
$2,195 |
$2,195 |
0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$4,290 |
$4,290 |
4.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$4,290 |
$4,290 |
4.8× |
| Insert and remove bone pin (20650) |
$7,590 |
$7,590 |
2.3× |
| Insert Bladder Cath Complex (51703) |
$213 |
$213 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$2,461 |
$2,461 |
0.8× |
| Insert picc cath (36569) |
$2,257 |
$2,257 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$167 |
$167 |
1.2× |
| Insert tunneled cv cath (36561) |
$164 |
$164 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$221 |
$221 |
1.7× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$49,899 |
$49,899 |
2.6× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$5,115 |
$5,115 |
2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,376 |
$7,376 |
2.3× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,572 |
$2,572 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,648 |
$4,648 |
1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,868.50 |
$9,868.50 |
1.2× |
| Insrt/redo spine n generator (63685) |
$89,255 |
$89,255 |
2.9× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$1,059 |
$1,059 |
4.5× |
| Intro Gastrointestinal Tube (44500) |
$1,422 |
$1,422 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$455.50 |
$455.50 |
1.9× |
| Irrigation maxillary sinus (31000) |
$1,059 |
$1,059 |
4.5× |
| Island pedicle flap graft (15740) |
$4,106 |
$4,106 |
2.0× |
| Knee arthroscopy/surgery (29876) |
$5,512 |
$5,512 |
1.7× |
| Lap ing hernia repair init (49650) |
$11,025 |
$11,025 |
1.8× |
| Lap jejunostomy (44186) |
$11,025 |
$11,025 |
1.8× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$22,990 |
$22,990 |
2.2× |
| Laparoscopy appendectomy (44970) |
$10,749 |
$10,749 |
1.8× |
| Laparoscopy biopsy (49321) |
$8,798 |
$8,798 |
1.4× |
| Laparoscopy Remove Adnexa (58661) |
$11,025 |
$11,025 |
1.8× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$22,990 |
$22,990 |
2.2× |
| Laparoscopy Tubal Cautery (58670) |
$27,918 |
$27,918 |
4.6× |
| Laparoscopy w/lysis of adhesions (58660) |
$11,025 |
$11,025 |
1.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$11,880 |
$11,880 |
2.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$11,025 |
$11,025 |
1.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$15,982 |
$15,982 |
1.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,025 |
$11,025 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$14,884 |
$14,884 |
2.5× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$11,025 |
$11,025 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$11,025 |
$11,025 |
1.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,025 |
$11,025 |
1.8× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$15,983 |
$15,983 |
1.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$12,467 |
$12,467 |
2.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$8,798 |
$8,798 |
1.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$441 |
$441 |
2.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,125 |
$1,125 |
2.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$118.50 |
$118.50 |
0.6× |
| Laryngoscopy w/biopsy (31535) |
$5,864 |
$5,864 |
1.6× |
| Laryngoscopy w/bx op scope (31536) |
$5,864 |
$5,864 |
1.6× |
| Laryngoscopy w/exc of tumor (31540) |
$5,864 |
$5,864 |
1.6× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$3,673 |
$3,673 |
2.1× |
| Laryngoscopy with biopsy (31576) |
$3,673 |
$3,673 |
2.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,673 |
$3,673 |
2.1× |
| Larynscop w/tumr exc + scope (31541) |
$7,917 |
$7,917 |
2.1× |
| Laser vaporization surgery prostate, complete (52648) |
$11,495 |
$11,495 |
2.1× |
| Late closure of wound (13160) |
$4,105 |
$4,105 |
1.2× |
| Ligate/strip short leg vein (37718) |
$6,333 |
$6,333 |
2.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,462 |
$1,462 |
1.6× |
| Ligation or biopsy temporal artery (37609) |
$892 |
$892 |
0.5× |
| Lip Surgery Procedure (40799) |
$680 |
$680 |
2.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,393 |
$8,393 |
2.4× |
| Liver Biopsy (47000) |
$3,472 |
$3,472 |
2.1× |
| Lsh uterus 250 g or less (58541) |
$15,982 |
$15,982 |
1.5× |
| Marsup Bartholin Gland Cyst (56440) |
$5,386 |
$5,386 |
1.7× |
| Mast mod rad (19307) |
$12,104 |
$12,104 |
1.8× |
| Mastectomy partial (19301) |
$7,148 |
$7,148 |
1.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$12,104 |
$12,104 |
1.8× |
| Mastectomy simple complete (19303) |
$8,789 |
$8,789 |
1.3× |
| Mastoidectomy (69501) |
$10,890 |
$10,890 |
1.8× |
| Mastoidectomy; modified radical (69505) |
$10,890 |
$10,890 |
1.8× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$10,890 |
$10,890 |
3.3× |
| Middle ear surgery proc unlisted (69799) |
$584 |
$584 |
2.5× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$440 |
$440 |
2.2× |
| Nasal surgery procedure (30999) |
$689 |
$689 |
2.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$1,128 |
$1,128 |
2.9× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$8,956 |
$8,956 |
1.3× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$5,864 |
$5,864 |
0.8× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$5,864 |
$5,864 |
1.6× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$8,956 |
$8,956 |
1.3× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$383 |
$383 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$7,917 |
$7,917 |
1.1× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$8,956 |
$8,956 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,673 |
$3,673 |
2.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$291.50 |
$291.50 |
0.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,455 |
$4,455 |
2.8× |
| Neuroplasty; nerve of hand or foot (64704) |
$4,036 |
$4,036 |
2.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$854 |
$854 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,964 |
$1,964 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,304.50 |
$2,304.50 |
3.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,961 |
$1,961 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,648 |
$2,648 |
3.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,961 |
$1,961 |
2.2× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,892 |
$1,892 |
0.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$17,600 |
$17,600 |
2.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$12,332 |
$12,332 |
1.7× |
| Open treatment of acute shoulder dislocation (23660) |
$18,480 |
$18,480 |
2.5× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,266 |
$2,266 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2,613 |
$2,613 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$2,613 |
$2,613 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$5,957 |
$5,957 |
1.8× |
| Open tx orbital floor blowout fx transantral (21385) |
$15,431 |
$15,431 |
2.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$8,179 |
$8,179 |
2.5× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$33,403 |
$33,403 |
2.6× |
| Open tx septal fx w/wo stabj (21336) |
$5,957 |
$5,957 |
1.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$5,086 |
$5,086 |
1.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$5,086 |
$5,086 |
1.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,086 |
$5,086 |
1.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,086 |
$5,086 |
1.5× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$11,606 |
$11,606 |
2.3× |
| Paravaginal defect repair vaginal approach (57285) |
$11,606 |
$11,606 |
1.6× |
| Partial excision bone talus/calcaneus (28120) |
$5,086 |
$5,086 |
1.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$5,086 |
$5,086 |
1.5× |
| Partial excision of lip (40520) |
$3,693 |
$3,693 |
1.1× |
| Partial removal of thyroid (60220) |
$12,365 |
$12,365 |
2.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,211 |
$1,211 |
0.4× |
| Pelvic exam under anesthesia (57410) |
$5,386 |
$5,386 |
1.7× |
| Perq dev breast 1st us imag (19285) |
$1,605 |
$1,605 |
2.3× |
| Perq device breast 1st imag (19281) |
$1,604 |
$1,604 |
1.0× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,364 |
$1,364 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,058 |
$1,058 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$359 |
$359 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$278.50 |
$278.50 |
0.6× |
| PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) |
$1,921 |
$1,921 |
0.6× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$5,113 |
$5,113 |
2.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$2,415 |
$2,415 |
2.0× |
| Proctosigmoidoscopy (45303) |
$2,415 |
$2,415 |
2.0× |
| Proctosigmoidoscopy w/bx (45305) |
$2,415 |
$2,415 |
2.0× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,440 |
$1,440 |
1.5× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$15,431 |
$15,431 |
2.4× |
| Puncture Aspiration (10160) |
$389 |
$389 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,422 |
$1,422 |
2.0× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$15,224 |
$15,224 |
2.1× |
| Reattachment of part of cutoff finger (20822) |
$2,081.50 |
$2,081.50 |
1.3× |
| Rebuild eardrum structures (69637) |
$15,431 |
$15,431 |
2.6× |
| Rebuild outer ear canal (69310) |
$10,890 |
$10,890 |
1.8× |
| Reduction of rectal prolapse (45900) |
$955 |
$955 |
1.0× |
| Release middle ear bone (69650) |
$10,890 |
$10,890 |
3.3× |
| Removal fb intranasal (30300) |
$235 |
$235 |
1.8× |
| Removal foreign body foot deep (28192) |
$4,422 |
$4,422 |
2.7× |
| Removal foreign body foot subcutaneous (28190) |
$605.50 |
$605.50 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$605.50 |
$605.50 |
0.4× |
| Removal foreign body pharynx (42809) |
$243.50 |
$243.50 |
0.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,740 |
$3,740 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$146 |
$146 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$83.50 |
$83.50 |
1.4× |
| Removal Implant Deep (20680) |
$5,322 |
$5,322 |
1.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,960 |
$3,960 |
2.4× |
| Removal Intact Mammary Implant (19328) |
$8,789 |
$8,789 |
2.2× |
| Removal of adenoids (42831) |
$5,676 |
$5,676 |
1.7× |
| Removal of adenoids (42830) |
$14,689 |
$14,689 |
4.4× |
| Removal of anal fissure (46200) |
$6,402 |
$6,402 |
2.3× |
| Removal of arm foreign body (24200) |
$2,415 |
$2,415 |
1.5× |
| Removal of external ear (69120) |
$5,676 |
$5,676 |
1.0× |
| Removal of heel bone (28118) |
$5,086 |
$5,086 |
1.5× |
| Removal of heel spur (28119) |
$5,086 |
$5,086 |
1.5× |
| Removal of implanted material, anterior segment of eye (65920) |
$5,115 |
$5,115 |
2.2× |
| Removal of infusion pump (36262) |
$6,844 |
$6,844 |
1.8× |
| Removal of intranasal lesion (30118) |
$5,676 |
$5,676 |
1.7× |
| Removal of intrauterine device (iud) (58301) |
$660 |
$660 |
2.2× |
| Removal of larynx lesion (31300) |
$5,676 |
$5,676 |
1.7× |
| Removal of lens material (66840) |
$5,778 |
$5,778 |
2.5× |
| Removal of nail bed (11750) |
$725 |
$725 |
1.8× |
| Removal of nose polyp(s) (30115) |
$5,676 |
$5,676 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$387 |
$387 |
1.9× |
| Removal of sperm cord lesion (55520) |
$5,287 |
$5,287 |
1.5× |
| Removal of testis (54520) |
$6,520 |
$6,520 |
1.8× |
| Removal of tonsils (42825) |
$12,302 |
$12,302 |
2.1× |
| Removal of tonsils (42826) |
$7,666 |
$7,666 |
2.3× |
| Removal or relocation of corneal conjunctiva (65420) |
$4,477 |
$4,477 |
1.9× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$4,477 |
$4,477 |
1.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,598 |
$4,598 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$106 |
$106 |
0.4× |
| Remove anal fist subq (46270) |
$5,664 |
$5,664 |
2.0× |
| Remove by ligat int hem grp (46945) |
$5,663 |
$5,663 |
2.0× |
| Remove digit nerve lesion (64776) |
$4,036 |
$4,036 |
2.1× |
| Remove ear lesion (69540) |
$5,049 |
$5,049 |
3.2× |
| Remove foreign body from eye (65210) |
$284 |
$284 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$7,646 |
$7,646 |
2.7× |
| Remove shoulder foreign body (23330) |
$2,411 |
$2,411 |
1.5× |
| Remove tear gland lesion (68540) |
$4,475 |
$4,475 |
1.9× |
| Remove thyroid duct lesion (60280) |
$12,365 |
$12,365 |
2.0× |
| Remove wrist tendon lesion (25111) |
$2,353 |
$2,353 |
1.5× |
| Remove/graft foot lesion (28103) |
$15,224 |
$15,224 |
2.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$5,322 |
$5,322 |
3.2× |
| Remv Ext Canal Foreign Body (69200) |
$351.50 |
$351.50 |
2.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$265 |
$265 |
2.0× |
| Renal biopsy (50200) |
$3,069 |
$3,069 |
1.8× |
| Repair achilles tendon (27650) |
$10,989 |
$10,989 |
1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$7,293 |
$7,293 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,023 |
$1,023 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,923.50 |
$2,923.50 |
7.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$651.50 |
$651.50 |
1.6× |
| Repair eardrum structures (69635) |
$10,890 |
$10,890 |
1.8× |
| Repair elbow perc (24357) |
$7,590 |
$7,590 |
2.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,336.50 |
$2,336.50 |
1.4× |
| Repair hallux rigidus (28289) |
$6,866 |
$6,866 |
2.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$7,805 |
$7,805 |
2.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$7,805 |
$7,805 |
2.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,485 |
$3,485 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$578.50 |
$578.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$414.50 |
$414.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$652.50 |
$652.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$434 |
$434 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$468 |
$468 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$527.50 |
$527.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$350.50 |
$350.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$396 |
$396 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$659 |
$659 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,006 |
$1,006 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$335.50 |
$335.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$445.50 |
$445.50 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$750.50 |
$750.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$391.50 |
$391.50 |
1.0× |
| Repair middle ear structures (69667) |
$5,676 |
$5,676 |
1.7× |
| Repair middle ear structures (69666) |
$5,676 |
$5,676 |
1.7× |
| Repair of ankle ligament (27695) |
$7,590 |
$7,590 |
1.0× |
| Repair of eardrum structures (69631) |
$10,890 |
$10,890 |
1.8× |
| Repair Of Foot Tendon (28208) |
$2,654.50 |
$2,654.50 |
0.8× |
| Repair of hammertoe (28286) |
$5,086 |
$5,086 |
1.5× |
| Repair of nail bed (11760) |
$1,042 |
$1,042 |
1.4× |
| Repair of nasal septum (30520) |
$7,663 |
$7,663 |
2.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$10,976 |
$10,976 |
1.5× |
| Repair of shoulder (23420) |
$10,976 |
$10,976 |
1.5× |
| Repair of vagina (57260) |
$11,606 |
$11,606 |
2.3× |
| Repair oro-maxillary fistula (30580) |
$10,880 |
$10,880 |
1.8× |
| Repair rectum & vagina (57250) |
$11,606 |
$11,606 |
2.3× |
| Repair rotator cuff acute (23410) |
$17,232 |
$17,232 |
2.4× |
| Repair Tongue Laceration (41250) |
$327 |
$327 |
0.7× |
| Repair tooth socket (41874) |
$3,696 |
$3,696 |
1.1× |
| Repair tympanic membrane (69610) |
$5,676 |
$5,676 |
3.6× |
| Repair wrist joints (25447) |
$8,800 |
$8,800 |
2.7× |
| Replace eye fluid (67025) |
$3,892 |
$3,892 |
1.7× |
| Reposition gastrostomy tube (43761) |
$434 |
$434 |
1.7× |
| Rerepair ing hernia blocked (49521) |
$8,824 |
$8,824 |
1.4× |
| Rerepair ing hernia reduce (49520) |
$7,805 |
$7,805 |
2.2× |
| Resect Inferior Turbinate (30140) |
$5,676 |
$5,676 |
1.7× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$5,086 |
$5,086 |
1.5× |
| Revise finger joint (26535) |
$9,814 |
$9,814 |
3.0× |
| Revise finger joint each (26140) |
$3,581 |
$3,581 |
2.2× |
| Revise median n/carpal tunnel surg (64721) |
$4,036 |
$4,036 |
2.1× |
| Revise middle ear & mastoid (69645) |
$10,890 |
$10,890 |
1.8× |
| Revise middle ear & mastoid (69641) |
$10,890 |
$10,890 |
1.8× |
| Revise middle ear bone (69662) |
$15,431 |
$15,431 |
2.6× |
| Revise middle ear bone (69660) |
$10,890 |
$10,890 |
1.8× |
| Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services (69603) |
$10,890 |
$10,890 |
1.8× |
| Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services (69604) |
$10,890 |
$10,890 |
1.8× |
| Revision of big toe (28310) |
$5,086 |
$5,086 |
0.7× |
| Revision of upper eyelid (15823) |
$4,106 |
$4,106 |
2.0× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$9,503 |
$9,503 |
2.7× |
| Revision peri-implant capsule breast (19370) |
$8,789 |
$8,789 |
2.2× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$19,984 |
$19,984 |
3.1× |
| Revj clst comp rcnstj in-depth spx (44345) |
$1,372 |
$1,372 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$435 |
$435 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$161.50 |
$161.50 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,383.50 |
$1,383.50 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,320 |
$5,320 |
1.8× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,411 |
$2,411 |
0.8× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$11,326 |
$11,326 |
3.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$8,789 |
$8,789 |
2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,459 |
$2,459 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,425 |
$1,425 |
2.3× |
| Rmvl vitreous ant appr partial removal (67005) |
$5,113 |
$5,113 |
2.2× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$5,113 |
$5,113 |
2.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,459 |
$2,459 |
1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,523 |
$6,523 |
2.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$431 |
$431 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$786.50 |
$786.50 |
1.5× |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
$15,223 |
$15,223 |
2.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$8,729 |
$8,729 |
2.7× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,461 |
$2,461 |
1.6× |
| Severing ads ant seg incal spx ant synechiae (65870) |
$5,115 |
$5,115 |
2.2× |
| Shoulder arthroscopy (29805) |
$8,047 |
$8,047 |
2.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,415 |
$2,415 |
2.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$959 |
$959 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,439 |
$1,439 |
1.5× |
| Simple drainage of abscess of saliva gland (42300) |
$3,425 |
$3,425 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$545.50 |
$545.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$293 |
$293 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$313 |
$313 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$483 |
$483 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$352.50 |
$352.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$480 |
$480 |
2.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$659.50 |
$659.50 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$361.50 |
$361.50 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$334 |
$334 |
1.7× |
| Skin pinch graft (15050) |
$1,611 |
$1,611 |
2.2× |
| Skin splt grft trnk/arm/leg (15100) |
$5,944 |
$5,944 |
2.9× |
| Skin sub graft face/nk/hf/g (15275) |
$4,640.50 |
$4,640.50 |
6.3× |
| Skin sub graft trnk/arm/leg (15271) |
$4,640.50 |
$4,640.50 |
6.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$8,945 |
$8,945 |
4.3× |
| Skin Tissue Procedure (17999) |
$95 |
$95 |
0.5× |
| Skin tissue rearrangement (14040) |
$4,106 |
$4,106 |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,712 |
$6,712 |
1.9× |
| Skn sub grft f/n/hf/g child (15277) |
$5,176 |
$5,176 |
2.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$11,606 |
$11,606 |
2.3× |
| Slitting of prepuce (54001) |
$4,950 |
$4,950 |
2.4× |
| Small bowel endoscopy/biopsy (44377) |
$3,643 |
$3,643 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$379.50 |
$379.50 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$452.50 |
$452.50 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$423.50 |
$423.50 |
1.0× |
| Sphincterotomy (46080) |
$4,244 |
$4,244 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$784 |
$784 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$833.50 |
$833.50 |
1.2× |
| Strapping ankle (29540) |
$46 |
$46 |
0.3× |
| Strapping elbow/wrist (29260) |
$189 |
$189 |
3.2× |
| Strapping hand/finger (29280) |
$219.50 |
$219.50 |
3.7× |
| Strapping knee (29530) |
$122.50 |
$122.50 |
0.9× |
| Strapping shoulder (29240) |
$146 |
$146 |
1.1× |
| Strapping thorax (29200) |
$80 |
$80 |
0.5× |
| Strapping toes (29550) |
$184 |
$184 |
3.1× |
| Strapping unna boot (29580) |
$447 |
$447 |
2.7× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$5,676 |
$5,676 |
1.7× |
| Suspension of testis (54620) |
$5,287 |
$5,287 |
1.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$5,086 |
$5,086 |
3.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$5,086 |
$5,086 |
3.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$5,086 |
$5,086 |
3.1× |
| Ther Apheresis,Platelets (36513) |
$1,036 |
$1,036 |
2.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,364 |
$1,364 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$321 |
$321 |
0.5× |
| Throat Surgery Procedure (42999) |
$278 |
$278 |
1.2× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$1,073 |
$1,073 |
0.2× |
| Thrombolytic Therapy, Stroke (37195) |
$279.50 |
$279.50 |
0.8× |
| Thyroid biopsy (60100) |
$1,422 |
$1,422 |
2.0× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$10,880 |
$10,880 |
1.8× |
| Tongue and mouth surg unlisted (41599) |
$385 |
$385 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,678 |
$5,678 |
1.7× |
| Total thyroid lobectomy unilateral (60225) |
$12,210 |
$12,210 |
2.0× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$5,676 |
$5,676 |
1.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$780 |
$780 |
0.5× |
| Tracheostomy planned (31600) |
$5,676 |
$5,676 |
1.7× |
| Treat finger dislocation (26775) |
$726 |
$726 |
2.6× |
| Treat Fracture Radius & Ulna (25560) |
$418 |
$418 |
1.7× |
| Treat fx distal radial (25606) |
$5,957 |
$5,957 |
1.8× |
| Treat fx rad extra-articul (25607) |
$16,246 |
$16,246 |
2.2× |
| Treat humerus fracture (23630) |
$16,500 |
$16,500 |
2.3× |
| Treat humerus fracture (24500) |
$669 |
$669 |
2.7× |
| Treat humerus fracture (23600) |
$533.50 |
$533.50 |
2.2× |
| Treat Lower Leg Fracture (27827) |
$33,000 |
$33,000 |
2.6× |
| Treat pleurodesis w/agent (32560) |
$1,429 |
$1,429 |
2.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$706 |
$706 |
0.4× |
| Treat toe fracture (28525) |
$5,968 |
$5,968 |
1.8× |
| Treat wrist bone fracture (25622) |
$461 |
$461 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$476.50 |
$476.50 |
1.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,500.50 |
$1,500.50 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$926 |
$926 |
3.7× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$2,414.50 |
$2,414.50 |
0.3× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$26,120 |
$26,120 |
3.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$173 |
$173 |
2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$491.50 |
$491.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$328.50 |
$328.50 |
0.8× |
| Tympanostomy (69433) |
$1,059 |
$1,059 |
2.0× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$380 |
$380 |
1.6× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$506 |
$506 |
2.5× |
| Unlisted laparoscopic procedure liver (47379) |
$8,800 |
$8,800 |
1.4× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$8,903.50 |
$8,903.50 |
1.5× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$8,800 |
$8,800 |
1.4× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$8,800 |
$8,800 |
1.4× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$11,880 |
$11,880 |
2.0× |
| Unlisted procedure accessory sinuses (31299) |
$385 |
$385 |
1.6× |
| Unlisted procedure anus (46999) |
$2,310 |
$2,310 |
2.5× |
| Unlisted Procedure Biliary Tract (47999) |
$5,349 |
$5,349 |
5.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$115.50 |
$115.50 |
0.7× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$385 |
$385 |
1.6× |
| Unlisted Procedure External Ear (69399) |
$385,007 |
$385,007 |
1618.2× |
| Unlisted procedure foot or toes (28899) |
$495 |
$495 |
2.0× |
| Unlisted procedure larynx (31599) |
$385 |
$385 |
1.6× |
| Unlisted procedure liver (47399) |
$1,419 |
$1,419 |
2.0× |
| Unlisted Procedure Nervous System (64999) |
$616 |
$616 |
2.0× |
| Unlisted Procedure Rectum (45999) |
$1,348 |
$1,348 |
1.4× |
| Unlisted procedure shoulder (23929) |
$660 |
$660 |
2.7× |
| Unlisted Procedure Small Intestine (44799) |
$6,666 |
$6,666 |
7.3× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$710 |
$710 |
2.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,313.50 |
$1,313.50 |
1.4× |
| Unlisted procedure, forearm or wrist (25999) |
$495 |
$495 |
2.0× |
| Unlisted procedure, male genital system (55899) |
$142 |
$142 |
0.6× |
| Unlisted procedure, stomach (43999) |
$2,460 |
$2,460 |
2.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$367 |
$367 |
1.8× |
| Uvulectomy excision uvula (42140) |
$3,693 |
$3,693 |
1.1× |
| Vaginal delivery only (59409) |
$4,403 |
$4,403 |
1.4× |
| Vaginal hysterectomy (58260) |
$11,606 |
$11,606 |
2.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$12,573 |
$12,573 |
2.5× |
| Vasectomy (55250) |
$5,976 |
$5,976 |
2.8× |
| Venipuncture (36415) |
$14 |
$14 |
1.5× |
| Venipuncture, cutdown; age 1 or over (36425) |
$88.50 |
$88.50 |
0.2× |
| Vitrectomy mechanical pars plana (67036) |
$9,108 |
$9,108 |
2.2× |
| Vulvectomy simple partial (56620) |
$5,386 |
$5,386 |
1.7× |
| Vulvectomy simple; complete (56625) |
$5,386 |
$5,386 |
1.7× |
| Wedging of cast (29740) |
$99 |
$99 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$1,433 |
$1,433 |
3.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$4,712.50 |
$4,712.50 |
6.3× |