| Abd paracentesis w/imaging (49083) |
$344.25 |
$405 |
0.4× |
| Acne Surgery (10040) |
$121.98 |
$143.50 |
0.7× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,241 |
$1,460 |
0.4× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$1,062.50 |
$1,250 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,045.50 |
$1,230 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$3,370.25 |
$3,965 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$827.90 |
$974 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,819.88 |
$3,317.50 |
0.9× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$956.25 |
$1,125 |
0.3× |
| Ankle arthroscopy/surgery (29892) |
$3,998.40 |
$4,704 |
0.6× |
| Ankle arthroscopy/surgery (29894) |
$2,992 |
$3,520 |
1.0× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$2,151.35 |
$2,531 |
0.7× |
| Ankle scope,part synovectomy (29895) |
$2,992 |
$3,520 |
1.0× |
| Anoscopy diagnostic (46600) |
$533.38 |
$627.50 |
4.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$226.10 |
$266 |
1.5× |
| Application cast elbow finger short arm (29075) |
$134.30 |
$158 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$138.55 |
$163 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$152.15 |
$179 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$286.45 |
$337 |
5.3× |
| Application finger splint static (29130) |
$102.85 |
$121 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$188.49 |
$221.75 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$176.80 |
$208 |
1.2× |
| Application of long leg cast (29345) |
$299.20 |
$352 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$161.50 |
$190 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$119 |
$140 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$230.35 |
$271 |
1.9× |
| Application short leg splint calf foot (29515) |
$181.48 |
$213.50 |
1.2× |
| Apply multlay comprs arm/hand (29584) |
$326.40 |
$384 |
2.2× |
| Apply short leg cast (29405) |
$176.80 |
$208 |
0.7× |
| Apply short leg cast (29425) |
$139.40 |
$164 |
0.5× |
| Arterial puncture (36600) |
$146.20 |
$172 |
1.2× |
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760)
likely a partial charge, not the full procedure |
$1,495.15 |
$1,759 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$126.65 |
$149 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$282.20 |
$332 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$314.50 |
$370 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$344.25 |
$405 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$244.38 |
$287.50 |
0.9× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,556.80 |
$3,008 |
0.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,232.15 |
$4,979 |
0.6× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$3,058.30 |
$3,598 |
0.2× |
Arthrodesis tibiofibular joint proximal or distal (27871)
likely a partial charge, not the full procedure |
$1,550.40 |
$1,824 |
0.1× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,347.78 |
$6,291.50 |
0.8× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737)
unusually low: confirm this is the full procedure |
$5,876.48 |
$6,913.50 |
0.5× |
| Arthrodesis; subtalar (28725) |
$6,177.38 |
$7,267.50 |
0.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$6,717.55 |
$7,903 |
1.0× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$6,717.55 |
$7,903 |
0.6× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,283.10 |
$2,686 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$2,992 |
$3,520 |
1.0× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,836.90 |
$4,514 |
1.3× |
| Arthroscopy of joint (29999) |
$2,541.50 |
$2,990 |
11.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$2,992 |
$3,520 |
1.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,836.90 |
$4,514 |
1.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,836.90 |
$4,514 |
1.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$2,285.65 |
$2,689 |
0.8× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
unusually low: confirm this is the full procedure |
$4,617.20 |
$5,432 |
0.4× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,341.75 |
$2,755 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,836.90 |
$4,514 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,836.90 |
$4,514 |
1.3× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy High Cost/Complex Surgery (29900) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,285.65 |
$2,689 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$4,617.20 |
$5,432 |
0.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,617.20 |
$5,432 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,617.20 |
$5,432 |
0.7× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$4,617.20 |
$5,432 |
0.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$124.10 |
$146 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$310.25 |
$365 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$196.35 |
$231 |
1.1× |
| Biopsy bone open superficial (20240) |
$1,234.62 |
$1,452.50 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$760.75 |
$895 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$1,147.50 |
$1,350 |
0.3× |
| Biopsy external ear (69100) |
$158.95 |
$187 |
0.7× |
| Biopsy finger joint lining (26110) |
$488.75 |
$575 |
0.3× |
| Biopsy muscle deep (20205) |
$3,655 |
$4,300 |
1.4× |
| Biopsy of uterus lining (58100) |
$106.25 |
$125 |
0.6× |
| Biopsy Oropharynx (42800) |
$241.40 |
$284 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$948.60 |
$1,116 |
1.5× |
| Bladder Irrigation Simple (51700) |
$136 |
$160 |
0.6× |
| Bladder Scan (51798) |
$97.75 |
$115 |
1.8× |
| Blood patch (62273) |
$563.55 |
$663 |
0.9× |
| Blood transfusion service (36430) |
$578.85 |
$681 |
1.4× |
| Bone marrow aspiration only (38220) |
$274.55 |
$323 |
0.2× |
| Bone Marrow Biopsy (38221) |
$261.38 |
$307.50 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$607.75 |
$715 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$813.45 |
$957 |
4.0× |
| Change Cystostomy Tube Complicated (51710) |
$187.42 |
$220.50 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$73.95 |
$87 |
0.3× |
| Chemical Cautery Tissue (17250) |
$108.80 |
$128 |
0.6× |
| Chest tube placement (32551) |
$317.05 |
$373 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$133.45 |
$157 |
1.1× |
| Claviculectomy; partial (23120) |
$3,111 |
$3,660 |
1.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$348.50 |
$410 |
1.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$470.48 |
$553.50 |
2.1× |
| Closed Rx Med Malleolus Fx (27760) |
$450.50 |
$530 |
2.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$773.50 |
$910 |
0.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$556.75 |
$655 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,117.75 |
$1,315 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$335.32 |
$394.50 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$423.30 |
$498 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$467.92 |
$550.50 |
2.1× |
| Closed Treat Vert Body Fract (22310) |
$314.50 |
$370 |
1.4× |
| Closed treat wrist dislocation (25660) |
$416.50 |
$490 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$402.48 |
$473.50 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$311.10 |
$366 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$479.40 |
$564 |
2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$427.12 |
$502.50 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$637.50 |
$750 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$425 |
$500 |
1.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$342.55 |
$403 |
1.5× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$442 |
$520 |
0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$322.58 |
$379.50 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$811.75 |
$955 |
0.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$352.75 |
$415 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$588.20 |
$692 |
2.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$535.92 |
$630.50 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$309.40 |
$364 |
1.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$477.70 |
$562 |
2.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$361.68 |
$425.50 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$322.58 |
$379.50 |
1.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$453.05 |
$533 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$274.55 |
$323 |
1.2× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$174.25 |
$205 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,177.25 |
$1,385 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$379.10 |
$446 |
1.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$288.79 |
$339.75 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$451.35 |
$531 |
2.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$457.30 |
$538 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$443.70 |
$522 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$379.10 |
$446 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$364.22 |
$428.50 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$232.48 |
$273.50 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$402.48 |
$473.50 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,569.10 |
$1,846 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$524.45 |
$617 |
2.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$720.38 |
$847.50 |
3.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$187.42 |
$220.50 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$215.90 |
$254 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$163.62 |
$192.50 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$333.20 |
$392 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$467.50 |
$550 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$164.48 |
$193.50 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$337.88 |
$397.50 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$739.50 |
$870 |
3.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$361.68 |
$425.50 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$433.08 |
$509.50 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$190.82 |
$224.50 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$411.40 |
$484 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$246.50 |
$290 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$421.60 |
$496 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$423.30 |
$498 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$167.45 |
$197 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,000.02 |
$1,176.50 |
0.9× |
| Colonoscopy w/fb removal (45379) |
$1,320.05 |
$1,553 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$382.50 |
$450 |
1.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$886.12 |
$1,042.50 |
0.8× |
| Complete replacement picc rs&i (36584) |
$1,763.75 |
$2,075 |
1.2× |
| Complex Drainage, Wound (10180) |
$280.50 |
$330 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$552.50 |
$650 |
2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$252.88 |
$297.50 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$182.75 |
$215 |
1.5× |
| Correction hammertoe (28285) |
$1,691.08 |
$1,989.50 |
0.6× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$3,332 |
$3,920 |
0.5× |
| Correction of bunion (28292) |
$2,269.08 |
$2,669.50 |
0.8× |
| Correction of bunion (28299) |
$3,487.98 |
$4,103.50 |
0.5× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,453.55 |
$4,063 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,539.38 |
$2,987.50 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,897.20 |
$2,232 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$309.40 |
$364 |
2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$340 |
$400 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,105 |
$1,300 |
0.6× |
| Cystourethroscopy (52000) |
$1,322.60 |
$1,556 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$95.20 |
$112 |
0.3× |
| Debride nail 1-5 (11720) |
$65.45 |
$77 |
1.2× |
| Debride nail 6 or more (11721) |
$67.15 |
$79 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$289 |
$340 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$381.22 |
$448.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,198.50 |
$1,410 |
0.8× |
| Declot vascular device (36593) |
$212.50 |
$250 |
0.7× |
| Decompression of tibia nerve (28035) |
$2,169.20 |
$2,552 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$1,487.50 |
$1,750 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$238 |
$280 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$163.62 |
$192.50 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$189.55 |
$223 |
1.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$228.65 |
$269 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$218.02 |
$256.50 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$253.72 |
$298.50 |
1.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$270.30 |
$318 |
1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$173.40 |
$204 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$126.22 |
$148.50 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$113.48 |
$133.50 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$559.30 |
$658 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$250.75 |
$295 |
0.3× |
| Dilation of anal sphincter (45905) |
$263.50 |
$310 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$317.90 |
$374 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$297.50 |
$350 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$644.72 |
$758.50 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$326.82 |
$384.50 |
1.8× |
| Drainage of deep rectal abscess (45020) |
$884 |
$1,040 |
0.3× |
| Drainage of eyelid abscess (67700) |
$413.95 |
$487 |
1.4× |
| Drainage of gum lesion (41800) |
$226.53 |
$266.50 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$194.65 |
$229 |
0.1× |
| Draw blood off venous device (36591) |
$122.82 |
$144.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$317.90 |
$374 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$250.75 |
$295 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$175.10 |
$206 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$34 |
$40 |
1.3× |
| Dx bone marrow bx & aspir (38222) |
$289.85 |
$341 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,603.52 |
$1,886.50 |
0.9× |
| Egd remove lesion snare (43251) |
$1,141.12 |
$1,342.50 |
0.6× |
| Elbow arthroscopy (29830) |
$4,617.20 |
$5,432 |
1.5× |
| Elbow arthroscopy/surgery (29836) |
$4,617.20 |
$5,432 |
0.7× |
| Elbow arthroscopy/surgery (29838) |
$2,435.25 |
$2,865 |
0.8× |
| Elbow arthroscopy/surgery (29837) |
$2,285.65 |
$2,689 |
0.8× |
| Elbow arthroscopy/surgery (29835) |
$4,617.20 |
$5,432 |
1.5× |
| Endocervical Curettage (57505) |
$195.92 |
$230.50 |
0.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,992 |
$3,520 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,627.75 |
$1,915 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$56.95 |
$67 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$252.45 |
$297 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$314.50 |
$370 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$183.60 |
$216 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$345.10 |
$406 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$1,700 |
$2,000 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$192.95 |
$227 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$435.20 |
$512 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$481.95 |
$567 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$627.30 |
$738 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,870 |
$2,200 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$687.65 |
$809 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$486.20 |
$572 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,314.95 |
$1,547 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$775.62 |
$912.50 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$646.85 |
$761 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$479.40 |
$564 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$527 |
$620 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$151.72 |
$178.50 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,106.70 |
$1,302 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,296.25 |
$1,525 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,635 |
$3,100 |
1.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$935 |
$1,100 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,899.75 |
$2,235 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,514.28 |
$1,781.50 |
1.0× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,411 |
$1,660 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$588.20 |
$692 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$223.98 |
$263.50 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$262.65 |
$309 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$300.48 |
$353.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$352.75 |
$415 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$379.10 |
$446 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$237.15 |
$279 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$290.28 |
$341.50 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$343.40 |
$404 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,138.15 |
$1,339 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$222.28 |
$261.50 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$274.55 |
$323 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$348.50 |
$410 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$361.68 |
$425.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$396.52 |
$466.50 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$621.78 |
$731.50 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$836.40 |
$984 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$505.75 |
$595 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$701.25 |
$825 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$662.58 |
$779.50 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$148.75 |
$175 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,034.90 |
$2,394 |
1.4× |
| Excision of nail fold toe (11765) |
$175.95 |
$207 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,292 |
$1,520 |
0.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$584.80 |
$688 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,576.75 |
$1,855 |
1.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,581 |
$1,860 |
1.1× |
| Excision, nasal polyp(s), simple (30110) |
$348.50 |
$410 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$862.75 |
$1,015 |
0.6× |
| Explore/treat ankle joint (27620) |
$2,188.75 |
$2,575 |
0.7× |
| Explore/treat hand joint (26070) |
$527 |
$620 |
0.4× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,232.50 |
$1,450 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$1,814.75 |
$2,135 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$1,538.50 |
$1,810 |
1.0× |
| Fetal non-stress test (59025) |
$425 |
$500 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$146.20 |
$172 |
0.4× |
| Fixation of shoulder (23700) |
$312.80 |
$368 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$530.40 |
$624 |
2.4× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,394 |
$1,640 |
0.7× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$2,612.05 |
$3,073 |
0.2× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$1,757.80 |
$2,068 |
0.1× |
Fusion of foot bones (28735)
likely a partial charge, not the full procedure |
$1,763.75 |
$2,075 |
0.1× |
| Fusion of foot bones (28740) |
$8,912.25 |
$10,485 |
1.3× |
| Gastrocnemius Recession (27687) |
$2,105.88 |
$2,477.50 |
0.7× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$3,460.35 |
$4,071 |
0.5× |
| Hemorrhoidectomy (46255) |
$770.95 |
$907 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,615 |
$1,900 |
0.6× |
| Hip arthro w/fb removal (29861) |
$4,617.20 |
$5,432 |
0.7× |
| I&d abscess simple (10060) |
$213.35 |
$251 |
1.2× |
| I&d perianal abscess superficial (46050) |
$334.90 |
$394 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$249.90 |
$294 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,072.70 |
$1,262 |
0.7× |
| Incise/drain eyelid lining (68020) |
$183.18 |
$215.50 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$340 |
$400 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$385.05 |
$453 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,660.05 |
$1,953 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$171.70 |
$202 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$199.75 |
$235 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$2,367.25 |
$2,785 |
1.6× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$2,354.50 |
$2,770 |
0.4× |
| Incision of metatarsal (28308) |
$1,668.55 |
$1,963 |
0.6× |
Incision of metatarsal (28307)
likely a partial charge, not the full procedure |
$1,477.30 |
$1,738 |
0.2× |
Incision of metatarsals (28309)
likely a partial charge, not the full procedure |
$1,654.95 |
$1,947 |
0.2× |
| Incision of rectal abscess (46040) |
$785.40 |
$924 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$237.15 |
$279 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$130.90 |
$154 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$226.95 |
$267 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$72.25 |
$85 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$206.12 |
$242.50 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$237.15 |
$279 |
0.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$340 |
$400 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$56.52 |
$66.50 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$170 |
$200 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$167.02 |
$196.50 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$171.70 |
$202 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$939.25 |
$1,105 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$253.72 |
$298.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$136.85 |
$161 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$211.65 |
$249 |
0.7× |
| Injection(s) spider veins (36468) |
$228.22 |
$268.50 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,271.94 |
$1,496.40 |
4.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$86.70 |
$102 |
0.5× |
| Insert Drug Implant Device (11981) |
$191.25 |
$225 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$317.90 |
$374 |
0.1× |
| Insert pessary/other device (57160) |
$80.75 |
$95 |
0.4× |
| Insert picc cath (36569) |
$687.65 |
$809 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$129.20 |
$152 |
1.1× |
| Insert tunneled cv cath (36561) |
$2,402.95 |
$2,827 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116.45 |
$137 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,031.90 |
$1,214 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$198.05 |
$233 |
0.9× |
| Knee arthroscopy/surgery (29887) |
$3,836.90 |
$4,514 |
0.6× |
| Knee arthroscopy/surgery (29883) |
$3,836.90 |
$4,514 |
1.3× |
| Knee arthroscopy/surgery (29885) |
$4,617.20 |
$5,432 |
0.7× |
| Knee arthroscopy/surgery (29876) |
$3,836.90 |
$4,514 |
1.3× |
| Knee arthroscopy/surgery (29851) |
$4,617.20 |
$5,432 |
3.1× |
| Knee arthroscopy/surgery (29886) |
$3,836.90 |
$4,514 |
1.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$923.95 |
$1,087 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,090.98 |
$1,283.50 |
1.3× |
| Liver Biopsy (47000) |
$334.90 |
$394 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$425 |
$500 |
0.2× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$238 |
$280 |
1.0× |
| Metatarsectomy (28140) |
$3,295.02 |
$3,876.50 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$69.70 |
$82 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,703.85 |
$3,181 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.10 |
$26 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$684.25 |
$805 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$853.40 |
$1,004 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$346.38 |
$407.50 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$817.28 |
$961.50 |
1.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$157.25 |
$185 |
0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$324.70 |
$382 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,390.25 |
$5,165 |
0.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$901.85 |
$1,061 |
0.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,191.85 |
$8,461 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$3,608.25 |
$4,245 |
0.5× |
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420)
likely a partial charge, not the full procedure |
$3,181.55 |
$3,743 |
0.3× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$2,405.50 |
$2,830 |
0.4× |
| Open treatment talus fracture (28445) |
$3,863.25 |
$4,545 |
0.6× |
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure |
$1,595.45 |
$1,877 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$355.30 |
$418 |
0.1× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,058.25 |
$1,245 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,739.15 |
$4,399 |
1.2× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$877.20 |
$1,032 |
0.3× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
likely a partial charge, not the full procedure |
$1,654.95 |
$1,947 |
0.2× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,384.65 |
$1,629 |
0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,755.28 |
$3,241.50 |
0.9× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,941.40 |
$2,284 |
0.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,975.40 |
$2,324 |
0.7× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,090.55 |
$1,283 |
0.2× |
Osteotomy midtarsal,autograft (28305)
likely a partial charge, not the full procedure |
$1,324.30 |
$1,558 |
0.2× |
Osteotomy talus (28302)
likely a partial charge, not the full procedure |
$1,826.65 |
$2,149 |
0.3× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$1,906.55 |
$2,243 |
0.3× |
Partial excision bone scapula (23182)
likely a partial charge, not the full procedure |
$988.98 |
$1,163.50 |
0.1× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,065.50 |
$2,430 |
0.7× |
| Partial Removal Foot Fascia (28060) |
$1,896.35 |
$2,231 |
0.6× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,739.52 |
$2,046.50 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$157.25 |
$185 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$212.92 |
$250.50 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$158.95 |
$187 |
0.4× |
| Puncture Aspiration (10160) |
$170 |
$200 |
0.5× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$2,839.85 |
$3,341 |
0.4× |
| Removal fb intranasal (30300) |
$313.65 |
$369 |
2.6× |
| Removal foreign body foot subcutaneous (28190) |
$325.55 |
$383 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$289.42 |
$340.50 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$26.35 |
$31 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$79.05 |
$93 |
1.5× |
| Removal Implant Deep (20680) |
$2,056.58 |
$2,419.50 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,147.50 |
$1,350 |
0.8× |
| Removal of anal fissure (46200) |
$1,173.85 |
$1,381 |
0.5× |
| Removal of heel bone (28118) |
$4,084.68 |
$4,805.50 |
1.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$317.05 |
$373 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$153 |
$180 |
0.5× |
| Removal of nail bed (11750) |
$331.50 |
$390 |
0.9× |
| Removal of sesamoid bone (28315) |
$3,995 |
$4,700 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$124.95 |
$147 |
0.7× |
| Removal of sperm cord lesion (55520) |
$2,805 |
$3,300 |
0.9× |
| Removal of tonsils (42826) |
$1,318.35 |
$1,551 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$102.85 |
$121 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$91.38 |
$107.50 |
0.4× |
| Remove anal fist subq (46270) |
$1,496.62 |
$1,760.73 |
0.6× |
| Remove drug implant device (11982) |
$212.50 |
$250 |
0.5× |
| Remove femur lesion (27355) |
$2,341.75 |
$2,755 |
0.8× |
| Remove femur lesion/bursa (27062) |
$663 |
$780 |
0.2× |
| Remove foreign body from eye (65235) |
$479.19 |
$563.75 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$700.40 |
$824 |
0.3× |
| Remove knee cyst (27347) |
$2,167.50 |
$2,550 |
0.7× |
| Remove wrist tendon lesion (25111) |
$1,979.65 |
$2,329 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$162.78 |
$191.50 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$245.65 |
$289 |
2.0× |
| Repair achilles tendon (27650) |
$3,522.82 |
$4,144.50 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$636.22 |
$748.50 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,810.50 |
$2,130 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$569.50 |
$670 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$569.50 |
$670 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$321.30 |
$378 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$439.88 |
$517.50 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$633.89 |
$745.75 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,877.25 |
$3,385 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$544.42 |
$640.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$388.45 |
$457 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$441.58 |
$519.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$470.48 |
$553.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$343.40 |
$404 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$379.10 |
$446 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$450.50 |
$530 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$539.75 |
$635 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$312.80 |
$368 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$913.75 |
$1,075 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,412.30 |
$2,838 |
3.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$442 |
$520 |
1.2× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$4,509.68 |
$5,305.50 |
0.7× |
Repair of foot bones (28320)
likely a partial charge, not the full procedure |
$1,324.30 |
$1,558 |
0.1× |
| Repair Of Foot Tendon (28208) |
$1,951.18 |
$2,295.50 |
0.6× |
| Repair of leg tendon each (27658) |
$2,666.88 |
$3,137.50 |
0.9× |
| Repair of nail bed (11760) |
$416.50 |
$490 |
0.6× |
| Repair/graft achilles tendon (27652) |
$3,636.72 |
$4,278.50 |
0.5× |
| Replace g/c tube perc (49450) |
$223.98 |
$263.50 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$734.40 |
$864 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$3,608.25 |
$4,245 |
2.0× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$858.50 |
$1,010 |
0.1× |
| Revision of lower leg tendon (27685) |
$3,389.38 |
$3,987.50 |
1.1× |
| Revision of toe (28312) |
$736.10 |
$866 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$117.72 |
$138.50 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$739.50 |
$870 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$774.78 |
$911.50 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$658.75 |
$775 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$246.50 |
$290 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,421.41 |
$2,848.72 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$432.65 |
$509 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$121.98 |
$143.50 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$111.35 |
$131 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$135.15 |
$159 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$158.52 |
$186.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$175.95 |
$207 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$117.72 |
$138.50 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,617.20 |
$5,432 |
1.5× |
| Shoulder arthroscopy (29805) |
$2,285.65 |
$2,689 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$152.15 |
$179 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$151.30 |
$178 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$147.05 |
$173 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$184.88 |
$217.50 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$151.30 |
$178 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$892.50 |
$1,050 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$361.25 |
$425 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$222.28 |
$261.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$245.65 |
$289 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$274.55 |
$323 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$335.32 |
$394.50 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$170 |
$200 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$765 |
$900 |
4.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$254.58 |
$299.50 |
1.4× |
| Skin pinch graft (15050) |
$658.75 |
$775 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$2,793.95 |
$3,287 |
4.1× |
| Skin sub graft trnk/arm/leg (15271) |
$3,292.05 |
$3,873 |
4.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$175.95 |
$207 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$272 |
$320 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$317.90 |
$374 |
0.9× |
| Sphincterotomy (46080) |
$520.63 |
$612.50 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$270.30 |
$318 |
0.4× |
| Strapping ankle (29540) |
$303.45 |
$357 |
2.0× |
| Strapping knee (29530) |
$345.10 |
$406 |
2.8× |
| Strapping shoulder (29240) |
$93.50 |
$110 |
0.8× |
| Strapping toes (29550) |
$175.52 |
$206.50 |
3.2× |
| Strapping unna boot (29580) |
$249.48 |
$293.50 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$134.30 |
$158 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$680 |
$800 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,026.80 |
$1,208 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,147.50 |
$1,350 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$412.25 |
$485 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$807.50 |
$950 |
1.4× |
| Thrombolytic Therapy, Stroke (37195) |
$342.13 |
$402.50 |
1.1× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure |
$1,841.10 |
$2,166 |
0.3× |
| Tibial arthroscopy/surgery (29855) |
$4,617.20 |
$5,432 |
0.7× |
Tibial arthroscopy/surgery (29856)
unusually low: confirm this is the full procedure |
$4,617.20 |
$5,432 |
0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$637.50 |
$750 |
0.2× |
| Trach Tube Change (31502) |
$663 |
$780 |
3.0× |
| Treat finger dislocation (26775) |
$1,105 |
$1,300 |
4.3× |
| Treat Fracture Radius & Ulna (25560) |
$335.32 |
$394.50 |
1.5× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$2,524.50 |
$2,970 |
0.4× |
| Treat humerus fracture (24500) |
$427.12 |
$502.50 |
1.9× |
| Treat humerus fracture (23600) |
$439.88 |
$517.50 |
1.9× |
Treat lower leg fracture (27826)
unusually low: confirm this is the full procedure |
$2,004.30 |
$2,358 |
0.3× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$3,021.75 |
$3,555 |
0.3× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$2,585.70 |
$3,042 |
0.2× |
Treat sesamoid bone fracture (28531)
likely a partial charge, not the full procedure |
$634.10 |
$746 |
0.1× |
| Treat toe fracture (28525) |
$872.95 |
$1,027 |
0.3× |
| Treat wrist bone fracture (25622) |
$357.42 |
$420.50 |
1.6× |
| Treat Wrist Bone Fracture (25630) |
$379.10 |
$446 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$483.65 |
$569 |
2.1× |
| Treatment of ankle fracture (27822) |
$5,808.48 |
$6,833.50 |
0.9× |
| Treatment of ankle fracture (27792) |
$4,227.90 |
$4,974 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$313.65 |
$369 |
1.4× |
| Trim skin lesion (11055) |
$76.50 |
$90 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$85 |
$100 |
0.5× |
| Trim skin lesions over 4 (11057) |
$211.22 |
$248.50 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$42.50 |
$50 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$326.82 |
$384.50 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$248.20 |
$292 |
0.7× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$61.62 |
$72.50 |
0.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$297.50 |
$350 |
0.5× |
| Vaginal delivery only (59409) |
$913.75 |
$1,075 |
0.3× |
| Venipuncture (36415) |
$19.12 |
$22.50 |
2.0× |
| Windowing of cast (29730) |
$80.75 |
$95 |
0.5× |
| Wrist arthroscop,excis triang cart (29846) |
$2,992 |
$3,520 |
1.0× |
| Wrist arthroscop,part synovect (29844) |
$2,285.65 |
$2,689 |
0.8× |
| Wrist arthroscopy (29843) |
$2,285.65 |
$2,689 |
0.8× |
| Wrist arthroscopy (29840) |
$2,285.65 |
$2,689 |
0.8× |
| Wrist arthroscopy/surgery (29847) |
$4,617.20 |
$5,432 |
0.7× |
| Wrist arthroscopy/surgery (29845) |
$2,285.65 |
$2,689 |
0.8× |