| Abd paracentesis w/imaging (49083) |
$294.78 |
$453.50 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$386.75 |
$595 |
0.4× |
| Abdomen Surgery Procedure (22999) |
$745.22 |
$1,146.50 |
2.9× |
| Acne surgery (10040) |
$219.05 |
$337 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,979.90 |
$3,046 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,467.70 |
$2,258 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,678.30 |
$2,582 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,348.10 |
$2,074 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$942.50 |
$1,450 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,911.65 |
$2,941 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,227.20 |
$1,888 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,086.15 |
$1,671 |
0.3× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$2,052.05 |
$3,157 |
0.3× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$1,803.10 |
$2,774 |
0.5× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$614.90 |
$946 |
0.6× |
| Anoscopy diagnostic (46600) |
$138.78 |
$213.50 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$466.70 |
$718 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$492.70 |
$758 |
0.4× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$418.60 |
$644 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$235.30 |
$362 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge, not the full procedure |
$1,478.75 |
$2,275 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,374.10 |
$2,114 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$207.35 |
$319 |
1.2× |
| Application cast elbow finger short arm (29075) |
$111.15 |
$171 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$128.05 |
$197 |
0.4× |
| Application finger splint static (29130) |
$85.15 |
$131 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$159.25 |
$245 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$330.85 |
$509 |
1.1× |
| Application of long leg cast (29345) |
$192.40 |
$296 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$117 |
$180 |
0.9× |
| Apply Hand/Wrist Cast (29085) |
$198.90 |
$306 |
1.2× |
| Apply long leg splint (29505) |
$182 |
$280 |
1.1× |
| Apply short leg cast (29405) |
$196.95 |
$303 |
0.7× |
| Apply short leg cast (29425) |
$198.90 |
$306 |
0.7× |
| Apply short leg splint (29515) |
$166.72 |
$256.50 |
1.0× |
| Arterial puncture (36600) |
$33.15 |
$51 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$130 |
$200 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$167.70 |
$258 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$214.50 |
$330 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$70.85 |
$109 |
0.2× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$2,561.65 |
$3,941 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,821.35 |
$5,879 |
1.1× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,425.80 |
$3,732 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$157.95 |
$243 |
0.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$74.10 |
$114 |
0.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$258.70 |
$398 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$692.90 |
$1,066 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$162.18 |
$249.50 |
0.8× |
Axillary lymphadenectomy; superficial Facility (38740)
likely a partial charge, not the full procedure |
$1,457.30 |
$2,242 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$349.05 |
$537 |
0.4× |
| Biopsy Nail Unit Separate Procedure (11755) |
$281.45 |
$433 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$742.95 |
$1,143 |
0.2× |
| Biopsy of lip (40490) |
$178.75 |
$275 |
0.7× |
| Biopsy of mouth lesion (40808) |
$440.70 |
$678 |
0.8× |
| Biopsy of penis (54100) |
$394.55 |
$607 |
0.2× |
| Biopsy of tongue (41100) |
$398.45 |
$613 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$681.20 |
$1,048 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$190.45 |
$293 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$207.35 |
$319 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$912.60 |
$1,404 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,181.05 |
$1,817 |
0.3× |
| Bladder Irrigation Simple (51700) |
$178.75 |
$275 |
0.7× |
| Blood patch (62273) |
$1,183 |
$1,820 |
1.6× |
| Blood transfusion service (36430) |
$1,105.32 |
$1,700.50 |
2.4× |
| Blood/Lymph System Procedure (38999) |
$1,232.40 |
$1,896 |
2.7× |
| Bone marrow aspiration only (38220) |
$374.40 |
$576 |
0.2× |
| Bone Marrow Biopsy (38221) |
$404.30 |
$622 |
0.2× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$398.45 |
$613 |
0.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$617.50 |
$950 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$1,918.80 |
$2,952 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$299 |
$460 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,027.32 |
$1,580.50 |
0.6× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$351.65 |
$541 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$251.55 |
$387 |
0.3× |
| Change of cystostomy tube simple (51705) |
$258.70 |
$398 |
1.0× |
| Chemical cautery tissue (17250) |
$98.15 |
$151 |
0.5× |
| Circum 28 days or older (54161) |
$447.85 |
$689 |
0.2× |
| Circumcision (54150) |
$147.55 |
$227 |
0.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$404.30 |
$622 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$551.20 |
$848 |
2.2× |
| Closed Rx Radial Shaft Fx (25500) |
$604.50 |
$930 |
2.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$717.60 |
$1,104 |
2.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$828.75 |
$1,275 |
3.3× |
| Closed Treat Vert Body Fract (22310) |
$677.30 |
$1,042 |
2.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$369.85 |
$569 |
1.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$537.55 |
$827 |
2.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$739.05 |
$1,137 |
2.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$722.80 |
$1,112 |
2.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$559.65 |
$861 |
2.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$497.90 |
$766 |
2.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,163.82 |
$1,790.50 |
0.7× |
| Closed Treatment Sternum Fracture (21820) |
$325 |
$500 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$750.10 |
$1,154 |
2.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,277.25 |
$1,965 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$688.35 |
$1,059 |
2.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$909.35 |
$1,399 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$442.65 |
$681 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,047.80 |
$1,612 |
4.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$864.18 |
$1,329.50 |
3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$545.35 |
$839 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$537.55 |
$827 |
2.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,344.85 |
$2,069 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$476.45 |
$733 |
1.9× |
| Closed tx septal&nose fx (21337) |
$912.60 |
$1,404 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$291.20 |
$448 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$598.65 |
$921 |
2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$532.35 |
$819 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$447.20 |
$688 |
1.8× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$995.15 |
$1,531 |
3.9× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$995.15 |
$1,531 |
3.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$897.98 |
$1,381.50 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$739.70 |
$1,138 |
2.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,195.35 |
$1,839 |
4.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,051.70 |
$1,618 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$972.72 |
$1,496.50 |
3.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$891.15 |
$1,371 |
3.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$374.40 |
$576 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$604.50 |
$930 |
2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,046.50 |
$1,610 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,106.95 |
$1,703 |
4.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,002.30 |
$1,542 |
3.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$423.15 |
$651 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$299 |
$460 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$330.85 |
$509 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$253.50 |
$390 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$650.65 |
$1,001 |
2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,041.95 |
$1,603 |
0.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$971.10 |
$1,494 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,002.30 |
$1,542 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$655.20 |
$1,008 |
2.6× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$709.15 |
$1,091 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$594.10 |
$914 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$754.65 |
$1,161 |
3.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$884.65 |
$1,361 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$658.45 |
$1,013 |
2.6× |
| Cltx post ankle fx w/mnpj (27768) |
$925.60 |
$1,424 |
0.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,349.40 |
$2,076 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$855.40 |
$1,316 |
3.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$625.95 |
$963 |
2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,030.25 |
$1,585 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$340.28 |
$523.50 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,353.62 |
$2,082.50 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$688.35 |
$1,059 |
2.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$94.58 |
$145.50 |
0.7× |
| Colonoscopy flex w/inj submuc (45381) |
$1,022.45 |
$1,573 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,004.25 |
$1,545 |
0.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,352 |
$2,080 |
1.1× |
| Colonoscopy thru stoma (44388) |
$813.15 |
$1,251 |
0.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,075.75 |
$1,655 |
0.9× |
| Colonoscopy w/ablation (45388) |
$1,357.20 |
$2,088 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$1,495.65 |
$2,301 |
1.2× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,327.30 |
$2,042 |
1.1× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,126.45 |
$1,733 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$206.70 |
$318 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$314.60 |
$484 |
1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$314.60 |
$484 |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$314.60 |
$484 |
1.0× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$1,822.60 |
$2,804 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$447.85 |
$689 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$180.05 |
$277 |
1.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$375.70 |
$578 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$819 |
$1,260 |
0.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$575.25 |
$885 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$609.70 |
$938 |
4.4× |
| Curettage postpartum (59160) |
$490.10 |
$754 |
0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,145.95 |
$1,763 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$878.80 |
$1,352 |
0.4× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,602.90 |
$2,466 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$666.90 |
$1,026 |
0.3× |
| Cystourethroscopy (52000) |
$475.80 |
$732 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$112.45 |
$173 |
0.3× |
| Debride nail 1-5 (11720) |
$66.95 |
$103 |
1.1× |
| Debride nail 6 or more (11721) |
$102.05 |
$157 |
1.7× |
| Debride tissue/muscle (11043) |
$442.65 |
$681 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$241.15 |
$371 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$498.55 |
$767 |
0.3× |
| Declot vascular device (36593) |
$90.35 |
$139 |
0.3× |
| Delivery placenta separate procedure (59414) |
$219.05 |
$337 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,631.82 |
$2,510.50 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,631.82 |
$2,510.50 |
0.8× |
| Destruction anal lesion(s) (46924) |
$1,179.10 |
$1,814 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$276.25 |
$425 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$139.10 |
$214 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,437.80 |
$2,212 |
1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$191.10 |
$294 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$285.35 |
$439 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$298.35 |
$459 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$321.10 |
$494 |
1.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$195.65 |
$301 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,981.85 |
$3,049 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$413.40 |
$636 |
0.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$272.35 |
$419 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$101.40 |
$156 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$203.78 |
$313.50 |
0.2× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$439.40 |
$676 |
0.4× |
| Dilation and curettage (58120) |
$551.20 |
$848 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$344.50 |
$530 |
0.4× |
| Dilation of anal sphincter (45905) |
$373.75 |
$575 |
0.3× |
| Dilation of cervical canal (57800) |
$133.25 |
$205 |
0.0× |
| Drain penis lesion (54015) |
$886.60 |
$1,364 |
0.5× |
| Drain Spinal Cord Cyst (62268) |
$1,142.70 |
$1,758 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$398.45 |
$613 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$340.60 |
$524 |
1.6× |
| Drainage of gum lesion (41800) |
$607.10 |
$934 |
4.4× |
| Drainage of hematoma/fluid (10140) |
$269.42 |
$414.50 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$418.60 |
$644 |
0.2× |
| Draw blood off venous device (36591) |
$122.85 |
$189 |
0.9× |
| Dressing change under anesthesia (15852) |
$263.90 |
$406 |
0.3× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$605.80 |
$932 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$337.35 |
$519 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$192.08 |
$295.50 |
0.9× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$610.35 |
$939 |
0.2× |
| Dstrj lesion anus simple chemical (46900) |
$486.20 |
$748 |
1.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$448.50 |
$690 |
0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$319.80 |
$492 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$276.25 |
$425 |
1.3× |
| Dx bone marrow bx & aspir (38222) |
$266.50 |
$410 |
0.1× |
| Dx laryngoscopy w/oper scope (31526) |
$398.45 |
$613 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$930.15 |
$1,431 |
0.5× |
| Egd control bleeding any (43255) |
$791.05 |
$1,217 |
0.4× |
| Egd dilate stricture (43245) |
$521.30 |
$802 |
0.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,386.45 |
$2,133 |
0.7× |
| Egd flexible foreign body removal (43247) |
$560.30 |
$862 |
0.6× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$752.05 |
$1,157 |
0.4× |
| Egd place gastrostomy tube (43246) |
$701.35 |
$1,079 |
0.4× |
| Egd remove lesion snare (43251) |
$605.15 |
$931 |
0.3× |
| Egd tube/cath insertion (43241) |
$465.40 |
$716 |
0.2× |
| Electrical stimulation bone healing noninvasive (20974) |
$231.40 |
$356 |
2.4× |
| Endocervical Curettage (57505) |
$224.90 |
$346 |
0.2× |
| Endometrial Biopsy (58100) |
$241.80 |
$372 |
1.2× |
| Enterorrhaphy single perforation (44602) |
$1,810.90 |
$2,786 |
0.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,140.75 |
$1,755 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$466.70 |
$718 |
0.1× |
| Escharotomy initial incision (16035) |
$449.80 |
$692 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,009.45 |
$1,553 |
1.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$596.05 |
$917 |
0.6× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$614.90 |
$946 |
0.3× |
| Esophagoscopy rigid trnso dx (43191) |
$335.40 |
$516 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$897.65 |
$1,381 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$120.25 |
$185 |
0.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,400.75 |
$2,155 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,096.55 |
$1,687 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$152.10 |
$234 |
0.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$152.10 |
$234 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$425.75 |
$655 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$487.50 |
$750 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$208.65 |
$321 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$616.85 |
$949 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$1,545.05 |
$2,377 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$281.45 |
$433 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$283.40 |
$436 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$963.95 |
$1,483 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$783.25 |
$1,205 |
0.2× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$1,134.25 |
$1,745 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,126.45 |
$1,733 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,385.15 |
$2,131 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$198.25 |
$305 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$184.60 |
$284 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$208.65 |
$321 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$561.60 |
$864 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$713.05 |
$1,097 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$699.40 |
$1,076 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$642.85 |
$989 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$656.50 |
$1,010 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$552.50 |
$850 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$547.30 |
$842 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,486.55 |
$2,287 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,839.50 |
$2,830 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$272.35 |
$419 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$945.10 |
$1,454 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,730.95 |
$2,663 |
0.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,079 |
$1,660 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,045.20 |
$1,608 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$810.55 |
$1,247 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$730.60 |
$1,124 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$913.90 |
$1,406 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,637.35 |
$2,519 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$902.85 |
$1,389 |
0.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$830.70 |
$1,278 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$953.55 |
$1,467 |
0.3× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$862.55 |
$1,327 |
0.3× |
| Excise cutaneous neurofibroma (64788) |
$856.05 |
$1,317 |
0.4× |
| Excise pharynx lesion (42808) |
$418.60 |
$644 |
0.1× |
| Excise/repair mouth lesion (40812) |
$610.35 |
$939 |
0.4× |
| Excision Breast Lesion (19125) |
$1,105 |
$1,700 |
0.3× |
| Excision hydrocele bilateral (55041) |
$1,118.65 |
$1,721 |
0.3× |
| Excision lesion mouth roof (42104) |
$459.55 |
$707 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$573.30 |
$882 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$382.20 |
$588 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$278.85 |
$429 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$305.50 |
$470 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$349.70 |
$538 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$385.45 |
$593 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$404.30 |
$622 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$295.75 |
$455 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$282.75 |
$435 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$399.75 |
$615 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$494 |
$760 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$430.30 |
$662 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$283.40 |
$436 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$319.15 |
$491 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$373.10 |
$574 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$696.15 |
$1,071 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$594.10 |
$914 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$210.60 |
$324 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$239.20 |
$368 |
0.3× |
| Excision of hydrocele unilateral (55040) |
$936.65 |
$1,441 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$956.15 |
$1,471 |
0.9× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$798.85 |
$1,229 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$219.05 |
$337 |
0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$656.50 |
$1,010 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$398.45 |
$613 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$374.40 |
$576 |
0.3× |
| Excision of tongue lesion (41112) |
$717.60 |
$1,104 |
0.2× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)
likely a partial charge, not the full procedure |
$1,140.75 |
$1,755 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,400.75 |
$2,155 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$719.88 |
$1,107.50 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$532.35 |
$819 |
0.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$722.15 |
$1,111 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,209.65 |
$1,861 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,905.80 |
$2,932 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,299.70 |
$3,538 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$670.15 |
$1,031 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$778.70 |
$1,198 |
0.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,075.75 |
$1,655 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$770.25 |
$1,185 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,033.50 |
$1,590 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$1,637.35 |
$2,519 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,009.45 |
$1,553 |
0.5× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$1,406.60 |
$2,164 |
0.2× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,028 |
$3,120 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$1,027.65 |
$1,581 |
0.6× |
| Explore limb vessels (35860) |
$1,520.35 |
$2,339 |
0.5× |
| Fetal non-stress test (59025) |
$159.58 |
$245.50 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$379.60 |
$584 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$307.45 |
$473 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$169.65 |
$261 |
0.8× |
| Foreskin manipulation (54450) |
$165.10 |
$254 |
0.6× |
| Frenulotomy of penis (54164) |
$380.25 |
$585 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,141.75 |
$3,295 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,215.20 |
$3,408 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,642.55 |
$2,527 |
0.8× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,054.35 |
$4,699 |
0.8× |
| Hemorrhoidectomy (46255) |
$549.90 |
$846 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,100.45 |
$1,693 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,166.10 |
$1,794 |
0.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$612.30 |
$942 |
0.2× |
| Hysteroscopy w endometrial ablation (58563) |
$4,262.70 |
$6,558 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$351 |
$540 |
1.4× |
| I&d abscess simple (10060) |
$189.15 |
$291 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,445.60 |
$2,224 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$957.45 |
$1,473 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$381.22 |
$586.50 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$401.70 |
$618 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$269.75 |
$415 |
0.9× |
| Ileoscopy thru stoma (44380) |
$344.50 |
$530 |
0.4× |
| Incise external hemorrhoid (46083) |
$446.55 |
$687 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$319.80 |
$492 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$958.10 |
$1,474 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$565.50 |
$870 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$231.40 |
$356 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$269.10 |
$414 |
1.3× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$665.60 |
$1,024 |
0.2× |
| Incision and drainage perianal abscess superficial (46050) |
$194.02 |
$298.50 |
0.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$505.70 |
$778 |
0.2× |
| Incision of labial frenum (frenotomy) (40806) |
$230.10 |
$354 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$461.50 |
$710 |
0.3× |
| Incision of rectal abscess (46040) |
$735.80 |
$1,132 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$135.20 |
$208 |
0.2× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
likely a partial charge, not the full procedure |
$1,550.25 |
$2,385 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$146.25 |
$225 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,320.48 |
$2,031.50 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$368.55 |
$567 |
1.2× |
| Inj therapeutic carpal tunnel (20526) |
$163.15 |
$251 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$383.50 |
$590 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,046.50 |
$1,610 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$766.35 |
$1,179 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,304.55 |
$2,007 |
1.4× |
| Inject Sinus Tract Theraputic (20500) |
$336.70 |
$518 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$146.25 |
$225 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,576.58 |
$2,425.50 |
2.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$366.92 |
$564.50 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$304.85 |
$469 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$767 |
$1,180 |
2.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,304.55 |
$2,007 |
1.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$627.25 |
$965 |
0.9× |
| Injection for identification of sentinel node (38792) |
$391.95 |
$603 |
0.9× |
| Injection into skin lesions (11900) |
$120.90 |
$186 |
0.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$307.45 |
$473 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$112.45 |
$173 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$171.60 |
$264 |
0.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$208 |
$320 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$286.65 |
$441 |
2.2× |
| Insert cath pleura w/ image (32557) |
$1,077.70 |
$1,658 |
0.7× |
| Insert Drug Implant Device (11981) |
$184.60 |
$284 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$595.40 |
$916 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$157.62 |
$242.50 |
1.1× |
| Insert tunneled cv cath (36561) |
$2,734.55 |
$4,207 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,362.75 |
$3,635 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$122.20 |
$188 |
0.9× |
| Insj picc rs&i 5 yr+ (36573) |
$323.38 |
$497.50 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,437.50 |
$3,750 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,727.70 |
$2,658 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$330.20 |
$508 |
1.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$565.50 |
$870 |
0.1× |
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure |
$2,926.95 |
$4,503 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$729.95 |
$1,123 |
0.1× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$780 |
$1,200 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,368.90 |
$2,106 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,966.90 |
$3,026 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,284.10 |
$3,514 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)
likely a partial charge, not the full procedure |
$1,894.10 |
$2,914 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,792.05 |
$2,757 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,163.20 |
$3,328 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,045.55 |
$3,147 |
0.3× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure |
$1,373.45 |
$2,113 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,175.20 |
$1,808 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$834.60 |
$1,284 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,486.55 |
$2,287 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)
likely a partial charge, not the full procedure |
$1,777.10 |
$2,734 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$701.35 |
$1,079 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,559.35 |
$2,399 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$2,118.35 |
$3,259 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$801.45 |
$1,233 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$106.60 |
$164 |
0.5× |
| Late closure of wound (13160) |
$1,459.90 |
$2,246 |
0.4× |
| Ligate/strip long leg vein (37722) |
$1,110.20 |
$1,708 |
0.3× |
| Ligate/strip short leg vein (37718) |
$991.90 |
$1,526 |
0.3× |
Ligation major artery abdomen (37617)
unusually low: confirm this is the full procedure |
$1,732.90 |
$2,666 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$312.65 |
$481 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$412.75 |
$635 |
0.2× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$789.10 |
$1,214 |
0.2× |
| Lip shave (40500) |
$1,085.50 |
$1,670 |
0.3× |
| Lysis of labial adhesions (56441) |
$313.95 |
$483 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$468 |
$720 |
0.2× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$240.50 |
$370 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$516.10 |
$794 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,494.70 |
$3,838 |
0.4× |
| Mastectomy for gynecomastia (19300) |
$1,094.60 |
$1,684 |
0.3× |
| Mastectomy partial (19301) |
$1,351.35 |
$2,079 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,479.40 |
$2,276 |
0.2× |
| Muscle-skin graft trunk (15734) |
$3,235.05 |
$4,977 |
0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$442.65 |
$681 |
0.6× |
| N Block Inj, Plantar Digit (64455) |
$112.45 |
$173 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$118.30 |
$182 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24.70 |
$38 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$44.85 |
$69 |
1.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,027 |
$1,580 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,000.35 |
$1,539 |
2.4× |
| Njx aa&/strd sciatic nerve (64445) |
$766.35 |
$1,179 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,304.55 |
$2,007 |
1.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$207.35 |
$319 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,320.48 |
$2,031.50 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,083.22 |
$1,666.50 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,009.45 |
$1,553 |
1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$229.45 |
$353 |
0.5× |
| Occipital Nerve Block (64405) |
$553.15 |
$851 |
1.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$874.25 |
$1,345 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,035.45 |
$1,593 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,086.15 |
$1,671 |
0.3× |
| Ostectomy calcaneus (28118) |
$1,225.90 |
$1,886 |
0.4× |
| Ostectomy of sternum, partial Facility (21620) |
$1,240.20 |
$1,908 |
0.4× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,625 |
$2,500 |
0.3× |
P-mastectomy w/ln removal (19302)
likely a partial charge, not the full procedure |
$1,994.85 |
$3,069 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$2,172.95 |
$3,343 |
0.6× |
| Partial excision of lip (40520) |
$1,062.75 |
$1,635 |
0.3× |
| Partial hymenectomy or revision (56700) |
$415.35 |
$639 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,012.70 |
$1,558 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,522.95 |
$2,343 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$989.95 |
$1,523 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$302.90 |
$466 |
0.1× |
| Peritoneal Lavage (49084) |
$214.50 |
$330 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$505.05 |
$777 |
0.7× |
| Perq device breast 1st imag (19281) |
$558.35 |
$859 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$527.15 |
$811 |
2.0× |
| Placement of seton (46020) |
$538.20 |
$828 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,793.35 |
$2,759 |
0.9× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,474.20 |
$2,268 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$236.60 |
$364 |
0.2× |
| Proctosigmoid w/biopsy (45305) |
$1,655.55 |
$2,547 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$131.30 |
$202 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$179.72 |
$276.50 |
0.2× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$214.18 |
$329.50 |
0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$729.30 |
$1,122 |
1.0× |
| Removal foreign body foot deep (28192) |
$637 |
$980 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$625.30 |
$962 |
0.9× |
| Removal foreign body intranasal (30300) |
$536.90 |
$826 |
3.9× |
| Removal foreign body pharynx (42809) |
$377.65 |
$581 |
0.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$408.85 |
$629 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$92.95 |
$143 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.58 |
$125.50 |
1.3× |
| Removal implant deep (20680) |
$1,299.35 |
$1,999 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$633.75 |
$975 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$319.80 |
$492 |
0.4× |
| Removal of adenoids (42835) |
$391.95 |
$603 |
0.1× |
| Removal of adenoids (42831) |
$453.70 |
$698 |
0.1× |
| Removal of adenoids (42830) |
$449.80 |
$692 |
0.1× |
| Removal of anal fissure (46200) |
$830.70 |
$1,278 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$668.85 |
$1,029 |
0.5× |
| Removal of finger lesion (26210) |
$1,275.95 |
$1,963 |
0.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$124.15 |
$191 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$420.55 |
$647 |
0.6× |
| Removal of iud (58301) |
$168.35 |
$259 |
0.5× |
| Removal of nail bed (11750) |
$275.60 |
$424 |
0.7× |
| Removal of testis (54520) |
$756.60 |
$1,164 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$667.55 |
$1,027 |
0.1× |
| Removal of tonsils (42826) |
$656.50 |
$1,010 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$833.30 |
$1,282 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$111.80 |
$172 |
0.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$183.95 |
$283 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$87.10 |
$134 |
0.3× |
| Remove anal fist subq (46270) |
$987.35 |
$1,519 |
0.3× |
| Remove drug implant device (11982) |
$215.15 |
$331 |
0.5× |
| Remove ext hem groups 2+ (46250) |
$533 |
$820 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$833.30 |
$1,282 |
0.3× |
| Remove Tendon Sheath Lesion (26160) |
$1,472.25 |
$2,265 |
0.9× |
| Remove/Insert Drug Implant (11983) |
$219.70 |
$338 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$242.45 |
$373 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$210.60 |
$324 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$128.38 |
$197.50 |
0.9× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,681.55 |
$2,587 |
0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,696.50 |
$2,610 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$886.60 |
$1,364 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,209.65 |
$1,861 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$844.35 |
$1,299 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,246.05 |
$1,917 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$715.65 |
$1,101 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,043.90 |
$1,606 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$667.55 |
$1,027 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$852.15 |
$1,311 |
1.1× |
| Repair incomplete circumcision (54163) |
$505.70 |
$778 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,261.65 |
$1,941 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,361.75 |
$2,095 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,217.45 |
$1,873 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,356.55 |
$2,087 |
0.4× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)
likely a partial charge, not the full procedure |
$866.45 |
$1,333 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$461.18 |
$709.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$523.25 |
$805 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$436.80 |
$672 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$783.90 |
$1,206 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433.88 |
$667.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$497.25 |
$765 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$816.40 |
$1,256 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$870.02 |
$1,338.50 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$416.65 |
$641 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$447.20 |
$688 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$917.80 |
$1,412 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520.98 |
$801.50 |
1.2× |
| Repair Laceration Palate </2 Cm (42180) |
$582.40 |
$896 |
1.0× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,937.65 |
$2,981 |
0.3× |
| Repair of nail bed (11760) |
$507 |
$780 |
0.7× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,182.35 |
$1,819 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,072.50 |
$1,650 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,335.10 |
$2,054 |
0.4× |
| Repeat control of nosebleed (30906) |
$302.25 |
$465 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$906.10 |
$1,394 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,088.75 |
$1,675 |
1.2× |
| Revise/Remove Neuroreceiver (63688) |
$796.90 |
$1,226 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,900.60 |
$2,924 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$2,727.40 |
$4,196 |
0.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,344.85 |
$2,069 |
0.4× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$4,013.75 |
$6,175 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$321.75 |
$495 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$667.55 |
$1,027 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$374.40 |
$576 |
0.6× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,846.65 |
$2,841 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$930.15 |
$1,431 |
0.3× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,592.50 |
$2,450 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,426.75 |
$2,195 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,031.55 |
$1,587 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,426.75 |
$2,195 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$931.45 |
$1,433 |
1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,231.10 |
$1,894 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$342.55 |
$527 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$517.40 |
$796 |
0.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$84.50 |
$130 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$146.90 |
$226 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$107.90 |
$166 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$210.60 |
$324 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$202.80 |
$312 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$260 |
$400 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$135.20 |
$208 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$218.40 |
$336 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$129.35 |
$199 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$276.25 |
$425 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$141.70 |
$218 |
0.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$376.35 |
$579 |
0.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$936.65 |
$1,441 |
0.8× |
| Sigmoidoscopy w/biopsy (45331) |
$375.70 |
$578 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$451.10 |
$694 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$755.95 |
$1,163 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$269.42 |
$414.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$371.48 |
$571.50 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$435.18 |
$669.50 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$542.10 |
$834 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$251.55 |
$387 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$696.80 |
$1,072 |
3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$397.80 |
$612 |
1.9× |
| Skin splt grft trnk/arm/leg (15100) |
$1,846.65 |
$2,841 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$312.65 |
$481 |
0.4× |
| Skin Tissue Procedure (17999) |
$291.20 |
$448 |
1.4× |
| Skin tissue rearrangement (14040) |
$1,656.85 |
$2,549 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,061.80 |
$3,172 |
0.6× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,682.85 |
$2,589 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$269.42 |
$414.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$441.35 |
$679 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$479.70 |
$738 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$953.55 |
$1,467 |
0.3× |
| Strapping elbow or wrist (29260) |
$122.20 |
$188 |
2.0× |
| Strapping hand/finger (29280) |
$122.20 |
$188 |
2.0× |
| Strapping shoulder (29240) |
$13 |
$20 |
0.1× |
| Strapping unna boot (29580) |
$70.52 |
$108.50 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$135.20 |
$208 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$810.55 |
$1,247 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$208 |
$320 |
0.3× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260)
unusually low: confirm this is the full procedure |
$2,385.50 |
$3,670 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,241.20 |
$3,448 |
0.4× |
| Tnot elbow lateral/medial debride open (24358) |
$1,115.40 |
$1,716 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$768.95 |
$1,183 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,077.75 |
$4,735 |
0.2× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,353 |
$3,620 |
0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$620.10 |
$954 |
0.4× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$742.30 |
$1,142 |
0.4× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$1,205.75 |
$1,855 |
0.6× |
| Treat humerus fracture (24500) |
$734.50 |
$1,130 |
2.9× |
| Treat humerus fracture (23600) |
$671.45 |
$1,033 |
2.6× |
| Treat knee fracture (27532) |
$1,166.10 |
$1,794 |
0.3× |
| Treat Thigh Fracture (27246) |
$891.80 |
$1,372 |
3.5× |
| Treat wrist bone fracture (25622) |
$621.40 |
$956 |
2.4× |
| Treat Wrist Bone Fracture (25630) |
$633.75 |
$975 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$974.35 |
$1,499 |
0.6× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$800.80 |
$1,232 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$800.80 |
$1,232 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$487.50 |
$750 |
1.9× |
| Trim skin lesion (11055) |
$62.40 |
$96 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$74.10 |
$114 |
0.4× |
| Trim skin lesions over 4 (11057) |
$152.75 |
$235 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$29.90 |
$46 |
0.5× |
| Tubal ligation (58600) |
$1,115.40 |
$1,716 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$391.95 |
$603 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$947.05 |
$1,457 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$668.85 |
$1,029 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$396.82 |
$610.50 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$386.75 |
$595 |
0.2× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$299 |
$460 |
0.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$4,083.30 |
$6,282 |
0.7× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$1,786.85 |
$2,749 |
0.3× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$1,590.88 |
$2,447.50 |
0.3× |
Unlisted laparoscopy procedure, esophagus (43289)
likely a partial charge, not the full procedure |
$1,542.45 |
$2,373 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,444.95 |
$2,223 |
0.2× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure |
$1,975.68 |
$3,039.50 |
0.3× |
| Unlisted procedure anus (46999) |
$388.05 |
$597 |
0.4× |
| Unlisted procedure colon (45399) |
$1,596.40 |
$2,456 |
1.7× |
| Unlisted procedure nervous system (64999) |
$1,287.65 |
$1,981 |
4.1× |
| Unlisted procedure rectum (45999) |
$1,634.75 |
$2,515 |
1.7× |
| Unlisted Procedure Trachea Bronchi (31899) |
$96.85 |
$149 |
0.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$813.80 |
$1,252 |
1.3× |
| Unlisted procedure, maternity care and delivery (59899) |
$180.70 |
$278 |
0.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$2,397.85 |
$3,689 |
11.5× |
| Us urine capacity measure (51798) |
$54.60 |
$84 |
0.9× |
| Vaginal delivery only (59409) |
$1,790.10 |
$2,754 |
0.5× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,983.80 |
$3,052 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$1,826.50 |
$2,810 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$2,767.70 |
$4,258 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$644.80 |
$992 |
0.3× |
| Venipuncture (36415) |
$20.15 |
$31 |
2.2× |
| Wedge excision skin nail fold (11765) |
$291.20 |
$448 |
0.7× |