| Abd paracentesis w/imaging (49083) |
$707 |
$943 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$980 |
$1,306.50 |
1.1× |
| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845) |
$7,663 |
$10,217 |
1.5× |
| Abortion (59841) |
$3,273 |
$4,364 |
1.0× |
| Amputation Finger/Thumb (26951) |
$2,787 |
$3,716 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$3,564 |
$4,752 |
1.1× |
| Amputation thigh through femur any level (27590) |
$1,764 |
$2,352 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$2,391 |
$3,188 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,564 |
$4,752 |
1.1× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$1,451 |
$1,935 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$3,564 |
$4,752 |
1.1× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,925 |
$2,567 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$4,205 |
$5,606 |
1.3× |
| Anoscopy Ablation Lesion (46615) |
$2,979 |
$3,972 |
1.1× |
| Anoscopy diagnostic (46600) |
$221 |
$295 |
1.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$896 |
$1,194 |
1.0× |
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure |
$1,460 |
$1,947 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,939 |
$7,918 |
1.2× |
| Appendectomy (44950) |
$4,319 |
$5,758 |
0.7× |
| Application cast elbow finger short arm (29075) |
$503 |
$670 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$126 |
$168 |
2.1× |
| Application finger splint static (29130) |
$160 |
$213 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$213 |
$284 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$222.50 |
$296.50 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$222.50 |
$296.50 |
1.7× |
| Application short leg splint calf foot (29515) |
$213 |
$284 |
1.3× |
| Apply short leg cast (29405) |
$425 |
$567 |
1.5× |
| Arterial puncture (36600) |
$258 |
$344 |
1.9× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$10,956 |
$14,608 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$346.50 |
$462 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$396 |
$527.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$384.50 |
$512.50 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$223 |
$297 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$345 |
$460 |
1.7× |
| Axillary lymphadenectomy; complete (38745) |
$8,260 |
$11,013 |
1.4× |
| Biopsy Breast Open Incisional (19101) |
$2,889 |
$3,852 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,166 |
$1,554 |
1.3× |
| Biopsy external ear (69100) |
$548 |
$730 |
2.3× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$2,679 |
$3,572 |
0.9× |
| Biopsy of lip (40490) |
$587 |
$783 |
2.5× |
| Biopsy of mouth lesion (40808) |
$587 |
$783 |
1.1× |
| Biopsy of tongue (41100) |
$1,175 |
$1,567 |
2.2× |
| Biopsy of uterus lining (58100) |
$426 |
$568 |
2.1× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$4,561 |
$6,081 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,561 |
$6,081 |
1.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$3,279 |
$4,372 |
2.0× |
| Biopsy soft tissue of back (21920) |
$1,486 |
$1,981 |
0.9× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,486 |
$1,981 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,121 |
$1,494 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$4,561 |
$6,081 |
1.2× |
| Biopsy/removal lymph nodes (38510) |
$4,743 |
$6,324 |
1.2× |
| Bladder Irrigation Simple (51700) |
$400 |
$533 |
1.6× |
| Blood patch (62273) |
$1,266 |
$1,687.50 |
1.8× |
| Blood transfusion service (36430) |
$639 |
$852 |
1.4× |
| Bone marrow aspiration only (38220) |
$1,486 |
$1,981 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,486 |
$1,981 |
0.9× |
| Bx anorectal wall anal approach (45100) |
$2,878 |
$3,837 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,205 |
$1,606 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,580 |
$2,106 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$1,698 |
$2,264 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,564 |
$4,752 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$290 |
$386 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$475 |
$633 |
1.9× |
| Chemodenerv Musc Migraine (64615) |
$225 |
$300 |
0.7× |
| Chemodenervation internal anal sphincter (46505) |
$2,204 |
$2,939 |
1.8× |
| Chest tube placement (32551) |
$1,195 |
$1,593 |
0.8× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,704 |
$3,605 |
1.3× |
| Circum 28 days or older (54161) |
$3,768 |
$5,024 |
1.8× |
| Circumcision (54150) |
$3,818 |
$5,091 |
1.8× |
| Circumcision Neonate (54160) |
$3,818 |
$5,091 |
5.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,067 |
$1,423 |
0.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,278 |
$1,704 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,180 |
$1,573 |
0.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,233 |
$1,644 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$464 |
$619 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$2,155 |
$2,873 |
8.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$563 |
$750 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$302 |
$402 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,245 |
$1,659.50 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$481 |
$641 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,505 |
$2,006 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,115 |
$1,487 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$244 |
$325 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,152 |
$1,536 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$464 |
$619 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,244 |
$1,659 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$233 |
$311 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$564 |
$752 |
1.0× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$5,939 |
$7,918 |
1.8× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$390 |
$520 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,347 |
$3,129 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$456 |
$608 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$167 |
$222 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,204 |
$1,605.50 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2 |
$3 |
0.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$484 |
$645 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$485 |
$647 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,298 |
$1,730 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$506 |
$675 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$301 |
$401 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$302 |
$402 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$506 |
$675 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$390 |
$520 |
1.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$506 |
$675 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$416 |
$554 |
1.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,152 |
$1,536 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$484 |
$645 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$398 |
$530.50 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,152 |
$1,536 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,155 |
$2,873 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,208 |
$1,610 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,556 |
$2,074 |
1.3× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,420 |
$1,893 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,317 |
$1,756 |
1.1× |
| Colonoscopy w/ablation (45388) |
$1,488 |
$1,983.50 |
1.2× |
| Colporrhaphy suture injury vagina (57200) |
$2,271 |
$3,028 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$544 |
$725 |
1.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$493.50 |
$658 |
2.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,273 |
$4,364 |
1.0× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$3,273 |
$4,364 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$235 |
$313 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$830 |
$1,107 |
2.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$830 |
$1,107 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,618 |
$2,157 |
1.3× |
| Complex Drainage, Wound (10180) |
$3,240 |
$4,320 |
1.1× |
| Conization of cervix (57520) |
$5,676 |
$7,568 |
1.7× |
| Conization of cervix (57522) |
$3,845 |
$5,127 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$262 |
$349 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$183.50 |
$244.50 |
1.4× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$7,121 |
$9,494 |
2.1× |
| Correction hammertoe (28285) |
$3,564 |
$4,752 |
1.1× |
| Correction of bunion (28298) |
$5,525 |
$7,366 |
0.8× |
| Correction of bunion (28292) |
$5,525 |
$7,366 |
1.7× |
| Correction of bunion (28299) |
$5,525 |
$7,366 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,525 |
$7,366 |
1.7× |
| Create eardrum opening (69436) |
$2,659 |
$3,545 |
1.7× |
| Cryotherapy of skin (17340) |
$161 |
$215 |
2.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$239 |
$319 |
1.8× |
| Curettage postpartum (59160) |
$3,273 |
$4,364 |
1.0× |
| Curette/treat cornea (65435) |
$1,385 |
$1,847 |
1.4× |
| Cystolithotomy w rem stone wo vn res (51050) |
$4,295 |
$5,727 |
0.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,295 |
$5,727 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$467 |
$622 |
1.1× |
| Debride skin musc at fx site (11011) |
$680 |
$907 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$659.50 |
$879.50 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$626 |
$835 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,648 |
$2,197 |
1.0× |
| Declot vascular device (36593) |
$351 |
$468 |
1.1× |
| Decompress fingers/hand (26037) |
$2,546 |
$3,395 |
0.8× |
| Decompression of tibia nerve (28035) |
$3,026 |
$4,034 |
1.5× |
| Delivery placenta separate procedure (59414) |
$2,271 |
$3,028 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$1,502 |
$2,002 |
0.8× |
| Destroy internal hemorrhoids (46930) |
$989 |
$1,318 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,574 |
$2,098 |
0.8× |
| Destruction anal lesion(s) (46924) |
$3,413 |
$4,551 |
1.2× |
| Destruction benign lesions 15 or more (17111) |
$332 |
$442 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$188 |
$251 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$685 |
$913 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$685 |
$913 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$463 |
$617 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$463 |
$617 |
2.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$206 |
$275 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$332 |
$442 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$332 |
$442 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$618 |
$824 |
1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,473 |
$1,964 |
0.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$329 |
$438 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$188 |
$251 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$518 |
$690 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,070 |
$1,426 |
1.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,845 |
$5,126 |
3.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,273 |
$4,364 |
1.0× |
| Dilation of anal sphincter (45905) |
$3,845 |
$5,126 |
3.2× |
| Division of fallopian tube (58600) |
$2,387 |
$3,183 |
0.7× |
| Drain hand tendon sheath (26020) |
$2,667 |
$3,556 |
0.8× |
| Drainage abscess/hematoma nasal int approach (30000) |
$188 |
$250 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$531 |
$708 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$297 |
$396 |
1.5× |
| Drainage of deep rectal abscess (45020) |
$2,064 |
$2,752 |
0.7× |
| Drainage of eyelid abscess (67700) |
$489 |
$652 |
1.5× |
| Drainage of gum lesion (41800) |
$225 |
$300 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$2,780.50 |
$3,707 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$1,553 |
$2,070 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$509 |
$679 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$344 |
$459 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$332 |
$442 |
1.6× |
| Dstrj lesion anus simple chemical (46900) |
$618 |
$824 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$3,413 |
$4,551 |
1.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,310 |
$3,080 |
1.1× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,085 |
$2,780 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,529 |
$2,039 |
1.7× |
| Egd place gastrostomy tube (43246) |
$2,279 |
$3,039 |
1.2× |
| Egd remove lesion snare (43251) |
$2,085 |
$2,780 |
1.1× |
| Endocervical Curettage (57505) |
$1,121 |
$1,494 |
1.2× |
| Enterorrhaphy single perforation (44602) |
$2,991 |
$3,988 |
0.8× |
| Esophagoscopy flex biopsy (43202) |
$1,403 |
$1,870 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,162 |
$1,549 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$118 |
$157 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$3,737 |
$4,983 |
1.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,279 |
$4,372 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,679 |
$3,572 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,679 |
$3,572 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,679 |
$3,572 |
1.6× |
| Exc back les sc < 3 cm (21930) |
$3,146 |
$4,195 |
1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$757 |
$1,009 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,486 |
$1,981 |
0.9× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$2,802 |
$3,736 |
1.7× |
| Exc forearm les sc 3 cm/> (25071) |
$2,786 |
$3,715 |
1.7× |
| Exc forearm les sc < 3 cm (25075) |
$2,786 |
$3,715 |
1.7× |
| Exc frenum labial/buccal (40819) |
$2,277 |
$3,036 |
1.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,895 |
$6,526 |
1.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,829 |
$3,772 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,152 |
$1,536 |
0.7× |
| Exc shoulder tum deep 5 cm/> (23073) |
$3,737 |
$4,983 |
1.3× |
| Exc skin abd (15830) |
$8,070 |
$10,760 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,399.50 |
$1,866 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$757 |
$1,009 |
1.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$757 |
$1,009 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,399.50 |
$1,866 |
2.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,679 |
$3,572 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,812 |
$5,083 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,679 |
$3,572 |
1.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,615 |
$3,486 |
1.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,737 |
$4,983 |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,679 |
$3,572 |
1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,279 |
$4,372 |
1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,615 |
$3,487 |
2.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$757 |
$1,009 |
1.1× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,624 |
$3,498 |
1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,624 |
$3,498 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,507 |
$3,343 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,737 |
$4,983 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,624 |
$3,498 |
1.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,564 |
$4,752 |
1.1× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$2,546 |
$3,395 |
1.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,708 |
$3,611 |
1.7× |
| Excise excess skin & tissue (15839) |
$2,411 |
$3,215 |
0.8× |
| Excise excess skin tissue,thigh (15832) |
$3,737 |
$4,983 |
1.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,279 |
$4,372 |
1.1× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$3,279 |
$4,372 |
1.1× |
| Excision lesion mouth roof (42104) |
$2,659 |
$3,545 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,175 |
$1,567 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,648 |
$2,197 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$841 |
$1,121 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$841 |
$1,121 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,648 |
$2,197 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,486 |
$1,981 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,486 |
$1,981 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,486 |
$1,981 |
2.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,486 |
$1,981 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,486 |
$1,981 |
0.9× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,486 |
$1,981 |
2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,486 |
$1,981 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,486 |
$1,981 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,205 |
$1,606 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$757 |
$1,009 |
1.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,399.50 |
$1,866 |
2.0× |
| Excision of gum lesion (41828) |
$4,049 |
$5,399 |
2.6× |
| Excision of hydrocele; unilateral (55040) |
$5,465 |
$7,287 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,399.50 |
$1,866 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,486 |
$1,981 |
0.9× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$3,564 |
$4,752 |
2.2× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$4,049 |
$5,399 |
1.2× |
| Excision of nail fold toe (11765) |
$530 |
$706 |
1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,737 |
$4,983 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$2,878 |
$3,837 |
2.4× |
| Excision of tongue lesion (41112) |
$2,687 |
$3,583 |
0.8× |
| Excision of tonsil tags (42860) |
$4,889 |
$6,518 |
1.5× |
| Excision of Umbilicus (49250) |
$2,845 |
$3,793 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,573 |
$3,431 |
1.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,205 |
$1,606 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,679 |
$3,572 |
1.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,279 |
$4,372 |
1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,530 |
$3,373 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,500 |
$4,666 |
2.2× |
| Exploration penetrating wound spx chest (20101) |
$2,530 |
$3,373 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,213 |
$1,617 |
0.7× |
| Explore limb vessels (35860) |
$2,393 |
$3,190 |
0.8× |
| External Cephalic Version (59412) |
$3,345 |
$4,460 |
1.0× |
| Eye surgery procedure (66999) |
$1,735 |
$2,313 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$3,275 |
$4,366 |
1.0× |
| Fasciotomy palmar percutaneous (26040) |
$2,763 |
$3,684 |
1.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,971 |
$6,628 |
1.5× |
| Fetal Contraction Stress Test (59020) |
$576 |
$768 |
2.8× |
| Fetal non-stress test (59025) |
$291 |
$388 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$500 |
$666 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,530 |
$3,373 |
1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,086 |
$4,114 |
1.5× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$2 |
$3 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$310.50 |
$414 |
1.4× |
| Gastrocnemius Recession (27687) |
$5,796 |
$7,728 |
1.8× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,647 |
$2,196 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$4,202 |
$5,602 |
2.2× |
| Glossectomy; less than one-half tongue (41120) |
$8,021 |
$10,694 |
1.3× |
| Hemorrhoidectomy (46255) |
$4,116 |
$5,488 |
1.5× |
| Hemorrhoidectomy external complete (46250) |
$4,116 |
$5,488 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$817 |
$1,089 |
3.4× |
| I&d abscess simple (10060) |
$413 |
$550 |
2.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,075 |
$2,767 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,901 |
$2,534 |
0.9× |
| I&d perianal abscess superficial (46050) |
$989 |
$1,318 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$526 |
$701.50 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,240 |
$4,320 |
2.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,781 |
$3,708 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,205 |
$1,606 |
0.7× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,205 |
$1,606 |
0.7× |
| Incise finger tendon sheath (26055) |
$2,814 |
$3,752 |
1.7× |
| Incise/drain eyelid lining (68020) |
$7 |
$9 |
0.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$671 |
$894 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,075 |
$2,767 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$618 |
$824 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$321 |
$428 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$432.50 |
$576.50 |
1.4× |
| Incision of eardrum (69420) |
$458 |
$611 |
1.9× |
| Incision of heel bone (28300) |
$10,956 |
$14,608 |
1.5× |
| Incision of lingual frenum (41010) |
$1,139 |
$1,518.50 |
0.7× |
| Incision of rectal abscess (46045) |
$4,116 |
$5,488 |
1.5× |
| Incision of rectal abscess (46040) |
$2,335.50 |
$3,113.50 |
1.9× |
| Incision thrombosed hemorrhoid external (46083) |
$446.50 |
$595 |
1.8× |
| Induced abortion by d&c (59840) |
$3,273 |
$4,364 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$172 |
$229.50 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,096.50 |
$1,461.50 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$685 |
$913 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$685 |
$913 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$518 |
$690 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$380 |
$506 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$685 |
$913 |
0.8× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$518 |
$690 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$685 |
$913 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$518 |
$690 |
0.7× |
| Inject Nerv Blck,Pudendal (64430) |
$685 |
$913 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$218 |
$291 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$685 |
$913 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$523 |
$697 |
0.7× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$685 |
$913 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$523 |
$697 |
0.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$518 |
$690 |
0.7× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$685 |
$913 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$589 |
$785 |
1.9× |
| Injection anes other peripheral nerve/branch (64450) |
$564 |
$752 |
0.8× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$62 |
$82 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$455 |
$607 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$228.50 |
$304.50 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$221.50 |
$295.50 |
0.7× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$371 |
$495 |
0.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$315 |
$420 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$505 |
$673 |
3.9× |
| Insert cervical dilator (59200) |
$614.50 |
$819.50 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$2,609 |
$3,478 |
0.8× |
| Insert picc cath (36569) |
$1,553.50 |
$2,071 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$221 |
$295 |
1.7× |
| Insert tunneled cv cath (36561) |
$3,432.50 |
$4,577 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.50 |
$270 |
1.5× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$2,448 |
$3,264 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,289 |
$1,719 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,932 |
$5,243 |
1.2× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$5,013 |
$6,684 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,393 |
$3,190 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$362 |
$482 |
1.5× |
| Island pedicle flap graft (15740) |
$12 |
$16 |
0.0× |
| Laparoscopy appendectomy (44970) |
$8,552 |
$11,403 |
1.4× |
| Laparoscopy biopsy (49321) |
$6,143 |
$8,190 |
1.0× |
| Laparoscopy gastrostomy (43653) |
$7,001 |
$9,334 |
1.2× |
| Laparoscopy Remove Adnexa (58661) |
$8,552 |
$11,403 |
1.4× |
| Laparoscopy Tubal Cautery (58670) |
$7,846 |
$10,461 |
1.3× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,143 |
$8,190 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$8,501 |
$11,334 |
1.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,523 |
$15,364 |
1.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$9,848 |
$13,130 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,948 |
$11,931 |
1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,846 |
$10,461 |
1.3× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,143 |
$8,190 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,737 |
$3,649 |
1.5× |
| Late closure of wound (13160) |
$3,398 |
$4,530 |
1.0× |
| Lavage by cannulation; sphenoid sinus (31002) |
$5 |
$6 |
0.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,502 |
$2,002 |
1.6× |
| Ligation or biopsy temporal artery (37609) |
$3,017 |
$4,023 |
1.8× |
| Liver Biopsy (47000) |
$1,670 |
$2,226 |
1.0× |
| Lysis of labial adhesions (56441) |
$3,273 |
$4,364 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,818 |
$5,091 |
1.8× |
| Manipulation of spine (22505) |
$6 |
$8 |
0.0× |
| Marsup Bartholin Gland Cyst (56440) |
$3,273 |
$4,364 |
1.0× |
| Mast mod rad (19307) |
$7,281 |
$9,708 |
1.1× |
| Mastectomy partial (19301) |
$3,896 |
$5,195 |
1.0× |
| Musculoskeletal surgery (20999) |
$1,991 |
$2,654 |
8.0× |
| Nasal surgery procedure (30999) |
$398 |
$531 |
1.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,751 |
$6,335 |
2.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22 |
$29 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,663 |
$3,550 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,164 |
$1,552 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$518 |
$690 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$564 |
$752 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,403 |
$1,870 |
1.6× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,466 |
$1,954 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,469 |
$11,292 |
1.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2 |
$3 |
0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,295 |
$5,727 |
1.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,571 |
$6,095 |
1.3× |
| Orchiectomy, partial (54522) |
$3,818 |
$5,091 |
1.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$46 |
$61 |
0.0× |
| Ovarian cystectomy (58925) |
$5,939 |
$7,918 |
1.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$8,260 |
$11,013 |
1.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,564 |
$4,752 |
1.1× |
| Pelvic exam under anesthesia (57410) |
$3,273 |
$4,364 |
1.0× |
| Peritoneal Lavage (49084) |
$663 |
$884 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,223 |
$1,631 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,431 |
$1,908 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$459 |
$611.50 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$593 |
$790 |
1.3× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$5,421 |
$7,228 |
0.9× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$4,564 |
$6,085 |
0.8× |
| Preputial Stretching (54450) |
$523 |
$697 |
2.1× |
| Proctosigmoidoscopy w/bx (45305) |
$1,745 |
$2,326 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$302 |
$402 |
0.7× |
| Puncture Aspiration (10160) |
$390 |
$520 |
1.0× |
| Radical Resection Tumor Metatarsal (28173) |
$44 |
$58 |
0.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,345 |
$1,793 |
0.7× |
| Removal fb intranasal (30300) |
$228.50 |
$305 |
1.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,333 |
$7,110 |
1.8× |
| Removal Foreign Body Foot Complicated (28193) |
$5,105 |
$6,807 |
3.1× |
| Removal foreign body foot subcutaneous (28190) |
$710 |
$947 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,442 |
$1,923 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,659 |
$3,545 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$102 |
$136 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$112 |
$149 |
1.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$524 |
$698 |
0.2× |
| Removal Implant Deep (20680) |
$3,737 |
$4,983 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$757 |
$1,009 |
1.1× |
| Removal of adenoids (42835) |
$4,049 |
$5,399 |
1.2× |
| Removal of adenoids (42830) |
$7,378 |
$9,837 |
2.2× |
| Removal of anal fissure (46200) |
$4,116 |
$5,488 |
1.5× |
| Removal of arm foreign body (24200) |
$1,205 |
$1,606 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$443 |
$591 |
1.4× |
| Removal of nail bed (11750) |
$757 |
$1,009 |
1.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$188 |
$251 |
0.9× |
| Removal of sperm cord lesion (55520) |
$3,818 |
$5,091 |
1.1× |
| Removal of testis (54520) |
$4,895 |
$6,526 |
1.4× |
| Removal of thyroid lesion (60200) |
$8,260 |
$11,013 |
1.4× |
| Removal of tonsils (42825) |
$8,042 |
$10,722 |
1.4× |
| Removal of tonsils (42826) |
$4,414 |
$5,885 |
1.3× |
| Remove anal fist subq (46270) |
$4,116 |
$5,488 |
1.5× |
| Remove Eyelid Foreign Body (67938) |
$671 |
$895 |
2.1× |
| Remove foreign body from eye (65210) |
$303 |
$404 |
0.7× |
| Remove in/ex hem groups 2+ (46260) |
$4,116 |
$5,488 |
1.5× |
| Remove Peritoneal Foreign Body (49402) |
$4,319 |
$5,758 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$4,103 |
$5,471 |
1.4× |
| Remove wrist tendon lesion (25111) |
$3,594 |
$4,791.50 |
2.2× |
Remove/graft bone lesion (24115)
likely a partial charge, not the full procedure |
$17 |
$23 |
0.0× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$5 |
$6.50 |
0.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,737 |
$4,983 |
2.3× |
| Remv Ext Canal Foreign Body (69200) |
$112 |
$149 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$174.50 |
$232 |
1.3× |
| Repair blood vessel direct neck (35201) |
$6,405 |
$8,540 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,019 |
$1,359 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$467 |
$622 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$300 |
$400 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$925 |
$1,233 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$921 |
$1,228 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$620 |
$826.50 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,546 |
$3,395 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$5,465 |
$7,287 |
1.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,697.50 |
$6,263 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,684 |
$7,579 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$585.50 |
$780.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$566 |
$754 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$395 |
$527 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$500.50 |
$667 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$708 |
$944 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$412 |
$549 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$585.50 |
$780.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$467 |
$622 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$962.50 |
$1,283.50 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$395 |
$526 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$617 |
$822 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$921 |
$1,228 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$517 |
$689.50 |
1.3× |
| Repair of ankle ligament (27695) |
$5,796 |
$7,728 |
0.8× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,501 |
$3,334 |
0.4× |
| Repair of hydrocele (55060) |
$3,905 |
$5,206 |
1.1× |
| Repair of nail bed (11760) |
$467 |
$622 |
0.6× |
| Repair of vagina (57260) |
$7,152 |
$9,536 |
1.4× |
| Repair rectum & vagina (57250) |
$5,939 |
$7,918 |
1.2× |
| Repair Tongue Laceration (41250) |
$303 |
$404 |
0.7× |
| Repair tympanic membrane (69610) |
$3,498 |
$4,664 |
2.2× |
| Repair webbed toe(s) (28345) |
$3,564 |
$4,752 |
2.2× |
| Rerepair ing hernia blocked (49521) |
$5,465 |
$7,287 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$5,465 |
$7,287 |
1.5× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$3,564 |
$4,752 |
1.1× |
| Revise median n/carpal tunnel surg (64721) |
$3,026 |
$4,034 |
1.5× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$2,045 |
$2,727 |
0.6× |
| Revision of lower leg tendon (27685) |
$5,796 |
$7,728 |
1.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$663 |
$884 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$309.50 |
$412.50 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$102 |
$136 |
0.8× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$1,743 |
$2,324 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,769 |
$2,358 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$683 |
$910 |
2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,019 |
$5,359 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,393 |
$3,190 |
0.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$1,823 |
$2,430 |
0.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,708 |
$6,277 |
0.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,402 |
$5,869 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,663 |
$3,550 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,212 |
$2,949 |
1.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,175 |
$1,567 |
4.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,454 |
$1,939 |
2.7× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,912 |
$2,549 |
1.2× |
| Scrotal exploration (55110) |
$3,818 |
$5,091 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,244 |
$1,659 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,610 |
$2,147 |
1.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,186 |
$1,581.50 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,021 |
$1,361 |
1.1× |
| Sigmoidoscopy w/fb removal (45332) |
$1,754 |
$2,338 |
1.5× |
| Simple destruction of growth of penis using electric current (54055) |
$2,315 |
$3,086 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$707 |
$942 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$201.50 |
$268.50 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$193 |
$257 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$193 |
$257 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$228 |
$303.50 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$280 |
$373 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$198 |
$264 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$5,086 |
$6,781 |
2.5× |
| Skin Tissue Procedure (17999) |
$145 |
$193 |
0.7× |
| Skin tissue rearrangement (14040) |
$3,086 |
$4,114 |
1.5× |
| Slitting of prepuce (54001) |
$2 |
$3 |
0.0× |
| Slitting of prepuce (54000) |
$27 |
$36 |
0.0× |
| Small bowel endoscopy/biopsy (44377) |
$2,774 |
$3,699 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$325.50 |
$434 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$300 |
$400 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$479 |
$639 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$833 |
$1,110 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$670 |
$893 |
0.9× |
| Strapping ankle (29540) |
$117 |
$156 |
0.7× |
| Strapping knee (29530) |
$174 |
$232 |
1.3× |
| Strapping shoulder (29240) |
$178 |
$237 |
1.3× |
| Strapping unna boot (29580) |
$305 |
$406 |
1.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$68 |
$90 |
0.0× |
| Tendon shortening (26477) |
$59 |
$79 |
0.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$492 |
$656 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$778.50 |
$1,038 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$351 |
$468 |
1.1× |
| Thyroidectomy, total or complete (60240) |
$8,260 |
$11,013 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,049 |
$5,399 |
1.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,122 |
$1,496 |
4.7× |
| Treat ectopic pregnancy (59151) |
$7,846 |
$10,461 |
1.3× |
| Treat finger dislocation (26775) |
$401 |
$535 |
1.4× |
| Treat humerus fracture (24500) |
$384 |
$512 |
1.5× |
| Treatment closed elbow dislocation req anes (24605) |
$2,338 |
$3,117 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$506 |
$675 |
2.0× |
| Treatment of ankle fracture (27792) |
$8,469 |
$11,292 |
1.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$5,903 |
$7,870 |
1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,387.50 |
$4,516.50 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,404 |
$4,538 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$300 |
$400 |
0.7× |
| Unlisted laparoscopic procedure liver (47379) |
$5,802 |
$7,736 |
1.0× |
| Unlisted laparoscopy procedure, stomach (43659) |
$7,001 |
$9,334 |
1.2× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,595 |
$8,793 |
1.1× |
| Unlisted procedure anus (46999) |
$668 |
$890 |
0.7× |
| Unlisted Procedure Biliary Tract (47999) |
$1,673 |
$2,230 |
1.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$287 |
$383 |
1.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$398 |
$531 |
1.7× |
| Unlisted Procedure External Ear (69399) |
$398 |
$531 |
1.7× |
| Unlisted procedure foot or toes (28899) |
$301 |
$401 |
1.2× |
| Unlisted procedure leg/ankle (27899) |
$484 |
$645 |
2.0× |
| Unlisted procedure liver (47399) |
$521 |
$695 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$293 |
$390 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$795 |
$1,060 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,539 |
$2,052 |
2.4× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$3,500 |
$4,666 |
14.1× |
| Unlisted procedure, male genital system (55899) |
$344.50 |
$459.50 |
1.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$236 |
$314 |
1.2× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$5 |
$6 |
0.0× |
| Uvulectomy excision uvula (42140) |
$2,740 |
$3,653 |
0.8× |
| Vaginal delivery only (59409) |
$6,636 |
$8,848 |
2.0× |
| Vasectomy (55250) |
$3,818 |
$5,091 |
1.8× |
| Vbac delivery only (59612) |
$6,818 |
$9,090 |
2.1× |
| Venipuncture (36415) |
$8 |
$10 |
0.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,386 |
$1,848 |
1.9× |