| Abd paracentesis w/imaging (49083) |
$625.45 |
$893.50 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$431.90 |
$617 |
0.5× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,319.50 |
$1,885 |
0.4× |
| Amputation Foot Midtarsal (28800) |
$1,328.95 |
$1,898.50 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$565.60 |
$808 |
0.2× |
| Amputation of finger/thumb (26952) |
$2,360.40 |
$3,372 |
0.7× |
| Amputation of penis; partial (54120) |
$948.85 |
$1,355.50 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,685.95 |
$2,408.50 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$2,184.35 |
$3,120.50 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,186.10 |
$3,123 |
0.7× |
| Amputation, foot; transmetatarsal (28805) |
$2,424.10 |
$3,463 |
0.7× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,211.70 |
$1,731 |
0.2× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$822.50 |
$1,175 |
0.2× |
| Appendectomy (44950) |
$3,701.25 |
$5,287.50 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$87.50 |
$125 |
0.5× |
| Application cast elbow finger short arm (29075) |
$111.30 |
$159 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$302.40 |
$432 |
1.1× |
| Application finger splint static (29130) |
$68.25 |
$97.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$157.50 |
$225 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$126 |
$180 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$494.90 |
$707 |
1.8× |
| Application of long leg cast (29345) |
$191.80 |
$274 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$90.30 |
$129 |
0.7× |
| Application short leg splint calf foot (29515) |
$158.55 |
$226.50 |
1.0× |
| Apply short leg cast (29405) |
$128.10 |
$183 |
0.5× |
| Apply short leg cast (29425) |
$247.10 |
$353 |
0.9× |
| Arterial puncture (36600) |
$61.95 |
$88.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$105 |
$150 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$105.70 |
$151 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$74.20 |
$106 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$80.15 |
$114.50 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,339.45 |
$1,913.50 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$215.60 |
$308 |
1.1× |
| Biopsy bone open superficial (20240) |
$784 |
$1,120 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$731.50 |
$1,045 |
0.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$106.40 |
$152 |
0.1× |
| Biopsy intranasal (30100) |
$154.70 |
$221 |
0.1× |
| Biopsy of penis (54105) |
$1,805.65 |
$2,579.50 |
0.6× |
| Biopsy of penis (54100) |
$1,044.40 |
$1,492 |
0.6× |
| Biopsy of urethra (53200) |
$2,061.50 |
$2,945 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$121.10 |
$173 |
0.2× |
| Bladder Irrigation Simple (51700) |
$65.80 |
$94 |
0.3× |
| Bladder Scan (51798) |
$13.30 |
$19 |
0.2× |
| Blood patch (62273) |
$650.30 |
$929 |
0.9× |
| Blood transfusion service (36430) |
$509.60 |
$728 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$374.50 |
$535 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$270.20 |
$386 |
0.2× |
| Bx prst8 trct us guided (55707) |
$505.40 |
$722 |
0.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$163.80 |
$234 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$696.15 |
$994.50 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$77 |
$110 |
0.3× |
| Chemical Cautery Tissue (17250) |
$50.05 |
$71.50 |
0.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$114.10 |
$163 |
0.4× |
| Chest tube placement (32551) |
$1,163.75 |
$1,662.50 |
0.7× |
| Circum 28 days or older (54161) |
$267.40 |
$382 |
0.1× |
| Circumcision (54150) |
$142.10 |
$203 |
0.1× |
| Circumcision Neonate (54160) |
$189 |
$270 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$265.65 |
$379.50 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$265.65 |
$379.50 |
1.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,996.05 |
$2,851.50 |
1.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$265.65 |
$379.50 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,553.65 |
$2,219.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$319.55 |
$456.50 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$555.10 |
$793 |
2.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$265.65 |
$379.50 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$265.65 |
$379.50 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,232.70 |
$1,761 |
0.8× |
| Closure of gastrostomy surgical (43870) |
$3,885.35 |
$5,550.50 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$368.55 |
$526.50 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,898.40 |
$2,712 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$429.80 |
$614 |
1.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$265.65 |
$379.50 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$284.20 |
$406 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$648.90 |
$927 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$472.50 |
$675 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$265.65 |
$379.50 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,437.80 |
$2,054 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$265.65 |
$379.50 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$255.85 |
$365.50 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$298.55 |
$426.50 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$265.65 |
$379.50 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$305.20 |
$436 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$297.15 |
$424.50 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$407.40 |
$582 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$265.65 |
$379.50 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$472.50 |
$675 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$440.65 |
$629.50 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$436.10 |
$623 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$355.60 |
$508 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$305.55 |
$436.50 |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$265.65 |
$379.50 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,287.30 |
$1,839 |
1.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$639.45 |
$913.50 |
0.5× |
| Colonoscopy thru stoma (44388) |
$487.55 |
$696.50 |
0.5× |
| Colonoscopy w/ablation (45388) |
$2,546.25 |
$3,637.50 |
2.1× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$931.70 |
$1,331 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,371.65 |
$1,959.50 |
1.1× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$141.40 |
$202 |
0.2× |
| Complex Drainage, Wound (10180) |
$1,793.05 |
$2,561.50 |
0.6× |
| Complex Uroflowmetry (51741) |
$11.90 |
$17 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$164.15 |
$234.50 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$149.80 |
$214 |
1.1× |
| Correction hammertoe (28285) |
$503.30 |
$719 |
0.2× |
| Correction of bunion (28292) |
$2,247.70 |
$3,211 |
0.7× |
| Create eardrum opening (69436) |
$138.60 |
$198 |
0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141.05 |
$201.50 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$239.40 |
$342 |
0.1× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$233.80 |
$334 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$995.75 |
$1,422.50 |
0.3× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$3,386.25 |
$4,837.50 |
0.6× |
| Cysto w/destruction of lesions (52214) |
$1,374.45 |
$1,963.50 |
0.4× |
| Cysto w/removal of tumors small (52234) |
$2,306.50 |
$3,295 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,070.95 |
$2,958.50 |
1.0× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$2,457 |
$3,510 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$2,312.80 |
$3,304 |
0.7× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,362.85 |
$3,375.50 |
0.7× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$2,234.05 |
$3,191.50 |
0.6× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$2,516.15 |
$3,594.50 |
0.7× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure |
$2,569.35 |
$3,670.50 |
0.5× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$3,291.75 |
$4,702.50 |
0.6× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$605.50 |
$865 |
0.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,238.20 |
$4,626 |
0.6× |
| Cystometrogram w/vp (51728) |
$144.90 |
$207 |
0.2× |
| Cystometrogram W/Vp&Up (51729) |
$169.75 |
$242.50 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$674.10 |
$963 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$1,339.10 |
$1,913 |
0.6× |
| Cystoscopy w/complex removal stone & stent (52315) |
$392.70 |
$561 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,346.45 |
$1,923.50 |
0.6× |
| Cystoscopy,insert ureteral stent (52332) |
$2,238.60 |
$3,198 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$277.20 |
$396 |
0.1× |
| Cystourethroscopy (52000) |
$458.15 |
$654.50 |
0.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,392.65 |
$1,989.50 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,388.45 |
$1,983.50 |
0.7× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$620.20 |
$886 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$327.95 |
$468.50 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$1,438.85 |
$2,055.50 |
0.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,319.45 |
$3,313.50 |
0.7× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$2,530.85 |
$3,615.50 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$58.45 |
$83.50 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,918.35 |
$2,740.50 |
0.7× |
| Debride nail 1-5 (11720) |
$74.20 |
$106 |
1.3× |
| Debride nail 6 or more (11721) |
$61.60 |
$88 |
1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$98 |
$140 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$239.40 |
$342 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$526.40 |
$752 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$526.75 |
$752.50 |
0.3× |
| Declot vascular device (36593) |
$24.50 |
$35 |
0.1× |
| Delivery placenta separate procedure (59414) |
$4,958.80 |
$7,084 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,072.35 |
$2,960.50 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$382.90 |
$547 |
0.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$149.80 |
$214 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$1,275.75 |
$1,822.50 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$1,968.05 |
$2,811.50 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$168 |
$240 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$284.90 |
$407 |
0.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$158.90 |
$227 |
0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$177.10 |
$253 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$126.70 |
$181 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$127.40 |
$182 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$149.80 |
$214 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$238 |
$340 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$102.90 |
$147 |
0.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$764.40 |
$1,092 |
1.0× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$121.10 |
$173 |
0.3× |
| Destruction of multiple growths of penis (54065) |
$1,251.95 |
$1,788.50 |
0.6× |
| Destruction of skin lesions (17106) |
$429.10 |
$613 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$100.10 |
$143 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$580.65 |
$829.50 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$139.30 |
$199 |
0.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$60.90 |
$87 |
0.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$112 |
$160 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$748.30 |
$1,069 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,921.50 |
$2,745 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$276.50 |
$395 |
1.4× |
| Drainage mouth roof lesion (42000) |
$319.20 |
$456 |
1.3× |
| Drainage of eyelid abscess (67700) |
$402.85 |
$575.50 |
1.3× |
| Drainage of gum lesion (41800) |
$268.10 |
$383 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$161.70 |
$231 |
0.1× |
| Drainage of hydrocele (55000) |
$112 |
$160 |
0.2× |
| Draw blood off venous device (36591) |
$60.20 |
$86 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$218.40 |
$312 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$218.40 |
$312 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$118.30 |
$169 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$1,965.95 |
$2,808.50 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,894.55 |
$2,706.50 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,916.95 |
$2,738.50 |
1.0× |
| Egd flexible foreign body removal (43247) |
$698.95 |
$998.50 |
0.8× |
| Egd injection varices (43243) |
$1,288 |
$1,840 |
0.7× |
| Egd place gastrostomy tube (43246) |
$1,280.30 |
$1,829 |
0.7× |
| Egd rem tumr/polyp forcep (43250) |
$1,264.55 |
$1,806.50 |
0.7× |
| Egd remove lesion snare (43251) |
$399.70 |
$571 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,290.45 |
$1,843.50 |
0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$335.65 |
$479.50 |
1.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$93.80 |
$134 |
0.7× |
Endometrial abltj thermal w/o hysteroscopic guid (58353)
likely a partial charge, not the full procedure |
$1,171.80 |
$1,674 |
0.2× |
| Endoscopic Injection/Implant (51715) |
$1,515.15 |
$2,164.50 |
0.4× |
| Epididymectomy bilateral (54861) |
$751.10 |
$1,073 |
0.2× |
| Epididymectomy unilateral (54860) |
$1,530.90 |
$2,187 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$311.50 |
$445 |
0.3× |
| Esophagosc dilate balloon 30 (43214) |
$283.50 |
$405 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$128.10 |
$183 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,318.10 |
$1,883 |
0.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,906.80 |
$2,724 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$526.40 |
$752 |
0.3× |
| Exc back tum deep < 5 cm (21932) |
$2,282.70 |
$3,261 |
0.8× |
| Exc face les sbq 2 cm/> (21012) |
$583.80 |
$834 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$216.65 |
$309.50 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,081.15 |
$1,544.50 |
0.7× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$343 |
$490 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$631.75 |
$902.50 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
$1,177.75 |
$1,682.50 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,378.25 |
$3,397.50 |
0.7× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$5,867.40 |
$4,305 |
1.8× |
| Exc neck tum deep < 5 cm (21556) |
$780.85 |
$1,115.50 |
0.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$725.55 |
$1,036.50 |
0.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,030.40 |
$1,472 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$525.35 |
$750.50 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$154 |
$220 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$154.70 |
$221 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$288.40 |
$412 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,115.80 |
$1,594 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$320.60 |
$458 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$400.40 |
$572 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$354.55 |
$506.50 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,185.10 |
$1,693 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$322 |
$460 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$550.20 |
$786 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$420 |
$600 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$443.10 |
$633 |
0.3× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$308.70 |
$441 |
0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$707 |
$1,010 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,224.65 |
$1,749.50 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$107.10 |
$153 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,088.85 |
$1,555.50 |
0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$798.35 |
$1,140.50 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$721.70 |
$1,031 |
0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,000.60 |
$2,858 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$309.40 |
$442 |
0.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,936.20 |
$2,766 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,069.90 |
$2,957 |
1.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$741.65 |
$1,059.50 |
0.3× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$546 |
$780 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,161.65 |
$1,659.50 |
0.7× |
| Excise lesion testis (54512) |
$2,489.55 |
$3,556.50 |
0.7× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$2,223.55 |
$3,176.50 |
0.7× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$653.10 |
$933 |
0.2× |
| Excision hydrocele bilateral (55041) |
$2,532.25 |
$3,617.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$182.70 |
$261 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$205.10 |
$293 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$363.65 |
$519.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$242.90 |
$347 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$326.90 |
$467 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$182.70 |
$261 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$220.50 |
$315 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$542.50 |
$775 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$406 |
$580 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$172.90 |
$247 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$205.10 |
$293 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$275.80 |
$394 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$317.10 |
$453 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,761.90 |
$2,517 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$265.30 |
$379 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$309.75 |
$442.50 |
0.4× |
| Excision of gum lesion (41828) |
$1,670.20 |
$2,386 |
1.1× |
| Excision of hydrocele; unilateral (55040) |
$2,410.10 |
$3,443 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$576.45 |
$823.50 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$119 |
$170 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,158.50 |
$1,655 |
0.7× |
| Excision of nail fold toe (11765) |
$106.40 |
$152 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$500.15 |
$714.50 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$844.55 |
$1,206.50 |
0.7× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$338.80 |
$484 |
0.1× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,463 |
$2,090 |
0.7× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$343 |
$490 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,000.90 |
$4,287 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,292.55 |
$1,846.50 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,176.35 |
$1,680.50 |
0.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$2,152.50 |
$3,075 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$424.55 |
$606.50 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,861.30 |
$2,659 |
0.6× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$391.30 |
$559 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$1,174.60 |
$1,678 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$2,118.20 |
$3,026 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$296.80 |
$424 |
0.2× |
| Fetal non-stress test (59025) |
$92.40 |
$132 |
0.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$109.90 |
$157 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,122.10 |
$1,603 |
0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,550.15 |
$2,214.50 |
0.8× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$879.90 |
$1,257 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$311.15 |
$444.50 |
1.4× |
| Guide Cathet Fluid Drainage (10030) |
$831.60 |
$1,188 |
1.2× |
| Hemorrhoidectomy (46255) |
$474.60 |
$678 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$695.80 |
$994 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,033.45 |
$4,333.50 |
1.1× |
| I&d abscess simple (10060) |
$133.70 |
$191 |
0.7× |
| I&d below fascia foot 1 bursal space (28002) |
$421.40 |
$602 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$284.20 |
$406 |
0.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$457.10 |
$653 |
0.1× |
| I&d perianal abscess superficial (46050) |
$602.70 |
$861 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$308.70 |
$441 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,097.60 |
$1,568 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$325.50 |
$465 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,994.50 |
$7,135 |
1.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$545.30 |
$779 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,088.85 |
$1,555.50 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$203 |
$290 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$253.75 |
$362.50 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$251.65 |
$359.50 |
0.8× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$984.55 |
$1,406.50 |
0.2× |
| Incision of eardrum (69421) |
$106.40 |
$152 |
0.0× |
| Incision of rectal abscess (46040) |
$1,534.05 |
$2,191.50 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$309.05 |
$441.50 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$217.70 |
$311 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$996.45 |
$1,423.50 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$144.55 |
$206.50 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$986.30 |
$1,409 |
1.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$888.30 |
$1,269 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$918.75 |
$1,312.50 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$733.60 |
$1,048 |
1.0× |
| Inject Sinus Tract Theraputic (20500) |
$422.80 |
$604 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$58.10 |
$83 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$310.10 |
$443 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$140.70 |
$201 |
0.2× |
| Injection peyronie disease (54200) |
$186.90 |
$267 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$75.60 |
$108 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$326.90 |
$467 |
1.1× |
| Injection therapeutic carpal tunnel (20526) |
$110.60 |
$158 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$337.40 |
$482 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$137.55 |
$196.50 |
1.1× |
| Insert Drug Implant Device (11981) |
$125.30 |
$179 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$256.20 |
$366 |
0.1× |
| Insert pessary/other device (57160) |
$68.25 |
$97.50 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$110.25 |
$157.50 |
0.8× |
| Insert tunneled cv cath (36561) |
$889.70 |
$1,271 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$41.30 |
$59 |
0.3× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$657.30 |
$939 |
0.0× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$1,201.90 |
$1,717 |
0.1× |
Insj penile prosthesis non-inflatable semi-rigid (54400)
likely a partial charge, not the full procedure |
$798.70 |
$1,141 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,160.55 |
$3,086.50 |
0.7× |
| Intro windpipe wire/tube (31730) |
$2,875.60 |
$4,108 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$112 |
$160 |
0.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$338.45 |
$483.50 |
1.4× |
| Irrigate vagina w meds (57150) |
$42.70 |
$61 |
0.7× |
Kidney endoscopy (50575)
likely a partial charge, not the full procedure |
$654.50 |
$935 |
0.1× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$385.70 |
$551 |
0.1× |
Laparo ligate spermatic vein (55550)
likely a partial charge, not the full procedure |
$572.60 |
$818 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$915.60 |
$1,308 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$439.60 |
$628 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,236.90 |
$1,767 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,046.15 |
$1,494.50 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,502.20 |
$2,146 |
0.1× |
| Laryngoscope w/vc inj (31570) |
$580.30 |
$829 |
0.2× |
| Laryngoscopy Direct Aspiration (31515) |
$221.20 |
$316 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$184.10 |
$263 |
0.9× |
| Laryngoscopy w/biopsy (31535) |
$3,509.45 |
$5,013.50 |
0.9× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,111.95 |
$1,588.50 |
0.6× |
| Late closure of wound (13160) |
$1,691.20 |
$2,416 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$1,640.80 |
$2,344 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$730.80 |
$1,044 |
0.2× |
| Lithotripsy (50590) |
$2,509.50 |
$3,585 |
0.7× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$1,376.90 |
$1,967 |
0.1× |
| Marsupialization of urethral diverticulum, male or female Other Surgical Services (53240) |
$382.90 |
$547 |
0.1× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$170.80 |
$244 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$87.50 |
$125 |
0.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$69.30 |
$99 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$967.40 |
$1,382 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$945 |
$1,350 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$780.15 |
$1,114.50 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$352.10 |
$503 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$772.45 |
$1,103.50 |
1.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$668.85 |
$955.50 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$468.30 |
$669 |
0.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$785.40 |
$1,122 |
0.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$2,134.30 |
$3,049 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$418.60 |
$598 |
0.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,210.60 |
$3,158 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,205.70 |
$3,151 |
0.7× |
| Partial Removal Foot Fascia (28060) |
$2,263.10 |
$3,233 |
0.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,142.70 |
$3,061 |
0.7× |
| Penis plastic surgery (54360) |
$2,617.30 |
$3,739 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$373.80 |
$534 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$286.65 |
$409.50 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$432.25 |
$617.50 |
1.0× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$117.60 |
$168 |
0.1× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$375.20 |
$536 |
0.1× |
| Prostatectomy (turp) (52601) |
$3,459.40 |
$4,942 |
0.6× |
| Prostatic microwave thermotx (53850) |
$1,484.70 |
$2,121 |
0.4× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$597.80 |
$854 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$233.10 |
$333 |
0.6× |
| Puncture Aspiration (10160) |
$391.65 |
$559.50 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$96.60 |
$138 |
0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$1,208.20 |
$1,726 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,075.85 |
$2,965.50 |
1.1× |
| Reconstruction of nail bed with graft (11762) |
$1,690.50 |
$2,415 |
0.8× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
likely a partial charge, not the full procedure |
$1,401.75 |
$2,002.50 |
0.1× |
| Removal fb intranasal (30300) |
$189 |
$270 |
1.4× |
| Removal foreign body foot deep (28192) |
$1,175.30 |
$1,679 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$317.80 |
$454 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$223.30 |
$319 |
0.1× |
| Removal foreign body pharynx (42809) |
$394.80 |
$564 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$34.30 |
$49 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$87.50 |
$125 |
1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$153.30 |
$219 |
0.0× |
| Removal of adenoids (42831) |
$189 |
$270 |
0.1× |
| Removal of adenoids (42830) |
$177.10 |
$253 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$93.10 |
$133 |
0.3× |
| Removal of nail bed (11750) |
$205.80 |
$294 |
0.5× |
| Removal of sesamoid bone (28315) |
$2,139.55 |
$3,056.50 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$91 |
$130 |
0.5× |
| Removal of sperm cord lesion (55520) |
$653.10 |
$933 |
0.2× |
| Removal of testis (54520) |
$2,339.05 |
$3,341.50 |
0.7× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$223.30 |
$319 |
0.0× |
| Removal of tonsils (42826) |
$217 |
$310 |
0.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,245.95 |
$3,208.50 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$270.20 |
$386 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$493.50 |
$705 |
1.8× |
| Remove bladder stone (52318) |
$707 |
$1,010 |
0.2× |
| Remove drug implant device (11982) |
$140 |
$200 |
0.3× |
| Remove foreign body from eye (65210) |
$394.80 |
$564 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$3,281.60 |
$4,688 |
1.2× |
| Remove muti-comp penis pros (54406) |
$3,786.65 |
$5,409.50 |
1.1× |
| Remove Pilonidal Cyst Exten (11771) |
$829.85 |
$1,185.50 |
0.3× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$803.60 |
$1,148 |
0.1× |
| Remove wrist tendon lesion (25111) |
$1,165.85 |
$1,665.50 |
0.7× |
| Remove/revise male sling (53442) |
$3,636.85 |
$5,195.50 |
0.7× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$92.40 |
$132 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$130.20 |
$186 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$141.05 |
$201.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$676.20 |
$966 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$436.80 |
$624 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$498.05 |
$711.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$724.50 |
$1,035 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$660.45 |
$943.50 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$358.40 |
$512 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$552.65 |
$789.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$804.65 |
$1,149.50 |
1.1× |
| Repair hand tendon (26410) |
$1,647.45 |
$2,353.50 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,660 |
$3,800 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,595.60 |
$3,708 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$439.95 |
$628.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$460.25 |
$657.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$471.10 |
$673 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$587.30 |
$839 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$388.50 |
$555 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$457.80 |
$654 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$647.50 |
$925 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$497 |
$710 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$390.25 |
$557.50 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$452.90 |
$647 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$464.80 |
$664 |
1.1× |
Repair multi-comp penis pros (54408)
likely a partial charge, not the full procedure |
$771.40 |
$1,102 |
0.1× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$3,351.25 |
$4,787.50 |
0.7× |
| Repair of nasal septum (30520) |
$385 |
$550 |
0.1× |
| Repair of rectocele (45560) |
$954.80 |
$1,364 |
0.3× |
| Repair of traumatic corporeal tear(s) (54437) |
$2,582.65 |
$3,689.50 |
0.7× |
| Repair of vagina (57260) |
$3,536.05 |
$5,051.50 |
0.7× |
| Repair rectum & vagina (57250) |
$3,417.05 |
$4,881.50 |
0.7× |
| Repair Tongue Laceration (41250) |
$212.80 |
$304 |
0.5× |
| Repair tooth socket (41874) |
$2,002.35 |
$2,860.50 |
0.6× |
Replace,penile prosthesis infected (54417)
likely a partial charge, not the full procedure |
$1,315.65 |
$1,879.50 |
0.1× |
| Resect arm/elbow tum < 5 cm (24077) |
$2,326.80 |
$3,324 |
0.8× |
| Resection of scrotum (55150) |
$997.50 |
$1,425 |
0.3× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,281.25 |
$4,687.50 |
1.0× |
| Respir iadna 18 viral&2 bact (0115U) |
$379.40 |
$542 |
1.4× |
| Revise vag graft via vagina (57295) |
$3,317.65 |
$4,739.50 |
1.0× |
| Revision of penis (54435) |
$2,516.85 |
$3,595.50 |
0.7× |
| Revision of penis (54300) |
$967.05 |
$1,381.50 |
0.3× |
| Revision of penis (54304) |
$1,111.95 |
$1,588.50 |
0.3× |
Revision of scrotum (55180)
likely a partial charge, not the full procedure |
$619.50 |
$885 |
0.1× |
| Revision of scrotum (55175) |
$2,439.85 |
$3,485.50 |
0.7× |
Revision of testis (54660)
likely a partial charge, not the full procedure |
$321.30 |
$459 |
0.1× |
| Revision of urethra (53460) |
$3,652.95 |
$5,218.50 |
1.0× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$4,407.20 |
$3,269 |
1.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,299.85 |
$3,285.50 |
0.7× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
likely a partial charge, not the full procedure |
$1,487.50 |
$2,125 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$895.30 |
$1,279 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$410.55 |
$586.50 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,516.20 |
$2,166 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,994.50 |
$3,650 |
1.7× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$2,480.80 |
$3,544 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$252.70 |
$361 |
0.2× |
| Rplc gtube revj gstrst trc (43763) |
$470.75 |
$672.50 |
1.9× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,095.50 |
$1,565 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$770.70 |
$1,101 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$597.80 |
$854 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$506.45 |
$723.50 |
0.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,137.50 |
$1,625 |
1.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$348.95 |
$498.50 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$266 |
$380 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$803.25 |
$1,147.50 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$61.25 |
$87.50 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$158.90 |
$227 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$71.40 |
$102 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$98.70 |
$141 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$112 |
$160 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$135.80 |
$194 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$70.70 |
$101 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$104.30 |
$149 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$121.10 |
$173 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$173.25 |
$247.50 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$130.20 |
$186 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$107.80 |
$154 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$921.55 |
$1,316.50 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$663.95 |
$948.50 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$810.95 |
$1,158.50 |
0.7× |
| Simple destruction of growth of penis using electric current (54055) |
$1,899.80 |
$2,714 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$811.30 |
$1,159 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$235.90 |
$337 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$246.75 |
$352.50 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$257.60 |
$368 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$283.15 |
$404.50 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$126 |
$180 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$347.20 |
$496 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$219.45 |
$313.50 |
1.1× |
| Skin splt grft trnk/arm/leg (15100) |
$989.80 |
$1,414 |
0.5× |
| Skin tissue rearrangement (14040) |
$1,558.55 |
$2,226.50 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$910.70 |
$1,301 |
0.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$3,487.40 |
$4,982 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$107.80 |
$154 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$418.25 |
$597.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$446.95 |
$638.50 |
1.1× |
| Sphincterotomy (46080) |
$230.30 |
$329 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$735.70 |
$1,051 |
1.0× |
| Strapping ankle (29540) |
$159.95 |
$228.50 |
1.0× |
| Strapping elbow/wrist (29260) |
$64.40 |
$92 |
1.1× |
| Strapping hand/finger (29280) |
$70 |
$100 |
1.2× |
| Strapping knee (29530) |
$228.90 |
$327 |
1.7× |
| Strapping shoulder (29240) |
$141.05 |
$201.50 |
1.1× |
| Strapping toes (29550) |
$79.45 |
$113.50 |
1.3× |
| Strapping unna boot (29580) |
$189.35 |
$270.50 |
1.2× |
| Suspension of testis (54640) |
$647.50 |
$925 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,302 |
$1,860 |
2.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,159.20 |
$1,656 |
1.8× |
| Thrombolytic Therapy, Stroke (37195) |
$711.90 |
$1,017 |
2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$263.20 |
$376 |
0.1× |
| Trach Tube Change (31502) |
$51.80 |
$74 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$119 |
$170 |
0.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,291.15 |
$1,844.50 |
0.8× |
| Transurethral resection of bladder neck (52500) |
$2,452.10 |
$3,503 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$265.65 |
$379.50 |
1.1× |
| Treat humerus fracture (23600) |
$255.85 |
$365.50 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,612.10 |
$2,303 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$284.20 |
$406 |
1.2× |
| Trim skin lesion (11055) |
$92.40 |
$132 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$59.50 |
$85 |
0.3× |
| Trim skin lesions over 4 (11057) |
$74.90 |
$107 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$19.60 |
$28 |
0.3× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,567.90 |
$5,097 |
1.0× |
| Tympanostomy (69433) |
$285.60 |
$408 |
0.5× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,206.80 |
$1,724 |
0.2× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$224.35 |
$320.50 |
0.9× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$1,134.35 |
$1,620.50 |
0.3× |
| Vaginal delivery only (59409) |
$3,622.50 |
$5,175 |
1.1× |
| Vasectomy (55250) |
$556.15 |
$794.50 |
0.3× |
| Venipuncture (36415) |
$14 |
$20 |
1.5× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$383.60 |
$548 |
2.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$256.20 |
$366 |
0.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$58.80 |
$84 |
0.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,292.90 |
$1,847 |
1.7× |