| Abd paracentesis w/imaging (49083) |
$2,408.80 |
$3,011 |
2.7× |
| Ablate inf turbinate submuc (30802) |
$3,477.60 |
$4,347 |
2.2× |
| Acne Surgery (10040) |
$84.80 |
$106 |
0.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$960 |
$1,200 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,704 |
$2,130 |
0.5× |
| Amputation Of Foot At Ankle (27889) |
$16,345.60 |
$20,432 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$7,364 |
$9,205 |
2.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,152 |
$1,440 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$7,204.80 |
$9,006 |
2.2× |
| Anoscopy diagnostic (46600) |
$159.20 |
$199 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$129.60 |
$162 |
0.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$383.20 |
$479 |
2.4× |
| Application cast elbow finger short arm (29075) |
$138.40 |
$173 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$129.60 |
$162 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$131.20 |
$164 |
0.5× |
| Application finger splint static (29130) |
$149.60 |
$187 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$149.60 |
$187 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$149.60 |
$187 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$149.60 |
$187 |
1.1× |
| Application short leg splint calf foot (29515) |
$149.60 |
$187 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$372.80 |
$466 |
2.3× |
| Apply short leg cast (29405) |
$160 |
$200 |
0.6× |
| Apply short leg cast (29425) |
$184 |
$230 |
0.7× |
| Arterial puncture (36600) |
$82.40 |
$103 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$200.80 |
$251 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$300.80 |
$376 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$126.80 |
$158.50 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$1,956 |
$2,445 |
0.1× |
| Arthroplasty, patella; with prosthesis (27438) |
$24,507.62 |
$30,634.52 |
1.9× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,600 |
$9,500 |
1.0× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$5,600 |
$7,000 |
1.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,884.80 |
$3,606 |
0.9× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
$12,000 |
$15,000 |
1.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,572.40 |
$1,965.50 |
0.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,008.40 |
$2,510.50 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$8,269.60 |
$10,337 |
2.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$628 |
$785 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$2,280 |
$2,850 |
0.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,762.40 |
$2,203 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,379.20 |
$5,474 |
1.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,424.40 |
$5,530.50 |
1.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,888 |
$2,360 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,880 |
$3,600 |
0.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$3,844 |
$4,805 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,059.60 |
$3,824.50 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,660 |
$2,075 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,971.60 |
$3,714.50 |
0.9× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,026.40 |
$3,783 |
0.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$3,844 |
$4,805 |
1.2× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
unusually low: confirm this is the full procedure |
$2,764.80 |
$3,456 |
0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,463.60 |
$11,829.50 |
1.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$660.80 |
$826 |
0.2× |
| Arthrotomy, elbow; with synovectomy (24102) |
$904 |
$1,130 |
0.3× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$12,000 |
$15,000 |
1.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$63.20 |
$79 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$78.40 |
$98 |
0.4× |
| Biopsy Breast Open Incisional (19101) |
$414.40 |
$518 |
0.1× |
| Biopsy external ear (69100) |
$153.20 |
$191.50 |
0.6× |
| Biopsy Muscle Superficial (20200) |
$265.60 |
$332 |
0.2× |
| Biopsy of lip (40490) |
$200 |
$250 |
0.8× |
| Biopsy of mouth lesion (40808) |
$223.20 |
$279 |
0.4× |
| Biopsy of palate, uvula (42100) |
$182.40 |
$228 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$8,585.60 |
$10,732 |
2.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$632.80 |
$791 |
0.2× |
| Biopsy tongue posterior one-third (41105) |
$207.20 |
$259 |
0.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$1,488.80 |
$1,861 |
2.1× |
| Bladder Irrigation Simple (51700) |
$185.60 |
$232 |
0.7× |
| Bladder Scan (51798) |
$40 |
$50 |
0.7× |
| Blood transfusion service (36430) |
$520 |
$650 |
1.2× |
| Bx anorectal wall anal approach (45100) |
$6,818.40 |
$8,523 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$2,000 |
$2,500 |
1.2× |
| Bx prst8 trct us guided (55707) |
$7,867.20 |
$9,834 |
2.2× |
| Cataract surgery complex (66982) |
$2,470.40 |
$3,088 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$280 |
$350 |
1.1× |
| Chemical Cautery Tissue (17250) |
$144.40 |
$180.50 |
0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$900 |
$1,125 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,280 |
$1,600 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$520 |
$650 |
1.7× |
| Chemodenerv Musc Neck Dyston (64616) |
$124 |
$155 |
0.4× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$398 |
$497.50 |
1.3× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$276.40 |
$345.50 |
0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$432.80 |
$541 |
1.4× |
| Chest tube placement (32551) |
$310.40 |
$388 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$94.40 |
$118 |
0.7× |
| Circum 28 days or older (54161) |
$3,600 |
$4,500 |
1.7× |
| Circumcision (54150) |
$251.20 |
$314 |
0.1× |
| Claviculectomy; partial (23120) |
$603.20 |
$754 |
0.2× |
| Clean out mastoid cavity (69222) |
$1,385.60 |
$1,732 |
2.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$185.60 |
$232 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$185.60 |
$232 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$200 |
$250 |
0.1× |
| Closed Rx Radial Shaft Fx (25500) |
$185.60 |
$232 |
0.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$600 |
$750 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$185.60 |
$232 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$185.60 |
$232 |
0.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$469.60 |
$587 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$467.20 |
$584 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$185.60 |
$232 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$652 |
$815 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$185.60 |
$232 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$460.80 |
$576 |
0.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$179.20 |
$224 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$185.60 |
$232 |
0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$200 |
$250 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$144.80 |
$181 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$412.80 |
$516 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$140.80 |
$176 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$200 |
$250 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$185.60 |
$232 |
0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$185.60 |
$232 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$185.60 |
$232 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$548 |
$685 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$182.40 |
$228 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$376.80 |
$471 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$412.40 |
$515.50 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$140.80 |
$176 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$212 |
$265 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$167.20 |
$209 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$185.60 |
$232 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$288.80 |
$361 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$319.20 |
$399 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$728.80 |
$911 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$140.80 |
$176 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$196 |
$245 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,947.37 |
$3,684.21 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$185.60 |
$232 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$387.60 |
$484.50 |
1.6× |
| Colonoscopy flex w/rem forcep (45384) |
$890 |
$1,112.50 |
0.7× |
| Colonoscopy thru stoma (44388) |
$335.20 |
$419 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$292.80 |
$366 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$543.60 |
$679.50 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$188.80 |
$236 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$188.80 |
$236 |
1.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure |
$2,614.40 |
$3,268 |
0.2× |
| Correction hammertoe (28285) |
$1,152 |
$1,440 |
0.4× |
| Correction of bunion (28292) |
$1,471.20 |
$1,839 |
0.4× |
| Correction of bunion (28297) |
$11,400 |
$14,250 |
0.9× |
| Create eardrum opening (69436) |
$1,304.80 |
$1,631 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$188.80 |
$236 |
1.4× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$11,488.80 |
$14,361 |
2.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,600 |
$4,500 |
1.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,627.20 |
$4,534 |
1.7× |
| Cystourethroscopy (52000) |
$863.20 |
$1,079 |
1.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,425.60 |
$5,532 |
2.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$7,840 |
$9,800 |
2.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,630.40 |
$2,038 |
2.3× |
| Debride nail 1-5 (11720) |
$48 |
$60 |
0.8× |
| Debride nail 6 or more (11721) |
$60 |
$75 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$496.40 |
$620.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$561.20 |
$701.50 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$648.80 |
$811 |
0.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$1,040 |
$1,300 |
2.6× |
| Destruction benign lesions 15 or more (17111) |
$128 |
$160 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$120 |
$150 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$160 |
$200 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$193.60 |
$242 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$104 |
$130 |
0.5× |
| Destruction of growth of rectum (45190) |
$7,204 |
$9,005 |
2.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$196 |
$245 |
1.0× |
| Destruction of skin lesions (17106) |
$444 |
$555 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$580 |
$725 |
2.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$256 |
$320 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$357.60 |
$447 |
0.4× |
| Dilate Urethra Stricture (53600) |
$560 |
$700 |
2.2× |
| Dilation of urethra (53665) |
$4,562.40 |
$5,703 |
2.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,724 |
$2,155 |
2.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$161.60 |
$202 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$148 |
$185 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$172 |
$215 |
0.9× |
| Drainage of eyelid abscess (67700) |
$218.40 |
$273 |
0.7× |
| Drainage of gum lesion (41800) |
$200 |
$250 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$314.40 |
$393 |
0.2× |
| Draw blood off venous device (36591) |
$86.40 |
$108 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$152 |
$190 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$128.80 |
$161 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$152 |
$190 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$1,048.80 |
$1,311 |
0.4× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$824.80 |
$1,031 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,410.80 |
$1,763.50 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$296.80 |
$371 |
0.2× |
| Egd flexible foreign body removal (43247) |
$344 |
$430 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$713.20 |
$891.50 |
0.4× |
| Egd remove lesion snare (43251) |
$620 |
$775 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$484.80 |
$606 |
0.3× |
| Endoscopic Injection/Implant (51715) |
$7,660.80 |
$9,576 |
2.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$7,743.20 |
$9,679 |
2.4× |
| Epididymectomy unilateral (54860) |
$8,396 |
$10,495 |
2.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$676.80 |
$846 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$267.20 |
$334 |
0.1× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$226.40 |
$283 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$64.80 |
$81 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$2,480 |
$3,100 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$293.60 |
$367 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$754 |
$942.50 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$396 |
$495 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,579.20 |
$1,974 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$324.80 |
$406 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$820 |
$1,025 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$7,200 |
$9,000 |
2.0× |
| Exc rect tum transanal part (45171) |
$7,012.63 |
$8,765.79 |
2.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$425.60 |
$532 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$159.20 |
$199 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$429.60 |
$537 |
1.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$464 |
$580 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$678.80 |
$848.50 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$435.20 |
$544 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$852.80 |
$1,066 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$286.40 |
$358 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$864.80 |
$1,081 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$386.40 |
$483 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$493.60 |
$617 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$823.60 |
$1,029.50 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$198.40 |
$248 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$426.80 |
$533.50 |
0.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$7,720 |
$9,650 |
2.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,800 |
$3,500 |
1.7× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$985.60 |
$1,232 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$454.40 |
$568 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,400 |
$3,000 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$884 |
$1,105 |
0.5× |
| Excise cutaneous neurofibroma (64788) |
$1,830 |
$2,287.50 |
0.9× |
| Excise pharynx lesion (42808) |
$400 |
$500 |
0.1× |
| Excise/repair mouth lesion (40812) |
$3,431.20 |
$4,289 |
2.2× |
| Excision Breast Lesion (19125) |
$692.80 |
$866 |
0.2× |
| Excision lesion mouth roof (42104) |
$219.20 |
$274 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$484.80 |
$606 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$466 |
$582.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$487.60 |
$609.50 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$678.80 |
$848.50 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$646 |
$807.50 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$366.40 |
$458 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$228 |
$285 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$277.60 |
$347 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$480 |
$600 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$217.60 |
$272 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$285.60 |
$357 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$321.60 |
$402 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$336.80 |
$421 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$6,128.80 |
$7,661 |
2.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$187.20 |
$234 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$258.40 |
$323 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$6,800 |
$8,500 |
1.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$450 |
$562.50 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$382 |
$477.50 |
0.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,112 |
$1,390 |
0.7× |
| Excision of nail fold toe (11765) |
$115.20 |
$144 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$277.60 |
$347 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$2,616.80 |
$3,271 |
2.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,942.40 |
$2,428 |
0.7× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$3,600 |
$4,500 |
1.7× |
| Excision olecranon bursa (24105) |
$1,152.80 |
$1,441 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$8,183.20 |
$10,229 |
2.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,800 |
$6,000 |
1.6× |
| Excision Prepatellar Bursa (27340) |
$1,324.40 |
$1,655.50 |
0.4× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,704 |
$2,130 |
1.1× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$576.80 |
$721 |
0.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,821.20 |
$4,776.50 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$829.60 |
$1,037 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$254.40 |
$318 |
0.2× |
| Exploratory shoulder surgery (23044) |
$736.80 |
$921 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,200 |
$1,500 |
1.7× |
| Fine needle aspiration without imaging guidance (10021) |
$123.20 |
$154 |
0.3× |
| Fixation of knee joint (27570) |
$1,492 |
$1,865 |
0.9× |
| Fixation of shoulder (23700) |
$1,098 |
$1,372.50 |
0.7× |
| Fusion of toes (28280) |
$600 |
$750 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$119.20 |
$149 |
0.6× |
| Gastrocnemius Recession (27687) |
$7,774.40 |
$9,718 |
2.4× |
| Hemorrhoidectomy external complete (46250) |
$688.80 |
$861 |
0.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$608.80 |
$761 |
0.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$2,800 |
$3,500 |
1.0× |
| I&d abscess simple (10060) |
$147.20 |
$184 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,374.80 |
$1,718.50 |
0.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$780 |
$975 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$188.80 |
$236 |
0.3× |
| Implant neuroelectrodes (63650) |
$5,280 |
$6,600 |
0.8× |
| Incise finger tendon sheath (26055) |
$877.20 |
$1,096.50 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$172 |
$215 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$180.80 |
$226 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,627.20 |
$4,534 |
2.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$184.80 |
$231 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$644 |
$805 |
3.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$204 |
$255 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$4,172.80 |
$5,216 |
2.6× |
| Incision of eardrum (69421) |
$7,134.40 |
$8,918 |
2.1× |
| Incision of lingual frenum (41010) |
$251.20 |
$314 |
0.2× |
| Incision of metatarsal (28308) |
$7,633.60 |
$9,542 |
2.3× |
| Incision of rectal abscess (46040) |
$656 |
$820 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$200.80 |
$251 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$152 |
$190 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$152 |
$190 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$446.40 |
$558 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$88 |
$110 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$316 |
$395 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$529.60 |
$662 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$284 |
$355 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$146.80 |
$183.50 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$318 |
$397.50 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$129.60 |
$162 |
0.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$469.20 |
$586.50 |
0.5× |
| Inject Nerv Blck,Pudendal (64430) |
$1,934.40 |
$2,418 |
2.2× |
| Inject Tendon Origin/Insert (20551) |
$80 |
$100 |
0.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$116 |
$145 |
0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,694.74 |
$2,118.42 |
2.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,400 |
$1,750 |
2.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$896.40 |
$1,120.50 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$92.80 |
$116 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$346.40 |
$433 |
0.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$180 |
$225 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$168.40 |
$210.50 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$312.80 |
$391 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$112.80 |
$141 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$149.20 |
$186.50 |
0.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$101.60 |
$127 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$67.20 |
$84 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$144 |
$180 |
1.1× |
| Insert Drug Implant Device (11981) |
$116 |
$145 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,094.40 |
$1,368 |
0.3× |
| Insert picc cath (36569) |
$1,598.40 |
$1,998 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$202 |
$252.50 |
1.5× |
| Insert tunneled cv cath (36561) |
$1,395.60 |
$1,744.50 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$124 |
$155 |
0.9× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$24,000 |
$30,000 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,574.40 |
$1,968 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,200 |
$11,500 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$384 |
$480 |
1.6× |
| Knee arthroscopy/surgery (29883) |
$5,600 |
$7,000 |
1.7× |
| Knee arthroscopy/surgery (29876) |
$1,754.80 |
$2,193.50 |
0.5× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,508.80 |
$3,136 |
0.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$137.60 |
$172 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$8,145.60 |
$10,182 |
2.2× |
| Laryngoscopy w/bx op scope (31536) |
$8,185.60 |
$10,232 |
2.2× |
| Laryngoscopy w/exc of tumor (31540) |
$8,248.80 |
$10,311 |
2.2× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$3,947.20 |
$4,934 |
2.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,953.60 |
$4,942 |
2.2× |
| Larynscop w/tumr exc + scope (31541) |
$7,170.40 |
$8,963 |
1.9× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$12,000 |
$15,000 |
1.7× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$16,000 |
$20,000 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$227.20 |
$284 |
0.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$293.20 |
$366.50 |
1.5× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$12,354.80 |
$15,443.50 |
1.7× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$15,046.40 |
$18,808 |
2.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$333.60 |
$417 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$3,728.80 |
$4,661 |
2.1× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$14,048.80 |
$17,561 |
2.0× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$16,572.80 |
$20,716 |
2.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$4,051.60 |
$5,064.50 |
2.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$15,528.80 |
$19,411 |
2.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$200 |
$250 |
0.4× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$10,240 |
$12,800 |
1.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,301.60 |
$5,377 |
2.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$434.80 |
$543.50 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$498.40 |
$623 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$176 |
$220 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$470 |
$587.50 |
0.7× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$191.20 |
$239 |
0.5× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$14,248.42 |
$17,810.53 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$8,980.80 |
$11,226 |
2.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$16,768.80 |
$20,961 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,539.20 |
$8,174 |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$6,320 |
$7,900 |
0.9× |
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 |
$1,722.40 |
$2,153 |
0.1× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge, not the full procedure |
$1,164 |
$1,455 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,128.80 |
$1,411 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,213.60 |
$1,517 |
0.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$5,139.20 |
$6,424 |
0.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$12,000 |
$15,000 |
1.7× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$6,398.40 |
$7,998 |
0.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,473.60 |
$10,592 |
2.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$6,880 |
$8,600 |
2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,430.40 |
$1,788 |
0.4× |
| Osteochondral allograft, knee, open (27415) |
$16,000 |
$20,000 |
1.2× |
| Partial Excision Bone Olecranon Process (24147) |
$4,274 |
$5,342.50 |
1.3× |
| Partial Excision Bone Tibia (27640) |
$1,801.60 |
$2,252 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,727.60 |
$2,159.50 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$3,070 |
$3,837.50 |
12.3× |
| Pin finger fracture each (26756) |
$7,724 |
$9,655 |
2.4× |
| Placement of needle for intraosseous infusion (36680) |
$168.80 |
$211 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$116.80 |
$146 |
0.1× |
| Prostatectomy (turp) (52601) |
$12,256 |
$15,320 |
2.3× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$12,400 |
$15,500 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$476 |
$595 |
1.2× |
| Puncture Aspiration (10160) |
$170.40 |
$213 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,596 |
$1,995 |
2.3× |
Quadricepsplasty (eg, Bennett or Thompson type) (27430)
likely a partial charge, not the full procedure |
$993.60 |
$1,242 |
0.1× |
| Reconstruct ulna/radioulnar (25337) |
$3,960 |
$4,950 |
0.5× |
| Reconstruction, knee (27429) |
$16,000 |
$20,000 |
1.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$9,680 |
$12,100 |
1.3× |
| Removal fb intranasal (30300) |
$144.80 |
$181 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$300 |
$375 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$293.60 |
$367 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$140 |
$175 |
2.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$285.20 |
$356.50 |
4.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,593.60 |
$9,492 |
2.3× |
| Removal Implant Deep (20680) |
$3,661.20 |
$4,576.50 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$786 |
$982.50 |
0.5× |
| Removal of adenoids (42830) |
$2,928.40 |
$3,660.50 |
0.9× |
| Removal of anal fissure (46200) |
$6,336.80 |
$7,921 |
2.3× |
| Removal of arm foreign body (24200) |
$343.60 |
$429.50 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$201.20 |
$251.50 |
0.7× |
| Removal of nail bed (11750) |
$408 |
$510 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$386.40 |
$483 |
1.9× |
| Removal of testis (54520) |
$6,080 |
$7,600 |
1.7× |
| Removal of tonsils (42825) |
$7,614.40 |
$9,518 |
1.3× |
| Removal of tonsils (42826) |
$3,860 |
$4,825 |
1.2× |
| Removal subq cardiac rhythm monitor (33286) |
$1,280 |
$1,600 |
1.8× |
| Remove anal fist subq (46270) |
$1,209.20 |
$1,511.50 |
0.4× |
| Remove by ligat int hem grps (46946) |
$412.80 |
$516 |
0.1× |
| Remove drug implant device (11982) |
$128.80 |
$161 |
0.3× |
| Remove elbow lesion (24120) |
$6,880 |
$8,600 |
2.1× |
| Remove femur lesion (27355) |
$1,012.80 |
$1,266 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$2,019.20 |
$2,524 |
0.7× |
| Remove knee cyst (27347) |
$1,170.80 |
$1,463.50 |
0.4× |
| Remove prostate regrowth (52630) |
$12,320 |
$15,400 |
2.3× |
| Remove wrist tendon lesion (25111) |
$946.40 |
$1,183 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,936.80 |
$4,921 |
2.4× |
| Remv Ext Canal Foreign Body (69200) |
$90.40 |
$113 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$225.60 |
$282 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$9,000 |
$11,250 |
0.9× |
| Repair arm tendon/muscle (24341) |
$15,924 |
$19,905 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$413.60 |
$517 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$320 |
$400 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$277.60 |
$347 |
0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$400 |
$500 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,106.40 |
$1,383 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,696.80 |
$2,121 |
2.3× |
| Repair elbow deb/attch open (24359) |
$4,480 |
$5,600 |
1.4× |
| Repair hallux rigidus (28289) |
$1,274.80 |
$1,593.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$208 |
$260 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$208 |
$260 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$208 |
$260 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$208 |
$260 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$208 |
$260 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$208 |
$260 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$208 |
$260 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$208 |
$260 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$668.80 |
$836 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$283.20 |
$354 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,062.40 |
$1,328 |
0.5× |
| Repair of hammertoe (28286) |
$560 |
$700 |
0.2× |
| Repair of leg tendon each (27658) |
$7,600 |
$9,500 |
2.3× |
| Repair of nail bed (11760) |
$208 |
$260 |
0.3× |
| Repair of nasal septum (30520) |
$6,838.80 |
$8,548.50 |
2.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$4,004 |
$5,005 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,632.80 |
$2,041 |
0.2× |
Repair of shoulder (23420)
likely a partial charge, not the full procedure |
$1,792 |
$2,240 |
0.2× |
| Repair Tongue Laceration (41250) |
$120 |
$150 |
0.3× |
| Repair tympanic membrane (69610) |
$264 |
$330 |
0.2× |
| Repair wrist joints (25447) |
$2,990 |
$3,737.50 |
0.9× |
| Repair/graft achilles tendon (27652) |
$12,720 |
$15,900 |
1.8× |
| Rerepair ing hernia reduce (49520) |
$757.60 |
$947 |
0.2× |
| Resect Inferior Turbinate (30140) |
$5,480 |
$6,850 |
1.7× |
| Revise median n/carpal tunnel surg (64721) |
$1,363.60 |
$1,704.50 |
0.7× |
| Revise ulnar nerve at elbow (64718) |
$1,402 |
$1,752.50 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$541.60 |
$677 |
0.3× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge, not the full procedure |
$2,931.20 |
$3,664 |
0.2× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$29,631.20 |
$37,039 |
2.3× |
| Revision of ulna (25360) |
$5,404.80 |
$6,756 |
0.7× |
| Revision/removal nstim eltrd array pn int nstim (64598) |
$7,237.60 |
$9,047 |
2.1× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$7,707.20 |
$9,634 |
2.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,532.80 |
$9,416 |
2.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$109.60 |
$137 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$648 |
$810 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$890.80 |
$1,113.50 |
1.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$231.20 |
$289 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$12,553.69 |
$15,692.11 |
2.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,052.80 |
$11,316 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,890.40 |
$2,363 |
3.5× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$968 |
$1,210 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,273.60 |
$1,592 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$110.40 |
$138 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$118.40 |
$148 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$109.60 |
$137 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$128 |
$160 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$106.40 |
$133 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$144 |
$180 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$90.40 |
$113 |
0.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$2,836.80 |
$3,546 |
0.9× |
| Shoulder arthroscopy (29805) |
$510.40 |
$638 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$96.80 |
$121 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$106.40 |
$133 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$118.40 |
$148 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$82.40 |
$103 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$71.20 |
$89 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$648.80 |
$811 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$456.80 |
$571 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$208 |
$260 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$208 |
$260 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$208 |
$260 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$208 |
$260 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$208 |
$260 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$313.60 |
$392 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$208 |
$260 |
1.0× |
| Sinus endo w/balloon dil (31296) |
$14,094.66 |
$17,618.32 |
2.0× |
| Sinus endo w/balloon dil (31297) |
$14,021.06 |
$17,526.32 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$468.40 |
$585.50 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$241.60 |
$302 |
0.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$199.20 |
$249 |
0.1× |
| Skin tissue rearrangement (14040) |
$1,940 |
$2,425 |
0.9× |
| Skn sub grft f/n/hf/g child (15277) |
$205.60 |
$257 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$208 |
$260 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$208 |
$260 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$272.80 |
$341 |
0.7× |
| Sphincterotomy (46080) |
$902 |
$1,127.50 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$256 |
$320 |
0.4× |
| Strapping ankle (29540) |
$68 |
$85 |
0.4× |
| Strapping shoulder (29240) |
$149.60 |
$187 |
1.1× |
| Strapping toes (29550) |
$82.80 |
$103.50 |
1.4× |
| Strapping unna boot (29580) |
$234 |
$292.50 |
1.4× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$13,162.40 |
$16,453 |
2.2× |
| Tangential biopsy skin single lesion (11102) |
$120 |
$150 |
0.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$2,500 |
$3,125 |
0.8× |
| Tenotomy shoulder area single tendon (23405) |
$16,313.60 |
$20,392 |
2.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$443.20 |
$554 |
0.7× |
| Thyroid biopsy (60100) |
$1,656.80 |
$2,071 |
2.3× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$3,440 |
$4,300 |
1.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,936.40 |
$4,920.50 |
1.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,267.20 |
$2,834 |
0.2× |
| Total knee arthroplasty (27447) |
$12,011.20 |
$15,014 |
0.9× |
| Treat Finger Fracture Each (26727) |
$7,496.80 |
$9,371 |
2.3× |
| Treat Fracture Radius & Ulna (25560) |
$185.60 |
$232 |
0.8× |
| Treat fx distal radial (25606) |
$1,440 |
$1,800 |
0.4× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$736.80 |
$921 |
0.1× |
| Treat humerus fracture (24500) |
$269.20 |
$336.50 |
1.1× |
| Treat knuckle dislocation (26715) |
$573.60 |
$717 |
0.2× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$897.60 |
$1,122 |
0.1× |
| Treat Wrist Bone Fracture (25630) |
$185.60 |
$232 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$360 |
$450 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$320 |
$400 |
1.3× |
| Treatment mouth roof lesion (42160) |
$128.80 |
$161 |
0.0× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,160.80 |
$1,451 |
0.2× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$952.80 |
$1,191 |
0.1× |
| Trim skin lesion (11055) |
$40 |
$50 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$48 |
$60 |
0.2× |
| Trim skin lesions over 4 (11057) |
$68 |
$85 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$28 |
$35 |
0.5× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$16,000 |
$20,000 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$208 |
$260 |
0.3× |
| Tympanostomy (69433) |
$894 |
$1,117.50 |
1.7× |
| Unlisted procedure anus (46999) |
$452.80 |
$566 |
0.5× |
| Vaginal delivery only (59409) |
$919.20 |
$1,149 |
0.3× |
| Vasectomy (55250) |
$2,054.80 |
$2,568.50 |
1.0× |
| Venipuncture (36415) |
$33.60 |
$42 |
3.6× |
| Wrist arthroscop,excis triang cart (29846) |
$6,800 |
$8,500 |
2.1× |
| Wrist arthroscopy (29843) |
$6,800 |
$8,500 |
2.1× |
| Wrist arthroscopy (29840) |
$6,800 |
$8,500 |
2.1× |