| Abd paracentesis w/imaging (49083) |
$966.60 |
$1,074 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$513 |
$570 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$606.60 |
$674 |
0.4× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,312.20 |
$1,458 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,153.50 |
$4,615 |
1.1× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,998.90 |
$2,221 |
0.9× |
| Amniocentesis diagnostic (59000) |
$790.20 |
$878 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,331 |
$2,590 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$1,532.70 |
$1,703 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,260 |
$1,400 |
0.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,314.90 |
$1,461 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$1,427.40 |
$1,586 |
0.4× |
| Amputation, leg, through tibia and fibula; (27880) |
$6,838.20 |
$7,598 |
0.9× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$2,120.40 |
$2,356 |
0.6× |
| Ankle scope,part synovectomy (29895) |
$1,412.10 |
$1,569 |
0.4× |
| Anoscopy diagnostic (46600) |
$254.70 |
$283 |
1.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,262.15 |
$2,513.50 |
1.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$234 |
$260 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) likely a partial charge, not the full procedure |
$276.30 |
$307 |
0.1× |
Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,773.80 |
$3,082 |
0.4× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$744.30 |
$827 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$311.40 |
$346 |
1.8× |
| Application cast elbow finger short arm (29075) |
$286.20 |
$318 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$315.90 |
$351 |
1.1× |
| Application finger splint static (29130) |
$127.80 |
$142 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$215.55 |
$239.50 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$162 |
$180 |
1.0× |
| Application of long leg cast (29345) |
$466.20 |
$518 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$414.90 |
$461 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$216.90 |
$241 |
1.6× |
| Application short leg splint calf foot (29515) |
$214.20 |
$238 |
1.3× |
| Apply short leg cast (29405) |
$264.60 |
$294 |
0.9× |
| Arterial puncture (36600) |
$69.30 |
$77 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$293.40 |
$326 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$203.40 |
$226 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$237.15 |
$263.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$797.40 |
$886 |
2.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$169.20 |
$188 |
0.5× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) likely a partial charge, not the full procedure |
$3,755.70 |
$4,173 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$1,675.80 |
$1,862 |
0.2× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) likely a partial charge, not the full procedure |
$2,783.70 |
$3,093 |
0.2× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) likely a partial charge, not the full procedure |
$4,113.90 |
$4,571 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$2,573.10 |
$2,859 |
0.3× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) likely a partial charge, not the full procedure |
$3,549.60 |
$3,944 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) likely a partial charge, not the full procedure |
$2,816.55 |
$3,129.50 |
0.2× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) likely a partial charge, not the full procedure |
$3,035.25 |
$3,372.50 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) unusually low: confirm this is the full procedure |
$7,890.30 |
$8,767 |
0.4× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) likely a partial charge, not the full procedure |
$2,176.20 |
$2,418 |
0.2× |
Arthrodesis; subtalar (28725) likely a partial charge, not the full procedure |
$2,131.20 |
$2,368 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$3,329.10 |
$3,699 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) likely a partial charge, not the full procedure |
$2,306.25 |
$2,562.50 |
0.2× |
Arthroplasty, patella; with prosthesis (27438) likely a partial charge, not the full procedure |
$1,566.90 |
$1,741 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) likely a partial charge, not the full procedure |
$2,250.45 |
$2,500.50 |
0.3× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,379.60 |
$2,644 |
1.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,363.40 |
$2,626 |
0.7× |
| Arthroscopy of joint (29999) |
$1,103.40 |
$1,226 |
4.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,568.70 |
$1,743 |
0.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$1,177.65 |
$1,308.50 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,161 |
$1,290 |
0.3× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,417.50 |
$1,575 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,224.90 |
$1,361 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,962.90 |
$2,181 |
0.6× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,234.80 |
$1,372 |
0.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,141.65 |
$1,268.50 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,220.40 |
$1,356 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,291.05 |
$1,434.50 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,590.30 |
$1,767 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,107.80 |
$2,342 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$2,428.20 |
$2,698 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,429.20 |
$1,588 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,312.20 |
$1,458 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,552.95 |
$1,725.50 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,373.75 |
$2,637.50 |
0.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$2,267.10 |
$2,519 |
0.7× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) likely a partial charge, not the full procedure |
$2,052 |
$2,280 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$1,349.10 |
$1,499 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,456.55 |
$2,729.50 |
0.3× |
Arthrotomy hip w/drainage (27030) likely a partial charge, not the full procedure |
$1,879.65 |
$2,088.50 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$1,434.60 |
$1,594 |
0.4× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$1,421.55 |
$1,579.50 |
0.4× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$1,493.10 |
$1,659 |
0.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,548.90 |
$1,721 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$144.90 |
$161 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$471.60 |
$524 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$262.35 |
$291.50 |
1.3× |
| Biopsy Bone Open Deep (20245) |
$1,343.70 |
$1,493 |
0.4× |
| Biopsy bone open superficial (20240) |
$308.70 |
$343 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$963.90 |
$1,071 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$562.50 |
$625 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$2,688.75 |
$2,987.50 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$364.50 |
$405 |
0.4× |
| Biopsy external ear (69100) |
$245.25 |
$272.50 |
1.0× |
| Biopsy intranasal (30100) |
$1,209.60 |
$1,344 |
0.8× |
| Biopsy muscle deep (20205) |
$707.40 |
$786 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$502.20 |
$558 |
0.3× |
| Biopsy of lip (40490) |
$288 |
$320 |
1.2× |
| Biopsy of prostate (55705) |
$819.90 |
$911 |
0.2× |
| Biopsy of tongue (41100) |
$521.10 |
$579 |
0.9× |
| Biopsy of uterus lining (58100) |
$317.70 |
$353 |
1.5× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$1,708.20 |
$1,898 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$958.50 |
$1,065 |
0.2× |
| Biopsy Oropharynx (42800) |
$2,392.20 |
$2,658 |
1.5× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,161.80 |
$2,402 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$969.75 |
$1,077.50 |
1.3× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,284.30 |
$1,427 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$3,337.20 |
$3,708 |
3.5× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,188 |
$1,320 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$869.40 |
$966 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$985.50 |
$1,095 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$175.50 |
$195 |
0.2× |
| Bladder Irrigation Simple (51700) |
$252.90 |
$281 |
1.0× |
| Bladder Scan (51798) |
$234 |
$260 |
3.8× |
| Blood patch (62273) |
$368.10 |
$409 |
0.5× |
| Blood transfusion service (36430) |
$1,012.50 |
$1,125 |
2.2× |
Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) unusually low: confirm this is the full procedure |
$2,686.95 |
$2,985.50 |
0.4× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) likely a partial charge, not the full procedure |
$1,195.20 |
$1,328 |
0.2× |
| Bone marrow aspiration only (38220) |
$395.10 |
$439 |
0.2× |
| Bone Marrow Biopsy (38221) |
$296.10 |
$329 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,423.80 |
$1,582 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,632.50 |
$2,925 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,766.15 |
$3,073.50 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$2,438.10 |
$2,709 |
1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$376.20 |
$418 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$2,129.40 |
$2,366 |
2.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,781.10 |
$1,979 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,122.30 |
$1,247 |
0.3× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,320.20 |
$2,578 |
0.7× |
Capsulorrhaphy anterior w/labral repair (23455) unusually low: confirm this is the full procedure |
$2,283.30 |
$2,537 |
0.3× |
| Carpectomy All Bones Proximal Row (25215) |
$1,426.95 |
$1,585.50 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$135 |
$150 |
0.6× |
| Change Cystostomy Tube Complicated (51710) |
$260.10 |
$289 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$359.10 |
$399 |
1.4× |
| Chemodenerv Musc Migraine (64615) |
$404.10 |
$449 |
1.3× |
| Chest tube placement (32551) |
$628.65 |
$698.50 |
0.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,210.40 |
$2,456 |
0.6× |
| Circum 28 days or older (54161) |
$452.70 |
$503 |
0.2× |
| Circumcision (54150) |
$357.30 |
$397 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,975.50 |
$2,195 |
1.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,330.10 |
$2,589 |
1.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$347.40 |
$386 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$968.40 |
$1,076 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,857.60 |
$2,064 |
7.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,160.10 |
$1,289 |
4.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,683.90 |
$1,871 |
1.0× |
| Closure of gastrostomy surgical (43870) |
$1,572.30 |
$1,747 |
0.4× |
Closure of vagina (57120) likely a partial charge, not the full procedure |
$112.50 |
$125 |
0.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,292.40 |
$1,436 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$604.80 |
$672 |
2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$982.80 |
$1,092 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$868.50 |
$965 |
3.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,391.85 |
$1,546.50 |
5.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,134 |
$1,260 |
4.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,691.10 |
$1,879 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$576 |
$640 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$275.40 |
$306 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,131.20 |
$2,368 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$747.45 |
$830.50 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,009.80 |
$1,122 |
3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,143 |
$1,270 |
4.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,124.10 |
$1,249 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$359.10 |
$399 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,118.70 |
$1,243 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,166.40 |
$1,296 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$985.50 |
$1,095 |
0.8× |
| Colonoscopy stoma w/snare (44394) |
$1,037.70 |
$1,153 |
0.8× |
| Colonoscopy thru stoma (44388) |
$741.60 |
$824 |
0.8× |
| Colonoscopy w/band ligation (45398) |
$990 |
$1,100 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$1,025.10 |
$1,139 |
0.8× |
| Colonoscopy w/resection (45390) |
$968.40 |
$1,076 |
0.3× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) likely a partial charge, not the full procedure |
$313.20 |
$348 |
0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$698.40 |
$776 |
2.2× |
| Colposcopy vulva w/biopsy (56821) |
$150.30 |
$167 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,908 |
$2,120 |
1.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,047.60 |
$1,164 |
0.8× |
| Complex Drainage, Wound (10180) |
$560.70 |
$623 |
0.2× |
| Conization of cervix (57522) |
$2,160 |
$2,400 |
0.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,900.80 |
$2,112 |
8.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$499.95 |
$555.50 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$342.90 |
$381 |
2.5× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) likely a partial charge, not the full procedure |
$3,328.20 |
$3,698 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,104.20 |
$2,338 |
1.2× |
| Correction hammertoe (28285) |
$1,408.50 |
$1,565 |
0.4× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,886.40 |
$2,096 |
0.3× |
| Correction of bunion (28292) |
$1,774.80 |
$1,972 |
0.5× |
Correction of bunion (28299) unusually low: confirm this is the full procedure |
$2,272.50 |
$2,525 |
0.3× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$2,346.30 |
$2,607 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,030.40 |
$2,256 |
0.6× |
| Create eardrum opening (69436) |
$342 |
$380 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$766.80 |
$852 |
5.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$691.20 |
$768 |
2.8× |
| Curettage postpartum (59160) |
$481.50 |
$535 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,949.40 |
$2,166 |
0.5× |
Cysto w fulgertn lg bladder tumor(s) (52240) likely a partial charge, not the full procedure |
$886.50 |
$985 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$1,872 |
$2,080 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$557.10 |
$619 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,264.05 |
$1,404.50 |
0.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$685.80 |
$762 |
0.2× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,069.20 |
$1,188 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$1,008.90 |
$1,121 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$6,466.05 |
$7,184.50 |
3.0× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,278 |
$1,420 |
0.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,253.60 |
$2,504 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$1,207.80 |
$1,342 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,814.40 |
$2,016 |
0.8× |
| Cystourethroscopy (52000) |
$927.90 |
$1,031 |
1.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,409.30 |
$2,677 |
1.1× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,020.60 |
$1,134 |
0.3× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$598.50 |
$665 |
0.3× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$685.80 |
$762 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$652.50 |
$725 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$135 |
$150 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,507.50 |
$1,675 |
0.5× |
| Debride nail 1-5 (11720) |
$75.60 |
$84 |
1.2× |
| Debride nail 6 or more (11721) |
$101.25 |
$112.50 |
1.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$178.65 |
$198.50 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$270 |
$300 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$536.40 |
$596 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$511.65 |
$568.50 |
0.3× |
| Decompress spinal cord thrc (63064) |
$5,486.40 |
$6,096 |
0.7× |
| Decompression of tibia nerve (28035) |
$1,179.90 |
$1,311 |
0.6× |
| Delivery placenta separate procedure (59414) |
$229.50 |
$255 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,146.50 |
$2,385 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$1,086.30 |
$1,207 |
0.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$381.60 |
$424 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$243 |
$270 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$646.65 |
$718.50 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$602.10 |
$669 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$976.50 |
$1,085 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$217.80 |
$242 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,415.70 |
$1,573 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$441.90 |
$491 |
0.5× |
| Dilate Urethra Stricture (53600) |
$160.20 |
$178 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$496.80 |
$552 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$358.20 |
$398 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,631.70 |
$1,813 |
1.0× |
| Drainage of gum lesion (41800) |
$605.70 |
$673 |
4.4× |
| Drainage of hematoma/fluid (10140) |
$394.20 |
$438 |
0.2× |
| Drainage skenes gland abscess (53060) |
$1,842.30 |
$2,047 |
0.8× |
| Draw blood off venous device (36591) |
$119.25 |
$132.50 |
0.9× |
| Dressing change under anesthesia (15852) |
$254.70 |
$283 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$390.60 |
$434 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$504.90 |
$561 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$159.30 |
$177 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$1,327.50 |
$1,475 |
0.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,544.40 |
$1,716 |
0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$471.60 |
$524 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,884.50 |
$3,205 |
1.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,143 |
$1,270 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,317.60 |
$1,464 |
1.4× |
| Egd guide wire insertion (43248) |
$2,884.50 |
$3,205 |
3.1× |
| Egd place gastrostomy tube (43246) |
$1,169.10 |
$1,299 |
0.6× |
| Egd remove lesion snare (43251) |
$1,085.40 |
$1,206 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,442.70 |
$1,603 |
0.7× |
| Egd Varices Ligation (43244) |
$525.60 |
$584 |
0.3× |
| Elbow arthroscopy/surgery (29838) |
$2,267.10 |
$2,519 |
0.7× |
| Elbow arthroscopy/surgery (29835) |
$1,942.20 |
$2,158 |
0.6× |
| Endocervical Curettage (57505) |
$1,973.70 |
$2,193 |
2.1× |
| Endoscopic Injection/Implant (51715) |
$718.20 |
$798 |
0.2× |
| Endoven ther chem adhes 1st (36482) |
$10,953.90 |
$12,171 |
1.9× |
| Endovenous rf 1st vein (36475) |
$8,582.85 |
$9,536.50 |
2.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,893.15 |
$2,103.50 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$707.40 |
$786 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,118.70 |
$1,243 |
0.6× |
| Esophagoscopy Rigid Balloon (43195) |
$416.70 |
$463 |
0.1× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$431.10 |
$479 |
0.2× |
| Esophagoscp rig trnso biopsy (43193) |
$382.50 |
$425 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$128.25 |
$142.50 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,594.80 |
$1,772 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$1,744.20 |
$1,938 |
0.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,583.10 |
$1,759 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,805.40 |
$2,006 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$473.40 |
$526 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$540.90 |
$601 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$3,220.20 |
$3,578 |
1.9× |
| Exc back tum deep < 5 cm (21932) |
$1,518.30 |
$1,687 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$1,307.70 |
$1,453 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,208.25 |
$1,342.50 |
1.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,011.15 |
$1,123.50 |
0.6× |
| Exc forearm les sc < 3 cm (25075) |
$2,269.35 |
$2,521.50 |
1.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,867.50 |
$2,075 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$866.70 |
$963 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$2,018.25 |
$2,242.50 |
0.7× |
| Exc Rect Tum Transanal Full (45172) |
$2,099.70 |
$2,333 |
0.7× |
| Exc rect tum transanal part (45171) |
$868.50 |
$965 |
0.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,690.20 |
$1,878 |
1.0× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,246.40 |
$2,496 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$385.20 |
$428 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$362.70 |
$403 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,606.05 |
$1,784.50 |
2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$456.30 |
$507 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,958.40 |
$2,176 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,527.65 |
$2,808.50 |
1.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,277.10 |
$1,419 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$729.90 |
$811 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$723.60 |
$804 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$877.05 |
$974.50 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,249.20 |
$1,388 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,015.20 |
$1,128 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,050.45 |
$4,500.50 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$494.10 |
$549 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,158.30 |
$1,287 |
1.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,016 |
$2,240 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,857.50 |
$3,175 |
0.9× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,980.90 |
$2,201 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,758.60 |
$1,954 |
0.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,071.80 |
$2,302 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,034.10 |
$1,149 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,643.40 |
$1,826 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,666.80 |
$1,852 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,173.60 |
$1,304 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$999.90 |
$1,111 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$921.60 |
$1,024 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,405.60 |
$3,784 |
1.1× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$978.30 |
$1,087 |
0.6× |
| Exchange nephrostomy cath (50435) |
$3,704.85 |
$4,116.50 |
1.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,283.85 |
$1,426.50 |
0.8× |
| Excise/repair mouth lesion (40812) |
$1,773.90 |
$1,971 |
1.1× |
| Excision Breast Lesion (19125) |
$1,965.60 |
$2,184 |
0.5× |
| Excision external ear partial simple repair (69110) |
$978.30 |
$1,087 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$875.70 |
$973 |
0.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$526.50 |
$585 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$532.80 |
$592 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$567.90 |
$631 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$787.50 |
$875 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,230.75 |
$1,367.50 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$500.85 |
$556.50 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$954.45 |
$1,060.50 |
1.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$716.85 |
$796.50 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,106.10 |
$1,229 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,389.60 |
$1,544 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,643.85 |
$1,826.50 |
2.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$564.30 |
$627 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,277.55 |
$1,419.50 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$568.80 |
$632 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,383.75 |
$1,537.50 |
1.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,463.40 |
$1,626 |
2.0× |
| Excision of hydrocele; unilateral (55040) |
$1,415.70 |
$1,573 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,008 |
$1,120 |
0.3× |
| Excision of lesion of tongue without closure (41110) |
$458.10 |
$509 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,081.60 |
$3,424 |
1.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,252.35 |
$1,391.50 |
0.7× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,044.90 |
$1,161 |
0.6× |
| Excision of nail fold toe (11765) |
$358.65 |
$398.50 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$795.60 |
$884 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$576.90 |
$641 |
0.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$665.10 |
$739 |
0.3× |
| Excision olecranon bursa (24105) |
$1,356.30 |
$1,507 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,837.80 |
$2,042 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,320.20 |
$2,578 |
0.8× |
| Excision Prepatellar Bursa (27340) |
$1,422 |
$1,580 |
0.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$897.30 |
$997 |
0.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$984.60 |
$1,094 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,887.30 |
$2,097 |
1.1× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,690.20 |
$1,878 |
1.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,448.10 |
$1,609 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,959.30 |
$2,177 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$855 |
$950 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,008.90 |
$1,121 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,676.70 |
$1,863 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,062.80 |
$2,292 |
0.7× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,240.10 |
$2,489 |
0.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,192.20 |
$4,658 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,304.10 |
$1,449 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$1,044.90 |
$1,161 |
0.6× |
| Exploration of knee joint (27310) |
$1,679.85 |
$1,866.50 |
0.5× |
Exploration of spinal fusion (22830) likely a partial charge, not the full procedure |
$1,831.50 |
$2,035 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,123.10 |
$2,359 |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$669.60 |
$744 |
0.2× |
| Explore/treat ankle joint (27620) |
$1,431.90 |
$1,591 |
0.4× |
| Extensive ankle/heel surgery (27647) |
$3,231.90 |
$3,591 |
1.0× |
| Fasciotomy foot and/or toe (28008) |
$1,009.80 |
$1,122 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$1,471.50 |
$1,635 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,200.40 |
$3,556 |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$438.30 |
$487 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,329.30 |
$1,477 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$213.75 |
$237.50 |
0.5× |
| Fixation of knee joint (27570) |
$308.70 |
$343 |
0.2× |
| Fixation of shoulder (23700) |
$450 |
$500 |
0.3× |
| Fna bx w/fluor gdn 1st les (10007) |
$736.20 |
$818 |
1.0× |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
$1,574.10 |
$1,749 |
0.4× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,264.40 |
$2,516 |
1.1× |
| Fusion Finger Joint (26860) |
$1,239.30 |
$1,377 |
0.4× |
Fusion of foot bones (28730) likely a partial charge, not the full procedure |
$2,196.90 |
$2,441 |
0.2× |
Fusion of foot bones (28740) unusually low: confirm this is the full procedure |
$2,700 |
$3,000 |
0.4× |
Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$1,518.75 |
$1,687.50 |
0.2× |
| Fusion of knuckle joint (26516) |
$874.35 |
$971.50 |
0.3× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$1,697.85 |
$1,886.50 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$45.90 |
$51 |
0.2× |
| Gastrocnemius Recession (27687) |
$1,443.60 |
$1,604 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,972.60 |
$4,414 |
1.0× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,998 |
$2,220 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,464.30 |
$1,627 |
2.0× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,622.70 |
$1,803 |
0.2× |
Hemiarthroplasty Hip Partial (27125) likely a partial charge, not the full procedure |
$2,594.25 |
$2,882.50 |
0.2× |
| Hemorrhoidectomy (46255) |
$910.80 |
$1,012 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$1,121.40 |
$1,246 |
0.4× |
| I&d abscess simple (10060) |
$286.20 |
$318 |
1.4× |
| I&d below fascia foot 1 bursal space (28002) |
$1,880.55 |
$2,089.50 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,262.60 |
$2,514 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,376.10 |
$1,529 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$503.10 |
$559 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,634.40 |
$1,816 |
0.5× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,457.10 |
$1,619 |
0.4× |
| I&d perianal abscess superficial (46050) |
$552.60 |
$614 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$463.50 |
$515 |
0.6× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,433.70 |
$1,593 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,048.50 |
$1,165 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,242 |
$1,380 |
0.4× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$390.60 |
$434 |
0.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$592.20 |
$658 |
0.6× |
| Image Cath Fluid Colxn Visc (49405) |
$1,858.50 |
$2,065 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$3,729.15 |
$4,143.50 |
2.2× |
Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$1,083.60 |
$1,204 |
0.2× |
| Incise finger tendon sheath (26055) |
$1,997.10 |
$2,219 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$445.50 |
$495 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,804.50 |
$2,005 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$621.90 |
$691 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$325.80 |
$362 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$459.90 |
$511 |
1.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) unusually low: confirm this is the full procedure |
$3,567.60 |
$3,964 |
0.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) likely a partial charge, not the full procedure |
$2,009.70 |
$2,233 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$786.60 |
$874 |
0.5× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581) likely a partial charge, not the full procedure |
$1,254.60 |
$1,394 |
0.2× |
| Incision of eardrum (69420) |
$308.70 |
$343 |
1.3× |
Incision of heel bone (28300) unusually low: confirm this is the full procedure |
$2,518.20 |
$2,798 |
0.3× |
| Incision of lingual frenum (41010) |
$489.60 |
$544 |
0.3× |
| Incision of metatarsal (28308) |
$1,274.40 |
$1,416 |
0.4× |
| Incision of rectal abscess (46045) |
$1,221.30 |
$1,357 |
0.4× |
| Incision of rectal abscess (46040) |
$1,275.30 |
$1,417 |
1.0× |
| Incision of urethra (53020) |
$206.10 |
$229 |
0.1× |
| Incision of wrist capsule (25085) |
$1,035.45 |
$1,150.50 |
0.3× |
| Incision thrombosed hemorrhoid external (46083) |
$490.50 |
$545 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$259.65 |
$288.50 |
0.3× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) unusually low: confirm this is the full procedure |
$3,096.90 |
$3,441 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$641.70 |
$713 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$187.20 |
$208 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$815.40 |
$906 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$727.20 |
$808 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,197.45 |
$1,330.50 |
1.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$91.80 |
$102 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$956.70 |
$1,063 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$554.40 |
$616 |
0.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$330.30 |
$367 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$342.90 |
$381 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,034.10 |
$1,149 |
1.1× |
| Inject Nerv Blck,Pudendal (64430) |
$595.80 |
$662 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$192.60 |
$214 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$283.50 |
$315 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$619.65 |
$688.50 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$810 |
$900 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$715.95 |
$795.50 |
2.2× |
| Injection anes other peripheral nerve/branch (64450) |
$249.75 |
$277.50 |
0.3× |
| Injection for identification of sentinel node (38792) |
$643.95 |
$715.50 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$135 |
$150 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$142.20 |
$158 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$267.30 |
$297 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$249.75 |
$277.50 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$900.45 |
$1,000.50 |
2.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$594 |
$660 |
1.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$131.40 |
$146 |
0.6× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$787.50 |
$875 |
0.9× |
| Ins cath ren art 1st bilat (36252) |
$6,291.45 |
$6,990.50 |
1.9× |
| Ins cath ren art 1st unilat (36251) |
$4,273.20 |
$4,748 |
1.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$9,801.90 |
$10,891 |
0.9× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$3,065.40 |
$3,406 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$198.90 |
$221 |
1.5× |
| Insert Drug Implant Device (11981) |
$235.80 |
$262 |
1.7× |
| Insert nasal septal button (30220) |
$3,964.50 |
$4,405 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$650.25 |
$722.50 |
0.2× |
| Insert pessary/other device (57160) |
$122.40 |
$136 |
0.6× |
| Insert picc cath (36569) |
$362.70 |
$403 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$151.20 |
$168 |
1.1× |
| Insert tun ip cath perc (49418) |
$5,787.90 |
$6,431 |
1.6× |
| Insert tunneled cv cath (36561) |
$1,564.20 |
$1,738 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131.40 |
$146 |
1.0× |
Insert/ preplace infusn pump,nonprogram (62361) likely a partial charge, not the full procedure |
$1,554.30 |
$1,727 |
0.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,860.55 |
$4,289.50 |
1.0× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) likely a partial charge, not the full procedure |
$617.40 |
$686 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,152.80 |
$2,392 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$15,516 |
$17,240 |
1.8× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$10,943.10 |
$12,159 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,200.40 |
$3,556 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,014.20 |
$2,238 |
0.6× |
| Insj/rplcmt defib w/lead(s) (33249) |
$31,063.50 |
$34,515 |
1.0× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$779.40 |
$866 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$455.40 |
$506 |
1.9× |
| Knee arthroscopy/surgery (29883) |
$2,848.50 |
$3,165 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$1,501.65 |
$1,668.50 |
0.4× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$5,373.90 |
$5,971 |
0.7× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) unusually low: confirm this is the full procedure |
$3,017.25 |
$3,352.50 |
0.4× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) likely a partial charge, not the full procedure |
$1,739.70 |
$1,933 |
0.1× |
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) unusually low: confirm this is the full procedure |
$2,632.05 |
$2,924.50 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) unusually low: confirm this is the full procedure |
$2,449.35 |
$2,721.50 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) unusually low: confirm this is the full procedure |
$2,848.95 |
$3,165.50 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) unusually low: confirm this is the full procedure |
$2,711.70 |
$3,013 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) unusually low: confirm this is the full procedure |
$2,587.95 |
$2,875.50 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) unusually low: confirm this is the full procedure |
$3,246.75 |
$3,607.50 |
0.4× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$4,317.75 |
$4,797.50 |
0.6× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$925.65 |
$1,028.50 |
0.1× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$535.50 |
$595 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) likely a partial charge, not the full procedure |
$2,315.70 |
$2,573 |
0.2× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,242.45 |
$1,380.50 |
0.2× |
Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$1,693.80 |
$1,882 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) likely a partial charge, not the full procedure |
$1,341.45 |
$1,490.50 |
0.1× |
Laparoscopy Tubal Cautery (58670) likely a partial charge, not the full procedure |
$815.40 |
$906 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) likely a partial charge, not the full procedure |
$527.40 |
$586 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,251.80 |
$2,502 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,206 |
$1,340 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$394.20 |
$438 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) unusually low: confirm this is the full procedure |
$2,340 |
$2,600 |
0.4× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) likely a partial charge, not the full procedure |
$1,968.30 |
$2,187 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$256.95 |
$285.50 |
1.2× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$244.35 |
$271.50 |
1.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,726.20 |
$1,918 |
0.9× |
| Late closure of wound (13160) |
$3,061.80 |
$3,402 |
0.8× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,635.75 |
$1,817.50 |
0.2× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) likely a partial charge, not the full procedure |
$2,690.55 |
$2,989.50 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,809.90 |
$2,011 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$724.50 |
$805 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,960.20 |
$2,178 |
0.5× |
| Liver Biopsy (47000) |
$935.55 |
$1,039.50 |
0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$588.60 |
$654 |
0.3× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$374.85 |
$416.50 |
0.2× |
| Manipulation, wrist, under anesthesia (25259) |
$1,350 |
$1,500 |
0.8× |
| Marsup Bartholin Gland Cyst (56440) |
$822.60 |
$914 |
0.2× |
| Mast mod rad (19307) |
$9,529.20 |
$10,588 |
1.4× |
| Mastectomy gynecomastia (19300) |
$2,265.75 |
$2,517.50 |
0.6× |
| Mastectomy partial (19301) |
$1,281.60 |
$1,424 |
0.3× |
Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,172.70 |
$1,303 |
0.2× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,740.60 |
$1,934 |
0.3× |
| Metatarsectomy (28140) |
$1,188 |
$1,320 |
0.3× |
| Myelography Lumbar Injection (62305) |
$1,624.50 |
$1,805 |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,583.10 |
$1,759 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,374.30 |
$1,527 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,431.90 |
$1,591 |
1.8× |
| Myringoplasty (69620) |
$4,887 |
$5,430 |
1.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$266.85 |
$296.50 |
1.3× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) likely a partial charge, not the full procedure |
$860.40 |
$956 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) likely a partial charge, not the full procedure |
$541.80 |
$602 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) likely a partial charge, not the full procedure |
$660.60 |
$734 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,386 |
$1,540 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,925.10 |
$2,139 |
1.0× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) likely a partial charge, not the full procedure |
$893.70 |
$993 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$306.90 |
$341 |
0.7× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$621 |
$690 |
0.6× |
| Neuro alz ds bamyl&tau prtn (0503U) |
$702 |
$780 |
0.9× |
| Neuroplasty; nerve of hand or foot (64704) |
$634.50 |
$705 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$310.50 |
$345 |
0.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$168.30 |
$187 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$691.20 |
$768 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$439.20 |
$488 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,295.45 |
$2,550.50 |
3.1× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,925 |
$3,250 |
1.4× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$4,543.20 |
$5,048 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$416.70 |
$463 |
0.6× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$548.10 |
$609 |
0.1× |
Open rx distal radius fx, intra-articular, 2 frag (25608) likely a partial charge, not the full procedure |
$1,898.10 |
$2,109 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,739.60 |
$3,044 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$2,272.05 |
$2,524.50 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$2,081.70 |
$2,313 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) likely a partial charge, not the full procedure |
$1,319.40 |
$1,466 |
0.2× |
Open treatment of acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$455.40 |
$506 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,654.20 |
$1,838 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) likely a partial charge, not the full procedure |
$2,218.05 |
$2,464.50 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) unusually low: confirm this is the full procedure |
$2,736.90 |
$3,041 |
0.4× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) likely a partial charge, not the full procedure |
$2,223.90 |
$2,471 |
0.3× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) likely a partial charge, not the full procedure |
$2,019.60 |
$2,244 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) likely a partial charge, not the full procedure |
$1,860.75 |
$2,067.50 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) likely a partial charge, not the full procedure |
$1,728.90 |
$1,921 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) likely a partial charge, not the full procedure |
$2,058.75 |
$2,287.50 |
0.3× |
Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,540.80 |
$1,712 |
0.2× |
Open treatment talus fracture (28445) unusually low: confirm this is the full procedure |
$3,230.10 |
$3,589 |
0.4× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$2,759.40 |
$3,066 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) unusually low: confirm this is the full procedure |
$2,413.80 |
$2,682 |
0.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,954.80 |
$2,172 |
0.6× |
| Open tx interphalangeal joint dislocation (26785) |
$1,801.80 |
$2,002 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,858.05 |
$2,064.50 |
0.5× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) likely a partial charge, not the full procedure |
$1,983.60 |
$2,204 |
0.3× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) likely a partial charge, not the full procedure |
$1,801.80 |
$2,002 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,278.80 |
$2,532 |
0.7× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$2,028.60 |
$2,254 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666) likely a partial charge, not the full procedure |
$1,685.70 |
$1,873 |
0.1× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,233 |
$1,370 |
0.2× |
| Open/Perq Place Stent Same (37238) |
$16,739.10 |
$18,599 |
1.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$21,975.30 |
$24,417 |
1.8× |
Optx hum fx wo ntrcndylr xtn (24545) likely a partial charge, not the full procedure |
$2,133 |
$2,370 |
0.2× |
Optx post ankle fx (27769) unusually low: confirm this is the full procedure |
$2,292.30 |
$2,547 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,310.40 |
$1,456 |
0.4× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$997.20 |
$1,108 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$999.90 |
$1,111 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,075.50 |
$1,195 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,357.20 |
$1,508 |
0.4× |
Osteochondral allograft, knee, open (27415) unusually low: confirm this is the full procedure |
$5,232.60 |
$5,814 |
0.4× |
Osteoplasty, radius OR ulna; shortening (25390) likely a partial charge, not the full procedure |
$1,774.35 |
$1,971.50 |
0.2× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$1,526.40 |
$1,696 |
0.2× |
| Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical (22210) |
$6,607.80 |
$7,342 |
0.9× |
Osteotomy Radius Distal Third (25350) unusually low: confirm this is the full procedure |
$2,589.30 |
$2,877 |
0.3× |
| Partial Excision Bone Fibula (27641) |
$1,476.90 |
$1,641 |
0.4× |
| Partial Excision Bone Olecranon Process (24147) |
$2,391.30 |
$2,657 |
0.7× |
| Partial excision bone talus/calcaneus (28120) |
$1,332.90 |
$1,481 |
0.4× |
| Partial Excision Bone Ulna (25150) |
$2,166.30 |
$2,407 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,692.90 |
$1,881 |
1.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,199.70 |
$1,333 |
0.4× |
| Partial Removal Foot Fascia (28060) |
$1,215 |
$1,350 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$972.90 |
$1,081 |
0.3× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,260.45 |
$1,400.50 |
0.4× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$3,465 |
$3,850 |
0.5× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$844.20 |
$938 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,839.60 |
$2,044 |
0.5× |
| Peritoneal Lavage (49084) |
$1,168.20 |
$1,298 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$2,040.30 |
$2,267 |
2.8× |
| Perq dev breast 1st us imag (19285) |
$606.60 |
$674 |
0.8× |
| Perq device breast 1st imag (19281) |
$1,452.60 |
$1,614 |
0.8× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,556 |
$2,840 |
1.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,210.40 |
$2,456 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$795.15 |
$883.50 |
3.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$605.25 |
$672.50 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,010.35 |
$10,011.50 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,635.05 |
$9,594.50 |
1.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,607.10 |
$5,119 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$1,651.50 |
$1,835 |
0.5× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$2,214.45 |
$2,460.50 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$377.10 |
$419 |
0.8× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$270 |
$300 |
0.2× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$557.10 |
$619 |
0.4× |
| Proctosigmoidoscopy (45303) |
$1,972.80 |
$2,192 |
1.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$538.20 |
$598 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
$3,798 |
$4,220 |
0.5× |
| Prostate Saturation Sampling (55706) |
$709.20 |
$788 |
0.2× |
Prostatectomy (turp) (52601) unusually low: confirm this is the full procedure |
$1,892.70 |
$2,103 |
0.3× |
Prosthesis removal humeral and glenoid component (23335) likely a partial charge, not the full procedure |
$1,830.60 |
$2,034 |
0.2× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) likely a partial charge, not the full procedure |
$1,699.20 |
$1,888 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$294.30 |
$327 |
0.7× |
| Puncture Aspiration (10160) |
$564.30 |
$627 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$548.55 |
$609.50 |
0.7× |
| Pvb thoracic single inj site (64461) |
$314.10 |
$349 |
0.4× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,904.30 |
$3,227 |
1.7× |
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) unusually low: confirm this is the full procedure |
$2,720.25 |
$3,022.50 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,009.80 |
$1,122 |
0.5× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,771.20 |
$1,968 |
0.2× |
| Realignment extensor tendon hand each tendon (26437) |
$2,231.10 |
$2,479 |
0.7× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$2,756.25 |
$3,062.50 |
0.2× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) likely a partial charge, not the full procedure |
$1,709.10 |
$1,899 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) likely a partial charge, not the full procedure |
$1,785.15 |
$1,983.50 |
0.2× |
Reinsertion Spinal Fixation Device (22849) likely a partial charge, not the full procedure |
$2,908.35 |
$3,231.50 |
0.2× |
| Release of big toe (28240) |
$827.10 |
$919 |
0.2× |
| Release palm contracture (26121) |
$2,295 |
$2,550 |
0.7× |
| Release wrist/forearm tendon (25295) |
$2,017.80 |
$2,242 |
0.6× |
| Removal fb intranasal (30300) |
$488.70 |
$543 |
3.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,018.70 |
$2,243 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$567 |
$630 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$470.70 |
$523 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$36 |
$40 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$139.50 |
$155 |
2.3× |
| Removal Implant Deep (20680) |
$1,974.60 |
$2,194 |
0.7× |
| Removal Implant From Finger/Hand (26320) |
$1,439.10 |
$1,599 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,022.85 |
$1,136.50 |
0.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$337.50 |
$375 |
0.5× |
| Removal Intact Mammary Implant (19328) |
$2,900.70 |
$3,223 |
0.7× |
| Removal of adenoids (42830) |
$467.10 |
$519 |
0.1× |
| Removal of anal fissure (46200) |
$1,354.50 |
$1,505 |
0.5× |
| Removal of ankle implant (27704) |
$2,203.20 |
$2,448 |
0.6× |
Removal of anterior instrumentation (eg, dwyer device) (22855) unusually low: confirm this is the full procedure |
$2,463.75 |
$2,737.50 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,436.40 |
$1,596 |
0.9× |
| Removal of heel bone (28118) |
$1,341 |
$1,490 |
0.4× |
| Removal of heel spur (28119) |
$1,368 |
$1,520 |
0.4× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$3,045.60 |
$3,384 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$346.50 |
$385 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$259.65 |
$288.50 |
0.8× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) likely a partial charge, not the full procedure |
$2,749.95 |
$3,055.50 |
0.2× |
Removal of kneecap (27350) likely a partial charge, not the full procedure |
$1,500.75 |
$1,667.50 |
0.2× |
| Removal of nail bed (11750) |
$376.20 |
$418 |
0.9× |
Removal of posterior instrumentation (eg, harrington rod) (22850) likely a partial charge, not the full procedure |
$1,634.40 |
$1,816 |
0.2× |
Removal of posterior segmental instrumentation (22852) likely a partial charge, not the full procedure |
$1,572.30 |
$1,747 |
0.2× |
| Removal of sesamoid bone (28315) |
$1,078.20 |
$1,198 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$208.80 |
$232 |
1.0× |
| Removal of sperm cord lesion (55520) |
$1,003.50 |
$1,115 |
0.3× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,588.50 |
$1,765 |
0.8× |
| Removal of testis (54520) |
$698.40 |
$776 |
0.2× |
| Removal of wrist bone (25210) |
$554.40 |
$616 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,632.60 |
$1,814 |
0.5× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$1,227.60 |
$1,364 |
0.1× |
| Removal subq cardiac rhythm monitor (33286) |
$3,158.10 |
$3,509 |
4.3× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$728.10 |
$809 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$148.50 |
$165 |
0.5× |
| Remove anal fist subq (46270) |
$1,233.90 |
$1,371 |
0.4× |
| Remove bladder stone (52318) |
$887.40 |
$986 |
0.2× |
| Remove by ligat int hem grps (46946) |
$873 |
$970 |
0.3× |
| Remove drug implant device (11982) |
$361.80 |
$402 |
0.8× |
| Remove femur lesion/bursa (27062) |
$1,736.10 |
$1,929 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$1,424.70 |
$1,583 |
0.5× |
| Remove knee cyst (27347) |
$2,015.10 |
$2,239 |
0.6× |
Remove part lumbar vertebra (22102) likely a partial charge, not the full procedure |
$1,847.25 |
$2,052.50 |
0.2× |
Remove part thorax vertebra (22101) likely a partial charge, not the full procedure |
$1,622.25 |
$1,802.50 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$1,748.70 |
$1,943 |
0.6× |
Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$1,323.90 |
$1,471 |
0.2× |
| Remove renal tube w/fluoro (50389) |
$2,036.25 |
$2,262.50 |
2.8× |
| Remove shoulder foreign body (23330) |
$642.60 |
$714 |
0.4× |
| Remove stent via transureth (50386) |
$1,647.90 |
$1,831 |
0.8× |
Remove uro sphincter (53446) likely a partial charge, not the full procedure |
$1,328.40 |
$1,476 |
0.2× |
| Remove wrist joint cartilage (25107) |
$1,421.10 |
$1,579 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,929.15 |
$2,143.50 |
1.2× |
Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$1,269.90 |
$1,411 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$219.60 |
$244 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$90.90 |
$101 |
0.7× |
| Remv&replc cvd gen dual lead (33263) |
$51,506.10 |
$57,229 |
2.2× |
| Remv&replc cvd gen mult lead (33264) |
$66,343.50 |
$73,715 |
2.0× |
Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$2,083.50 |
$2,315 |
0.2× |
| Remv&replc pm gen mult leads (33229) |
$25,102.80 |
$27,892 |
1.3× |
| Renal biopsy (50200) |
$1,708.65 |
$1,898.50 |
1.0× |
Repair achilles tendon (27650) unusually low: confirm this is the full procedure |
$2,372.40 |
$2,636 |
0.3× |
Repair collat ankle ligmnt,secondary (27698) likely a partial charge, not the full procedure |
$2,018.70 |
$2,243 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,189.35 |
$1,321.50 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,164.15 |
$1,293.50 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$830.70 |
$923 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,582.20 |
$1,758 |
3.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$931.50 |
$1,035 |
1.2× |
| Repair elbow deb/attch open (24359) |
$1,237.50 |
$1,375 |
0.4× |
| Repair elbow perc (24357) |
$1,631.70 |
$1,813 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,913.40 |
$2,126 |
1.1× |
| Repair finger tendon (26432) |
$1,828.80 |
$2,032 |
1.1× |
| Repair hallux rigidus (28289) |
$1,438.20 |
$1,598 |
0.4× |
| Repair hand tendon (26410) |
$1,847.70 |
$2,053 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,460.60 |
$2,734 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,696.50 |
$1,885 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,421.10 |
$1,579 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,314 |
$1,460 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$538.20 |
$598 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$603.90 |
$671 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$955.35 |
$1,061.50 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$601.65 |
$668.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$714.60 |
$794 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$854.10 |
$949 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$610.20 |
$678 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$607.05 |
$674.50 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$796.72 |
$885.25 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,253.70 |
$1,393 |
0.6× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$1,407.60 |
$1,564 |
0.2× |
Repair medial collateral ligament, elbow w/local tissue (24345) likely a partial charge, not the full procedure |
$840.60 |
$934 |
0.1× |
| Repair nonunion hand (26546) |
$3,865.50 |
$4,295 |
0.5× |
Repair of fibula nonunion and/or malunion with internal fixation (27726) unusually low: confirm this is the full procedure |
$2,992.50 |
$3,325 |
0.4× |
Repair of foot bones (28320) likely a partial charge, not the full procedure |
$1,164.60 |
$1,294 |
0.1× |
| Repair Of Foot Tendon (28208) |
$1,083.60 |
$1,204 |
0.3× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$2,422.80 |
$2,692 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,478.25 |
$1,642.50 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$841.05 |
$934.50 |
0.1× |
Repair of leg tendon each (27665) likely a partial charge, not the full procedure |
$1,394.10 |
$1,549 |
0.2× |
| Repair of leg tendon each (27658) |
$1,407.60 |
$1,564 |
0.4× |
| Repair of nail bed (11760) |
$446.85 |
$496.50 |
0.6× |
| Repair of nasal septum (30520) |
$1,466.10 |
$1,629 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) likely a partial charge, not the full procedure |
$1,848.60 |
$2,054 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) likely a partial charge, not the full procedure |
$1,577.70 |
$1,753 |
0.2× |
| Repair of sperm duct (55400) |
$1,067.40 |
$1,186 |
0.3× |
Repair of thigh musc (27385) likely a partial charge, not the full procedure |
$1,367.10 |
$1,519 |
0.2× |
Repair of vagina (57260) unusually low: confirm this is the full procedure |
$1,703.70 |
$1,893 |
0.3× |
Repair rectum & vagina (57250) likely a partial charge, not the full procedure |
$277.20 |
$308 |
0.1× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,386.90 |
$1,541 |
0.2× |
Repair shldr capsu,ant,coracoid xfer (23462) unusually low: confirm this is the full procedure |
$2,449.35 |
$2,721.50 |
0.3× |
| Repair wrist joints (25447) |
$1,912.50 |
$2,125 |
0.6× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470) unusually low: confirm this is the full procedure |
$2,700 |
$3,000 |
0.4× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$2,582.10 |
$2,869 |
0.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,937.70 |
$2,153 |
0.6× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$2,117.70 |
$2,353 |
0.3× |
Repair/graft wrist bone (25440) unusually low: confirm this is the full procedure |
$2,513.70 |
$2,793 |
0.3× |
Repair/revise wrist joint (25320) unusually low: confirm this is the full procedure |
$2,268.45 |
$2,520.50 |
0.3× |
Repair/transpose nerve (64856) unusually low: confirm this is the full procedure |
$3,366 |
$3,740 |
0.4× |
Rerepair ing hernia blocked (49521) unusually low: confirm this is the full procedure |
$2,921.40 |
$3,246 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$1,522.80 |
$1,692 |
0.4× |
| Resect Inferior Turbinate (30140) |
$642.60 |
$714 |
0.2× |
Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$3,710.25 |
$4,122.50 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,007.25 |
$4,452.50 |
0.3× |
| Revise arm/leg nerve (64708) |
$1,097.55 |
$1,219.50 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$2,466.90 |
$2,741 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,273.40 |
$2,526 |
1.1× |
| Revise ulnar nerve at wrist (64719) |
$908.10 |
$1,009 |
0.4× |
Revision of big toe (28310) likely a partial charge, not the full procedure |
$1,007.10 |
$1,119 |
0.1× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$5,128.20 |
$5,698 |
1.4× |
| Revision of foot (28116) |
$1,404.90 |
$1,561 |
0.4× |
| Revision of lower leg tendon (27685) |
$1,211.40 |
$1,346 |
0.4× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) likely a partial charge, not the full procedure |
$3,364.20 |
$3,738 |
0.3× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) unusually low: confirm this is the full procedure |
$4,373.55 |
$4,859.50 |
0.3× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) likely a partial charge, not the full procedure |
$3,497.85 |
$3,886.50 |
0.3× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) likely a partial charge, not the full procedure |
$4,022.10 |
$4,469 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486) likely a partial charge, not the full procedure |
$3,219.75 |
$3,577.50 |
0.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$801.45 |
$890.50 |
0.2× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$575.10 |
$639 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$126 |
$140 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,005.30 |
$1,117 |
0.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$15,525 |
$17,250 |
4.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,203.55 |
$3,559.50 |
2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,103.75 |
$2,337.50 |
3.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$449.55 |
$499.50 |
1.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,361.70 |
$1,513 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593) likely a partial charge, not the full procedure |
$796.95 |
$885.50 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) likely a partial charge, not the full procedure |
$616.05 |
$684.50 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$369.90 |
$411 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$565.20 |
$628 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,352.25 |
$1,502.50 |
0.4× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,424.70 |
$1,583 |
0.2× |
Rpr hern preemie reduc (49491) unusually low: confirm this is the full procedure |
$2,216.70 |
$2,463 |
0.4× |
Rpr non/malunion metarsal w/wo bone graft (28322) likely a partial charge, not the full procedure |
$1,728 |
$1,920 |
0.2× |
| Scrotal exploration (55110) |
$891.90 |
$991 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$694.80 |
$772 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$587.70 |
$653 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$259.65 |
$288.50 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$291.60 |
$324 |
1.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$241.20 |
$268 |
0.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$728.55 |
$809.50 |
0.2× |
| Shoulder arthroscopy (29805) |
$954.90 |
$1,061 |
0.3× |
Shoulder prosthesis removal (23334) unusually low: confirm this is the full procedure |
$3,051.90 |
$3,391 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$329.40 |
$366 |
1.6× |
| Sigmoidoscopy & decompress (45337) |
$390.60 |
$434 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$694.80 |
$772 |
0.7× |
| Simple Cystometrogram (51725) |
$1,192.50 |
$1,325 |
4.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$261 |
$290 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$270 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$223.20 |
$248 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$351.90 |
$391 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$217.80 |
$242 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$290.70 |
$323 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$286.20 |
$318 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$688.05 |
$764.50 |
0.9× |
| Skin Tissue Procedure (17999) |
$292.50 |
$325 |
1.4× |
| Skin tissue rearrangement (14040) |
$2,421.90 |
$2,691 |
1.1× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$1,512.90 |
$1,681 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$344.70 |
$383 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$341.10 |
$379 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$369 |
$410 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$439.20 |
$488 |
1.0× |
| Sphincterotomy (46080) |
$648 |
$720 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,010.70 |
$1,123 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$324 |
$360 |
0.4× |
| Strapping unna boot (29580) |
$243.90 |
$271 |
1.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,098 |
$1,220 |
0.4× |
| Suspension of testis (54640) |
$1,120.50 |
$1,245 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,116 |
$1,240 |
0.7× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$832.05 |
$924.50 |
0.2× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,711.80 |
$1,902 |
0.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,075.40 |
$2,306 |
0.6× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$825.30 |
$917 |
0.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,215 |
$1,350 |
0.4× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,429.20 |
$1,588 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$3,056.40 |
$3,396 |
4.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,404.35 |
$2,671.50 |
3.7× |
| Thyroid biopsy (60100) |
$303.30 |
$337 |
0.4× |
Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,934 |
$3,260 |
0.5× |
Total hip arthroplasty (27130) likely a partial charge, not the full procedure |
$3,075.75 |
$3,417.50 |
0.2× |
Total knee arthroplasty (27447) unusually low: confirm this is the full procedure |
$5,160.60 |
$5,734 |
0.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$5,910.30 |
$6,567 |
0.8× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$4,938.75 |
$5,487.50 |
0.7× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874) likely a partial charge, not the full procedure |
$304.20 |
$338 |
0.1× |
| Transplant forearm tendon (25310) |
$1,431.90 |
$1,591 |
0.4× |
| Treat finger dislocation (26775) |
$1,314.90 |
$1,461 |
4.5× |
| Treat Finger Fracture Each (26727) |
$1,571.40 |
$1,746 |
0.5× |
Treat fracture of radius (25526) unusually low: confirm this is the full procedure |
$3,642.30 |
$4,047 |
0.5× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,745.10 |
$1,939 |
0.2× |
| Treat fx distal radial (25606) |
$2,535.30 |
$2,817 |
0.7× |
Treat fx rad extra-articul (25607) likely a partial charge, not the full procedure |
$1,694.25 |
$1,882.50 |
0.2× |
Treat heel fracture (28415) unusually low: confirm this is the full procedure |
$3,550.50 |
$3,945 |
0.5× |
Treat humerus fracture (23616) likely a partial charge, not the full procedure |
$2,478.60 |
$2,754 |
0.1× |
Treat Lower Leg Fracture (27827) likely a partial charge, not the full procedure |
$2,384.55 |
$2,649.50 |
0.2× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,370.70 |
$1,523 |
0.2× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$2,248.65 |
$2,498.50 |
0.3× |
Treat spine fracture (22325) likely a partial charge, not the full procedure |
$3,226.05 |
$3,584.50 |
0.2× |
Treat thorax spine fracture (22327) likely a partial charge, not the full procedure |
$2,828.25 |
$3,142.50 |
0.2× |
| Treat toe fracture (28525) |
$1,868.40 |
$2,076 |
0.5× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$1,503 |
$1,670 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,536.30 |
$1,707 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,173.60 |
$1,304 |
4.6× |
Treatment of ankle fracture (27822) unusually low: confirm this is the full procedure |
$2,764.80 |
$3,072 |
0.4× |
Treatment of ankle fracture (27792) likely a partial charge, not the full procedure |
$2,259 |
$2,510 |
0.3× |
Treatment of heel fracture (28406) likely a partial charge, not the full procedure |
$998.10 |
$1,109 |
0.1× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) unusually low: confirm this is the full procedure |
$2,814.75 |
$3,127.50 |
0.4× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,816.10 |
$3,129 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$604.80 |
$672 |
2.4× |
Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$1,170 |
$1,300 |
0.2× |
| Trim skin lesion (11055) |
$162.90 |
$181 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$187.20 |
$208 |
0.9× |
| Trim skin lesions over 4 (11057) |
$205.20 |
$228 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$34.20 |
$38 |
0.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$10,399.05 |
$11,554.50 |
1.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$802.80 |
$892 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,378.80 |
$1,532 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$428.40 |
$476 |
0.6× |
| Tympanostomy (69433) |
$490.50 |
$545 |
0.9× |
| Unlisted laparoscopic procedure liver (47379) |
$3,510 |
$3,900 |
0.6× |
| Unlisted procedure colon (45399) |
$1,972.80 |
$2,192 |
2.0× |
| Unlisted procedure femur or knee (27599) |
$3,015.90 |
$3,351 |
11.8× |
| Unlisted procedure foot or toes (28899) |
$601.20 |
$668 |
2.3× |
| Unlisted procedure leg/ankle (27899) |
$1,505.70 |
$1,673 |
5.9× |
| Unlisted Procedure Nervous System (64999) |
$698.40 |
$776 |
2.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,851.30 |
$2,057 |
7.2× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$1,744.20 |
$1,938 |
6.8× |
| Unlisted procedure, stomach (43999) |
$433.80 |
$482 |
0.5× |
| Urine Flow Measurement (51736) |
$198.90 |
$221 |
1.4× |
| Vaginal delivery only (59409) |
$1,315.80 |
$1,462 |
0.4× |
Vaginal hysterectomy (58260) likely a partial charge, not the full procedure |
$362.70 |
$403 |
0.1× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$1,722.60 |
$1,914 |
0.3× |
| Vasectomy (55250) |
$1,111.50 |
$1,235 |
0.5× |
| Venipuncture (36415) |
$39.60 |
$44 |
4.2× |
| Wrist arthroscop,excis triang cart (29846) |
$1,206.45 |
$1,340.50 |
0.4× |
| Wrist arthroscop,part synovect (29844) |
$1,154.25 |
$1,282.50 |
0.3× |
| Wrist arthroscopy (29840) |
$1,041.30 |
$1,157 |
0.3× |
| Wrist arthroscopy/surgery (29845) |
$1,444.95 |
$1,605.50 |
0.4× |
Xfer single deep low leg tendon (27691) likely a partial charge, not the full procedure |
$2,228.40 |
$2,476 |
0.3× |