| Abd paracentesis w/imaging (49083) |
$1,925 |
$1,925 |
2.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,650 |
$1,650 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,400 |
$1,400 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,600 |
$1,600 |
0.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$550 |
$550 |
0.5× |
| Application cast elbow finger short arm (29075) |
$300 |
$300 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$171.60 |
$171.60 |
3.1× |
| Application finger splint static (29130) |
$136.40 |
$136.40 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$301.40 |
$301.40 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$110 |
$110 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$231 |
$231 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$250.80 |
$250.80 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$300 |
$300 |
2.4× |
| Application short leg splint calf foot (29515) |
$516.11 |
$516.11 |
3.4× |
| Apply short leg cast (29425) |
$115 |
$115 |
0.4× |
| Arterial puncture (36600) |
$239.80 |
$239.80 |
1.9× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) likely a partial charge, not the full procedure |
$1,100 |
$1,100 |
0.2× |
Artery-vein autograft (36825) unusually low: confirm this is the full procedure |
$1,600 |
$1,600 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$154 |
$154 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$803.88 |
$803.88 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$231 |
$231 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$300 |
$300 |
1.0× |
Av fusion/forearm vein (36820) unusually low: confirm this is the full procedure |
$1,650 |
$1,650 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$308 |
$308 |
1.6× |
| Biopsy Breast Open Incisional (19101) |
$770 |
$770 |
0.2× |
| Bladder Irrigation Simple (51700) |
$210 |
$210 |
0.9× |
| Blood transfusion service (36430) |
$853.60 |
$853.60 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,019.50 |
$3,019.50 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,019.50 |
$3,019.50 |
1.9× |
| Chest tube placement (32551) |
$1,100 |
$1,100 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,120 |
$1,120 |
0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$300 |
$300 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$616 |
$616 |
2.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$980 |
$980 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,540 |
$1,540 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$634.48 |
$634.48 |
2.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$924 |
$924 |
4.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,000 |
$1,000 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$462 |
$462 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$924 |
$924 |
4.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$634.48 |
$634.48 |
2.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$300 |
$300 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$462 |
$462 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$924 |
$924 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$7,606.54 |
$7,606.54 |
6.8× |
| Colonoscopy stoma w/biopsy (44389) |
$7,606.54 |
$7,606.54 |
6.8× |
| Colonoscopy w/ablation (45388) |
$7,606.54 |
$7,606.54 |
6.8× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,803.27 |
$3,803.27 |
3.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$3,803.27 |
$3,803.27 |
3.4× |
| Complex Drainage, Wound (10180) |
$300 |
$300 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$616 |
$616 |
4.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$231 |
$231 |
1.9× |
Crtj arven fstl xcp dir arven anast nonautog grf (36830) likely a partial charge, not the full procedure |
$1,320 |
$1,320 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$560 |
$560 |
4.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$500 |
$500 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$300 |
$300 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$315 |
$315 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$400 |
$400 |
0.6× |
| Declot vascular device (36593) |
$92.40 |
$92.40 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$2,893.50 |
$2,893.50 |
3.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$550 |
$550 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$924 |
$924 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$308 |
$308 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$462 |
$462 |
2.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd flexible foreign body removal (43247) |
$3,032.70 |
$3,032.70 |
3.6× |
| Egd guide wire insertion (43248) |
$880 |
$880 |
1.0× |
| Egd place gastrostomy tube (43246) |
$3,032.70 |
$3,032.70 |
1.7× |
| Egd rem tumr/polyp forcep (43250) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd remove lesion snare (43251) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$5,784.79 |
$5,784.79 |
3.2× |
| Egd Varices Ligation (43244) |
$5,784.79 |
$5,784.79 |
3.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$10,880.68 |
$10,880.68 |
3.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$10,880.68 |
$10,880.68 |
3.0× |
| Esophagus endoscopy/ligation (43205) |
$5,784.79 |
$5,784.79 |
3.2× |
| Evacuation of subungual hematoma (11740) |
$154 |
$154 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$880 |
$880 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$840 |
$840 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$700 |
$700 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,000 |
$1,000 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$300 |
$300 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$616 |
$616 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$880 |
$880 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$770 |
$770 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$800 |
$800 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$600 |
$600 |
0.4× |
| Excision hidradenitis axillary complex repair (11451) |
$700 |
$700 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$500 |
$500 |
0.8× |
| Excision of nail fold toe (11765) |
$560 |
$560 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$600 |
$600 |
0.4× |
| Fetal non-stress test (59025) |
$365.20 |
$365.20 |
1.9× |
| Forehead flap w/vasc pedicle (15731) |
$1,650 |
$1,650 |
0.5× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$5,282.20 |
$5,282.20 |
2.7× |
| I&d abscess simple (10060) |
$308 |
$308 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$420 |
$420 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$300 |
$300 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$700 |
$700 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$300 |
$300 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$320 |
$320 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$865.48 |
$865.48 |
3.0× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) likely a partial charge, not the full procedure |
$1,540 |
$1,540 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$231 |
$231 |
0.8× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$330 |
$330 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$1,375 |
$1,375 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$733.04 |
$733.04 |
2.5× |
| Injection therapeutic carpal tunnel (20526) |
$300 |
$300 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$462 |
$462 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$8,811.88 |
$8,811.88 |
3.0× |
| Insert Temp Bladder Cath (51702) |
$231 |
$231 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$168 |
$168 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$550 |
$550 |
0.2× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$169.60 |
$169.60 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$634.04 |
$634.04 |
2.9× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,200 |
$1,200 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,650 |
$1,650 |
0.3× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$2,000 |
$2,000 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$11,028.16 |
$11,028.16 |
3.3× |
| Open thrombect av fistula (36831) |
$5,797 |
$5,797 |
1.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,000 |
$1,000 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$400 |
$400 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$280 |
$280 |
0.7× |
| Puncture Aspiration (10160) |
$300 |
$300 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$1,220 |
$1,220 |
1.8× |
Rechanneling of artery (35321) unusually low: confirm this is the full procedure |
$1,650 |
$1,650 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$300 |
$300 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$110 |
$110 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$154 |
$154 |
2.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$924 |
$924 |
0.6× |
| Removal of finger lesion (26210) |
$770 |
$770 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$231 |
$231 |
1.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$660 |
$660 |
0.2× |
| Remove muti-comp penis pros (54406) |
$29,007 |
$29,007 |
8.8× |
| Remv Ext Canal Foreign Body (69200) |
$308 |
$308 |
2.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$137.50 |
$137.50 |
1.1× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$1,100 |
$1,100 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$840 |
$840 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,232 |
$1,232 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$770 |
$770 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,400 |
$1,400 |
0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,200 |
$1,200 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$440 |
$440 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$924 |
$924 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$770 |
$770 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$770 |
$770 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$699.52 |
$699.52 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$616 |
$616 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$875.60 |
$875.60 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,078 |
$1,078 |
2.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,120 |
$1,120 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$560 |
$560 |
1.5× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,540 |
$1,540 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$800 |
$800 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$550 |
$550 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$385 |
$385 |
0.7× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,893.50 |
$2,893.50 |
3.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,893.50 |
$2,893.50 |
3.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$308 |
$308 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$385 |
$385 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$462 |
$462 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$551.32 |
$551.32 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$277.20 |
$277.20 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$308 |
$308 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$308 |
$308 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$685.30 |
$685.30 |
1.8× |
| Strapping ankle (29540) |
$301.40 |
$301.40 |
2.0× |
| Strapping elbow/wrist (29260) |
$77 |
$77 |
1.4× |
| Strapping hand/finger (29280) |
$93.80 |
$93.80 |
1.7× |
| Strapping knee (29530) |
$239.80 |
$239.80 |
1.9× |
| Strapping shoulder (29240) |
$239.80 |
$239.80 |
1.9× |
| Strapping thorax (29200) |
$301.40 |
$301.40 |
2.0× |
| Strapping toes (29550) |
$130.90 |
$130.90 |
2.4× |
| Strapping unna boot (29580) |
$154 |
$154 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,375 |
$1,375 |
2.3× |
| Thyroid biopsy (60100) |
$1,220 |
$1,220 |
1.8× |
| Treat toe fracture (28525) |
$1,386 |
$1,386 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$924 |
$924 |
4.0× |
| Trim skin lesion (11055) |
$140 |
$140 |
0.7× |
| Trim skin lesions over 4 (11057) |
$300 |
$300 |
1.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,221.60 |
$6,221.60 |
1.2× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248) likely a partial charge, not the full procedure |
$1,100 |
$1,100 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$616 |
$616 |
0.9× |
| Venipuncture (36415) |
$51.22 |
$51.22 |
5.5× |