| Abd paracentesis w/imaging (49083) |
$640.50 |
$753 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$151.50 |
$178 |
0.2× |
| Ablate inf turbinate submuc (30802) |
$621 |
$730 |
0.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$547 |
$643 |
0.3× |
| Acne Surgery (10040) |
$198 |
$233 |
1.0× |
| Amputation Finger/Thumb (26951) |
$2,127 |
$2,502 |
0.6× |
| Amputation follow-up surgery (23921) |
$22 |
$26 |
0.0× |
| Amputation toe interphalangeal joint (28825) |
$2,623 |
$3,086 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,479.50 |
$2,917 |
0.7× |
| Anoscopy diagnostic (46600) |
$132 |
$155 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$289 |
$340 |
0.1× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$3,267 |
$3,843 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$73 |
$85.50 |
0.4× |
| Application cast elbow finger short arm (29075) |
$198 |
$233 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$253 |
$298 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$281 |
$331 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$133.50 |
$156.50 |
2.2× |
| Application finger splint static (29130) |
$122 |
$143 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$187.50 |
$220.50 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$228 |
$268.50 |
1.4× |
| Application of long leg cast (29345) |
$311 |
$366 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$156 |
$183 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$212 |
$249 |
1.5× |
| Application short leg splint calf foot (29515) |
$173 |
$203 |
1.0× |
| Apply short leg cast (29405) |
$77 |
$90 |
0.3× |
| Arterial puncture (36600) |
$113 |
$133 |
0.8× |
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760)
likely a partial charge, not the full procedure |
$2,183 |
$2,568 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$176 |
$207 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$700 |
$824 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$225.50 |
$265.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$281 |
$331 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$200 |
$235 |
0.6× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,559 |
$3,010 |
0.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,667 |
$7,844 |
0.9× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,619 |
$6,611 |
0.7× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$5,763 |
$6,780 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,804 |
$9,181 |
0.4× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$11,018 |
$12,962 |
0.8× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,243 |
$8,521 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,630 |
$4,270 |
1.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,234 |
$6,158 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,603 |
$4,239 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,856 |
$3,360 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,907 |
$4,597 |
1.1× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$1,695 |
$1,994 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$238 |
$280 |
0.7× |
| Autochondrocyte implant knee (27412) |
$6,346 |
$7,466 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$186 |
$219 |
0.9× |
| Biopsy bone open superficial (20240) |
$1,403 |
$1,650 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$490 |
$576 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$263 |
$309 |
0.3× |
| Biopsy external ear (69100) |
$79 |
$93 |
0.3× |
| Biopsy of tongue (41100) |
$3 |
$3 |
0.0× |
| Biopsy of uterus lining (58100) |
$297.50 |
$350 |
1.4× |
| Biopsy Oropharynx (42800) |
$537 |
$632 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$258 |
$303 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$31 |
$36 |
0.0× |
| Bladder Irrigation Simple (51700) |
$95 |
$112 |
0.4× |
| Bladder Scan (51798) |
$76.50 |
$90 |
1.2× |
| Blood patch (62273) |
$556.50 |
$654.50 |
0.8× |
| Blood transfusion service (36430) |
$795 |
$935 |
1.7× |
| Bone marrow aspiration only (38220) |
$66 |
$78 |
0.0× |
| Bone Marrow Biopsy (38221) |
$345 |
$406 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,753 |
$2,062 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,451 |
$2,884 |
1.4× |
| Bx prst8 trct us guided (55707) |
$1,315 |
$1,547 |
0.4× |
| Bx vulva/perineum 1 lesion (56605) |
$991 |
$1,166 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,684 |
$3,158 |
0.8× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$2,197.50 |
$2,585 |
1.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$389 |
$457.50 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$384 |
$452 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$195.50 |
$230 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$406 |
$478 |
1.3× |
| Chemodenervation internal anal sphincter (46505) |
$689 |
$810 |
0.6× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$158 |
$186 |
0.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$189 |
$222 |
0.6× |
| Chest tube placement (32551) |
$501 |
$589 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$121.50 |
$142.50 |
0.9× |
| Circum 28 days or older (54161) |
$3,649 |
$4,293 |
1.7× |
| Circumcision (54150) |
$71 |
$83 |
0.0× |
| Claviculectomy; partial (23120) |
$2,203 |
$2,592 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$870 |
$1,024 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,078 |
$1,268 |
4.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,306 |
$1,536 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,628.50 |
$1,916 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$778 |
$915 |
3.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,221 |
$1,437 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,062 |
$1,249 |
4.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$915 |
$1,076 |
3.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$966 |
$1,137 |
3.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,389 |
$1,634 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$763 |
$898 |
3.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,528 |
$1,798 |
6.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,125 |
$1,324 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$685 |
$806 |
2.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$188 |
$221 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,169 |
$1,375 |
4.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$772 |
$908 |
3.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$773 |
$909 |
3.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$586 |
$689 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$766 |
$901 |
3.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$473 |
$556 |
1.9× |
| Closure of vagina (57120) |
$4,887 |
$5,749 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$680 |
$800 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,370 |
$1,612 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$674 |
$793 |
2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$787 |
$926 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$828 |
$974 |
3.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$897 |
$1,055 |
3.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$422 |
$496 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$833 |
$980 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,547 |
$1,820 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,583 |
$1,862 |
6.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,531 |
$1,801 |
6.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$408 |
$480 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$916 |
$1,078 |
3.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$349 |
$410 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,573 |
$1,850 |
0.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,421 |
$1,672 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$662 |
$779 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,026.50 |
$1,207.50 |
4.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$591 |
$695.50 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$638 |
$750 |
2.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$430 |
$506 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$693 |
$815 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$564 |
$664 |
2.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$942 |
$1,108 |
3.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$305 |
$359 |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,336 |
$1,572 |
5.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,235 |
$1,453 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$3,936 |
$4,630 |
3.2× |
| Colonoscopy stoma w/snare (44394) |
$5,704 |
$6,710 |
4.6× |
| Colonoscopy thru stoma (44388) |
$1,550 |
$1,823 |
1.6× |
| Colporrhaphy suture injury vagina (57200) |
$1,063 |
$1,251 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$396 |
$466 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$301.50 |
$354.50 |
1.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$810.50 |
$953.50 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,996.50 |
$2,348.50 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$383 |
$450 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$348 |
$409 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$788 |
$927 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,178 |
$1,386 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,863 |
$2,192 |
1.5× |
| Complex Drainage, Wound (10180) |
$900 |
$1,059 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$386.50 |
$454.50 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$263.50 |
$310 |
1.9× |
| Correction hammertoe (28285) |
$3,289 |
$3,869 |
1.0× |
| Correction of bunion (28292) |
$3,033 |
$3,568 |
0.9× |
| Correction of bunion (28299) |
$5,306 |
$6,242 |
0.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,377 |
$3,973 |
1.0× |
| Create eardrum opening (69436) |
$2,677 |
$3,149 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$342 |
$402 |
2.5× |
| Curettage postpartum (59160) |
$5,312 |
$6,249 |
1.6× |
| Curette/treat cornea (65435) |
$228 |
$268 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,699 |
$1,999 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$7,537 |
$8,867 |
2.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,526 |
$2,972 |
1.2× |
| Cystoscopy w/biopsy (52204) |
$3,020 |
$3,553 |
1.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$878 |
$1,033 |
0.4× |
| Cystoscopy,insert ureteral stent (52332) |
$5,673 |
$6,674 |
1.5× |
| Cystourethroscopy (52000) |
$1,136.50 |
$1,336.50 |
1.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$977.50 |
$1,150 |
0.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$843 |
$992 |
0.4× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$6,555 |
$7,712 |
1.8× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$2,395 |
$2,818 |
0.7× |
| Debride nail 1-5 (11720) |
$62.50 |
$73.50 |
1.0× |
| Debride nail 6 or more (11721) |
$82.50 |
$97 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$256 |
$301 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,049 |
$1,234 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,047 |
$1,232 |
0.6× |
| Declot vascular device (36593) |
$105 |
$123.50 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,673 |
$1,968 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,609 |
$1,893 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$372 |
$437.50 |
0.9× |
| Destruction benign lesions 15 or more (17111) |
$286.50 |
$337.50 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$257 |
$302 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,256 |
$1,478 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$148 |
$174 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$351 |
$413 |
1.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$105.50 |
$124 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$239.50 |
$282 |
1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$71 |
$84 |
0.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$235.50 |
$277 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$300 |
$353 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$344 |
$405 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$164.50 |
$193.50 |
0.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$190 |
$224 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$160 |
$188.50 |
0.8× |
| Dil urethra,female,subsequent (53661) |
$308 |
$362 |
2.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,618 |
$3,080 |
0.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,504 |
$1,769 |
1.6× |
| Dilation of cervical canal (57800) |
$268 |
$315 |
0.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$220 |
$259 |
1.6× |
| Division of fallopian tube (58600) |
$5,321 |
$6,260 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$278.50 |
$328 |
0.4× |
| Drainage of eyelid abscess (67700) |
$607 |
$714 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$373 |
$438.50 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$663 |
$780 |
0.4× |
| Drainage skenes gland abscess (53060) |
$534 |
$628 |
0.2× |
| Draw blood off venous device (36591) |
$118 |
$139 |
0.9× |
| Dressing change under anesthesia (15852) |
$32 |
$38 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$392 |
$461 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$345 |
$406 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$130 |
$152.50 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$61 |
$72 |
2.0× |
| Egd flexible foreign body removal (43247) |
$1,909 |
$2,246 |
2.0× |
| Egd place gastrostomy tube (43246) |
$1,777 |
$2,090 |
0.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,454 |
$1,710 |
0.7× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$3,408 |
$4,009.50 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$111 |
$131 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,345 |
$2,759 |
1.4× |
| Exc abd les sc 3 cm/> (22903) |
$2,557 |
$3,008 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,077 |
$1,267 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,746.50 |
$2,055 |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$666 |
$784 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$418.50 |
$492.50 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$668 |
$786 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$3,195 |
$3,759 |
1.9× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,053 |
$2,415 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$580.50 |
$683 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$348 |
$409 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$412 |
$485 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$532 |
$626 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$383 |
$450 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$692 |
$814 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$893 |
$1,050 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,384 |
$1,628 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,225 |
$1,441 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,385 |
$1,629 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,108 |
$1,304 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,597.50 |
$1,879.50 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$388.50 |
$457 |
0.3× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$3,123 |
$3,674 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$303 |
$356 |
0.4× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$7,120 |
$8,376 |
1.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$4,011 |
$4,719 |
2.4× |
| Excision Chalazion Single (67800) |
$430 |
$506 |
1.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$533 |
$627 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$439 |
$517 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$561 |
$660 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$569 |
$669 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$829.50 |
$975.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$970.50 |
$1,141.50 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$591 |
$695 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$762 |
$897 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$529 |
$622 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,167 |
$2,549.50 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$444 |
$522 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$417 |
$490 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$726 |
$854 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$685 |
$806 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$792 |
$932 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$431 |
$507 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$540 |
$635 |
0.7× |
| Excision of lesion of tongue without closure (41110) |
$517 |
$608 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,234 |
$1,451.50 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,302.50 |
$1,532 |
0.8× |
| Excision of nail fold toe (11765) |
$254 |
$299 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,908.50 |
$3,421.50 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$249 |
$293 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,491 |
$2,931 |
1.1× |
| Excision olecranon bursa (24105) |
$3,991 |
$4,695 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,584 |
$3,040 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,710 |
$4,365 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$4,774 |
$5,616 |
1.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$890 |
$1,047 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$1,121 |
$1,319 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$1,104 |
$1,299 |
0.3× |
| Fetal non-stress test (59025) |
$107 |
$126 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$210 |
$247 |
0.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$389 |
$458 |
0.1× |
Fusion of foot bones (28730)
unusually low: confirm this is the full procedure |
$4,954 |
$5,828 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$66 |
$78 |
0.3× |
| Gastrocnemius Recession (27687) |
$4,190 |
$4,929 |
1.2× |
| Hysteroscopy ablation (58563) |
$4,689 |
$5,517 |
0.9× |
| Hysteroscopy biopsy (58558) |
$2,517 |
$2,961 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$1,164 |
$1,369 |
0.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,170 |
$2,553 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$1,027 |
$1,208 |
4.2× |
| I&d abscess simple (10060) |
$262.50 |
$309 |
1.3× |
| I&d perianal abscess superficial (46050) |
$367 |
$432 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$380 |
$447 |
0.5× |
| Incise finger tendon sheath (26055) |
$2,655 |
$3,123 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$610.50 |
$718 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$935 |
$1,100 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$719 |
$845.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$360 |
$424 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$372.50 |
$438 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$397 |
$467 |
1.3× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
unusually low: confirm this is the full procedure |
$2,525 |
$2,970 |
0.4× |
| Incision labial frenum frenotomy (40806) |
$949 |
$1,117 |
1.7× |
| Incision of eardrum (69421) |
$2,029 |
$2,387 |
0.6× |
| Incision of eardrum (69420) |
$245 |
$288.50 |
1.0× |
| Incision of heel bone (28300) |
$4,743 |
$5,580 |
0.6× |
| Incision of lingual frenum (41010) |
$402 |
$473 |
0.2× |
| Incision of metatarsal (28308) |
$2,818 |
$3,315 |
0.8× |
| Incision of rectal abscess (46040) |
$1,332 |
$1,567 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$412.50 |
$485 |
1.6× |
| Incision&drainage bursa foot (28001) |
$1,352 |
$1,591 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$432 |
$508 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$140 |
$165 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,068 |
$1,256 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$168 |
$198 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$776 |
$913 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$943.50 |
$1,110 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,105 |
$1,300 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$103.50 |
$121.50 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$143 |
$168 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$405 |
$476 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$194 |
$228.50 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,127 |
$1,325.50 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$1,444.50 |
$1,699.50 |
2.0× |
| Injection for identification of sentinel node (38792) |
$165 |
$194 |
0.4× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$78 |
$92 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$206.50 |
$243 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$196 |
$231 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$206.50 |
$243 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$395 |
$465 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$264.50 |
$311 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$147 |
$173 |
1.1× |
| Insert Drug Implant Device (11981) |
$306 |
$360 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$264 |
$311 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$164.50 |
$193.50 |
1.2× |
| Insert tunneled cv cath (36561) |
$4,336 |
$5,101 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$81 |
$95 |
0.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,270 |
$8,553 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$456 |
$536 |
1.9× |
| Island pedicle flap graft (15740) |
$6,327 |
$7,443 |
3.0× |
| Lap ing hernia repair init (49650) |
$5,908 |
$6,951 |
0.9× |
| Laparoscopy appendectomy (44970) |
$5,562 |
$6,544 |
0.9× |
| Laparoscopy Remove Adnexa (58661) |
$5,874 |
$6,910 |
0.9× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$6,317 |
$7,432 |
0.6× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$3,036 |
$3,572 |
0.3× |
| Laparoscopy Tubal Cautery (58670) |
$3,155 |
$3,712 |
0.5× |
| Laparoscopy w/lysis of adhesions (58660) |
$5,256 |
$6,183 |
0.8× |
| Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when… (55869) |
$11,299 |
$13,293 |
1.0× |
| Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when… (55868) |
$9,039 |
$10,634 |
0.8× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$3,209 |
$3,775 |
0.3× |
Laparoscopy, surgical; pyeloplasty (50544)
unusually low: confirm this is the full procedure |
$5,126 |
$6,031 |
0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,690 |
$6,694 |
0.9× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$1,901 |
$2,237 |
0.3× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$7,684 |
$9,040 |
0.7× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,132 |
$11,920 |
0.9× |
| Laryngoscopy Flexible Diagnostic (31575) |
$237 |
$279 |
1.1× |
| Lengthening of hand tendon (26478) |
$3 |
$4 |
0.0× |
| Ligation of hemorrhoid(s) (46221) |
$558 |
$657 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$851 |
$1,001 |
0.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,450 |
$2,882 |
0.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,041 |
$1,225 |
0.5× |
| Mastectomy gynecomastia (19300) |
$2,208 |
$2,598 |
0.5× |
| Mastectomy partial (19301) |
$3,046 |
$3,584 |
0.7× |
| Musculoskeletal surgery (20999) |
$252 |
$297 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$189 |
$222 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,397 |
$1,643 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38 |
$45 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$517 |
$608 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,414 |
$2,840 |
2.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,160 |
$1,365 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$951 |
$1,119 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$629 |
$740 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,119 |
$8,375 |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$7,606 |
$8,948 |
1.0× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,329 |
$1,564 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,904 |
$2,240 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$3,360 |
$3,953 |
1.0× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$1,469 |
$1,728 |
0.1× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
unusually low: confirm this is the full procedure |
$2,719 |
$3,199 |
0.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,575 |
$4,206 |
1.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,996 |
$3,525 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,659 |
$3,128 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$1,686 |
$1,984 |
0.5× |
| Penis plastic surgery (54360) |
$2,542 |
$2,990 |
0.7× |
| Perq device breast 1st imag (19281) |
$1,122 |
$1,320 |
0.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,871 |
$2,201 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$785.50 |
$924 |
3.0× |
| Placement of needle for intraosseous infusion (36680) |
$182 |
$214 |
0.4× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$6,894 |
$8,110 |
1.1× |
| Prostatectomy (turp) (52601) |
$4,554 |
$5,358 |
0.8× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure |
$2,884 |
$3,393 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$335.50 |
$394.50 |
0.8× |
| Puncture Aspiration (10160) |
$305.50 |
$359 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$355 |
$418 |
0.5× |
| Reconstr disloc patella w mscl adv (27422) |
$7,101 |
$8,354 |
0.9× |
| Removal fb intranasal (30300) |
$300 |
$353 |
2.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,034 |
$1,216 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,975 |
$2,323 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$435 |
$512 |
0.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$533 |
$627 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$137 |
$161 |
2.2× |
| Removal Implant Deep (20680) |
$3,919 |
$4,610 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,308 |
$3,892 |
1.9× |
| Removal of adenoids (42831) |
$4,759 |
$5,599 |
1.4× |
| Removal of adenoids (42830) |
$2,905 |
$3,418 |
0.8× |
| Removal of heel spur (28119) |
$2,748 |
$3,233 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$299 |
$352 |
0.9× |
| Removal of nail bed (11750) |
$442 |
$520 |
1.0× |
| Removal of nose polyp(s) (30115) |
$912 |
$1,073 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$187.50 |
$221 |
0.9× |
| Removal of tonsils (42826) |
$3,771 |
$4,437 |
1.1× |
| Removal subq cardiac rhythm monitor (33286) |
$604 |
$711 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$103 |
$121 |
0.4× |
| Remove bladder stone (52318) |
$3,715 |
$4,370 |
1.0× |
| Remove cerclage suture (59871) |
$490 |
$577 |
0.1× |
| Remove drug implant device (11982) |
$333 |
$392 |
0.7× |
| Remove foreign body from eye (65210) |
$125 |
$147 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$4,184 |
$4,922 |
1.5× |
| Remove Pilonidal Cyst Exten (11771) |
$3,847 |
$4,526 |
1.3× |
| Remove wrist tendon lesion (25111) |
$3,671 |
$4,319 |
2.2× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$2 |
$2 |
0.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$580 |
$682 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$193 |
$227 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$147 |
$173 |
1.1× |
| Repair achilles tendon (27650) |
$12,345 |
$14,524 |
1.6× |
| Repair collat ankle ligmnt,secondary (27698) |
$8,512 |
$10,014 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$860 |
$1,012 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,115 |
$1,311.50 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$826 |
$972 |
2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$842 |
$990 |
1.1× |
| Repair hallux rigidus (28289) |
$3,675 |
$4,323 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$581.50 |
$684 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$659 |
$775.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$785 |
$924 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$778.50 |
$916 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$806 |
$948 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$547.50 |
$644 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$632 |
$743 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$746.50 |
$878.50 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$747 |
$879 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$503 |
$592 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$741 |
$872 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$670 |
$788 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$928 |
$1,092 |
0.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$6,543 |
$7,698 |
1.0× |
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure |
$1,570 |
$1,847 |
0.3× |
| Repair Of Foot Tendon (28208) |
$3,978 |
$4,680 |
1.2× |
| Repair of hydrocele (55060) |
$4,758 |
$5,598 |
1.3× |
| Repair of nail bed (11760) |
$452 |
$532 |
0.6× |
| Repair of nasal septum (30520) |
$3,622 |
$4,261 |
1.1× |
| Repair of penis (54440) |
$4,996 |
$5,878 |
1.4× |
| Repair rectum & vagina (57250) |
$4,029 |
$4,740 |
0.8× |
| Repair Tongue Laceration (41250) |
$359 |
$422 |
0.8× |
| Repair tympanic membrane (69610) |
$2,726 |
$3,207 |
1.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$5,320 |
$6,259 |
1.6× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$2,678 |
$3,150 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$5,452 |
$6,414 |
1.5× |
| Resect Inferior Turbinate (30140) |
$2,272 |
$2,673 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,933 |
$3,451 |
1.4× |
| Revise ulnar nerve at elbow (64718) |
$3,207 |
$3,773 |
1.6× |
| Revision of big toe (28310) |
$5,896 |
$6,936 |
0.8× |
| Revision of lower leg tendon (27685) |
$10,163 |
$11,957 |
3.0× |
| Revision of penis (54300) |
$2,269 |
$2,669 |
0.6× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$883 |
$1,039 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$972 |
$1,144 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$391.50 |
$460.50 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,405 |
$1,653 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$588 |
$692 |
1.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,342 |
$6,285 |
0.8× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,683 |
$4,333 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,528 |
$4,150 |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,178 |
$3,739 |
0.9× |
| Rpr blood vessel direct lower extremity (35226) |
$2,400 |
$2,823 |
3.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$944 |
$1,110 |
1.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$662 |
$779 |
2.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$3,247 |
$3,820 |
3.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$261 |
$307 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$423 |
$498 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$195.50 |
$230.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$276 |
$325 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$328 |
$386 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$375 |
$441 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$224 |
$264 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$256 |
$301 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$367 |
$432 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$275 |
$323 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$359 |
$422 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$324 |
$381 |
1.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,678 |
$3,151 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$383 |
$451 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$303 |
$356.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$397 |
$467 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$418.50 |
$492.50 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$444.50 |
$523 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$341 |
$401 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$385.50 |
$453.50 |
1.9× |
| Skin sub graft face/nk/hf/g (15275) |
$436 |
$513 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$398 |
$468 |
0.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$328 |
$386 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$308.50 |
$363 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$301 |
$354 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$350 |
$412 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$119 |
$140 |
0.2× |
| Strapping ankle (29540) |
$134 |
$158 |
0.8× |
| Strapping elbow/wrist (29260) |
$156 |
$183 |
2.5× |
| Strapping hand/finger (29280) |
$156 |
$183 |
2.5× |
| Strapping Hip (29520) |
$156 |
$183 |
1.1× |
| Strapping knee (29530) |
$156 |
$183 |
1.1× |
| Strapping shoulder (29240) |
$137 |
$161.50 |
1.0× |
| Strapping thorax (29200) |
$156 |
$183 |
0.9× |
| Strapping toes (29550) |
$178 |
$209.50 |
2.9× |
| Strapping unna boot (29580) |
$44 |
$52 |
0.3× |
| Suspension of testis (54640) |
$2,024 |
$2,381 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$236 |
$277.50 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$319 |
$375 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,655 |
$3,123 |
1.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$792.50 |
$932 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$728 |
$856 |
1.1× |
| Thyroid biopsy (60100) |
$51 |
$60 |
0.1× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,260 |
$2,659 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,598 |
$4,233 |
1.0× |
| Total hip arthroplasty (27130) |
$7,641 |
$8,989 |
0.6× |
| Total knee arthroplasty (27447) |
$10,520 |
$12,376 |
0.8× |
| Treat finger dislocation (26775) |
$1,147 |
$1,349 |
3.9× |
| Treat Fracture Radius & Ulna (25560) |
$859 |
$1,011 |
3.4× |
| Treat fx rad extra-articul (25607) |
$6,921 |
$8,142 |
0.9× |
| Treat humerus fracture (24500) |
$120 |
$141 |
0.5× |
| Treat humerus fracture (23600) |
$924 |
$1,087 |
3.6× |
| Treat Metatarsal Fracture (28475) |
$656 |
$772 |
2.6× |
| Treat wrist bone fracture (25622) |
$943 |
$1,109 |
3.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,523.50 |
$1,792.50 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,023 |
$1,204 |
4.0× |
| Treatment of ankle fracture (27792) |
$12,601 |
$14,825 |
1.7× |
| Trim skin lesion (11055) |
$113 |
$133 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$127 |
$149 |
0.6× |
| Trim skin lesions over 4 (11057) |
$110.50 |
$130.50 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$38 |
$45 |
0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,303 |
$2,709 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$450 |
$529.50 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$449 |
$528 |
1.1× |
| Tympanostomy (69433) |
$1,564 |
$1,839.50 |
2.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$154.50 |
$181.50 |
0.9× |
| Unlisted procedure foot or toes (28899) |
$295 |
$347 |
1.2× |
| Vaginal delivery only (59409) |
$1,631 |
$1,919 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,021 |
$5,907 |
1.0× |
| Vasectomy (55250) |
$1,930 |
$2,271 |
0.9× |
| Venipuncture (36415) |
$25 |
$29.50 |
2.7× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,424 |
$2,852 |
0.7× |
| Vulvectomy simple partial (56620) |
$7,392 |
$8,697 |
2.2× |
| Wound Prep F/N/Hf/G (15004) |
$944 |
$1,111 |
2.2× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$3,572 |
$4,202 |
0.5× |