| Abd paracentesis w/imaging (49083) |
$1,536.50 |
$1,807.65 |
1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$765.17 |
$900.20 |
0.8× |
| Acetabuloplasty Resection Femoral Head (27122) |
$8,965.97 |
$10,548.20 |
1.2× |
| Acne Surgery (10040) |
$130.48 |
$153.50 |
0.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$3,027.45 |
$3,561.70 |
0.9× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,782.54 |
$2,097.10 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,059.92 |
$3,599.90 |
0.8× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,065.33 |
$2,429.80 |
1.0× |
| Amp thigh thru femur sec closure/scar revision (27594) |
$1,712.50 |
$2,014.70 |
0.5× |
| Amputate lower leg at knee (27598) |
$5,243.40 |
$6,168.70 |
1.6× |
| Amputate metacarpal bone (26910) |
$2,979.34 |
$3,505.10 |
0.9× |
| Amputate Thigh,Re-Amputatn (27596) |
$4,297.86 |
$5,056.30 |
1.3× |
| Amputation Finger/Thumb (26951) |
$1,986.54 |
$2,337.10 |
0.6× |
| Amputation Foot Midtarsal (28800) |
$2,691.27 |
$3,166.20 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$1,787.81 |
$2,103.30 |
0.5× |
| Amputation of finger/thumb (26952) |
$2,648.43 |
$3,115.80 |
0.8× |
| Amputation thigh through femur any level (27590) |
$4,832.76 |
$5,685.60 |
1.4× |
| Amputation toe interphalangeal joint (28825) |
$1,673.06 |
$1,968.30 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,952.37 |
$2,296.90 |
0.6× |
| Amputation Transmetacarpal (25927) |
$3,297.15 |
$3,879 |
1.0× |
| Amputation, foot; transmetatarsal (28805) |
$2,477.67 |
$2,914.90 |
0.7× |
| Amputation, leg, through tibia and fibula; (27880) |
$3,752.41 |
$4,414.60 |
0.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$6,457.71 |
$7,597.30 |
1.9× |
| Ankle scope,part synovectomy (29895) |
$4,289.95 |
$5,047 |
1.3× |
| Anoscopy Ablation Lesion (46615) |
$916.64 |
$1,078.40 |
0.3× |
| Anoscopy diagnostic (46600) |
$216.67 |
$254.90 |
1.6× |
| Anoscopy w/rmvl lesion cautery (46610) |
$494.70 |
$582 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$314.33 |
$369.80 |
0.3× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$2,871.64 |
$3,378.40 |
0.6× |
| Anterior Tibial Tubercleplasty (27418) |
$5,660.15 |
$6,659 |
0.8× |
| Appendectomy (44950) |
$3,395.16 |
$3,994.30 |
0.5× |
| Application cast elbow finger short arm (29075) |
$224.58 |
$264.20 |
0.8× |
| Application Cast Finger (29086) |
$157.59 |
$185.40 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$211.86 |
$249.25 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$295.89 |
$348.10 |
1.0× |
| Application finger splint static (29130) |
$130.48 |
$153.50 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$192.61 |
$226.60 |
1.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$429 |
$504.70 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$269.62 |
$317.20 |
1.6× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$2,303.42 |
$2,709.90 |
0.2× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$1,657.33 |
$1,949.80 |
0.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$348.42 |
$409.90 |
1.2× |
| Application of long leg cast (29345) |
$405.84 |
$477.45 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$162.86 |
$191.60 |
1.2× |
| Application short leg splint calf foot (29515) |
$176.89 |
$208.10 |
1.1× |
| Application, cast; figure-of-eight (29049) |
$352.84 |
$415.10 |
1.2× |
| Apply of clubfoot cast (29450) |
$106.84 |
$125.70 |
0.6× |
| Apply short leg cast (29405) |
$312.54 |
$367.70 |
1.1× |
| Apply short leg cast (29425) |
$246.93 |
$290.50 |
0.9× |
| Arterial puncture (36600) |
$116.45 |
$137 |
0.9× |
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760)
unusually low: confirm this is the full procedure |
$2,310.47 |
$2,718.20 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$222.36 |
$261.60 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$260.87 |
$306.90 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$260.87 |
$306.90 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$210.12 |
$247.20 |
0.7× |
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure |
$5,276.63 |
$6,207.80 |
0.4× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$11,129.39 |
$13,093.40 |
0.8× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,699.32 |
$1,999.20 |
0.2× |
Arthrodesis Pantalar (28705)
unusually low: confirm this is the full procedure |
$6,110.99 |
$7,189.40 |
0.3× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$9,144.64 |
$10,758.40 |
0.7× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$11,385.92 |
$13,395.20 |
0.4× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$13,570.25 |
$15,965 |
0.5× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,453.19 |
$2,886.10 |
0.3× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
unusually low: confirm this is the full procedure |
$10,228.48 |
$12,033.50 |
0.4× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$10,228.48 |
$12,033.50 |
0.6× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610)
unusually low: confirm this is the full procedure |
$7,387.44 |
$8,691.10 |
0.4× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
unusually low: confirm this is the full procedure |
$8,122.86 |
$9,556.30 |
0.5× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) |
$10,462.23 |
$12,308.50 |
0.8× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737)
likely a partial charge, not the full procedure |
$3,346.20 |
$3,936.70 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810)
unusually low: confirm this is the full procedure |
$5,196.99 |
$6,114.10 |
0.4× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$4,068.44 |
$4,786.40 |
0.3× |
Arthroplasty Ankle W/Implant (27702)
unusually low: confirm this is the full procedure |
$9,820.48 |
$11,553.50 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,908.40 |
$9,304 |
0.4× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$8,510.71 |
$10,012.60 |
0.6× |
Arthroplasty radial head w/implant (24366)
likely a partial charge, not the full procedure |
$3,513.39 |
$4,133.40 |
0.3× |
Arthroplasty, patella; with prosthesis (27438)
unusually low: confirm this is the full procedure |
$5,099.83 |
$5,999.80 |
0.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$10,274.04 |
$12,087.10 |
1.4× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$7,730.67 |
$9,094.90 |
0.6× |
| Arthroscopy ankle; ext debridem (29898) |
$4,740.88 |
$5,577.50 |
1.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,671.69 |
$5,496.10 |
1.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,597.23 |
$5,408.50 |
1.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,389.04 |
$3,987.10 |
1.0× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,398.87 |
$2,822.20 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$5,871.97 |
$6,908.20 |
1.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,108.59 |
$6,010.10 |
1.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,834.69 |
$4,511.40 |
1.1× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,330.39 |
$3,918.10 |
1.0× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$7,109.06 |
$8,363.60 |
0.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,790.77 |
$5,636.20 |
1.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,790.77 |
$5,636.20 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$7,020.66 |
$8,259.60 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,287.88 |
$7,397.50 |
1.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,251.07 |
$7,354.20 |
0.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,303.60 |
$7,416 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,115.56 |
$6,018.30 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,676.96 |
$5,502.30 |
1.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,194.73 |
$3,758.50 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,702.85 |
$7,885.70 |
0.9× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$3,808.43 |
$4,480.50 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,687.64 |
$4,338.40 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,745.92 |
$6,759.90 |
0.8× |
| Arthrotomy hip w/drainage (27030) |
$4,723.37 |
$5,556.90 |
0.6× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$3,069.52 |
$3,611.20 |
0.9× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$3,513.39 |
$4,133.40 |
1.1× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$3,640.30 |
$4,282.70 |
1.1× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$4,281.20 |
$5,036.70 |
1.3× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$5,010.50 |
$5,894.70 |
1.5× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$2,834.84 |
$3,335.10 |
0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$979.71 |
$1,152.60 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,673.06 |
$1,968.30 |
0.5× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,954.15 |
$2,299 |
0.6× |
| Artificial insemination (58322) |
$435.97 |
$512.90 |
2.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$189.56 |
$223 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$284.12 |
$334.25 |
1.4× |
Axillary lymphadenectomy superficial 38740 (38740)
unusually low: confirm this is the full procedure |
$2,713.20 |
$3,192 |
0.4× |
| Axillary lymphadenectomy; complete (38745) |
$3,656.96 |
$4,302.30 |
0.6× |
| Biopsy Bone Open Deep (20245) |
$1,702.89 |
$2,003.40 |
0.6× |
| Biopsy bone open superficial (20240) |
$939.42 |
$1,105.20 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$640.44 |
$753.45 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$559.47 |
$658.20 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$1,132.03 |
$1,331.80 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$429 |
$504.70 |
0.5× |
| Biopsy muscle deep (20205) |
$1,024.34 |
$1,205.10 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$403.58 |
$474.80 |
0.2× |
| Biopsy Nerve (64795) |
$1,136.37 |
$1,336.90 |
0.6× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$1,336.03 |
$1,571.80 |
0.5× |
| Biopsy of tongue (41100) |
$503.46 |
$592.30 |
0.9× |
| Biopsy of uterus lining (58100) |
$253.05 |
$297.70 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$778.35 |
$915.70 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$609.32 |
$716.85 |
0.8× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$1,759.76 |
$2,070.30 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$560.32 |
$659.20 |
0.3× |
| Biopsy soft tissue of back (21920) |
$308.21 |
$362.60 |
0.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$1,273.90 |
$1,498.70 |
0.4× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,994.36 |
$2,346.30 |
0.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$446.08 |
$524.80 |
0.5× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$415.91 |
$489.30 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,361.45 |
$1,601.70 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,273.90 |
$1,498.70 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$738.91 |
$869.30 |
1.0× |
| Bladder Irrigation Simple (51700) |
$211.91 |
$249.30 |
0.8× |
| Bladder Scan (51798) |
$123.04 |
$144.75 |
2.0× |
| Blood patch (62273) |
$880.77 |
$1,036.20 |
1.2× |
| Blood transfusion service (36430) |
$643.07 |
$756.55 |
1.4× |
Bone graft, any donor area; major or large (20902)
likely a partial charge, not the full procedure |
$2,089.81 |
$2,458.60 |
0.3× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$1,092.59 |
$1,285.40 |
0.1× |
| Bone marrow aspiration only (38220) |
$551.57 |
$648.90 |
0.3× |
| Bone Marrow Biopsy (38221) |
$621.61 |
$731.30 |
0.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,111.04 |
$1,307.10 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,371.90 |
$1,614 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$805.46 |
$947.60 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$1,580.32 |
$1,859.20 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,065.29 |
$2,429.75 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$295.04 |
$347.10 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$288.92 |
$339.90 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$492.02 |
$578.85 |
0.3× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$1,310.62 |
$1,541.90 |
0.3× |
| Capsular Contracture Release (23020) |
$3,548.41 |
$4,174.60 |
1.1× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,468.91 |
$2,904.60 |
0.7× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$6,353.50 |
$7,474.70 |
0.9× |
| Carpectomy All Bones Proximal Row (25215) |
$3,312.88 |
$3,897.50 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$175.95 |
$207 |
0.8× |
| Cautery Cervix Electro/Thermal (57510) |
$486.80 |
$572.70 |
0.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,593.41 |
$1,874.60 |
0.5× |
| Cerv artific diskectomy (22856) |
$11,425.28 |
$13,441.50 |
0.6× |
| Cervical lymphadenectomy (complete) (38720) |
$7,123.09 |
$8,380.10 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$749.45 |
$881.70 |
2.9× |
| Chemical Cautery Tissue (17250) |
$227.63 |
$267.80 |
1.1× |
| Chemodenerv trunk musc 1-5 (64646) |
$618.12 |
$727.20 |
0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$562.96 |
$662.30 |
1.8× |
| Chest tube placement (32551) |
$1,013.80 |
$1,192.70 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$320.45 |
$377 |
2.4× |
Chromotubation of oviduct, including materials (58350)
likely a partial charge, not the full procedure |
$490.28 |
$576.80 |
0.1× |
| Circum 28 days or older (54161) |
$451.78 |
$531.50 |
0.2× |
| Circumcision (54150) |
$439.96 |
$517.60 |
0.2× |
| Circumcision Neonate (54160) |
$508.26 |
$597.95 |
0.7× |
| Claviculectomy; partial (23120) |
$3,027.45 |
$3,561.70 |
0.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,130.25 |
$1,329.70 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$963.05 |
$1,133 |
3.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,011.25 |
$1,189.70 |
4.0× |
| Closed Rx Med Malleolus Fx (27760) |
$935.94 |
$1,101.10 |
3.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,678.33 |
$1,974.50 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,605.70 |
$1,889.05 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,332.32 |
$2,743.90 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$885.11 |
$1,041.30 |
3.5× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,280.87 |
$1,506.90 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,323.79 |
$1,557.40 |
5.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$711.79 |
$837.40 |
2.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,989.13 |
$2,340.15 |
1.2× |
| Closed Rx Trimalleolar Fx (27816) |
$1,142.57 |
$1,344.20 |
4.5× |
| Closed Treat Vert Body Fract (22310) |
$830.88 |
$977.50 |
3.3× |
| Closed treat wrist dislocation (25660) |
$1,465.14 |
$1,723.70 |
5.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$911.37 |
$1,072.20 |
3.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,419.16 |
$1,669.60 |
5.6× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,372.75 |
$1,615 |
0.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$875.50 |
$1,030 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$755.57 |
$888.90 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,026.78 |
$2,384.45 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,074.28 |
$1,263.85 |
4.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$898.28 |
$1,056.80 |
3.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,477.38 |
$1,738.10 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,295.60 |
$2,700.70 |
9.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,475.26 |
$1,735.60 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$747.66 |
$879.60 |
3.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$878.14 |
$1,033.10 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,232.67 |
$1,450.20 |
4.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$858.46 |
$1,009.95 |
3.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,167.05 |
$1,373 |
4.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,201.64 |
$1,413.70 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$388.71 |
$457.30 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,176.51 |
$2,560.60 |
1.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$802.83 |
$944.50 |
3.2× |
| Closed tx septal&nose fx (21337) |
$1,519.89 |
$1,788.10 |
0.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,084.77 |
$1,276.20 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$515.70 |
$606.70 |
2.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$731.94 |
$861.10 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$948.18 |
$1,115.50 |
3.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$540.18 |
$635.50 |
2.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$641.75 |
$755 |
1.2× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$2,878.61 |
$3,386.60 |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,057.57 |
$1,244.20 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$674.99 |
$794.10 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,400.38 |
$1,647.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$936.78 |
$1,102.10 |
3.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,409.56 |
$1,658.30 |
5.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,266.84 |
$1,490.40 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$766.11 |
$901.30 |
3.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,276.92 |
$1,502.25 |
5.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$931.56 |
$1,095.95 |
3.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$667.17 |
$784.90 |
2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$435.12 |
$511.90 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,063.31 |
$1,250.95 |
4.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,628.43 |
$1,915.80 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,564.51 |
$1,840.60 |
6.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,277.86 |
$3,856.30 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$618.12 |
$727.20 |
2.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$380.89 |
$448.10 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$464.87 |
$546.90 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$314.33 |
$369.80 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,224.62 |
$2,617.20 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,142.57 |
$1,344.20 |
4.5× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,345.64 |
$1,583.10 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,508.08 |
$1,774.20 |
6.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$432.52 |
$508.85 |
1.7× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,810.21 |
$4,482.60 |
2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$488.12 |
$574.25 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,095.23 |
$1,288.50 |
4.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$731.94 |
$861.10 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$667.17 |
$784.90 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$899.56 |
$1,058.30 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$500.82 |
$589.20 |
2.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,196.62 |
$2,584.25 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,600 |
$1,882.35 |
6.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,005.98 |
$1,183.50 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$768.66 |
$904.30 |
3.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,664.30 |
$1,958 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$392.66 |
$461.95 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,979.48 |
$2,328.80 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,058.28 |
$2,421.50 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,224.62 |
$2,617.20 |
1.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$4,838.03 |
$5,691.80 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,766.73 |
$2,078.50 |
1.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,078.42 |
$2,445.20 |
1.7× |
| Colonoscopy stoma w/biopsy (44389) |
$1,976 |
$2,324.70 |
1.6× |
| Colonoscopy stoma w/snare (44394) |
$2,016.29 |
$2,372.10 |
1.6× |
| Colonoscopy thru stoma (44388) |
$1,195.10 |
$1,406 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,864.82 |
$2,193.90 |
1.5× |
| Colonoscopy w/fb removal (45379) |
$1,561.03 |
$1,836.50 |
1.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$4,660.30 |
$5,482.70 |
0.6× |
| Colporrhaphy suture injury vagina (57200) |
$1,459.45 |
$1,717 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$714.43 |
$840.50 |
2.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$503.46 |
$592.30 |
2.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,427.07 |
$1,678.90 |
0.4× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,086.33 |
$2,454.50 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$697.77 |
$820.90 |
2.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$618.12 |
$727.20 |
2.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$707.37 |
$832.20 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,933.07 |
$2,274.20 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,759.76 |
$2,070.30 |
1.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,786.02 |
$2,101.20 |
1.5× |
| Complete replacement picc rs&i (36584) |
$621.61 |
$731.30 |
0.4× |
| Complex Drainage, Wound (10180) |
$935 |
$1,100 |
0.3× |
| Conization of cervix (57522) |
$1,619.68 |
$1,905.50 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$318.24 |
$374.40 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$415.91 |
$489.30 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$288.07 |
$338.90 |
2.1× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$448.29 |
$527.40 |
0.8× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$942.91 |
$1,109.30 |
0.3× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$13,521.21 |
$15,907.30 |
1.0× |
Coracoacromial ligament release, with or without acromioplasty (23415)
unusually low: confirm this is the full procedure |
$3,149.17 |
$3,704.90 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$653.14 |
$768.40 |
0.4× |
| Correction hammertoe (28285) |
$1,576.75 |
$1,855 |
0.5× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,923.32 |
$3,439.20 |
0.4× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$3,202.55 |
$3,767.70 |
0.4× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,164.98 |
$3,723.50 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,792.70 |
$4,462 |
1.1× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$3,814.55 |
$4,487.70 |
0.7× |
| Cryotherapy of skin (17340) |
$197.88 |
$232.80 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$802.83 |
$944.50 |
5.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$839.21 |
$987.30 |
3.5× |
| Curettage postpartum (59160) |
$993.74 |
$1,169.10 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,167.05 |
$1,373 |
0.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
unusually low: confirm this is the full procedure |
$3,534.39 |
$4,158.10 |
0.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,831.35 |
$3,331 |
1.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$2,477.67 |
$2,914.90 |
1.2× |
| Cystourethroscopy (52000) |
$634.78 |
$746.80 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$227.63 |
$267.80 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,076.72 |
$2,443.20 |
0.7× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,747.29 |
$3,232.10 |
0.8× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$1,771.15 |
$2,083.70 |
0.5× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,885.67 |
$3,394.90 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,441.09 |
$1,695.40 |
2.0× |
| Debride nail 1-5 (11720) |
$125.63 |
$147.80 |
2.1× |
| Debride skin musc at fx site (11011) |
$1,416.53 |
$1,666.50 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$683.36 |
$803.95 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,076.87 |
$1,266.90 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,360.56 |
$1,600.65 |
0.8× |
| Declot vascular device (36593) |
$249.56 |
$293.60 |
0.7× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,158.15 |
$2,539 |
1.3× |
| Decompress fingers/hand (26037) |
$2,003.11 |
$2,356.60 |
0.6× |
| Decompress forearm 1 space (25023) |
$2,587.15 |
$3,043.70 |
0.8× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$4,669.90 |
$5,494 |
1.4× |
| Decompression of thigh/knee (27496) |
$1,870.94 |
$2,201.10 |
0.6× |
| Decompression of tibia nerve (28035) |
$2,985.46 |
$3,512.30 |
1.5× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,784.94 |
$3,276.40 |
1.4× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,631.92 |
$1,919.90 |
0.8× |
| Delivery placenta separate procedure (59414) |
$640.90 |
$754 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,334.95 |
$2,747 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,200.99 |
$2,589.40 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$435.97 |
$512.90 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$352.84 |
$415.10 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$151.90 |
$178.70 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$761.69 |
$896.10 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$683.74 |
$804.40 |
0.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$642.60 |
$756 |
2.0× |
| Destruction Lesions Vulva Extensive (56515) |
$1,175.81 |
$1,383.30 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$429 |
$504.70 |
0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$232.05 |
$273 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,816.48 |
$3,313.50 |
1.4× |
| Destruction of skin lesions (17106) |
$750.30 |
$882.70 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$252.11 |
$296.60 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$677.66 |
$797.25 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$860.16 |
$1,011.95 |
0.9× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$879.92 |
$1,035.20 |
0.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$948.18 |
$1,115.50 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$478.04 |
$562.40 |
0.5× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$8,104.50 |
$9,534.70 |
1.1× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$3,530.90 |
$4,154 |
0.6× |
| Division of fallopian tube (58600) |
$2,543.37 |
$2,992.20 |
0.8× |
| Drain hand tendon sheath (26020) |
$2,003.11 |
$2,356.60 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$326.57 |
$384.20 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$351.94 |
$414.05 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,117.58 |
$1,314.80 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$372.98 |
$438.80 |
1.8× |
| Drainage of bone lesion (27303) |
$2,790.21 |
$3,282.60 |
0.8× |
| Drainage of eyelid abscess (67700) |
$361.59 |
$425.40 |
1.1× |
| Drainage of gum lesion (41800) |
$444.72 |
$523.20 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$351.52 |
$413.55 |
0.2× |
| Drainage of hydrocele (55000) |
$77.01 |
$90.60 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$391.38 |
$460.45 |
0.2× |
| Draw blood off venous device (36591) |
$320.45 |
$377 |
2.4× |
| Dressing change under anesthesia (15852) |
$184.75 |
$217.35 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$546.30 |
$642.70 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$284.12 |
$334.25 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$217.09 |
$255.40 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$135.75 |
$159.70 |
4.6× |
| Dstrj lesion anus simple surg excision (46922) |
$1,856.06 |
$2,183.60 |
0.7× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$225.85 |
$265.70 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$879.46 |
$1,034.65 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,503.65 |
$1,769 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,258.09 |
$1,480.10 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,657.80 |
$1,950.35 |
1.8× |
| Egd guide wire insertion (43248) |
$1,310.62 |
$1,541.90 |
1.4× |
| Egd place gastrostomy tube (43246) |
$1,860.48 |
$2,188.80 |
0.9× |
| Egd rem tumr/polyp forcep (43250) |
$1,521.63 |
$1,790.15 |
0.8× |
| Egd remove lesion snare (43251) |
$1,348.27 |
$1,586.20 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,782.54 |
$2,097.10 |
0.9× |
| Elbow arthroscopy/surgery (29837) |
$3,925.73 |
$4,618.50 |
1.2× |
Emblc/thrmbc ax brach innominate subcla art (34101)
unusually low: confirm this is the full procedure |
$1,889.30 |
$2,222.70 |
0.3× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$3,997.55 |
$4,703 |
0.7× |
| Endocervical Curettage (57505) |
$485.01 |
$570.60 |
0.5× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$2,674.70 |
$3,146.70 |
0.5× |
| Enterorrhaphy single perforation (44602) |
$4,592.04 |
$5,402.40 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$926.25 |
$1,089.70 |
0.3× |
| Esophagoscopy flex biopsy (43202) |
$1,374.07 |
$1,616.55 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,099.65 |
$1,293.70 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$787.10 |
$926 |
0.8× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,047.12 |
$1,231.90 |
0.5× |
| Evacuate mole of uterus (59870) |
$1,648.58 |
$1,939.50 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$173.78 |
$204.45 |
1.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,672.21 |
$1,967.30 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$1,345.64 |
$1,583.10 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,808.80 |
$2,128 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,130.25 |
$1,329.70 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$825.60 |
$971.30 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$819.48 |
$964.10 |
0.5× |
| Exc back les sc < 3 cm (21930) |
$2,271.97 |
$2,672.90 |
1.3× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure |
$2,911.93 |
$3,425.80 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$410.64 |
$483.10 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$661.90 |
$778.70 |
0.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,079.50 |
$1,270 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$2,292.03 |
$2,696.50 |
1.4× |
| Exc forearm les sc < 3 cm (25075) |
$1,111.89 |
$1,308.10 |
0.7× |
| Exc frenum labial/buccal (40819) |
$496.40 |
$584 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,337.73 |
$1,573.80 |
0.8× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,414.83 |
$1,664.50 |
0.4× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,994.36 |
$2,346.30 |
0.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$166.35 |
$195.70 |
0.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,019.07 |
$1,198.90 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,947.10 |
$2,290.70 |
0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,939.05 |
$3,457.70 |
1.5× |
| Exc rect tum transanal part (45171) |
$3,461.71 |
$4,072.60 |
1.2× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$2,614.26 |
$3,075.60 |
1.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,327.28 |
$1,561.50 |
0.8× |
| Exc skin abd (15830) |
$5,392.23 |
$6,343.80 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$382.59 |
$450.10 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$355.47 |
$418.20 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$373.41 |
$439.30 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$443.02 |
$521.20 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$879.92 |
$1,035.20 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$625.09 |
$735.40 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,104.92 |
$1,299.90 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$991.95 |
$1,167 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$842.69 |
$991.40 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,566.30 |
$1,842.70 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,315.04 |
$1,547.10 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,167.05 |
$1,373 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,269.33 |
$2,669.80 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,359.14 |
$5,128.40 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$316.97 |
$372.90 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$308.21 |
$362.60 |
0.4× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$2,081.06 |
$2,448.30 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,138.01 |
$2,515.30 |
1.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,764.80 |
$3,252.70 |
0.9× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,190.68 |
$1,400.80 |
0.7× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,851.73 |
$2,178.50 |
1.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,061.85 |
$2,425.70 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,064.40 |
$2,428.70 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,669.57 |
$1,964.20 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,320.22 |
$1,553.20 |
0.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,673.06 |
$1,968.30 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,043.63 |
$1,227.80 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,662.37 |
$3,132.20 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,426.92 |
$2,855.20 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,088.26 |
$1,280.30 |
0.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,653.47 |
$4,298.20 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,254.60 |
$1,476 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,710.57 |
$3,188.90 |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,479.60 |
$1,740.70 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,336.03 |
$1,571.80 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,537.40 |
$1,808.70 |
0.9× |
| Excise cutaneous neurofibroma (64788) |
$2,224.62 |
$2,617.20 |
1.1× |
| Excise excess skin & tissue (15839) |
$2,864.67 |
$3,370.20 |
1.0× |
| Excise/repair mouth lesion (40812) |
$464.02 |
$545.90 |
0.3× |
Excision bone cyst/bnign tumor superficial (27065)
unusually low: confirm this is the full procedure |
$2,571.34 |
$3,025.10 |
0.3× |
| Excision Breast Lesion (19125) |
$1,830.65 |
$2,153.70 |
0.5× |
| Excision Distal Ulna Partial/Complete (25240) |
$2,414.60 |
$2,840.70 |
0.7× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,775.48 |
$2,088.80 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$415.91 |
$489.30 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$524.45 |
$617 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$636.48 |
$748.80 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$625.09 |
$735.40 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$834.36 |
$981.60 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$655.78 |
$771.50 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,019.07 |
$1,198.90 |
1.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,293.96 |
$1,522.30 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,842.04 |
$2,167.10 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$554.20 |
$652 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$772.23 |
$908.50 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$911.37 |
$1,072.20 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,128.55 |
$1,327.70 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,115.37 |
$1,312.20 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$316.97 |
$372.90 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$2,400.66 |
$2,824.30 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$436.44 |
$513.45 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$610.22 |
$717.90 |
0.8× |
| Excision of bone lower jaw (21025) |
$3,297.15 |
$3,879 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,973.36 |
$2,321.60 |
1.2× |
| Excision of hydrocele; unilateral (55040) |
$1,889.30 |
$2,222.70 |
0.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,758.91 |
$2,069.30 |
0.5× |
| Excision of lesion of tongue without closure (41110) |
$216.24 |
$254.40 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$476.68 |
$560.80 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$326.58 |
$384.20 |
0.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,466.51 |
$1,725.30 |
0.9× |
| Excision of nail fold toe (11765) |
$447.36 |
$526.30 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,056.72 |
$1,243.20 |
0.4× |
Excision of rib partial (21600)
unusually low: confirm this is the full procedure |
$2,363.85 |
$2,781 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$521.82 |
$613.90 |
0.4× |
| Excision of tongue lesion (41112) |
$749.45 |
$881.70 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$972.24 |
$1,143.80 |
0.3× |
| Excision of vaginal septum (57130) |
$1,343.47 |
$1,580.55 |
0.4× |
| Excision olecranon bursa (24105) |
$1,740.46 |
$2,047.60 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,512.54 |
$4,132.40 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,800.75 |
$3,295 |
0.9× |
| Excision Prepatellar Bursa (27340) |
$2,666.79 |
$3,137.40 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,957.64 |
$2,303.10 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,356.18 |
$1,595.50 |
0.8× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,614.41 |
$1,899.30 |
1.0× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,969.88 |
$2,317.50 |
1.2× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$2,580.09 |
$3,035.40 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,759.76 |
$2,070.30 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$3,504.64 |
$4,123.10 |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,033.94 |
$1,216.40 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,989.88 |
$3,517.50 |
1.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,400.66 |
$2,824.30 |
0.7× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$2,687.79 |
$3,162.10 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,004.19 |
$1,181.40 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,566.07 |
$3,018.90 |
1.2× |
| Expl retroperitoneum w/wo bx spx (49010) |
$3,653.47 |
$4,298.20 |
0.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,669.57 |
$1,964.20 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,025.19 |
$1,206.10 |
0.6× |
| Explor ankle jt+tenosynovectomy (27626) |
$3,995.77 |
$4,700.90 |
1.2× |
| Exploration of ankle joint (27612) |
$3,330.39 |
$3,918.10 |
1.0× |
| Exploration Of Foot Joint (28020) |
$2,104.69 |
$2,476.10 |
0.6× |
| Exploration of knee joint (27310) |
$4,774.96 |
$5,617.60 |
1.4× |
| Exploration of spinal fusion (22830) |
$10,715.27 |
$12,606.20 |
1.4× |
| Exploration penetrating wound spx chest (20101) |
$993.74 |
$1,169.10 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,815.77 |
$2,136.20 |
1.1× |
| Exploration Penetrating Wound Spx Neck (20100) |
$3,380.28 |
$3,976.80 |
6.1× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,003.11 |
$2,356.60 |
0.6× |
| Explore parathyroid glands (60500) |
$6,206.45 |
$7,301.70 |
1.0× |
Explore treat shoulder joint (23107)
unusually low: confirm this is the full procedure |
$3,195.58 |
$3,759.50 |
0.4× |
| Explore/treat ankle joint (27620) |
$3,305.91 |
$3,889.30 |
1.0× |
| Explore/treat ankle joint (27610) |
$3,121.20 |
$3,672 |
0.9× |
| Explore/treat hand joint (26070) |
$2,003.11 |
$2,356.60 |
1.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,603.02 |
$1,885.90 |
1.0× |
| External Cephalic Version (59412) |
$768.70 |
$904.35 |
0.2× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$2,113.44 |
$2,486.40 |
0.6× |
| Fasciotomy foot and/or toe (28008) |
$1,057.57 |
$1,244.20 |
0.3× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$3,849.57 |
$4,528.90 |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$1,829.80 |
$2,152.70 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$1,976 |
$2,324.70 |
0.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$5,003.53 |
$5,886.50 |
1.5× |
| Fetal Contraction Stress Test (59020) |
$489.82 |
$576.25 |
2.4× |
| Fetal non-stress test (59025) |
$253.90 |
$298.70 |
1.2× |
| Fill contour defct <1cc (11950) |
$348.42 |
$409.90 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$377.32 |
$443.90 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$316.03 |
$371.80 |
0.8× |
| Finger tendon transfer (26497) |
$4,409.89 |
$5,188.10 |
1.3× |
| Fitting of diaphragm/cap (57170) |
$130.48 |
$153.50 |
0.6× |
| Fixation of knee joint (27570) |
$1,183.71 |
$1,392.60 |
0.7× |
| Fixation of shoulder (23700) |
$1,201.22 |
$1,413.20 |
0.7× |
| Fluid pressure muscle (20950) |
$757.35 |
$891 |
1.0× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$3,164.98 |
$3,723.50 |
1.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,177.22 |
$3,737.90 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,105.62 |
$2,477.20 |
1.0× |
| Fuse hand bones with graft (25825) |
$5,379.99 |
$6,329.40 |
0.7× |
| Fusion Finger Joint (26860) |
$2,483.79 |
$2,922.10 |
0.7× |
Fusion of foot bones (28715)
unusually low: confirm this is the full procedure |
$5,561.21 |
$6,542.60 |
0.4× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$3,558.02 |
$4,185.90 |
0.3× |
Fusion of foot bones (28735)
unusually low: confirm this is the full procedure |
$4,321.49 |
$5,084.10 |
0.3× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$2,967.10 |
$3,490.70 |
0.4× |
| Fusion of hand bones (25820) |
$3,951.99 |
$4,649.40 |
0.5× |
Fusion of hand joint (26843)
unusually low: confirm this is the full procedure |
$3,224.48 |
$3,793.50 |
0.4× |
| Fusion of knuckle joint (26516) |
$3,083.55 |
$3,627.70 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$564.74 |
$664.40 |
2.6× |
| Gastrocnemius Recession (27687) |
$2,143.19 |
$2,521.40 |
0.6× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,935.42 |
$4,629.90 |
1.0× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,711.42 |
$3,189.90 |
1.4× |
| Guide Cathet Fluid Drainage (10030) |
$767.80 |
$903.30 |
1.1× |
Hand tendon pulley reconstruction (26500)
likely a partial charge, not the full procedure |
$2,064.40 |
$2,428.70 |
0.3× |
| Hemiarthroplasty Hip Partial (27125) |
$8,650.79 |
$10,177.40 |
0.7× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,268.63 |
$1,492.50 |
0.4× |
| Hemorrhoidectomy (46255) |
$2,093.30 |
$2,462.70 |
0.7× |
| Hemorrhoidectomy external complete (46250) |
$1,310.62 |
$1,541.90 |
0.5× |
| Hip arthro w/labral repair (29916) |
$6,303.60 |
$7,416 |
0.9× |
| Hysteroscopy ablation (58563) |
$2,808.57 |
$3,304.20 |
0.5× |
| Hysteroscopy biopsy (58558) |
$2,686 |
$3,160 |
0.8× |
| Hysteroscopy dx sep proc (58555) |
$1,501.53 |
$1,766.50 |
0.5× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$2,714.05 |
$3,193 |
0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,067.74 |
$3,609.10 |
0.9× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,029.94 |
$4,741.10 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$478.04 |
$562.40 |
2.0× |
| I&d abscess simple (10060) |
$277.10 |
$326 |
1.4× |
| I&d below fascia foot 1 bursal space (28002) |
$1,336.03 |
$1,571.80 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,674.84 |
$1,970.40 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,391.20 |
$1,636.70 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$345.82 |
$406.85 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,420.10 |
$1,670.70 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,541.73 |
$1,813.80 |
0.5× |
| I&d perianal abscess superficial (46050) |
$689.86 |
$811.60 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$230.69 |
$271.40 |
0.3× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,224.62 |
$2,617.20 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$785.32 |
$923.90 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,290.47 |
$1,518.20 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,290.47 |
$1,518.20 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$704.78 |
$829.15 |
0.4× |
| Incis 1 vertebral seg lumbar (22214) |
$11,819.25 |
$13,905 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,737.91 |
$2,044.60 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$583.10 |
$686 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,669.57 |
$1,964.20 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$673.24 |
$792.05 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$728.88 |
$857.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$284.12 |
$334.25 |
0.7× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$2,448.77 |
$2,880.90 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$337.96 |
$397.60 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$478.04 |
$562.40 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$6,319.33 |
$7,434.50 |
0.9× |
| Incision bone cortex foot (28005) |
$1,912.08 |
$2,249.50 |
0.6× |
| Incision bone cortex hand/finger (26034) |
$2,138.01 |
$2,515.30 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,788.66 |
$2,104.30 |
1.1× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$2,798.12 |
$3,291.90 |
0.4× |
| Incision of lingual frenum (41010) |
$492.92 |
$579.90 |
0.3× |
| Incision of metatarsal (28308) |
$1,741.40 |
$2,048.70 |
0.5× |
Incision of metatarsal (28307)
unusually low: confirm this is the full procedure |
$2,584.51 |
$3,040.60 |
0.3× |
| Incision of rectal abscess (46045) |
$786.17 |
$924.90 |
0.3× |
| Incision of rectal abscess (46040) |
$786.17 |
$924.90 |
0.6× |
| Incision of tibia (27705) |
$4,051.78 |
$4,766.80 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$277.10 |
$326 |
1.1× |
| Incision&drainage bursa foot (28001) |
$498.19 |
$586.10 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$273.15 |
$321.35 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$136.60 |
$160.70 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,070.75 |
$1,259.70 |
1.2× |
| Inj subq fill material 1.1-5.0 (11951) |
$362.44 |
$426.40 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$216.24 |
$254.40 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,296.59 |
$1,525.40 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$724.03 |
$851.80 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,606.59 |
$1,890.10 |
1.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$724.03 |
$851.80 |
2.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,533.91 |
$1,804.60 |
1.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,054.09 |
$1,240.10 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$509.58 |
$599.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,199.44 |
$1,411.10 |
1.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,768.37 |
$3,256.90 |
3.1× |
| Inject Nerv Blck,Pudendal (64430) |
$861.48 |
$1,013.50 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$222.36 |
$261.60 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,251.97 |
$1,472.90 |
1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$843.12 |
$991.90 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,284.35 |
$1,511 |
1.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$765.17 |
$900.20 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$923.70 |
$1,086.70 |
2.9× |
| Injection anes other peripheral nerve/branch (64450) |
$160.23 |
$188.50 |
0.2× |
| Injection for identification of sentinel node (38792) |
$507.36 |
$596.90 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$233.75 |
$275 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$379.10 |
$446 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$154.96 |
$182.30 |
0.5× |
| Injection(s) spider veins (36468) |
$216.24 |
$254.40 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$838.70 |
$986.70 |
2.7× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$984.98 |
$1,158.80 |
1.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,003.34 |
$1,180.40 |
3.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$157.59 |
$185.40 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$117.77 |
$138.55 |
0.6× |
| Insert and remove bone pin (20650) |
$531.42 |
$625.20 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$759.31 |
$893.30 |
5.8× |
| Insert cervical dilator (59200) |
$433.42 |
$509.90 |
1.4× |
| Insert Drug Implant Device (11981) |
$350.20 |
$412 |
2.6× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$5,754.67 |
$6,770.20 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$729.30 |
$858 |
0.2× |
| Insert pessary/other device (57160) |
$207.49 |
$244.10 |
1.0× |
| Insert picc cath (36569) |
$861.90 |
$1,014 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$171.62 |
$201.90 |
1.3× |
| Insert tunneled cv cath (36561) |
$1,905.11 |
$2,241.30 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$137.45 |
$161.70 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,124.17 |
$1,322.55 |
0.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$591.01 |
$695.30 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,208.90 |
$2,598.70 |
0.7× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,353.96 |
$1,592.90 |
0.2× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$3,094.94 |
$3,641.10 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$861.94 |
$1,014.05 |
3.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$753.78 |
$886.80 |
3.0× |
| Island pedicle flap graft (15740) |
$3,785.65 |
$4,453.70 |
1.8× |
| Knee arthroscopy/surgery (29883) |
$5,935.04 |
$6,982.40 |
1.8× |
| Knee arthroscopy/surgery (29876) |
$5,713.53 |
$6,721.80 |
1.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$8,649.94 |
$10,176.40 |
1.2× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
unusually low: confirm this is the full procedure |
$8,773.36 |
$10,321.60 |
0.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$8,342.67 |
$9,814.90 |
1.1× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$8,395.20 |
$9,876.70 |
1.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$9,488.64 |
$11,163.10 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$9,745.17 |
$11,464.90 |
1.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$8,499.32 |
$9,999.20 |
1.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$8,104.50 |
$9,534.70 |
1.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,621.27 |
$8,966.20 |
1.0× |
| Laminotomy single cervical (63040) |
$8,743.61 |
$10,286.60 |
1.2× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$8,819.77 |
$10,376.20 |
1.2× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,735.05 |
$3,217.70 |
0.4× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$7,227.30 |
$8,502.70 |
0.7× |
| Laparoscopy appendectomy (44970) |
$3,921.39 |
$4,613.40 |
0.6× |
Laparoscopy biopsy (49321)
unusually low: confirm this is the full procedure |
$2,368.27 |
$2,786.20 |
0.4× |
| Laparoscopy gastrostomy (43653) |
$4,231.30 |
$4,978 |
0.7× |
| Laparoscopy Remove Adnexa (58661) |
$3,466.13 |
$4,077.80 |
0.6× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$6,180.18 |
$7,270.80 |
0.6× |
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure |
$2,584.51 |
$3,040.60 |
0.4× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,379.58 |
$2,799.50 |
0.4× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,330.39 |
$3,918.10 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,713.20 |
$3,192 |
0.4× |
Laparoscopy, surgical, ablation of one of more liver tumor(s); cryosurgical (47371)
unusually low: confirm this is the full procedure |
$3,654.32 |
$4,299.20 |
0.3× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure |
$4,315.37 |
$5,076.90 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,755.90 |
$4,418.70 |
0.6× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$5,217.13 |
$6,137.80 |
0.5× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$4,675.17 |
$5,500.20 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,428.10 |
$6,386 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,781.64 |
$7,978.40 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,330.39 |
$3,918.10 |
0.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$5,817.74 |
$6,844.40 |
0.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,625.98 |
$6,618.80 |
0.9× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$2,723.66 |
$3,204.30 |
0.4× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$6,512.87 |
$7,662.20 |
0.6× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$3,537.02 |
$4,161.20 |
0.6× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$5,407.11 |
$6,361.30 |
0.9× |
| Laryngoscopy Direct Aspiration (31515) |
$686.38 |
$807.50 |
1.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$462.23 |
$543.80 |
2.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$257.85 |
$303.35 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$993.74 |
$1,169.10 |
0.5× |
| Late closure of wound (13160) |
$1,591.24 |
$1,872.05 |
0.4× |
| Lateral retinacular release open (27425) |
$4,316.22 |
$5,077.90 |
1.3× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$2,422.50 |
$2,850 |
0.7× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,906.14 |
$6,948.40 |
0.8× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428)
unusually low: confirm this is the full procedure |
$6,102.24 |
$7,179.10 |
0.5× |
| Ligate leg veins radical (37760) |
$4,715.46 |
$5,547.60 |
1.5× |
| Ligate/strip short leg vein (37718) |
$1,926.95 |
$2,267 |
0.6× |
| Ligation of abdomen artery (37617) |
$5,089.29 |
$5,987.40 |
0.9× |
| Ligation of hemorrhoid(s) (46221) |
$527.09 |
$620.10 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$914.94 |
$1,076.40 |
0.5× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,182.78 |
$1,391.50 |
0.4× |
| Liver Biopsy (47000) |
$766.96 |
$902.30 |
0.5× |
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure |
$5,274 |
$6,204.70 |
0.5× |
| Lsh w/t/o uterus above 250 g (58544) |
$6,591.67 |
$7,754.90 |
0.6× |
| Lysis of labial adhesions (56441) |
$545.45 |
$641.70 |
0.2× |
| Manipulation Ankle Under General Anesthesia (27860) |
$864.11 |
$1,016.60 |
0.3× |
| Manipulation finger joint under anes each joint (26340) |
$1,168.84 |
$1,375.10 |
0.7× |
| Manipulation, elbow, under anesthesia (24300) |
$1,586.44 |
$1,866.40 |
1.0× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$1,871.79 |
$2,202.10 |
1.1× |
| Manipulation, wrist, under anesthesia (25259) |
$882.47 |
$1,038.20 |
0.5× |
| Marsup Bartholin Gland Cyst (56440) |
$1,019.07 |
$1,198.90 |
0.3× |
| Mast mod rad (19307) |
$5,018.40 |
$5,904 |
0.7× |
| Mastectomy gynecomastia (19300) |
$2,288.54 |
$2,692.40 |
0.6× |
| Mastectomy partial (19301) |
$1,922.62 |
$2,261.90 |
0.5× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$3,347.05 |
$3,937.70 |
0.5× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$5,784.42 |
$6,805.20 |
1.6× |
| Muscle transfer shoulder/arm (23395) |
$6,229.23 |
$7,328.50 |
0.8× |
| Muscle-skin graft arm (15736) |
$5,007.86 |
$5,891.60 |
2.4× |
| Muscle-skin graft trunk (15734) |
$6,709.82 |
$7,893.90 |
1.9× |
| Musculoskeletal surgery (20999) |
$51.68 |
$60.80 |
0.2× |
| Myelography Lumbar Injection (62305) |
$1,184.14 |
$1,393.10 |
1.5× |
| Myelography Lumbar Injection (62304) |
$1,151.28 |
$1,354.45 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,151.28 |
$1,354.45 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,129.40 |
$1,328.70 |
1.4× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$2,477.67 |
$2,914.90 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$277.10 |
$326 |
0.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,575.53 |
$4,206.50 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$89.34 |
$105.10 |
3.0× |
| Neuroplasty digital 1/both same digit (64702) |
$2,792.85 |
$3,285.70 |
1.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$3,256.86 |
$3,831.60 |
1.6× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,224.62 |
$2,617.20 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$919.28 |
$1,081.50 |
2.2× |
| Nipple exploration (19110) |
$1,466.51 |
$1,725.30 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$966.54 |
$1,137.10 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$822.55 |
$967.70 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,415.68 |
$1,665.50 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$810.73 |
$953.80 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$801.13 |
$942.50 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,554.06 |
$1,828.30 |
1.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$681.15 |
$801.35 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$209.27 |
$246.20 |
0.5× |
| Occlude fallopian tube(s) (58615) |
$2,407.63 |
$2,832.50 |
0.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,361.45 |
$1,601.70 |
0.3× |
Open bone biopsy (20251)
likely a partial charge, not the full procedure |
$2,127.47 |
$2,502.90 |
0.3× |
| Open rx carpal bone fx,each bone (25645) |
$2,212.38 |
$2,602.80 |
0.7× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$3,132.51 |
$3,685.30 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$3,667.50 |
$4,314.70 |
0.5× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$3,466.98 |
$4,078.80 |
0.3× |
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure |
$2,512.69 |
$2,956.10 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$2,667.64 |
$3,138.40 |
0.4× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$2,174.73 |
$2,558.50 |
0.3× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$13,554.53 |
$15,946.50 |
1.8× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
unusually low: confirm this is the full procedure |
$3,310.24 |
$3,894.40 |
0.4× |
| Open treatment of acute shoulder dislocation (23660) |
$4,609.55 |
$5,423 |
0.6× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$3,192.94 |
$3,756.40 |
0.4× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
$5,646.13 |
$6,642.50 |
0.8× |
Open treatment of distal radioulnar dislocation, acute or chronic (25676)
unusually low: confirm this is the full procedure |
$2,360.37 |
$2,776.90 |
0.3× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$7,011.91 |
$8,249.30 |
0.5× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$6,358.77 |
$7,480.90 |
0.9× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$5,988.42 |
$7,045.20 |
0.8× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
unusually low: confirm this is the full procedure |
$6,180.18 |
$7,270.80 |
0.5× |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
$4,029.09 |
$4,740.10 |
0.5× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$3,765.50 |
$4,430 |
0.3× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$4,965.87 |
$5,842.20 |
0.7× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$4,490.47 |
$5,282.90 |
0.6× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670)
unusually low: confirm this is the full procedure |
$2,948.65 |
$3,469 |
0.4× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$4,982.45 |
$5,861.70 |
0.7× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
unusually low: confirm this is the full procedure |
$4,721.58 |
$5,554.80 |
0.4× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$5,052.49 |
$5,944.10 |
0.7× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
unusually low: confirm this is the full procedure |
$3,270.89 |
$3,848.10 |
0.4× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$2,309.54 |
$2,717.10 |
0.3× |
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure |
$3,270.89 |
$3,848.10 |
0.4× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$3,567.71 |
$4,197.30 |
0.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,046.74 |
$3,584.40 |
0.9× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$3,063.40 |
$3,604 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,856.91 |
$2,184.60 |
0.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$3,952.93 |
$4,650.50 |
0.5× |
| Open Tx Femoral Fracture Proximal End He (27269) |
$7,831.39 |
$9,213.40 |
1.1× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,441.09 |
$1,695.40 |
0.4× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$2,915.42 |
$3,429.90 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$1,856.91 |
$2,184.60 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,550.34 |
$3,000.40 |
0.8× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
unusually low: confirm this is the full procedure |
$2,641.38 |
$3,107.50 |
0.4× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
unusually low: confirm this is the full procedure |
$2,905.81 |
$3,418.60 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,316.59 |
$2,725.40 |
0.7× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
unusually low: confirm this is the full procedure |
$4,469.47 |
$5,258.20 |
0.3× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$3,615.82 |
$4,253.90 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure |
$2,559.10 |
$3,010.70 |
0.3× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$7,070.56 |
$8,318.30 |
1.0× |
Optx hum fx w/ntrcndylr xtn (24546)
unusually low: confirm this is the full procedure |
$5,863.22 |
$6,897.90 |
0.4× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$3,537.02 |
$4,161.20 |
0.3× |
Optx post ankle fx (27769)
unusually low: confirm this is the full procedure |
$2,607.21 |
$3,067.30 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,872.72 |
$2,203.20 |
0.6× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,722.10 |
$2,026 |
0.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,679.18 |
$1,975.50 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,653.85 |
$1,945.70 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,583.81 |
$1,863.30 |
0.5× |
| Osteochondral allograft, knee, open (27415) |
$8,598.26 |
$10,115.60 |
0.7× |
| Osteochondral knee autograft (27416) |
$6,739.57 |
$7,928.90 |
0.9× |
Osteotomy and transfer of greater trochanter of femur(separate procedure) (27140)
unusually low: confirm this is the full procedure |
$3,208.75 |
$3,775 |
0.4× |
| Osteotomy Fibula (27707) |
$2,143.19 |
$2,521.40 |
0.6× |
| Osteotomy Phalanx Finger Each (26567) |
$2,336.74 |
$2,749.10 |
0.7× |
Osteotomy Radius Distal Third (25350)
unusually low: confirm this is the full procedure |
$3,664.86 |
$4,311.60 |
0.5× |
| Ovarian cystectomy (58925) |
$3,660.44 |
$4,306.40 |
0.7× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,719.09 |
$4,375.40 |
1.1× |
Partial excision bone clavicle (23180)
unusually low: confirm this is the full procedure |
$2,482.09 |
$2,920.10 |
0.3× |
| Partial Excision Bone Fibula (27641) |
$3,670.98 |
$4,318.80 |
1.1× |
| Partial Excision Bone Humerus (24140) |
$3,831.21 |
$4,507.30 |
1.1× |
| Partial excision bone metacarpal (26230) |
$2,008.38 |
$2,362.80 |
0.6× |
Partial excision bone proximal humerus (23184)
unusually low: confirm this is the full procedure |
$3,513.39 |
$4,133.40 |
0.5× |
| Partial excision bone talus/calcaneus (28120) |
$2,331.47 |
$2,742.90 |
0.7× |
| Partial Excision Bone Tibia (27640) |
$4,197.13 |
$4,937.80 |
1.3× |
| Partial Excision Bone Ulna (25150) |
$3,309.39 |
$3,893.40 |
1.0× |
| Partial Excision Deep Pelvis (27071) |
$4,168.23 |
$4,903.80 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,903.36 |
$2,239.25 |
1.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,388.33 |
$2,809.80 |
0.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,058.28 |
$2,421.50 |
1.3× |
| Partial Removal Foot Fascia (28060) |
$1,724.74 |
$2,029.10 |
0.5× |
| Partial removal of thyroid (60220) |
$5,428.10 |
$6,386 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,477.81 |
$1,738.60 |
0.4× |
| Pelvic exam under anesthesia (57410) |
$490.28 |
$576.80 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,673.06 |
$1,968.30 |
0.5× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$6,255.49 |
$7,359.40 |
0.8× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$1,130.25 |
$1,329.70 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,460.16 |
$2,894.30 |
0.7× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$1,480.45 |
$1,741.70 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,691.50 |
$1,990 |
0.5× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$1,357.03 |
$1,596.50 |
0.4× |
| Perq dev breast 1st us imag (19285) |
$1,244.53 |
$1,464.15 |
1.7× |
| Perq device breast 1st imag (19281) |
$927.18 |
$1,090.80 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,425.28 |
$1,676.80 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$507.80 |
$597.40 |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$22,150.15 |
$26,059 |
3.0× |
| Pin finger fracture each (26756) |
$1,357.88 |
$1,597.50 |
0.4× |
| Pin hand dislocation (26676) |
$1,942.76 |
$2,285.60 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$316.03 |
$371.80 |
0.7× |
| Placement of seton (46020) |
$442.17 |
$520.20 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$3,058.13 |
$3,597.80 |
1.6× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500)
likely a partial charge, not the full procedure |
$152.32 |
$179.20 |
0.0× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$1,310.62 |
$1,541.90 |
0.4× |
| Proctosigmoidoscopy (45303) |
$251.26 |
$295.60 |
0.2× |
| Proctosigmoidoscopy removal (45308) |
$596.19 |
$701.40 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$333.54 |
$392.40 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$188.28 |
$221.50 |
0.2× |
| Prosthesis removal humeral and glenoid component (23335) |
$5,522.62 |
$6,497.20 |
0.7× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$898.28 |
$1,056.80 |
0.3× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$3,794.40 |
$4,464 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$195.25 |
$229.70 |
0.5× |
| Puncture Aspiration (10160) |
$435.97 |
$512.90 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$420.24 |
$494.40 |
0.6× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$3,845.23 |
$4,523.80 |
0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$4,419.49 |
$5,199.40 |
2.7× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,571.19 |
$4,201.40 |
1.1× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,093.01 |
$4,815.30 |
1.4× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$7,109.06 |
$8,363.60 |
2.4× |
| Radial styloidectomy (25230) |
$2,342.01 |
$2,755.30 |
0.7× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$4,915.98 |
$5,783.50 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,821.04 |
$2,142.40 |
0.9× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
unusually low: confirm this is the full procedure |
$2,374.39 |
$2,793.40 |
0.3× |
| Realignment extensor tendon hand each tendon (26437) |
$2,336.74 |
$2,749.10 |
0.7× |
| Reconstr disloc patella w mscl adv (27422) |
$4,946.58 |
$5,819.50 |
0.7× |
| Reconstruc toe deform,soft tissue (28313) |
$1,103.13 |
$1,297.80 |
0.3× |
| Reconstruct Shoulder Joint (23470) |
$6,959.38 |
$8,187.50 |
0.5× |
| Reconstruct ulna/radioulnar (25337) |
$4,879.17 |
$5,740.20 |
0.7× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,701.58 |
$4,354.80 |
1.1× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346)
unusually low: confirm this is the full procedure |
$5,481.48 |
$6,448.80 |
0.4× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$5,146.16 |
$6,054.30 |
0.7× |
| Reconstruction of nail bed with graft (11762) |
$1,070.75 |
$1,259.70 |
0.5× |
| Reconstruction, knee (27429) |
$8,343.52 |
$9,815.90 |
0.6× |
| Reforearm tend/musc,exten,second (25272) |
$2,414.60 |
$2,840.70 |
0.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$4,567.48 |
$5,373.50 |
0.6× |
| Reinsertion Spinal Fixation Device (22849) |
$7,355.99 |
$8,654.10 |
0.6× |
| Release elbow joint (24006) |
$2,899.69 |
$3,411.40 |
0.9× |
| Release i-p jt contracture (26525) |
$2,336.74 |
$2,749.10 |
1.4× |
| Release palm contracture (26121) |
$2,970.58 |
$3,494.80 |
0.9× |
| Release wrist/forearm tendon (25295) |
$2,219.44 |
$2,611.10 |
0.7× |
| Removal fb intranasal (30300) |
$344.08 |
$404.80 |
2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,032.01 |
$2,390.60 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,973.36 |
$2,321.60 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,376.32 |
$1,619.20 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$882.47 |
$1,038.20 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$596.19 |
$701.40 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,760.61 |
$2,071.30 |
0.5× |
| Removal foreign body pharynx (42809) |
$460.53 |
$541.80 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,196.80 |
$1,408 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$62.14 |
$73.10 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$158.02 |
$185.90 |
2.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$751.15 |
$883.70 |
0.2× |
| Removal Implant Deep (20680) |
$1,336.03 |
$1,571.80 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,343.94 |
$1,581.10 |
0.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$382.59 |
$450.10 |
0.5× |
| Removal of adenoids (42835) |
$873.72 |
$1,027.90 |
0.3× |
| Removal of anal fissure (46200) |
$1,361.45 |
$1,601.70 |
0.5× |
| Removal of ankle implant (27704) |
$2,572.19 |
$3,026.10 |
0.8× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$7,522.33 |
$8,849.80 |
1.0× |
| Removal of arm foreign body (24200) |
$492.92 |
$579.90 |
0.3× |
| Removal of bone lesion (23140) |
$1,879.69 |
$2,211.40 |
0.6× |
Removal of cervix (57530)
likely a partial charge, not the full procedure |
$1,490.14 |
$1,753.10 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,173.17 |
$1,380.20 |
0.7× |
| Removal of finger lesion (26210) |
$1,877.99 |
$2,209.40 |
1.1× |
| Removal of heel bone (28118) |
$2,510.05 |
$2,953 |
0.8× |
| Removal of heel spur (28119) |
$2,387.48 |
$2,808.80 |
0.7× |
| Removal of hip bone lesion (27066) |
$3,002.97 |
$3,532.90 |
0.9× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$9,316.17 |
$10,960.20 |
0.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$895.65 |
$1,053.70 |
1.4× |
| Removal of intrauterine device (iud) (58301) |
$217.09 |
$255.40 |
0.7× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
unusually low: confirm this is the full procedure |
$6,300.97 |
$7,412.90 |
0.5× |
| Removal of kneecap (27350) |
$5,334.43 |
$6,275.80 |
0.7× |
| Removal of nail bed (11750) |
$504.31 |
$593.30 |
1.2× |
| Removal of palm tendon each (26170) |
$1,715.98 |
$2,018.80 |
1.0× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$3,742.81 |
$4,403.30 |
0.5× |
| Removal of posterior segmental instrumentation (22852) |
$3,755.90 |
$4,418.70 |
0.5× |
| Removal of sesamoid bone (28315) |
$1,510.28 |
$1,776.80 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$250.41 |
$294.60 |
1.2× |
| Removal of sperm cord lesion (55520) |
$1,406.07 |
$1,654.20 |
0.4× |
| Removal of testis (54520) |
$1,490.99 |
$1,754.10 |
0.4× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,593.41 |
$1,874.60 |
0.3× |
| Removal of tonsils (42826) |
$1,804.38 |
$2,122.80 |
0.5× |
| Removal of wrist bone (25210) |
$2,490.84 |
$2,930.40 |
0.7× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,080.35 |
$1,271 |
0.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$168.13 |
$197.80 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$125.63 |
$147.80 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$79.22 |
$93.20 |
0.3× |
| Remove anal fist 2 stage (46285) |
$1,511.13 |
$1,777.80 |
0.5× |
| Remove anal fist subq (46270) |
$1,574.12 |
$1,851.90 |
0.6× |
| Remove by ligat int hem grp (46945) |
$449.99 |
$529.40 |
0.2× |
| Remove by ligat int hem grps (46946) |
$569.08 |
$669.50 |
0.2× |
| Remove cerclage suture (59871) |
$434.27 |
$510.90 |
0.1× |
| Remove digit nerve lesion (64776) |
$1,372.75 |
$1,615 |
0.7× |
| Remove drug implant device (11982) |
$286.28 |
$336.80 |
0.6× |
| Remove elbow lesion (24120) |
$3,101.91 |
$3,649.30 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$238.17 |
$280.20 |
0.7× |
| Remove femur lesion (27355) |
$4,267.17 |
$5,020.20 |
1.3× |
| Remove femur lesion/bursa (27062) |
$1,990.02 |
$2,341.20 |
0.6× |
| Remove foreign body from eye (65210) |
$153.26 |
$180.30 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$2,224.62 |
$2,617.20 |
0.8× |
| Remove knee cyst (27347) |
$5,374.72 |
$6,323.20 |
1.6× |
| Remove Peritoneal Foreign Body (49402) |
$3,481.01 |
$4,095.30 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$2,277.62 |
$2,679.55 |
0.8× |
| Remove skin nerve lesion (64774) |
$1,336.03 |
$1,571.80 |
0.7× |
Remove wrist joint implant (25449)
unusually low: confirm this is the full procedure |
$3,618.45 |
$4,257 |
0.5× |
| Remove wrist tendon lesion (25111) |
$1,851.73 |
$2,178.50 |
1.1× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$2,161.64 |
$2,543.10 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$209.28 |
$246.20 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$183 |
$215.30 |
1.3× |
| Repair achilles tendon (27650) |
$3,793.55 |
$4,463 |
0.5× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$3,213.09 |
$3,780.10 |
1.0× |
| Repair arm tendon/muscle (24341) |
$4,374.02 |
$5,145.90 |
0.6× |
| Repair arm/leg nerve (64857) |
$3,691.13 |
$4,342.50 |
1.1× |
| Repair collat ankle ligmnt,secondary (27698) |
$4,587.62 |
$5,397.20 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,621.46 |
$1,907.60 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$780.94 |
$918.75 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,375.38 |
$1,618.10 |
3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$691.65 |
$813.70 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,033.94 |
$1,216.40 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$437.75 |
$515 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$746.81 |
$878.60 |
1.0× |
| Repair elbow deb/attch open (24359) |
$3,290.10 |
$3,870.70 |
1.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$2,777.97 |
$3,268.20 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,930.52 |
$2,271.20 |
1.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,736.83 |
$3,219.80 |
0.8× |
| Repair finger tendon (26433) |
$2,046.89 |
$2,408.10 |
0.6× |
| Repair finger/hand tendon (26350) |
$2,979.34 |
$3,505.10 |
0.9× |
| Repair finger/hand tendon (26370) |
$3,502.85 |
$4,121 |
1.0× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$4,316.22 |
$5,077.90 |
1.3× |
| Repair forearm tendon sheath (25275) |
$2,897.91 |
$3,409.30 |
0.9× |
| Repair forearm tendon/muscle (25270) |
$2,111.74 |
$2,484.40 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$2,666.79 |
$3,137.40 |
0.8× |
| Repair hallux rigidus (28289) |
$1,807.02 |
$2,125.90 |
0.5× |
| Repair hand joint with graft (26542) |
$4,316.22 |
$5,077.90 |
1.3× |
| Repair hand tendon (26410) |
$1,755.42 |
$2,065.20 |
1.1× |
Repair humerus with graft (24435)
unusually low: confirm this is the full procedure |
$6,091.70 |
$7,166.70 |
0.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,993.36 |
$3,521.60 |
0.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,967.80 |
$4,668 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,027.45 |
$3,561.70 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,954.86 |
$3,476.30 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,287.88 |
$1,515.15 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$645.66 |
$759.60 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$684.21 |
$804.95 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$903.51 |
$1,062.95 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,158.30 |
$1,362.70 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$916.64 |
$1,078.40 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$539.33 |
$634.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$618.98 |
$728.20 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$758.62 |
$892.50 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$825.61 |
$971.30 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$499.04 |
$587.10 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$524.45 |
$617 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$940.27 |
$1,106.20 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$671.50 |
$790 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,076.87 |
$1,266.90 |
0.5× |
Repair kneecap tendon (27380)
unusually low: confirm this is the full procedure |
$3,049.38 |
$3,587.50 |
0.4× |
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure |
$3,173.73 |
$3,733.80 |
0.4× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$4,342.48 |
$5,108.80 |
0.6× |
Repair nonunion hand (26546)
unusually low: confirm this is the full procedure |
$3,607.91 |
$4,244.60 |
0.5× |
| Repair nonunion radius/ulna w autogrft (25405) |
$4,821.37 |
$5,672.20 |
0.7× |
| Repair of anal fistula with fibrin glue (46706) |
$377.32 |
$443.90 |
0.1× |
Repair of ankle ligament (27695)
unusually low: confirm this is the full procedure |
$3,487.98 |
$4,103.50 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,536.17 |
$4,160.20 |
0.5× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,237.05 |
$7,337.70 |
0.8× |
| Repair Of Foot Tendon (28208) |
$1,033.94 |
$1,216.40 |
0.3× |
Repair of humerus (24430)
unusually low: confirm this is the full procedure |
$4,748.70 |
$5,586.70 |
0.4× |
| Repair of knee cartilage (27403) |
$3,846.08 |
$4,524.80 |
0.5× |
| Repair of knee ligaments (27409) |
$6,038.32 |
$7,103.90 |
0.8× |
| Repair of leg tendon each (27658) |
$2,143.19 |
$2,521.40 |
0.6× |
| Repair of nail bed (11760) |
$879.92 |
$1,035.20 |
1.2× |
| Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular))(includes obtaining graft and necessary… (25431) |
$5,542.77 |
$6,520.90 |
0.7× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$4,001.04 |
$4,707.10 |
0.5× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$7,188.71 |
$8,457.30 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$6,954.96 |
$8,182.30 |
0.9× |
| Repair of shoulder (23420) |
$6,954.96 |
$8,182.30 |
0.9× |
| Repair of thigh musc (27385) |
$3,741.87 |
$4,402.20 |
0.5× |
| Repair of tibia (27720) |
$5,541.92 |
$6,519.90 |
0.7× |
| Repair of vagina (57260) |
$3,766.44 |
$4,431.10 |
0.7× |
| Repair of vagina (56800) |
$1,422.73 |
$1,673.80 |
0.4× |
| Repair rectum & vagina (57250) |
$2,864.67 |
$3,370.20 |
0.6× |
| Repair rotator cuff acute (23410) |
$4,567.48 |
$5,373.50 |
0.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,281.20 |
$5,036.70 |
0.6× |
| Repair Tongue Laceration (41250) |
$371.20 |
$436.70 |
0.8× |
| Repair wrist joints (25447) |
$3,534.39 |
$4,158.10 |
1.1× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$2,016.29 |
$2,372.10 |
0.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$7,861.14 |
$9,248.40 |
1.1× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$4,486.98 |
$5,278.80 |
0.6× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,006.68 |
$2,360.80 |
0.6× |
| Repair/graft achilles tendon (27652) |
$4,020.33 |
$4,729.80 |
0.5× |
| Repair/graft finger tendon (26428) |
$4,087.74 |
$4,809.10 |
1.2× |
| Repair/graft wrist bone (25440) |
$4,521.07 |
$5,318.90 |
0.6× |
| Repair/revise wrist joint (25320) |
$5,229.37 |
$6,152.20 |
0.7× |
| Repair/transpose nerve (64856) |
$4,631.40 |
$5,448.70 |
0.5× |
| Replace duod/jej tube perc (49451) |
$2,573.12 |
$3,027.20 |
2.8× |
| Replace elbow joint (24363) |
$9,045.70 |
$10,642 |
0.5× |
| Replace g/c tube perc (49450) |
$3,856.62 |
$4,537.20 |
4.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,342.48 |
$5,108.80 |
1.3× |
| Rerepair fem hernia reduce (49555) |
$3,574.68 |
$4,205.50 |
1.0× |
| Rerepair ing hernia blocked (49521) |
$3,607.06 |
$4,243.60 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$2,939.05 |
$3,457.70 |
0.8× |
| Resection of scrotum (55150) |
$2,120.50 |
$2,494.70 |
0.6× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,495.32 |
$1,759.20 |
0.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,376.32 |
$1,619.20 |
0.4× |
| Revis reconst shoulder joint (23473) |
$8,059.87 |
$9,482.20 |
0.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$7,666.75 |
$9,019.70 |
0.6× |
| Revise arm/leg nerve (64708) |
$3,499.37 |
$4,116.90 |
1.8× |
| Revise finger joint each (26140) |
$2,303.42 |
$2,709.90 |
1.4× |
| Revise hernia & sperm veins (55540) |
$2,989.88 |
$3,517.50 |
0.8× |
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure |
$2,919.84 |
$3,435.10 |
0.4× |
Revise knuckle with implant (26531)
unusually low: confirm this is the full procedure |
$3,389.97 |
$3,988.20 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$2,607.21 |
$3,067.30 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$3,678.89 |
$4,328.10 |
1.8× |
| Revise ulnar nerve at wrist (64719) |
$2,630.92 |
$3,095.20 |
1.3× |
Revise/implant finger joint (26536)
unusually low: confirm this is the full procedure |
$3,213.09 |
$3,780.10 |
0.4× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$15,890.33 |
$18,694.50 |
0.9× |
| Revision of cervix (57720) |
$1,635.40 |
$1,924 |
0.5× |
| Revision of colostomy simple (44340) |
$1,231.82 |
$1,449.20 |
0.3× |
| Revision of foot (28116) |
$2,778.82 |
$3,269.20 |
0.8× |
| Revision of foot and ankle (28262) |
$4,708.41 |
$5,539.30 |
0.6× |
| Revision of lower leg tendon (27685) |
$2,205.41 |
$2,594.60 |
0.7× |
| Revision of toe (28312) |
$1,270.33 |
$1,494.50 |
0.4× |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
$15,177.69 |
$17,856.10 |
1.2× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$20,294.94 |
$23,876.40 |
1.5× |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
$9,521.11 |
$11,201.30 |
0.7× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$11,230.03 |
$13,211.80 |
0.6× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$8,744.46 |
$10,287.60 |
0.7× |
Revision of ulna (25360)
unusually low: confirm this is the full procedure |
$3,316.36 |
$3,901.60 |
0.4× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$2,525.86 |
$2,971.60 |
0.7× |
| Revj clst comp rcnstj in-depth spx (44345) |
$3,137.78 |
$3,691.50 |
0.9× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,151.33 |
$1,354.50 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$203.16 |
$239 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$312.55 |
$367.70 |
2.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,115.37 |
$1,312.20 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$695.13 |
$817.80 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$656.63 |
$772.50 |
1.0× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$286.28 |
$336.80 |
0.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,137.07 |
$2,514.20 |
0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,469.62 |
$4,081.90 |
1.1× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
unusually low: confirm this is the full procedure |
$2,713.20 |
$3,192 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,530.76 |
$5,330.30 |
0.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,375.10 |
$3,970.70 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,315.37 |
$5,076.90 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,214.87 |
$3,782.20 |
0.9× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$3,151.80 |
$3,708 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,476.44 |
$5,266.40 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,002.12 |
$3,531.90 |
0.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,919.84 |
$3,435.10 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$885.11 |
$1,041.30 |
0.6× |
| Rpr ing hernia baby blocked (49496) |
$3,474.89 |
$4,088.10 |
0.9× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$2,745.59 |
$3,230.10 |
0.8× |
| Rpr ing hernia init blocked (49501) |
$2,818.26 |
$3,315.60 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,184.56 |
$1,393.60 |
1.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,177.98 |
$1,385.85 |
4.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,217.80 |
$1,432.70 |
2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,919.98 |
$2,258.80 |
1.2× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$1,919.13 |
$2,257.80 |
0.3× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$5,015.77 |
$5,900.90 |
0.7× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,934.71 |
$3,452.60 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,036.06 |
$4,748.30 |
1.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$490.28 |
$576.80 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,057.57 |
$1,244.20 |
1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$727.52 |
$855.90 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$363.38 |
$427.50 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$414.97 |
$488.20 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$280.16 |
$329.60 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$298.52 |
$351.20 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$348.42 |
$409.90 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$457.05 |
$537.70 |
1.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$273.15 |
$321.35 |
0.7× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,384.47 |
$5,158.20 |
1.3× |
| Shoulder joint surgery (23101) |
$3,208.75 |
$3,775 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$333.54 |
$392.40 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$383.44 |
$451.10 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$320.45 |
$377 |
1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$610.22 |
$717.90 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$333.54 |
$392.40 |
1.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$494.70 |
$582 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$527.09 |
$620.10 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$679.41 |
$799.30 |
0.6× |
| Simple Cystometrogram (51725) |
$722.33 |
$849.80 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$824.76 |
$970.30 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$396.18 |
$466.10 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$481.53 |
$566.50 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$529.26 |
$622.65 |
2.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$689.48 |
$811.15 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$366.86 |
$431.60 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$826.46 |
$972.30 |
4.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$645.66 |
$759.60 |
3.1× |
| Skin pinch graft (15050) |
$1,639.82 |
$1,929.20 |
2.2× |
| Skin splt grft trnk/arm/leg (15100) |
$2,972.37 |
$3,496.90 |
1.4× |
| Skin sub graft trnk/arm/leg (15271) |
$513.06 |
$603.60 |
0.7× |
| Skin tissue rearrangement (14040) |
$2,121.35 |
$2,495.70 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,745.59 |
$3,230.10 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,709.34 |
$5,540.40 |
0.9× |
| Slitting of prepuce (54001) |
$464.87 |
$546.90 |
0.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,231.82 |
$1,449.20 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$499.04 |
$587.10 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$618.98 |
$728.20 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$874.65 |
$1,029 |
2.1× |
| Sphincterotomy (46080) |
$694.28 |
$816.80 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$530.53 |
$624.15 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$554.20 |
$652 |
0.8× |
| Strapping ankle (29540) |
$108.97 |
$128.20 |
0.7× |
| Strapping elbow/wrist (29260) |
$99.79 |
$117.40 |
1.7× |
| Strapping knee (29530) |
$128.69 |
$151.40 |
0.9× |
| Strapping shoulder (29240) |
$122.58 |
$144.20 |
0.9× |
| Strapping toes (29550) |
$86.70 |
$102 |
1.4× |
| Strapping unna boot (29580) |
$151 |
$177.65 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,173.88 |
$2,557.50 |
0.8× |
| Suspension of testis (54640) |
$2,520.59 |
$2,965.40 |
0.7× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$4,899.32 |
$5,763.90 |
0.7× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$2,403.29 |
$2,827.40 |
0.7× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,125.68 |
$2,500.80 |
1.1× |
| Suture of 1 nerve ulnar motor (64836) |
$2,930.29 |
$3,447.40 |
0.8× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$4,943.09 |
$5,815.40 |
0.7× |
| Suture pharynx for wound or injury (42900) |
$1,562.81 |
$1,838.60 |
1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$2,133.59 |
$2,510.10 |
0.6× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,772.70 |
$3,262 |
1.7× |
| Tendon excision palm/finger (26145) |
$2,671.13 |
$3,142.50 |
1.6× |
Tendon graft, from a distance (20924)
likely a partial charge, not the full procedure |
$988.47 |
$1,162.90 |
0.1× |
| Tenodesis long tendon biceps (23430) |
$4,114.85 |
$4,841 |
0.6× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,813.14 |
$2,133.10 |
0.5× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$3,308.54 |
$3,892.40 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,043.40 |
$2,404 |
1.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$1,838.55 |
$2,163 |
0.5× |
| Tenotomy Adductor Hip Open (27001) |
$1,927.89 |
$2,268.10 |
0.6× |
| Tenotomy adductor hip percutaneous spx (27000) |
$950.81 |
$1,118.60 |
0.6× |
| Tenotomy elbow lateral/medial debride open (24358) |
$2,764.80 |
$3,252.70 |
0.8× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$1,459.45 |
$1,717 |
0.4× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$611.07 |
$718.90 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$660.11 |
$776.60 |
0.4× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$3,682.37 |
$4,332.20 |
0.5× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,610.92 |
$1,895.20 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$506.01 |
$595.30 |
0.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$739.80 |
$870.35 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,350.91 |
$1,589.30 |
2.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,888.45 |
$2,221.70 |
2.9× |
| Thyroid biopsy (60100) |
$1,005.98 |
$1,183.50 |
1.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$5,765.21 |
$6,782.60 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$7,123.09 |
$8,380.10 |
1.2× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$7,610.73 |
$8,953.80 |
1.3× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,209.98 |
$1,423.50 |
0.6× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,173.88 |
$2,557.50 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,883.18 |
$2,215.50 |
0.6× |
| Total hip arthroplasty (27130) |
$12,172.94 |
$14,321.10 |
0.9× |
| Total knee arthroplasty (27447) |
$10,805.46 |
$12,712.30 |
0.8× |
| Total thyroid lobectomy unilateral (60225) |
$6,099.60 |
$7,176 |
1.0× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure |
$3,133.44 |
$3,686.40 |
0.4× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$1,525.16 |
$1,794.30 |
0.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,018.07 |
$2,374.20 |
1.3× |
| Tracheostomy planned (31600) |
$1,273.90 |
$1,498.70 |
0.4× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,885.81 |
$2,218.60 |
0.9× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$4,129.73 |
$4,858.50 |
1.2× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$9,928.17 |
$11,680.20 |
1.3× |
| Transplant forearm tendon (25310) |
$4,001.04 |
$4,707.10 |
1.2× |
| Transplant hand tendon (26480) |
$3,033.65 |
$3,569 |
0.9× |
| Transplant/graft palm tendon (26489) |
$4,612.10 |
$5,426 |
1.4× |
| Treat ankle dislocation (27848) |
$3,889.01 |
$4,575.30 |
0.5× |
| Treat clavicle dislocation (23552) |
$4,000.19 |
$4,706.10 |
0.5× |
Treat dislocation/fracture (23670)
unusually low: confirm this is the full procedure |
$3,676.25 |
$4,325 |
0.5× |
| Treat ectopic pregnancy (59151) |
$4,022.03 |
$4,731.80 |
0.7× |
Treat elbow dislocation (24615)
unusually low: confirm this is the full procedure |
$3,291.03 |
$3,871.80 |
0.4× |
| Treat elbow fracture (24635) |
$4,120.97 |
$4,848.20 |
0.6× |
| Treat finger dislocation (26775) |
$699.55 |
$823 |
2.4× |
| Treat Finger Fracture Each (26727) |
$1,592.56 |
$1,873.60 |
0.5× |
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure |
$2,601.09 |
$3,060.10 |
0.4× |
| Treat fracture of radius (25526) |
$4,574.53 |
$5,381.80 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$1,182.78 |
$1,391.50 |
4.7× |
| Treat fracture radius/ulna (25575) |
$4,770.63 |
$5,612.50 |
0.6× |
| Treat fx distal radial (25606) |
$2,693.06 |
$3,168.30 |
0.8× |
Treat fx rad extra-articul (25607)
unusually low: confirm this is the full procedure |
$2,693.06 |
$3,168.30 |
0.4× |
| Treat hand dislocation (26685) |
$2,783.24 |
$3,274.40 |
0.8× |
Treat heel fracture (28415)
unusually low: confirm this is the full procedure |
$3,567.71 |
$4,197.30 |
0.5× |
Treat humerus fracture (23630)
unusually low: confirm this is the full procedure |
$3,505.49 |
$4,124.10 |
0.5× |
| Treat humerus fracture (24500) |
$900.92 |
$1,059.90 |
3.6× |
Treat humerus fracture (23616)
unusually low: confirm this is the full procedure |
$8,049.33 |
$9,469.80 |
0.4× |
| Treat humerus fracture (23600) |
$963.05 |
$1,133 |
3.8× |
| Treat knee fracture (27532) |
$2,034.65 |
$2,393.70 |
0.6× |
| Treat kneecap dislocation (27566) |
$3,879.32 |
$4,563.90 |
0.5× |
| Treat knuckle dislocation (26715) |
$2,483.79 |
$2,922.10 |
0.7× |
Treat lower leg fracture (27828)
unusually low: confirm this is the full procedure |
$5,526.19 |
$6,501.40 |
0.4× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$4,611.25 |
$5,425 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$924.55 |
$1,087.70 |
3.7× |
Treat radius fracture (24665)
unusually low: confirm this is the full procedure |
$2,917.20 |
$3,432 |
0.4× |
| Treat scapula fracture (23585) |
$4,699.65 |
$5,529 |
0.6× |
| Treat spine fracture (22325) |
$10,075.22 |
$11,853.20 |
0.8× |
| Treat thorax spine fracture (22327) |
$9,893.15 |
$11,639 |
0.8× |
| Treat thumb fracture (26650) |
$2,352.46 |
$2,767.60 |
0.7× |
| Treat thumb fracture (26665) |
$4,347.75 |
$5,115 |
1.3× |
| Treat toe fracture (28525) |
$1,482.23 |
$1,743.80 |
0.4× |
Treat ulnar fracture (24685)
unusually low: confirm this is the full procedure |
$3,027.45 |
$3,561.70 |
0.4× |
| Treat wrist bone fracture (25622) |
$1,074.28 |
$1,263.85 |
4.3× |
| Treat Wrist Bone Fracture (25630) |
$976.23 |
$1,148.50 |
3.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,228.30 |
$1,445.05 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$884.68 |
$1,040.80 |
3.5× |
| Treatment of ankle fracture (27822) |
$4,277.71 |
$5,032.60 |
0.6× |
Treatment of ankle fracture (27792)
unusually low: confirm this is the full procedure |
$2,836.62 |
$3,337.20 |
0.4× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$2,612.48 |
$3,073.50 |
0.4× |
| Treatment of foot infection (28003) |
$1,794.78 |
$2,111.50 |
0.5× |
| Treatment of gum lesion (41850) |
$147.99 |
$174.10 |
0.1× |
Treatment of heel fracture (28406)
unusually low: confirm this is the full procedure |
$2,232.53 |
$2,626.50 |
0.3× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$6,378.06 |
$7,503.60 |
0.9× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,815.96 |
$6,842.30 |
0.8× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,598.68 |
$1,880.80 |
0.5× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$6,785.13 |
$7,982.50 |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$825.61 |
$971.30 |
3.3× |
| Treatment of thigh fracture (27513) |
$7,860.21 |
$9,247.30 |
0.6× |
Treatment of tibia fracture (27759)
unusually low: confirm this is the full procedure |
$5,052.49 |
$5,944.10 |
0.4× |
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure |
$3,335.66 |
$3,924.30 |
0.4× |
| Trim skin lesion (11055) |
$143.57 |
$168.90 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$162.86 |
$191.60 |
0.8× |
| Trim skin lesions over 4 (11057) |
$175.10 |
$206 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$85.77 |
$100.90 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,453.19 |
$2,886.10 |
0.9× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure |
$4,481.71 |
$5,272.60 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,336.03 |
$1,571.80 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,515.47 |
$1,782.90 |
0.5× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$999.86 |
$1,176.30 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$545.44 |
$641.70 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$568.23 |
$668.50 |
1.4× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$4,736.46 |
$5,572.30 |
0.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$195.68 |
$230.20 |
1.2× |
| Unlisted Procedure Nervous System (64999) |
$218.88 |
$257.50 |
0.7× |
| Urology Surgery Procedure (53899) |
$4,030.79 |
$4,742.10 |
15.8× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$5,977.88 |
$7,032.80 |
1.2× |
| Vag hyst complex (58290) |
$6,429.66 |
$7,564.30 |
0.8× |
| Vaginal delivery only (59409) |
$2,533.68 |
$2,980.80 |
0.8× |
| Vaginal hysterectomy (58260) |
$6,320.26 |
$7,435.60 |
1.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$6,658.22 |
$7,833.20 |
1.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$5,631.25 |
$6,625 |
1.1× |
| Vasectomy (55250) |
$1,107.51 |
$1,302.95 |
0.5× |
| Venipuncture (36415) |
$31.54 |
$37.10 |
3.4× |
| Vulvectomy simple partial (56620) |
$2,659.74 |
$3,129.10 |
0.8× |
| Wedging of cast (29740) |
$146.67 |
$172.55 |
0.5× |
| Windowing of cast (29730) |
$96.31 |
$113.30 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$1,186.35 |
$1,395.70 |
2.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$934.15 |
$1,099 |
1.2× |
| Wrist arthroscop,excis triang cart (29846) |
$4,566.63 |
$5,372.50 |
1.4× |
| Xfer single deep low leg tendon (27691) |
$3,977.41 |
$4,679.30 |
0.5× |