| Abd paracentesis w/imaging (49083) |
$1,743.50 |
$3,487 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$831 |
$1,662 |
0.9× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,743.50 |
$3,487 |
1.1× |
| Amputate metacarpal bone (26910) |
$2,531 |
$5,062 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,743.50 |
$3,487 |
0.5× |
| Amputation Foot Midtarsal (28800) |
$2,137.50 |
$4,275 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$2,137.50 |
$4,275 |
0.7× |
| Amputation of finger/thumb (26952) |
$1,743.50 |
$3,487 |
0.5× |
| Amputation of penis; partial (54120) |
$2,531 |
$5,062 |
0.7× |
| Amputation thigh through femur any level (27590) |
$3,317 |
$6,634 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,137.50 |
$4,275 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,137.50 |
$4,275 |
0.7× |
| Amputation, foot; transmetatarsal (28805) |
$2,137.50 |
$4,275 |
0.7× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$3,317 |
$6,634 |
1.0× |
| Ankle arthroscopy/surgery (29894) |
$2,531 |
$5,062 |
0.8× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$2,137.50 |
$4,275 |
0.8× |
| Anoscopy Ablation Lesion (46615) |
$2,137.50 |
$4,275 |
0.8× |
| Anoscopy control bleeding (46614) |
$1,350.50 |
$2,701 |
1.1× |
| Anoscopy diagnostic (46600) |
$693 |
$1,386 |
5.2× |
| Anoscopy w/rmvl lesion cautery (46610) |
$2,137.50 |
$4,275 |
0.8× |
Ant Vesicourethropexy/Urethropexy Smpl (51840)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$2,531 |
$5,062 |
0.5× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Application cast elbow finger short arm (29075) |
$165.50 |
$331 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$125.50 |
$251 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$169 |
$338 |
0.6× |
| Application finger splint static (29130) |
$144.50 |
$289 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$144.50 |
$289 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$233.50 |
$467 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$144.50 |
$289 |
0.9× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Application of long leg cast (29345) |
$228.50 |
$457 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$144.50 |
$289 |
1.1× |
| Application short leg splint calf foot (29515) |
$144.50 |
$289 |
0.9× |
| Apply short leg cast (29405) |
$183 |
$366 |
0.7× |
| Apply short leg cast (29425) |
$204.50 |
$409 |
0.7× |
| Arterial puncture (36600) |
$103.50 |
$207 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$200 |
$400 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$278.50 |
$557 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$762.25 |
$1,524.50 |
2.5× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$3,317 |
$6,634 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$3,317 |
$6,634 |
0.3× |
| Arthroscopy of joint (29999) |
$2,531 |
$5,062 |
10.2× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$2,531 |
$5,062 |
0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,137.50 |
$4,275 |
1.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,350.50 |
$2,701 |
4.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,613 |
$3,226 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$762.50 |
$1,525 |
3.8× |
| Axillary lymphadenectomy; complete (38745) |
$3,317 |
$6,634 |
0.5× |
| Biopsy bone open superficial (20240) |
$2,137.50 |
$4,275 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,350.50 |
$2,701 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$2,137.50 |
$4,275 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,350.50 |
$2,701 |
1.5× |
| Biopsy muscle deep (20205) |
$1,743.50 |
$3,487 |
0.6× |
| Biopsy of bowel (44100) |
$1,743.50 |
$3,487 |
1.9× |
| Biopsy of lip (40490) |
$1,350.50 |
$2,701 |
5.7× |
| Biopsy of palate, uvula (42100) |
$1,350.50 |
$2,701 |
0.9× |
| Biopsy of penis (54100) |
$1,743.50 |
$3,487 |
1.1× |
| Biopsy of uterus lining (58100) |
$1,350.50 |
$2,701 |
6.6× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$2,137.50 |
$4,275 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,137.50 |
$4,275 |
0.5× |
| Biopsy Oropharynx (42800) |
$1,743.50 |
$3,487 |
1.1× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$2,137.50 |
$4,275 |
1.3× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,137.50 |
$4,275 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,350.50 |
$2,701 |
0.8× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,137.50 |
$4,275 |
0.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,743.50 |
$3,487 |
1.1× |
| Biopsy tongue posterior one-third (41105) |
$1,743.50 |
$3,487 |
0.5× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,137.50 |
$4,275 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,350.50 |
$2,701 |
1.5× |
| Biopsy/removal lymph nodes (38525) |
$2,137.50 |
$4,275 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$2,137.50 |
$4,275 |
0.5× |
| Bladder Irrigation Simple (51700) |
$41.13 |
$82.25 |
0.2× |
| Blood transfusion service (36430) |
$503.50 |
$1,007 |
1.1× |
| Bone marrow aspiration only (38220) |
$1,005.50 |
$2,011 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,350.50 |
$2,701 |
0.8× |
Breast augmentation with implant (19325)
unusually low: confirm this is the full procedure |
$3,371.75 |
$6,743.50 |
0.4× |
| Bx anorectal wall anal approach (45100) |
$1,743.50 |
$3,487 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,646.50 |
$3,293 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,350.50 |
$2,701 |
0.8× |
| Bx vulva/perineum 1 lesion (56605) |
$1,350.50 |
$2,701 |
1.5× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$2,137.50 |
$4,275 |
0.5× |
| Cataract surgery complex (66982) |
$2,137.50 |
$4,275 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$108.50 |
$217 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,137.50 |
$4,275 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,474.50 |
$2,949 |
2.1× |
| Change Cystostomy Tube Simple (51705) |
$1,350.50 |
$2,701 |
5.4× |
| Chest tube placement (32551) |
$1,224.75 |
$2,449.50 |
0.8× |
| Chromotubation of oviduct, including materials (58350) |
$2,531 |
$5,062 |
0.5× |
| Circum 28 days or older (54161) |
$2,137.50 |
$4,275 |
1.0× |
| Circumcision (54150) |
$2,137.50 |
$4,275 |
1.0× |
| Circumcision Neonate (54160) |
$860.96 |
$1,721.92 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,743.50 |
$3,487 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$453.50 |
$907 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,160 |
$2,320 |
4.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,743.50 |
$3,487 |
7.0× |
| Closed treat wrist dislocation (25660) |
$551.50 |
$1,103 |
2.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$1,743.50 |
$3,487 |
7.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$658 |
$1,316 |
2.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$668 |
$1,336 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,205 |
$2,410 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$270.50 |
$541 |
1.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,743.50 |
$3,487 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,743.50 |
$3,487 |
7.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,743.50 |
$3,487 |
7.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,743.50 |
$3,487 |
7.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$646.50 |
$1,293 |
0.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$1,743.50 |
$3,487 |
7.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$562.50 |
$1,125 |
2.3× |
| Closure of gastrostomy surgical (43870) |
$2,137.50 |
$4,275 |
0.6× |
Closure of urethrovaginal fistula; (57310)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Closure of vagina (57120) |
$2,531 |
$5,062 |
0.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,277.50 |
$2,555 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,301.50 |
$2,603 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,311.75 |
$2,623.50 |
5.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,743.50 |
$3,487 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$806.50 |
$1,613 |
3.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,150.25 |
$2,300.50 |
4.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$290.50 |
$581 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$328.50 |
$657 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$998.50 |
$1,997 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$198.50 |
$397 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$272.50 |
$545 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$265.50 |
$531 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$355 |
$710 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$272.50 |
$545 |
1.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,743.50 |
$3,487 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$134 |
$268 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,516.25 |
$3,032.50 |
0.9× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$2,924 |
$5,848 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$1,743.50 |
$3,487 |
1.5× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,743.50 |
$3,487 |
1.5× |
| Colonoscopy stoma w/biopsy (44389) |
$1,743.50 |
$3,487 |
1.5× |
| Colonoscopy stoma w/snare (44394) |
$1,743.50 |
$3,487 |
1.5× |
| Colonoscopy thru stoma (44388) |
$1,743.50 |
$3,487 |
1.9× |
| Colonoscopy w/ablation (45388) |
$1,743.50 |
$3,487 |
1.5× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Colporrhaphy suture injury vagina (57200) |
$2,137.50 |
$4,275 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,350.50 |
$2,701 |
4.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$1,350.50 |
$2,701 |
6.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,137.50 |
$4,275 |
0.7× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,137.50 |
$4,275 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,350.50 |
$2,701 |
4.4× |
| Colposcopy vulva (56820) |
$75 |
$150 |
0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,350.50 |
$2,701 |
1.5× |
| Colpotomy; with exploration (57000) |
$2,137.50 |
$4,275 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,743.50 |
$3,487 |
1.5× |
| Complete replacement picc rs&i (36584) |
$1,743.50 |
$3,487 |
1.1× |
| Complex Drainage, Wound (10180) |
$2,137.50 |
$4,275 |
0.7× |
| Conization of cervix (57520) |
$2,137.50 |
$4,275 |
0.7× |
| Conization of cervix (57522) |
$2,137.50 |
$4,275 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$161 |
$322 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$108 |
$216 |
0.8× |
| Control nose/throat bleeding (42972) |
$1,743.50 |
$3,487 |
0.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,350.50 |
$2,701 |
2.5× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$2,137.50 |
$4,275 |
0.6× |
| Correction hammertoe (28285) |
$2,137.50 |
$4,275 |
0.7× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Correction of bunion (28292) |
$2,531 |
$5,062 |
0.8× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,531 |
$5,062 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,531 |
$5,062 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,531 |
$5,062 |
0.8× |
| Create eardrum opening (69436) |
$1,743.50 |
$3,487 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$161 |
$322 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$161 |
$322 |
0.7× |
| Curettage postpartum (59160) |
$2,137.50 |
$4,275 |
0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,137.50 |
$4,275 |
1.0× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$2,137.50 |
$4,275 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,743.50 |
$3,487 |
0.8× |
Cystolithotomy w rem stone wo vn res (51050)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.2× |
| Cystoscopy implant stent (52282) |
$2,531 |
$5,062 |
0.7× |
Cystoscopy inject material (52327)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.5× |
| Cystoscopy w/biopsy (52204) |
$2,137.50 |
$4,275 |
1.0× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,137.50 |
$4,275 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,743.50 |
$3,487 |
0.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,137.50 |
$4,275 |
1.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$1,350.50 |
$2,701 |
0.6× |
| Cystourethroscopy (52000) |
$1,350.50 |
$2,701 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$794.25 |
$1,588.50 |
1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,350.50 |
$2,701 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,350.50 |
$2,701 |
1.9× |
| Debride skin musc at fx site (11011) |
$1,350.50 |
$2,701 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$223 |
$446 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$562 |
$1,124 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$660.50 |
$1,321 |
0.4× |
Decompression of forearm (24495)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Delivery placenta separate procedure (59414) |
$2,137.50 |
$4,275 |
0.7× |
| Destroy internal hemorrhoids (46930) |
$1,350.50 |
$2,701 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$1,350.50 |
$2,701 |
3.3× |
| Destruction anal lesion(s) (46924) |
$2,137.50 |
$4,275 |
0.8× |
| Destruction benign lesions 15 or more (17111) |
$1,350.50 |
$2,701 |
6.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,350.50 |
$2,701 |
6.7× |
| Destruction Lesions Vulva Extensive (56515) |
$2,137.50 |
$4,275 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,137.50 |
$4,275 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$1,350.50 |
$2,701 |
6.7× |
| Destruction of growth of rectum (45190) |
$2,137.50 |
$4,275 |
0.8× |
| Destruction of skin lesions (17106) |
$1,350.50 |
$2,701 |
3.3× |
| Destruction premalignant lesion 1st (17000) |
$1,350.50 |
$2,701 |
6.7× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,137.50 |
$4,275 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,350.50 |
$2,701 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,137.50 |
$4,275 |
0.7× |
| Dilation Esophagus Guide Wire (43453) |
$1,350.50 |
$2,701 |
0.7× |
| Dilation of vagina (57400) |
$2,137.50 |
$4,275 |
0.7× |
| Division of fallopian tube (58600) |
$2,531 |
$5,062 |
0.8× |
| Drain lower leg bursa (27604) |
$2,531 |
$5,062 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,350.50 |
$2,701 |
1.9× |
| Drain shoulder lesion (23030) |
$2,137.50 |
$4,275 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,743.50 |
$3,487 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$1,350.50 |
$2,701 |
6.7× |
| Drainage of bone lesion (26992) |
$1,743.50 |
$3,487 |
0.5× |
| Drainage of deep rectal abscess (45020) |
$1,743.50 |
$3,487 |
0.6× |
| Drainage of eyelid abscess (67700) |
$1,350.50 |
$2,701 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$838.50 |
$1,677 |
0.5× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$2,137.50 |
$4,275 |
0.7× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$1,743.50 |
$3,487 |
0.6× |
| Drainage of perirenal or renal abscess, open (50020) |
$2,137.50 |
$4,275 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,743.50 |
$3,487 |
1.1× |
| Dressing change under anesthesia (15852) |
$1,350.50 |
$2,701 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$351 |
$702 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$785.50 |
$1,571 |
3.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$151 |
$302 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$2,137.50 |
$4,275 |
0.8× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,137.50 |
$4,275 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,137.50 |
$4,275 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,743.50 |
$3,487 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,743.50 |
$3,487 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,300.25 |
$2,600.50 |
0.7× |
| Egd flexible foreign body removal (43247) |
$1,743.50 |
$3,487 |
1.9× |
| Egd guide wire insertion (43248) |
$1,743.50 |
$3,487 |
1.9× |
| Egd place gastrostomy tube (43246) |
$148.75 |
$297.50 |
0.1× |
| Egd remove lesion snare (43251) |
$1,743.50 |
$3,487 |
0.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,743.50 |
$3,487 |
0.9× |
| Egd tube/cath insertion (43241) |
$1,743.50 |
$3,487 |
0.9× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$2,924 |
$5,848 |
0.5× |
| Endocervical Curettage (57505) |
$1,350.50 |
$2,701 |
1.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$2,531 |
$5,062 |
0.5× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,137.50 |
$4,275 |
0.7× |
| Enterorrhaphy single perforation (44602) |
$3,317 |
$6,634 |
0.9× |
| Epididymectomy bilateral (54861) |
$2,137.50 |
$4,275 |
0.6× |
| Epididymectomy unilateral (54860) |
$2,137.50 |
$4,275 |
0.6× |
| Episiotomy or vaginal repair (59300) |
$2,595.20 |
$5,190.39 |
0.8× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,743.50 |
$3,487 |
0.9× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,743.50 |
$3,487 |
0.9× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,743.50 |
$3,487 |
0.9× |
| Evacuate mole of uterus (59870) |
$2,137.50 |
$4,275 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$68.50 |
$137 |
0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,137.50 |
$4,275 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$2,137.50 |
$4,275 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,137.50 |
$4,275 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,743.50 |
$3,487 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,743.50 |
$3,487 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,743.50 |
$3,487 |
1.1× |
| Exc back les sc < 3 cm (21930) |
$1,743.50 |
$3,487 |
1.1× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$1,350.50 |
$2,701 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,350.50 |
$2,701 |
1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,350.50 |
$2,701 |
0.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,743.50 |
$3,487 |
1.1× |
| Exc forearm les sc 3 cm/> (25071) |
$2,137.50 |
$4,275 |
1.3× |
| Exc forearm les sc < 3 cm (25075) |
$1,743.50 |
$3,487 |
1.1× |
| Exc hand les sc < 1.5 cm (26115) |
$1,743.50 |
$3,487 |
1.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,137.50 |
$4,275 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,137.50 |
$4,275 |
1.3× |
| Exc neck tum deep < 5 cm (21556) |
$2,137.50 |
$4,275 |
0.7× |
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Exc rect tum transanal part (45171) |
$2,137.50 |
$4,275 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,137.50 |
$4,275 |
1.3× |
Exc skin abd (15830)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,350.50 |
$2,701 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,350.50 |
$2,701 |
3.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,350.50 |
$2,701 |
1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,350.50 |
$2,701 |
1.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,350.50 |
$2,701 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,743.50 |
$3,487 |
1.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,743.50 |
$3,487 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,350.50 |
$2,701 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,743.50 |
$3,487 |
1.1× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$2,137.50 |
$4,275 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,655 |
$3,310 |
1.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,350.50 |
$2,701 |
1.9× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,350.50 |
$2,701 |
0.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,743.50 |
$3,487 |
1.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,743.50 |
$3,487 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,137.50 |
$4,275 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,743.50 |
$3,487 |
1.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,709 |
$3,418 |
0.6× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,743.50 |
$3,487 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,743.50 |
$3,487 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,137.50 |
$4,275 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,137.50 |
$4,275 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,743.50 |
$3,487 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,743.50 |
$3,487 |
0.6× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$2,137.50 |
$4,275 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,137.50 |
$4,275 |
0.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,137.50 |
$4,275 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,743.50 |
$3,487 |
1.1× |
| Excise lesion testis (54512) |
$2,137.50 |
$4,275 |
0.6× |
Excise parotid gland/lesion (42410)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
Excise parotid gland/lesion (42420)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$2,137.50 |
$4,275 |
0.6× |
| Excision brach clft cyst,superficial (42810) |
$2,137.50 |
$4,275 |
0.6× |
| Excision Breast Lesion (19125) |
$2,137.50 |
$4,275 |
0.5× |
| Excision external ear partial simple repair (69110) |
$1,743.50 |
$3,487 |
0.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,654 |
$5,308 |
0.9× |
| Excision hidradenitis axillary complex repair (11451) |
$2,137.50 |
$4,275 |
0.7× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,137.50 |
$4,275 |
0.7× |
| Excision hydrocele bilateral (55041) |
$2,531 |
$5,062 |
0.7× |
| Excision lesion mouth roof (42104) |
$1,743.50 |
$3,487 |
0.5× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,350.50 |
$2,701 |
1.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,350.50 |
$2,701 |
3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,350.50 |
$2,701 |
1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,350.50 |
$2,701 |
1.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,350.50 |
$2,701 |
1.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,350.50 |
$2,701 |
1.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,350.50 |
$2,701 |
1.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,743.50 |
$3,487 |
1.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,350.50 |
$2,701 |
1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,350.50 |
$2,701 |
1.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,350.50 |
$2,701 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,743.50 |
$3,487 |
1.1× |
Excision malignant tumor mandible (21044)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,743.50 |
$3,487 |
0.6× |
| Excision of bartholin's gland or cyst (56740) |
$2,137.50 |
$4,275 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,350.50 |
$2,701 |
1.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,350.50 |
$2,701 |
1.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,137.50 |
$4,275 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$2,531 |
$5,062 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,350.50 |
$2,701 |
1.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$2,137.50 |
$4,275 |
0.6× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$2,137.50 |
$4,275 |
0.7× |
| Excision of lesion of tongue without closure (41110) |
$1,743.50 |
$3,487 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,350.50 |
$2,701 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,350.50 |
$2,701 |
0.8× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,137.50 |
$4,275 |
1.3× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$2,137.50 |
$4,275 |
0.6× |
| Excision of local lesion of epididymis (54830) |
$2,137.50 |
$4,275 |
0.6× |
| Excision of nail fold toe (11765) |
$1,350.50 |
$2,701 |
3.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,137.50 |
$4,275 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$1,238.50 |
$2,477 |
1.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,137.50 |
$4,275 |
0.7× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,137.50 |
$4,275 |
1.0× |
Excision of submandibular (submaxillary) gland (42440)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Excision of tongue lesion (41112) |
$1,743.50 |
$3,487 |
0.5× |
| Excision of Umbilicus (49250) |
$2,137.50 |
$4,275 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$2,137.50 |
$4,275 |
0.7× |
| Excision of vaginal septum (57130) |
$2,137.50 |
$4,275 |
0.7× |
| Excision olecranon bursa (24105) |
$2,137.50 |
$4,275 |
0.7× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,531 |
$5,062 |
0.8× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Excision or fulguration; Skene's glands (53270) |
$2,137.50 |
$4,275 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,137.50 |
$4,275 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$2,137.50 |
$4,275 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,137.50 |
$4,275 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,137.50 |
$4,275 |
1.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,137.50 |
$4,275 |
1.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,137.50 |
$4,275 |
1.3× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$1,743.50 |
$3,487 |
0.5× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$2,137.50 |
$4,275 |
1.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,350.50 |
$2,701 |
0.8× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,137.50 |
$4,275 |
0.7× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$2,137.50 |
$4,275 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,137.50 |
$4,275 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,137.50 |
$4,275 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,743.50 |
$3,487 |
1.1× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$2,137.50 |
$4,275 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,137.50 |
$4,275 |
1.0× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,137.50 |
$4,275 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$2,137.50 |
$4,275 |
1.3× |
| Explor ankle jt+tenosynovectomy (27626) |
$2,531 |
$5,062 |
0.8× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$2,531 |
$5,062 |
0.7× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,137.50 |
$4,275 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$2,137.50 |
$4,275 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,743.50 |
$3,487 |
1.1× |
Explore parathyroid glands (60500)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Explore/treat ankle joint (27610) |
$2,531 |
$5,062 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$2,137.50 |
$4,275 |
0.7× |
| Fasciotomy palmar open partial (26045) |
$2,531 |
$5,062 |
0.8× |
| Fasciotomy palmar percutaneous (26040) |
$1,743.50 |
$3,487 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,531 |
$5,062 |
0.8× |
| Fetal non-stress test (59025) |
$209 |
$418 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,314 |
$4,628 |
3.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,625.50 |
$3,251 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$461 |
$922 |
1.1× |
| Fixation of knee joint (27570) |
$1,743.50 |
$3,487 |
1.1× |
| Fixation of shoulder (23700) |
$1,743.50 |
$3,487 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,471.50 |
$2,943 |
2.1× |
| Fna bx w/mr gdn 1st les (10011) |
$2,021.50 |
$4,043 |
2.8× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,743.50 |
$3,487 |
0.8× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,743.50 |
$3,487 |
0.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,743.50 |
$3,487 |
0.8× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,743.50 |
$3,487 |
0.8× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$3,317 |
$6,634 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$135.25 |
$270.50 |
0.6× |
| Gastrocnemius Recession (27687) |
$2,531 |
$5,062 |
0.8× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,317 |
$6,634 |
0.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,137.50 |
$4,275 |
1.1× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Hemorrhoidectomy (46255) |
$2,137.50 |
$4,275 |
0.8× |
| Hemorrhoidectomy external complete (46250) |
$2,137.50 |
$4,275 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$2,137.50 |
$4,275 |
0.8× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,137.50 |
$4,275 |
0.8× |
| Hymenotomy Simple Incision (56442) |
$2,137.50 |
$4,275 |
0.7× |
| Hysteroscopy ablation (58563) |
$2,531 |
$5,062 |
0.5× |
| Hysteroscopy biopsy (58558) |
$2,137.50 |
$4,275 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$2,137.50 |
$4,275 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$2,531 |
$5,062 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$1,350.50 |
$2,701 |
5.7× |
| I&d abscess simple (10060) |
$355 |
$710 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,137.50 |
$4,275 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,137.50 |
$4,275 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,137.50 |
$4,275 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,137.50 |
$4,275 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,350.50 |
$2,701 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$863.75 |
$1,727.50 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$1,743.50 |
$3,487 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,743.50 |
$3,487 |
1.1× |
| Incise finger tendon sheath (26055) |
$1,743.50 |
$3,487 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$838.50 |
$1,677 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,137.50 |
$4,275 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,743.50 |
$3,487 |
2.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,250.75 |
$2,501.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$784.75 |
$1,569.50 |
1.9× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$2,137.50 |
$4,275 |
0.7× |
| Incision and drainage of abscess of pelvis (57010) |
$2,137.50 |
$4,275 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,350.50 |
$2,701 |
6.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$882.50 |
$1,765 |
2.9× |
| Incision labial frenum frenotomy (40806) |
$1,350.50 |
$2,701 |
2.5× |
| Incision of achilles tendon (27605) |
$2,137.50 |
$4,275 |
1.3× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Incision of lingual frenum (41010) |
$931 |
$1,862 |
0.6× |
| Incision of metatarsal (28308) |
$2,137.50 |
$4,275 |
0.7× |
| Incision of rectal abscess (46040) |
$1,509 |
$3,018 |
1.3× |
| Incision of urethra (53020) |
$2,137.50 |
$4,275 |
1.0× |
Incision of windpipe (31601)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$752.25 |
$1,504.50 |
3.0× |
| Incisional biopsy skin single lesion (11106) |
$847 |
$1,694 |
1.1× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$113.50 |
$227 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$762.25 |
$1,524.50 |
2.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,350.50 |
$2,701 |
1.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$49.50 |
$99 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$195 |
$390 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$552.50 |
$1,105 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$159.50 |
$319 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$252 |
$504 |
0.4× |
| Injection for identification of sentinel node (38792) |
$197 |
$394 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$154 |
$308 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$174 |
$348 |
0.6× |
| Injection treatment of nerve (64600) |
$80 |
$160 |
0.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$442 |
$884 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$2,924 |
$5,848 |
0.5× |
Ins Pm Pls Gen W/Exist Single Lead (33212)
unusually low: confirm this is the full procedure |
$3,712.50 |
$7,425 |
0.4× |
| Insert and remove bone pin (20650) |
$2,531 |
$5,062 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$100.50 |
$201 |
0.8× |
| Insert cervical dilator (59200) |
$333.74 |
$667.47 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$831.50 |
$1,663 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,287.50 |
$2,575 |
0.4× |
| Insert picc cath (36569) |
$1,743.50 |
$3,487 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,743.50 |
$3,487 |
1.1× |
| Insert picvad cath (36570) |
$2,137.50 |
$4,275 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$104.50 |
$209 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,531 |
$5,062 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$93.75 |
$187.50 |
0.7× |
Insj penile prosthesis non-inflatable semi-rigid (54400)
likely a partial charge, not the full procedure |
$3,712.50 |
$7,425 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,137.50 |
$4,275 |
0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,531 |
$5,062 |
0.8× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,531 |
$5,062 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,137.50 |
$4,275 |
0.7× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,357 |
$6,714 |
0.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,350.50 |
$2,701 |
2.5× |
| Intubation endotracheal emergency procedure (31500) |
$397 |
$794 |
1.7× |
| Irrigation maxillary sinus (31000) |
$1,350.50 |
$2,701 |
5.7× |
| Lap ing hernia repair init (49650) |
$3,317 |
$6,634 |
0.5× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
| Laparoscopy appendectomy (44970) |
$3,317 |
$6,634 |
0.5× |
Laparoscopy biopsy (49321)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Laparoscopy Remove Adnexa (58661) |
$3,317 |
$6,634 |
0.5× |
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,480.50 |
$4,961 |
0.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,317 |
$6,634 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,317 |
$6,634 |
0.5× |
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,317 |
$6,634 |
0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$3,317 |
$6,634 |
0.5× |
| Laparoscopy, surgical; urethral suspension for stress incontinence (51990) |
$3,317 |
$6,634 |
0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,317 |
$6,634 |
0.5× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$3,317 |
$6,634 |
0.5× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$3,317 |
$6,634 |
0.5× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$3,317 |
$6,634 |
0.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$348.50 |
$697 |
1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$362 |
$724 |
0.9× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,137.50 |
$4,275 |
1.2× |
| Late closure of wound (13160) |
$2,137.50 |
$4,275 |
0.6× |
| Ligate leg veins radical (37760) |
$2,137.50 |
$4,275 |
0.7× |
| Ligate/strip long leg vein (37722) |
$2,924 |
$5,848 |
0.9× |
| Ligate/strip short leg vein (37718) |
$2,137.50 |
$4,275 |
0.7× |
| Ligation of abdomen artery (37617) |
$3,712.50 |
$7,425 |
0.7× |
| Ligation of hemorrhoid(s) (46221) |
$1,350.50 |
$2,701 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$1,743.50 |
$3,487 |
1.1× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$2,137.50 |
$4,275 |
0.7× |
| Liver Biopsy (47000) |
$1,743.50 |
$3,487 |
1.1× |
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Lsh uterus above 250 g (58543)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
Lsh w/t/o uterus above 250 g (58544)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,137.50 |
$4,275 |
1.0× |
| Marsup Bartholin Gland Cyst (56440) |
$2,137.50 |
$4,275 |
0.7× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Mastectomy gynecomastia (19300) |
$2,137.50 |
$4,275 |
0.5× |
| Mastectomy partial (19301) |
$2,137.50 |
$4,275 |
0.5× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,763.75 |
$5,527.50 |
0.4× |
| Metatarsectomy (28140) |
$2,137.50 |
$4,275 |
0.7× |
| Musculoskeletal surgery (20999) |
$2,137.50 |
$4,275 |
8.6× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$2,531 |
$5,062 |
0.8× |
| Nipple/areola reconstruction (19350) |
$2,137.50 |
$4,275 |
0.5× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$3,317 |
$6,634 |
0.5× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$2,137.50 |
$4,275 |
0.7× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,137.50 |
$4,275 |
0.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,137.50 |
$4,275 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$2,137.50 |
$4,275 |
0.7× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$2,137.50 |
$4,275 |
0.7× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,137.50 |
$4,275 |
0.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,531 |
$5,062 |
0.7× |
| Orchiectomy radical tumor w/abdominal expl (54535) |
$2,531 |
$5,062 |
0.7× |
| Orchiectomy, partial (54522) |
$2,137.50 |
$4,275 |
0.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,137.50 |
$4,275 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$2,137.50 |
$4,275 |
0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,137.50 |
$4,275 |
0.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,137.50 |
$4,275 |
0.7× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
Osteotomy midtarsal,autograft (28305)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Ovarian cystectomy (58925) |
$2,531 |
$5,062 |
0.5× |
| Partial excision bone talus/calcaneus (28120) |
$2,137.50 |
$4,275 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,137.50 |
$4,275 |
0.7× |
| Partial excision of lip (40520) |
$1,743.50 |
$3,487 |
0.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,137.50 |
$4,275 |
0.7× |
| Partial Removal Foot Fascia (28060) |
$2,137.50 |
$4,275 |
0.7× |
| Partial removal of lip (40530) |
$2,137.50 |
$4,275 |
0.6× |
| Partial removal of thyroid (60220) |
$3,317 |
$6,634 |
0.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,317 |
$6,634 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,137.50 |
$4,275 |
0.7× |
| Pelvic exam under anesthesia (57410) |
$2,137.50 |
$4,275 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,743.50 |
$3,487 |
2.5× |
| Peri-implant capsulectomy breast complete (19371) |
$2,531 |
$5,062 |
0.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,137.50 |
$4,275 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$920.50 |
$1,841 |
1.3× |
| Perq device breast 1st imag (19281) |
$1,051.25 |
$2,102.50 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$836 |
$1,672 |
3.3× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$2,924 |
$5,848 |
0.6× |
| Placement of seton (46020) |
$2,137.50 |
$4,275 |
0.8× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$3,317 |
$6,634 |
1.7× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$3,317 |
$6,634 |
1.0× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$2,137.50 |
$4,275 |
0.7× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
| Preputial Stretching (54450) |
$774.25 |
$1,548.50 |
3.1× |
| Probe nasolacrimal duct (68811) |
$2,137.50 |
$4,275 |
0.9× |
| Proctosigmoidoscopy w/bx (45305) |
$1,743.50 |
$3,487 |
1.5× |
| Prostate Saturation Sampling (55706) |
$580.47 |
$1,160.93 |
0.2× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$2,137.50 |
$4,275 |
0.7× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$3,317 |
$6,634 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$847 |
$1,694 |
2.1× |
| Puncture Aspiration (10160) |
$794.25 |
$1,588.50 |
1.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,350.50 |
$2,701 |
1.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,137.50 |
$4,275 |
1.3× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$2,137.50 |
$4,275 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$2,137.50 |
$4,275 |
0.7× |
| Radical resection tumor phalanx or toe (28175) |
$2,137.50 |
$4,275 |
1.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Reconstruc toe deform,soft tissue (28313) |
$2,137.50 |
$4,275 |
0.7× |
| Reduce testis torsion (54600) |
$2,137.50 |
$4,275 |
0.6× |
| Reduction of rectal prolapse (45900) |
$1,350.50 |
$2,701 |
1.4× |
| Release palm contracture (26121) |
$2,531 |
$5,062 |
0.8× |
| Removal fb intranasal (30300) |
$147.50 |
$295 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,137.50 |
$4,275 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,005.50 |
$2,011 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,431.50 |
$2,863 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$821.50 |
$1,643 |
1.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,743.50 |
$3,487 |
0.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,743.50 |
$3,487 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$86.50 |
$173 |
1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,137.50 |
$4,275 |
0.7× |
| Removal Implant Deep (20680) |
$2,137.50 |
$4,275 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,743.50 |
$3,487 |
1.1× |
| Removal Intact Mammary Implant (19328) |
$2,531 |
$5,062 |
0.6× |
| Removal of adenoids (42830) |
$2,137.50 |
$4,275 |
0.6× |
| Removal of anal fissure (46200) |
$2,137.50 |
$4,275 |
0.8× |
| Removal of ankle implant (27704) |
$2,137.50 |
$4,275 |
0.7× |
| Removal of bone lesion (23140) |
$2,137.50 |
$4,275 |
0.7× |
| Removal of cervix (57530) |
$2,531 |
$5,062 |
0.5× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$2,137.50 |
$4,275 |
1.3× |
| Removal of heel bone (28118) |
$2,137.50 |
$4,275 |
0.7× |
| Removal of heel spur (28119) |
$2,137.50 |
$4,275 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$1,350.50 |
$2,701 |
4.4× |
| Removal of iris (66625) |
$1,350.50 |
$2,701 |
0.6× |
| Removal of lens lesion (66830) |
$1,350.50 |
$2,701 |
0.6× |
| Removal of nail bed (11750) |
$846 |
$1,692 |
2.1× |
| Removal of salivary stone (42330) |
$1,743.50 |
$3,487 |
0.5× |
| Removal of sesamoid bone (28315) |
$2,137.50 |
$4,275 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,350.50 |
$2,701 |
6.7× |
| Removal of sperm cord lesion (55520) |
$2,137.50 |
$4,275 |
0.6× |
| Removal of testis (54520) |
$2,137.50 |
$4,275 |
0.6× |
| Removal of thyroid lesion (60200) |
$3,317 |
$6,634 |
0.5× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,137.50 |
$4,275 |
0.4× |
| Removal of tonsils (42826) |
$2,137.50 |
$4,275 |
0.6× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,743.50 |
$3,487 |
0.7× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$2,531 |
$5,062 |
0.8× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,350.50 |
$2,701 |
0.7× |
| Remove anal fist subq (46270) |
$2,137.50 |
$4,275 |
0.8× |
| Remove by ligat int hem grp (46945) |
$2,137.50 |
$4,275 |
0.8× |
| Remove by ligat int hem grps (46946) |
$2,137.50 |
$4,275 |
0.8× |
| Remove cerclage suture (59871) |
$2,137.50 |
$4,275 |
0.7× |
| Remove in/ex hem groups 2+ (46260) |
$2,137.50 |
$4,275 |
0.8× |
| Remove in/ex hem grp w/fistu (46258) |
$2,137.50 |
$4,275 |
0.8× |
| Remove knee cyst (27347) |
$2,137.50 |
$4,275 |
0.7× |
| Remove Peritoneal Foreign Body (49402) |
$2,137.50 |
$4,275 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$2,137.50 |
$4,275 |
0.7× |
| Remove tissue expander (11971) |
$2,137.50 |
$4,275 |
0.7× |
| Remove tumor hip/pelvis (27049) |
$1,743.50 |
$3,487 |
0.6× |
| Remove vagina wall partial (57106) |
$2,137.50 |
$4,275 |
0.7× |
| Remove wrist tendon lesion (25111) |
$2,137.50 |
$4,275 |
1.3× |
Remove/graft leg bone lesion (27637)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,137.50 |
$4,275 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$149.50 |
$299 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$130 |
$260 |
1.0× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Repair anorectal fistula w/plug (46707) |
$2,480.50 |
$4,961 |
0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,531 |
$5,062 |
0.8× |
Repair collat ankle ligmnt,secondary (27698)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$414.50 |
$829 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$985 |
$1,970 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$908 |
$1,816 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,010.50 |
$2,021 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$447 |
$894 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,016.25 |
$2,032.50 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$847.75 |
$1,695.50 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$949 |
$1,898 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,743.50 |
$3,487 |
1.1× |
| Repair finger/hand tendon (26350) |
$2,531 |
$5,062 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$2,531 |
$5,062 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$2,531 |
$5,062 |
0.8× |
| Repair hand tendon (26410) |
$1,743.50 |
$3,487 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,531 |
$5,062 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,531 |
$5,062 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,531 |
$5,062 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,531 |
$5,062 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$619.50 |
$1,239 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$843.75 |
$1,687.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$414.50 |
$829 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$722 |
$1,444 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$908 |
$1,816 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$517.50 |
$1,035 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$826 |
$1,652 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$363 |
$726 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$257.50 |
$515 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$847.75 |
$1,695.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$900.50 |
$1,801 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$784 |
$1,568 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$936 |
$1,872 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$795.25 |
$1,590.50 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$858.75 |
$1,717.50 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$997.75 |
$1,995.50 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$920 |
$1,840 |
2.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,332.50 |
$2,665 |
0.6× |
| Repair Laceration Palate </2 Cm (42180) |
$1,350.50 |
$2,701 |
2.5× |
| Repair of anal sphincter (46750) |
$2,531 |
$5,062 |
0.9× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$2,531 |
$5,062 |
0.5× |
| Repair of hammertoe (28286) |
$2,137.50 |
$4,275 |
0.7× |
| Repair of hydrocele (55060) |
$2,137.50 |
$4,275 |
0.6× |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
Repair of leg tendon each (27665)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Repair of leg tendon each (27658) |
$2,137.50 |
$4,275 |
0.7× |
| Repair of rectocele (45560) |
$2,531 |
$5,062 |
0.9× |
| Repair of sperm duct (55400) |
$2,137.50 |
$4,275 |
0.6× |
| Repair of vagina (57260) |
$2,531 |
$5,062 |
0.5× |
| Repair rectum & vagina (57250) |
$2,531 |
$5,062 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Repair Tongue Laceration (41250) |
$773.50 |
$1,547 |
1.7× |
| Repair wrist joints (25447) |
$2,924 |
$5,848 |
0.9× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$2,137.50 |
$4,275 |
0.7× |
| Repair, fascial defect of leg (27656) |
$2,137.50 |
$4,275 |
0.7× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,137.50 |
$4,275 |
0.7× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$2,531 |
$5,062 |
0.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$1,743.50 |
$3,487 |
0.6× |
| Revise hernia & sperm veins (55540) |
$2,531 |
$5,062 |
0.7× |
| Revise leg vein (37700) |
$2,137.50 |
$4,275 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,137.50 |
$4,275 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$2,137.50 |
$4,275 |
1.1× |
| Revision of cervix (57720) |
$2,137.50 |
$4,275 |
0.7× |
| Revision of foot (28116) |
$2,137.50 |
$4,275 |
0.7× |
Revision of foot and ankle (28262)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Revision of lower leg tendon (27685) |
$2,531 |
$5,062 |
0.8× |
| Revision of tracheostomy scar (31830) |
$2,137.50 |
$4,275 |
0.6× |
Revision or removal of cranial neurostimulator pulse generator or receiver (61888)
likely a partial charge, not the full procedure |
$2,531 |
$5,062 |
0.2× |
| Revision peri-implant capsule breast (19370) |
$2,531 |
$5,062 |
0.6× |
| Revj clst comp rcnstj in-depth spx (44345) |
$2,531 |
$5,062 |
0.7× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$2,137.50 |
$4,275 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$205.50 |
$411 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,743.50 |
$3,487 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,137.50 |
$4,275 |
0.7× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$2,531 |
$5,062 |
0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,137.50 |
$4,275 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,743.50 |
$3,487 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,350.50 |
$2,701 |
2.1× |
| Rplc gtube revj gstrst trc (43763) |
$836 |
$1,672 |
3.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,743.50 |
$3,487 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,531 |
$5,062 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,137.50 |
$4,275 |
0.7× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,743.50 |
$3,487 |
0.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,743.50 |
$3,487 |
1.1× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$2,137.50 |
$4,275 |
0.3× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$2,531 |
$5,062 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$661.50 |
$1,323 |
0.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,350.50 |
$2,701 |
5.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,350.50 |
$2,701 |
0.9× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure |
$2,531 |
$5,062 |
0.3× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,743.50 |
$3,487 |
1.1× |
| Salpingostomy (salpingoneostomy) (58770) |
$2,531 |
$5,062 |
0.8× |
| Scrotal exploration (55110) |
$2,137.50 |
$4,275 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,743.50 |
$3,487 |
1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$1,350.50 |
$2,701 |
6.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$1,350.50 |
$2,701 |
3.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$1,350.50 |
$2,701 |
6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$1,350.50 |
$2,701 |
6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$1,350.50 |
$2,701 |
6.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$1,350.50 |
$2,701 |
3.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$1,350.50 |
$2,701 |
3.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$1,350.50 |
$2,701 |
6.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$1,350.50 |
$2,701 |
3.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$1,350.50 |
$2,701 |
6.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$1,350.50 |
$2,701 |
3.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$1,350.50 |
$2,701 |
6.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,743.50 |
$3,487 |
1.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,350.50 |
$2,701 |
1.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,350.50 |
$2,701 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$472 |
$944 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$788 |
$1,576 |
3.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$202.50 |
$405 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$621 |
$1,242 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$793.75 |
$1,587.50 |
3.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$378 |
$756 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$775.50 |
$1,551 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$773.50 |
$1,547 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$476.50 |
$953 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$797.75 |
$1,595.50 |
4.0× |
| Skin Pedicle Flap Trunk (15570) |
$2,137.50 |
$4,275 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$2,137.50 |
$4,275 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,743.50 |
$3,487 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,743.50 |
$3,487 |
2.3× |
| Skin Tissue Procedure (17999) |
$732.50 |
$1,465 |
3.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,137.50 |
$4,275 |
0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,924 |
$5,848 |
0.6× |
| Slitting of prepuce (54001) |
$1,820 |
$3,640 |
0.9× |
| Small bowel endoscopy (44364) |
$1,743.50 |
$3,487 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$778 |
$1,556 |
3.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$843.75 |
$1,687.50 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$440.50 |
$881 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$358 |
$716 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$286.50 |
$573 |
0.4× |
| Strapping ankle (29540) |
$121.25 |
$242.50 |
0.7× |
| Strapping elbow/wrist (29260) |
$136.75 |
$273.50 |
2.3× |
| Strapping hand/finger (29280) |
$140.25 |
$280.50 |
2.4× |
| Strapping Hip (29520) |
$99.50 |
$199 |
0.7× |
| Strapping knee (29530) |
$161 |
$322 |
1.2× |
| Strapping shoulder (29240) |
$155.75 |
$311.50 |
1.2× |
| Strapping thorax (29200) |
$142 |
$284 |
0.9× |
| Strapping toes (29550) |
$74 |
$148 |
1.2× |
| Strapping unna boot (29580) |
$102.50 |
$205 |
0.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,946 |
$3,892 |
0.7× |
| Suspension of testis (54640) |
$2,531 |
$5,062 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$847 |
$1,694 |
2.1× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,137.50 |
$4,275 |
1.3× |
| Tenotomy percutaneous single each digit (26060) |
$1,743.50 |
$3,487 |
1.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,137.50 |
$4,275 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$411 |
$822 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$382.50 |
$765 |
0.6× |
| Throat Surgery Procedure (42999) |
$1,350.50 |
$2,701 |
5.7× |
| Thyroidectomy, total or complete (60240) |
$3,317 |
$6,634 |
0.5× |
| Tongue and mouth surg unlisted (41599) |
$1,350.50 |
$2,701 |
5.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,137.50 |
$4,275 |
0.6× |
| Total thyroid lobectomy unilateral (60225) |
$3,317 |
$6,634 |
0.5× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,743.50 |
$3,487 |
1.1× |
| Tracheostomy planned (31600) |
$2,137.50 |
$4,275 |
0.6× |
| Transplant hand tendon (26480) |
$2,531 |
$5,062 |
0.8× |
| Treat ectopic pregnancy (59151) |
$3,317 |
$6,634 |
0.5× |
| Treat finger dislocation (26775) |
$1,743.50 |
$3,487 |
6.2× |
| Treat Fracture Radius & Ulna (25560) |
$658 |
$1,316 |
2.7× |
| Treat fx distal radial (25606) |
$2,137.50 |
$4,275 |
0.7× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Treat humerus fracture (24500) |
$1,110.50 |
$2,221 |
4.5× |
| Treat humerus fracture (23600) |
$1,743.50 |
$3,487 |
7.0× |
| Treat knee fracture (27532) |
$1,743.50 |
$3,487 |
0.5× |
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$3,317 |
$6,634 |
0.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,350.50 |
$2,701 |
0.8× |
| Treat toe fracture (28525) |
$2,137.50 |
$4,275 |
0.7× |
| Treat Wrist Bone Fracture (25630) |
$551.50 |
$1,103 |
2.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,743.50 |
$3,487 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$833 |
$1,666 |
3.4× |
| Treatment mouth roof lesion (42160) |
$1,743.50 |
$3,487 |
0.5× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$3,317 |
$6,634 |
0.5× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,137.50 |
$4,275 |
0.7× |
| Trim skin lesion (11055) |
$1,350.50 |
$2,701 |
6.7× |
| Trim skin lesions 2 to 4 (11056) |
$1,350.50 |
$2,701 |
6.7× |
| Trim skin lesions over 4 (11057) |
$1,350.50 |
$2,701 |
6.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,137.50 |
$4,275 |
0.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,137.50 |
$4,275 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,350.50 |
$2,701 |
1.8× |
| Tympanostomy (69433) |
$1,350.50 |
$2,701 |
2.5× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$1,350.50 |
$2,701 |
5.7× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$2,704.50 |
$5,409 |
0.4× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
Unlisted laparoscopy procedure, lymphatic system (38589)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
Unlisted laparoscopy procedure, uterus (58578)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.5× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$2,936.25 |
$5,872.50 |
0.5× |
| Unlisted procedure anus (46999) |
$1,350.50 |
$2,701 |
1.4× |
| Unlisted Procedure Biliary Tract (47999) |
$2,531 |
$5,062 |
2.8× |
| Unlisted Procedure Breast (19499) |
$2,137.50 |
$4,275 |
0.5× |
| Unlisted Procedure Casting/Strapping (29799) |
$181.50 |
$363 |
1.1× |
| Unlisted procedure colon (45399) |
$1,743.50 |
$3,487 |
1.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$93 |
$186 |
0.4× |
| Unlisted Procedure Endocrine System (60699) |
$3,317 |
$6,634 |
0.5× |
| Unlisted procedure foot or toes (28899) |
$1,743.50 |
$3,487 |
7.0× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,743.50 |
$3,487 |
2.8× |
| Unlisted procedure maternity care & delivery (59899) |
$750 |
$1,500 |
3.7× |
| Unlisted Procedure Nervous System (64999) |
$1,350.50 |
$2,701 |
4.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$1,743.50 |
$3,487 |
8.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,350.50 |
$2,701 |
2.1× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$2,137.50 |
$4,275 |
8.6× |
| Unlisted procedure, hands or fingers (26989) |
$755 |
$1,510 |
3.0× |
| Unlisted procedure, male genital system (55899) |
$1,350.50 |
$2,701 |
5.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,350.50 |
$2,701 |
6.6× |
| Urology Surgery Procedure (53899) |
$1,350.50 |
$2,701 |
5.4× |
| Uvulectomy excision uvula (42140) |
$1,743.50 |
$3,487 |
0.5× |
| Vag hyst w/enterocele repair (58270) |
$2,531 |
$5,062 |
0.5× |
| Vaginal delivery only (59409) |
$464 |
$928 |
0.1× |
| Vaginal hysterectomy (58260) |
$2,531 |
$5,062 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$2,531 |
$5,062 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$2,531 |
$5,062 |
0.5× |
| Vasectomy (55250) |
$2,137.50 |
$4,275 |
1.0× |
| Venipuncture (36415) |
$10.25 |
$20.50 |
1.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,743.50 |
$3,487 |
0.5× |
| Vulvectomy simple partial (56620) |
$2,137.50 |
$4,275 |
0.7× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$2,924 |
$5,848 |
0.4× |