| Abd paracentesis w/imaging (49083) |
$588.20 |
$692 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,110.10 |
$1,306 |
1.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$6,182.05 |
$7,273 |
3.6× |
Acetabuloplasty resection femoral head (27122) unusually low: confirm this is the full procedure |
$3,898.10 |
$4,586 |
0.5× |
| Acne surgery (10040) |
$222.70 |
$262 |
1.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,207 |
$1,420 |
0.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$504.90 |
$594 |
0.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,611.60 |
$1,896 |
0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,169.20 |
$2,552 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,983.90 |
$2,334 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$755.65 |
$889 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,654.95 |
$1,947 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$7,305.75 |
$8,595 |
3.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,726.35 |
$2,031 |
0.8× |
| Amniocentesis diagnostic (59000) |
$545.70 |
$642 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,982.20 |
$2,332 |
0.5× |
| Amputate metacarpal bone (26910) |
$2,185.35 |
$2,571 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,350.65 |
$1,589 |
0.4× |
| Amputation foot transmetarsal (28805) |
$1,343 |
$1,580 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$819.40 |
$964 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$563.12 |
$662.50 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$563.55 |
$663 |
0.2× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$2,210 |
$2,600 |
0.6× |
Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$2,691.95 |
$3,167 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,285.65 |
$2,689 |
0.6× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,977.10 |
$2,326 |
0.5× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
$2,932.50 |
$3,450 |
0.8× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$2,220.20 |
$2,612 |
0.6× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$1,709.35 |
$2,011 |
0.5× |
| Anoscopy diagnostic (46600) |
$301.75 |
$355 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$588.20 |
$692 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$206.55 |
$243 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) likely a partial charge, not the full procedure |
$1,195.10 |
$1,406 |
0.2× |
Anterior tibial tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,621.80 |
$1,908 |
0.2× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,267.35 |
$1,491 |
0.2× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$464.10 |
$546 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$171.70 |
$202 |
0.9× |
| Application cast elbow finger short arm (29075) |
$261.80 |
$308 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$282.20 |
$332 |
0.9× |
| Application finger splint static (29130) |
$118.15 |
$139 |
0.8× |
| Application Halo Cranial Including Removal (20661) |
$464.10 |
$546 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$238.85 |
$281 |
1.3× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$542.30 |
$638 |
1.7× |
| Application of long leg cast (29345) |
$260.95 |
$307 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$622.20 |
$732 |
4.2× |
| Application short arm splint forearm-hand static (29125) |
$172.12 |
$202.50 |
1.2× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$2,033.20 |
$2,392 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$193.80 |
$228 |
1.1× |
| Apply long leg splint (29505) |
$308.55 |
$363 |
1.7× |
| Apply short leg cast (29405) |
$238.42 |
$280.50 |
0.8× |
| Apply short leg cast (29425) |
$150.45 |
$177 |
0.5× |
| Apply short leg splint (29515) |
$211.22 |
$248.50 |
1.2× |
| Arterial puncture (36600) |
$219.72 |
$258.50 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$334.90 |
$394 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$273.70 |
$322 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$249.90 |
$294 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306.85 |
$361 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$155.12 |
$182.50 |
0.5× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$3,230 |
$3,800 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$992.80 |
$1,168 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,536.80 |
$1,808 |
0.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,949.05 |
$2,293 |
0.5× |
Arthrodesis pantalar (28705) likely a partial charge, not the full procedure |
$2,364.70 |
$2,782 |
0.1× |
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) unusually low: confirm this is the full procedure |
$2,481.15 |
$2,919 |
0.3× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) likely a partial charge, not the full procedure |
$3,122.90 |
$3,674 |
0.2× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) likely a partial charge, not the full procedure |
$1,490.05 |
$1,753 |
0.2× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) likely a partial charge, not the full procedure |
$1,336.20 |
$1,572 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) likely a partial charge, not the full procedure |
$2,281.40 |
$2,684 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$2,542.35 |
$2,991 |
0.2× |
Arthrodesis; subtalar (28725) likely a partial charge, not the full procedure |
$1,518.10 |
$1,786 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,698.80 |
$5,528 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$1,560.60 |
$1,836 |
0.4× |
Arthroplasty patella w/prosthesis (27438) likely a partial charge, not the full procedure |
$2,652 |
$3,120 |
0.2× |
Arthroplasty radial head (24365) likely a partial charge, not the full procedure |
$2,441.20 |
$2,872 |
0.2× |
Arthroplasty with prosthetic replacement; trapezium Facility (25445) unusually low: confirm this is the full procedure |
$2,548.30 |
$2,998 |
0.3× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) likely a partial charge, not the full procedure |
$2,823.70 |
$3,322 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$2,877.25 |
$3,385 |
0.8× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) unusually low: confirm this is the full procedure |
$4,297.60 |
$5,056 |
0.3× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) likely a partial charge, not the full procedure |
$2,380.85 |
$2,801 |
0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,790.10 |
$2,106 |
1.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$2,320.50 |
$2,730 |
1.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,944.80 |
$2,288 |
0.5× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,409.75 |
$2,835 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,763.75 |
$2,075 |
0.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,214.65 |
$1,429 |
0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,298.40 |
$2,704 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,996.65 |
$2,349 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$963.90 |
$1,134 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,748.45 |
$2,057 |
0.5× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899) likely a partial charge, not the full procedure |
$1,912.50 |
$2,250 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,761.20 |
$2,072 |
0.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,051.90 |
$2,414 |
0.6× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,161.95 |
$1,367 |
0.3× |
| Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) |
$1,533.40 |
$1,804 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,892.95 |
$2,227 |
0.5× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) likely a partial charge, not the full procedure |
$2,263.55 |
$2,663 |
0.3× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) unusually low: confirm this is the full procedure |
$2,888.30 |
$3,398 |
0.4× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) likely a partial charge, not the full procedure |
$2,383.40 |
$2,804 |
0.3× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) likely a partial charge, not the full procedure |
$3,831.80 |
$4,508 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,773.10 |
$2,086 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,944.80 |
$2,288 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,917.20 |
$3,432 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,298.40 |
$2,704 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$3,156.05 |
$3,713 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$3,624.40 |
$4,264 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,033.20 |
$2,392 |
0.6× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$3,920.20 |
$4,612 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,712.80 |
$4,368 |
0.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$1,030.20 |
$1,212 |
0.3× |
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) likely a partial charge, not the full procedure |
$1,068.45 |
$1,257 |
0.1× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$2,033.20 |
$2,392 |
0.6× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$1,768 |
$2,080 |
0.5× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,323.90 |
$2,734 |
0.6× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$645.15 |
$759 |
0.4× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,629.45 |
$1,917 |
0.9× |
| Arthrotomy w/synovectomy ankle (27625) |
$2,067.20 |
$2,432 |
0.6× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Facility (28050) |
$1,077.80 |
$1,268 |
0.3× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$1,472.20 |
$1,732 |
0.4× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$1,086.30 |
$1,278 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$1,394 |
$1,640 |
0.4× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,412.70 |
$1,662 |
0.4× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) likely a partial charge, not the full procedure |
$1,944.80 |
$2,288 |
0.2× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) unusually low: confirm this is the full procedure |
$2,966.50 |
$3,490 |
0.4× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$1,235.05 |
$1,453 |
0.3× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$1,280.95 |
$1,507 |
0.4× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$1,790.10 |
$2,106 |
0.5× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$2,006 |
$2,360 |
0.6× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$2,121.60 |
$2,496 |
0.6× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) likely a partial charge, not the full procedure |
$2,419.10 |
$2,846 |
0.3× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$2,144.55 |
$2,523 |
0.6× |
| Arthrotomy, wrist joint; with biopsy Facility (25100) |
$1,168.75 |
$1,375 |
0.3× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$1,717.85 |
$2,021 |
0.5× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) unusually low: confirm this is the full procedure |
$3,359.20 |
$3,952 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,307.75 |
$2,715 |
0.6× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,541.90 |
$1,814 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,585.25 |
$1,865 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$329.80 |
$388 |
0.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,089.70 |
$1,282 |
0.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$802.40 |
$944 |
0.2× |
| Artificial Insemination Intra-Uterine (58322) |
$188.70 |
$222 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$887.40 |
$1,044 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$272 |
$320 |
0.8× |
| Aspiration and injection for treatment of bone cyst (20615) |
$327.25 |
$385 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,822 |
$3,320 |
3.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$498.95 |
$587 |
0.2× |
Autochondrocyte implant knee (27412) unusually low: confirm this is the full procedure |
$3,064.25 |
$3,605 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$306.42 |
$360.50 |
1.4× |
| Biopsy bone open deep (20245) |
$634.95 |
$747 |
0.2× |
| Biopsy bone open superficial (20240) |
$5,708.60 |
$6,716 |
1.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,559.75 |
$1,835 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$542.30 |
$638 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$336.60 |
$396 |
0.3× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$1,590.35 |
$1,871 |
0.5× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$447.95 |
$527 |
0.2× |
| Biopsy intranasal (30100) |
$1,448.40 |
$1,704 |
0.8× |
| Biopsy muscle deep (20205) |
$972.40 |
$1,144 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$882.30 |
$1,038 |
0.5× |
| Biopsy Nail Unit Separate Procedure (11755) |
$233.75 |
$275 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$690.20 |
$812 |
0.2× |
| Biopsy of penis (54100) |
$390.15 |
$459 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$680.85 |
$801 |
0.2× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$499.80 |
$588 |
0.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$493.42 |
$580.50 |
0.3× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$1,971.15 |
$2,319 |
1.1× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$742.90 |
$874 |
0.4× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,224.85 |
$1,441 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$570.35 |
$671 |
0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$575.45 |
$677 |
0.3× |
| Biopsy testis incisional separate procedure (54505) |
$404.60 |
$476 |
0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$183.60 |
$216 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$869.55 |
$1,023 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$168.72 |
$198.50 |
0.2× |
| Bladder Irrigation Simple (51700) |
$151.30 |
$178 |
0.5× |
| Blood patch (62273) |
$1,280.95 |
$1,507 |
1.6× |
| Blood transfusion service (36430) |
$1,045.92 |
$1,230.50 |
2.1× |
Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) unusually low: confirm this is the full procedure |
$3,626.10 |
$4,266 |
0.4× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) likely a partial charge, not the full procedure |
$1,269.90 |
$1,494 |
0.2× |
| Bone marrow aspiration only (38220) |
$305.15 |
$359 |
0.2× |
| Bone Marrow Biopsy (38221) |
$515.95 |
$607 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,490.10 |
$4,106 |
1.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,360.05 |
$3,953 |
1.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,105 |
$1,300 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,221.50 |
$3,790 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$634.95 |
$747 |
0.3× |
| Bx anorectal wall anal approach (45100) |
$568.65 |
$669 |
0.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,195.10 |
$1,406 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,711.05 |
$2,013 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,242.28 |
$1,461.50 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$318.75 |
$375 |
0.2× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,165.35 |
$1,371 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$621.78 |
$731.50 |
0.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$955.40 |
$1,124 |
0.3× |
| Capsular contracture release (23020) |
$1,788.40 |
$2,104 |
0.5× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,153.90 |
$2,534 |
0.6× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$2,117.35 |
$2,491 |
0.6× |
Capsulorrhaphy, anterior, any type; with bone block Facility (23460) unusually low: confirm this is the full procedure |
$3,805.45 |
$4,477 |
0.5× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) unusually low: confirm this is the full procedure |
$3,499.45 |
$4,117 |
0.4× |
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) unusually low: confirm this is the full procedure |
$3,351.55 |
$3,943 |
0.4× |
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) unusually low: confirm this is the full procedure |
$3,328.60 |
$3,916 |
0.4× |
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) unusually low: confirm this is the full procedure |
$3,381.30 |
$3,978 |
0.4× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$1,717 |
$2,020 |
1.0× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$1,954.15 |
$2,299 |
0.5× |
| Carpectomy All Bones Proximal Row (25215) |
$2,121.60 |
$2,496 |
0.6× |
| Cartilage graft; costochondral (20910) |
$1,212.10 |
$1,426 |
1.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$214.20 |
$252 |
0.9× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$418.20 |
$492 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$268.60 |
$316 |
0.3× |
| Change of cystostomy tube simple (51705) |
$262.65 |
$309 |
0.9× |
| Change stent via transureth (50385) |
$2,367.25 |
$2,785 |
1.0× |
| Chemical cautery tissue (17250) |
$196.35 |
$231 |
0.9× |
| Chemodenerv musc migraine (64615) |
$285.60 |
$336 |
0.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$308.55 |
$363 |
0.4× |
| Chemodenerv trunk musc 6/> (64647) |
$355.30 |
$418 |
0.5× |
| Chemodenervation internal anal sphincter (46505) |
$636.65 |
$749 |
0.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$255 |
$300 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$143.65 |
$169 |
0.1× |
| Circum 28 days or older (54161) |
$389.72 |
$458.50 |
0.2× |
| Circumcision (54150) |
$308.98 |
$363.50 |
0.1× |
| Circumcision Neonate (54160) |
$432.65 |
$509 |
0.6× |
| Claviculectomy partial (23120) |
$2,041.70 |
$2,402 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$508.30 |
$598 |
1.8× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,612.90 |
$3,074 |
9.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$924.80 |
$1,088 |
3.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,285.20 |
$1,512 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,137.30 |
$1,338 |
4.1× |
| Closed Rx Radial Shaft Fx (25500) |
$818.12 |
$962.50 |
3.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,147.50 |
$1,350 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,544.45 |
$1,817 |
5.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,071.42 |
$1,260.50 |
3.9× |
| Closed treat wrist dislocation (25660) |
$1,092.25 |
$1,285 |
4.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$414.80 |
$488 |
1.5× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,521.15 |
$5,319 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$955.40 |
$1,124 |
3.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$643.02 |
$756.50 |
2.3× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$838.95 |
$987 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,089.30 |
$2,458 |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$912.48 |
$1,073.50 |
3.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$1,433.10 |
$1,686 |
0.4× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$915.02 |
$1,076.50 |
3.3× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$833.42 |
$980.50 |
3.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$898.45 |
$1,057 |
3.3× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,154.30 |
$1,358 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,209.55 |
$1,423 |
4.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$797.30 |
$938 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,389.75 |
$1,635 |
5.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,532.12 |
$1,802.50 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,264.80 |
$1,488 |
4.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,591.20 |
$1,872 |
0.9× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,901.45 |
$2,237 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,489.20 |
$1,752 |
5.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,100.75 |
$1,295 |
4.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,671.10 |
$1,966 |
0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,220.20 |
$2,612 |
3.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,699.25 |
$6,705 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$810.90 |
$954 |
3.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,520.65 |
$1,789 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,042.10 |
$1,226 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,282.22 |
$1,508.50 |
4.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,065.90 |
$1,254 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$473.45 |
$557 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,221.45 |
$1,437 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,756.95 |
$2,067 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,007.30 |
$3,538 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$357 |
$420 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,144.95 |
$1,347 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$844.05 |
$993 |
3.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$794.75 |
$935 |
2.9× |
| Closure of gastrostomy, surgical (43870) |
$1,405.90 |
$1,654 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,023.40 |
$1,204 |
3.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$726.75 |
$855 |
2.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$351.90 |
$414 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$987.70 |
$1,162 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$927.35 |
$1,091 |
3.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$222.70 |
$262 |
0.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,007.30 |
$3,538 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$963.05 |
$1,133 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$459 |
$540 |
1.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$925.65 |
$1,089 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$783.70 |
$922 |
2.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,074.40 |
$1,264 |
0.6× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$912.05 |
$1,073 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,892.10 |
$2,226 |
6.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,207 |
$1,420 |
4.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$926.50 |
$1,090 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$561.42 |
$660.50 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$446.25 |
$525 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,856.40 |
$2,184 |
1.0× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,098.20 |
$1,292 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,583.55 |
$1,863 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,989 |
$2,340 |
7.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,562.30 |
$1,838 |
5.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$337.45 |
$397 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$549.95 |
$647 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$468.78 |
$551.50 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$280.50 |
$330 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,295.40 |
$1,524 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$821.10 |
$966 |
3.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$733.55 |
$863 |
2.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$955.82 |
$1,124.50 |
3.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,763.75 |
$2,075 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,341.30 |
$1,578 |
0.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,334.50 |
$1,570 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$434.35 |
$511 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,513 |
$1,780 |
4.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$810.90 |
$954 |
3.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,264.80 |
$1,488 |
4.6× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,042.10 |
$1,226 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$978.78 |
$1,151.50 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$857.65 |
$1,009 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$957.52 |
$1,126.50 |
3.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$690.20 |
$812 |
2.5× |
| Cltx post ankle fx w/mnpj (27768) |
$1,457.75 |
$1,715 |
0.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,663.45 |
$1,957 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,061.65 |
$1,249 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$846.60 |
$996 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,157.70 |
$1,362 |
4.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$965.60 |
$1,136 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$358.70 |
$422 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,507.05 |
$1,773 |
0.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,164.50 |
$1,370 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,561.45 |
$1,837 |
0.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,545.30 |
$1,818 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$374 |
$440 |
1.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,722.10 |
$2,026 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,335.35 |
$1,571 |
4.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,207 |
$1,420 |
4.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$112.20 |
$132 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$918 |
$1,080 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,020.85 |
$1,201 |
0.8× |
| Colonoscopy stoma w/biopsy (44389) |
$861.90 |
$1,014 |
0.6× |
| Colonoscopy thru stoma (44388) |
$651.10 |
$766 |
0.6× |
| Colonoscopy w/ablation (45388) |
$4,969.10 |
$5,846 |
3.7× |
| Colonoscopy w/fb removal (45379) |
$861.05 |
$1,013 |
0.6× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,465.40 |
$1,724 |
1.1× |
| Colpoperineorrhaphy non ob (57210) |
$4,761.70 |
$5,602 |
1.3× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,158.20 |
$4,892 |
1.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$362.95 |
$427 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$260.10 |
$306 |
1.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$702.10 |
$826 |
0.2× |
| Complex Cystometrogram (51726) |
$538.05 |
$633 |
1.9× |
| Complex Uroflowmetry (51741) |
$27.62 |
$32.50 |
0.1× |
| Conization of cervix (57522) |
$600.95 |
$707 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$650.25 |
$765 |
2.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$791.35 |
$931 |
5.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$360.82 |
$424.50 |
2.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) unusually low: confirm this is the full procedure |
$5,213.90 |
$6,134 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,159.85 |
$2,541 |
1.2× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$5,894.75 |
$6,935 |
1.5× |
| Correction hammertoe (28285) |
$1,056.55 |
$1,243 |
0.3× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,640.50 |
$1,930 |
0.2× |
| Correction of bunion (28292) |
$1,366.80 |
$1,608 |
0.4× |
Correction of bunion (28299) likely a partial charge, not the full procedure |
$1,987.30 |
$2,338 |
0.2× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$2,028.10 |
$2,386 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,797.32 |
$2,114.50 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,121.60 |
$2,496 |
0.6× |
| Csf shunt reprogram (62252) |
$380.80 |
$448 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$985.15 |
$1,159 |
6.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$547.40 |
$644 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$589.90 |
$694 |
0.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,501.10 |
$1,766 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$1,373.60 |
$1,616 |
0.3× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284) likely a partial charge, not the full procedure |
$1,379.55 |
$1,623 |
0.2× |
| Cysto w/insert ureteral stent (52332) |
$722.50 |
$850 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$861.05 |
$1,013 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$465.80 |
$548 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$593.72 |
$698.50 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$530.40 |
$624 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$676.60 |
$796 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$697.85 |
$821 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$782.85 |
$921 |
0.1× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$775.20 |
$912 |
0.1× |
| Cysto/uretero w/up stricture (52345) |
$735.25 |
$865 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$730.15 |
$859 |
0.1× |
Cystolithotomy (51050) likely a partial charge, not the full procedure |
$909.50 |
$1,070 |
0.2× |
| Cystometrogram w/vp (51728) |
$678.72 |
$798.50 |
0.9× |
| Cystometrogram W/Vp&Up (51729) |
$801.55 |
$943 |
1.0× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,434.80 |
$1,688 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$500.65 |
$589 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$563.12 |
$662.50 |
0.2× |
| Cystouretero & or pyeloscope (52351) |
$568.65 |
$669 |
0.1× |
| Cystourethroscopy (52000) |
$425 |
$500 |
0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$763.30 |
$898 |
0.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$555.90 |
$654 |
0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$427.55 |
$503 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$764.58 |
$899.50 |
0.3× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$503.20 |
$592 |
0.1× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) likely a partial charge, not the full procedure |
$735.68 |
$865.50 |
0.1× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$889.95 |
$1,047 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$760.75 |
$895 |
1.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,254.20 |
$2,652 |
0.7× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,725.50 |
$2,030 |
0.5× |
| Dcmprn fasct leg post compartment only (27601) |
$1,626.90 |
$1,914 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,436.50 |
$1,690 |
1.8× |
| Debride nail 1-5 (11720) |
$71.40 |
$84 |
1.1× |
| Debride nail 6 or more (11721) |
$86.70 |
$102 |
1.3× |
| Debride skin musc at fx site (11011) |
$969 |
$1,140 |
1.2× |
| Debride tissue/muscle (11043) |
$619.65 |
$729 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$283.90 |
$334 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,060.80 |
$1,248 |
0.6× |
| Declot vascular device (36593) |
$68 |
$80 |
0.2× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$4,066.40 |
$4,784 |
2.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$2,563.60 |
$3,016 |
0.7× |
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) likely a partial charge, not the full procedure |
$1,968.60 |
$2,316 |
0.2× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) likely a partial charge, not the full procedure |
$2,028.95 |
$2,387 |
0.3× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
$2,320.50 |
$2,730 |
1.3× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$2,603.55 |
$3,063 |
0.7× |
| Decompression of leg (27894) |
$3,337.10 |
$3,926 |
0.9× |
| Decompression of leg (27892) |
$1,615 |
$1,900 |
0.4× |
| Decompression of lower leg (27600) |
$1,589.50 |
$1,870 |
0.4× |
| Decompression Of Tibia Nerve (28035) |
$1,219.75 |
$1,435 |
0.6× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,044.65 |
$1,229 |
0.5× |
| Delivery placenta separate procedure (59414) |
$208.25 |
$245 |
0.1× |
| Derma-fat-fascia graft (15770) |
$6,033.30 |
$7,098 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$1,392.30 |
$1,638 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,784.60 |
$3,276 |
1.3× |
| Destruction anal lesion(s) (46924) |
$1,152.60 |
$1,356 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$290.70 |
$342 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$167.45 |
$197 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$392.70 |
$462 |
0.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$484.50 |
$570 |
0.5× |
| Destruction Lesions Vulva Simple (56501) |
$400.35 |
$471 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,784.60 |
$3,276 |
1.3× |
| Destruction of skin lesions (17106) |
$185.30 |
$218 |
0.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$360.40 |
$424 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$167.88 |
$197.50 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$761.18 |
$895.50 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$387.60 |
$456 |
0.4× |
| Dil urethra,female,subsequent (53661) |
$149.60 |
$176 |
1.0× |
| Dilate Urethra Stricture (53620) |
$7,648.30 |
$8,998 |
9.8× |
| Dilate urethra stricture (53600) |
$170 |
$200 |
0.6× |
| Dilation and curettage (58120) |
$4,929.15 |
$5,799 |
1.4× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$146.20 |
$172 |
1.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$165.75 |
$195 |
1.1× |
| Disarticulation At Knee (27598) |
$1,815.60 |
$2,136 |
0.5× |
Disarticulation of hip Facility (27295) likely a partial charge, not the full procedure |
$3,975.45 |
$4,677 |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$453.90 |
$534 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$584.80 |
$688 |
0.7× |
| Drain shoulder bursa (23031) |
$854.25 |
$1,005 |
0.3× |
| Drain Spinal Cord Cyst (62268) |
$617.10 |
$726 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$241.40 |
$284 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$405.45 |
$477 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$790.50 |
$930 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$719.10 |
$846 |
3.2× |
| Drainage Mouth Roof Lesion (42000) |
$367.20 |
$432 |
1.4× |
| Drainage of gum lesion (41800) |
$1,014.05 |
$1,193 |
6.8× |
| Drainage of hematoma/fluid (10140) |
$446.25 |
$525 |
0.2× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$1,709.35 |
$2,011 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$502.35 |
$591 |
0.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,654.10 |
$1,946 |
0.5× |
| Draw blood off venous device (36591) |
$233.75 |
$275 |
1.6× |
| Dressing change under anesthesia (15852) |
$362.10 |
$426 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$531.25 |
$625 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$237.15 |
$279 |
1.1× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$572.05 |
$673 |
0.2× |
| Dstrj lesion anus simple surg excision (46922) |
$628.15 |
$739 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$524.45 |
$617 |
0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$283.90 |
$334 |
1.3× |
| Dstrj lesion penis simple surg excision (54060) |
$379.10 |
$446 |
0.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,376.60 |
$2,796 |
2.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$985.15 |
$1,159 |
0.5× |
| Dx laryngoscopy w/oper scope (31526) |
$3,889.60 |
$4,576 |
2.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,465.40 |
$1,724 |
0.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$450.50 |
$530 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,391.05 |
$2,813 |
1.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$456.45 |
$537 |
0.2× |
| Egd control bleeding any (43255) |
$1,257.15 |
$1,479 |
0.6× |
| Egd dilate stricture (43245) |
$1,280.95 |
$1,507 |
0.6× |
| Egd flexible foreign body removal (43247) |
$798.15 |
$939 |
0.8× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,184.10 |
$3,746 |
1.5× |
| Egd place gastrostomy tube (43246) |
$373.15 |
$439 |
0.2× |
| Egd remove lesion snare (43251) |
$990.25 |
$1,165 |
0.5× |
| Egd tube/cath insertion (43241) |
$266.90 |
$314 |
0.1× |
| Elbow Arthroscopy/Surgery (29837) |
$1,526.60 |
$1,796 |
0.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$678.30 |
$798 |
2.0× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$120.70 |
$142 |
0.8× |
| Endometrial Biopsy (58100) |
$221 |
$260 |
1.0× |
| Endoscopy bowel pouch/biop (44386) |
$589.90 |
$694 |
0.6× |
| Endoscopy of bowel pouch (44385) |
$444.55 |
$523 |
0.4× |
| Endoscopy Upper Small Intestine (44360) |
$273.70 |
$322 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$803.25 |
$945 |
0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$528.70 |
$622 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,081.25 |
$3,625 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$161.50 |
$190 |
1.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,681.30 |
$1,978 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$814.30 |
$958 |
0.4× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,286.90 |
$1,514 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,129.65 |
$1,329 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$264.78 |
$311.50 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$262.22 |
$308.50 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$422.88 |
$497.50 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$462.40 |
$544 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$354.45 |
$417 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$990.68 |
$1,165.50 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$1,311.55 |
$1,543 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$98.60 |
$116 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$451.35 |
$531 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,207.42 |
$1,420.50 |
0.7× |
| Exc ganglion wrist recurrent (25112) |
$1,244.40 |
$1,464 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$731 |
$860 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,069.30 |
$1,258 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$425.85 |
$501 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$768.40 |
$904 |
0.2× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$1,025.95 |
$1,207 |
0.5× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$889.10 |
$1,046 |
0.4× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$1,647.30 |
$1,938 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,241.85 |
$1,461 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$306.85 |
$361 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$329.38 |
$387.50 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$408 |
$480 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,995.80 |
$2,348 |
1.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,089.30 |
$2,458 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$895.05 |
$1,053 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$613.70 |
$722 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$878.90 |
$1,034 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,631.15 |
$1,919 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,519.40 |
$2,964 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$433.50 |
$510 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,030.20 |
$1,212 |
0.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,100.75 |
$1,295 |
0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$867.85 |
$1,021 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,461.15 |
$1,719 |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,680.45 |
$1,977 |
0.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$811.75 |
$955 |
0.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,377 |
$1,620 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,677.05 |
$1,973 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,119.45 |
$1,317 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$931.60 |
$1,096 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$878.05 |
$1,033 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,142.40 |
$1,344 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,462 |
$1,720 |
0.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,298.40 |
$2,704 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,213.80 |
$1,428 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$917.58 |
$1,079.50 |
0.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,534.25 |
$1,805 |
0.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$975.80 |
$1,148 |
0.3× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,301.35 |
$1,531 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,372.75 |
$1,615 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$782 |
$920 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,284.35 |
$1,511 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$858.50 |
$1,010 |
0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,457.85 |
$6,421 |
1.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,840.70 |
$3,342 |
1.3× |
| Excise cutaneous neurofibroma (64788) |
$761.60 |
$896 |
0.3× |
| Excise Wrist Tendon Sheath (25118) |
$1,283.50 |
$1,510 |
0.7× |
| Excision Breast Lesion (19125) |
$1,099.05 |
$1,293 |
0.3× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,502.80 |
$1,768 |
0.4× |
| Excision H/P/P/U Complex Repair (11471) |
$1,082.05 |
$1,273 |
0.3× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$848.72 |
$998.50 |
0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$846.60 |
$996 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$973.25 |
$1,145 |
0.5× |
| Excision lesion meniscus/capsule knee (27347) |
$1,749.30 |
$2,058 |
0.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$684.25 |
$805 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$525.30 |
$618 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$386.32 |
$454.50 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$447.10 |
$526 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$428.40 |
$504 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$552.08 |
$649.50 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$611.15 |
$719 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$523.60 |
$616 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$552.92 |
$650.50 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$643.88 |
$757.50 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$765.85 |
$901 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$387.60 |
$456 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$468.35 |
$551 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$464.52 |
$546.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$624.75 |
$735 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$402.90 |
$474 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$631.55 |
$743 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$225.25 |
$265 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$158.10 |
$186 |
0.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$2,210 |
$2,600 |
0.6× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$1,570.80 |
$1,848 |
0.2× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$2,084.20 |
$2,452 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,149.20 |
$1,352 |
0.6× |
| Excision of hydrocele unilateral (55040) |
$671.50 |
$790 |
0.2× |
| Excision of lactiferous duct fistula Facility (19112) |
$954.55 |
$1,123 |
0.2× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$878.05 |
$1,033 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$370.60 |
$436 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$707.20 |
$832 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$502.35 |
$591 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$1,071 |
$1,260 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$655.35 |
$771 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$415.65 |
$489 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$1,253.75 |
$1,475 |
0.3× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$681.70 |
$802 |
0.2× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) likely a partial charge, not the full procedure |
$832.15 |
$979 |
0.1× |
| Excision olecranon bursa (24105) |
$2,210 |
$2,600 |
0.6× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Facility (25136) likely a partial charge, not the full procedure |
$947.75 |
$1,115 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,121.60 |
$2,496 |
0.6× |
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) unusually low: confirm this is the full procedure |
$2,877.25 |
$3,385 |
0.4× |
Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Facility (26205) likely a partial charge, not the full procedure |
$2,317.10 |
$2,726 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$2,049.35 |
$2,411 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$985.15 |
$1,159 |
0.3× |
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) unusually low: confirm this is the full procedure |
$2,581.45 |
$3,037 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,430.55 |
$1,683 |
0.4× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) likely a partial charge, not the full procedure |
$1,664.30 |
$1,958 |
0.2× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) likely a partial charge, not the full procedure |
$1,874.25 |
$2,205 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) unusually low: confirm this is the full procedure |
$2,611.20 |
$3,072 |
0.3× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) unusually low: confirm this is the full procedure |
$2,742.10 |
$3,226 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,560.60 |
$1,836 |
0.5× |
| Excision prepatellar bursa (27340) |
$1,306.45 |
$1,537 |
0.4× |
| Excision radial head (24130) |
$1,523.20 |
$1,792 |
0.4× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,488.35 |
$1,751 |
0.4× |
| Excision tendon finger flexor/extensor each (26180) |
$1,547 |
$1,820 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$930.75 |
$1,095 |
0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,215.50 |
$1,430 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$877.20 |
$1,032 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,484.95 |
$1,747 |
0.8× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$596.70 |
$702 |
0.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,147.92 |
$1,350.50 |
0.6× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$775.20 |
$912 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$870.40 |
$1,024 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$671.50 |
$790 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$714 |
$840 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,012.35 |
$1,191 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$2,146.25 |
$2,525 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,316.65 |
$1,549 |
0.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,406.75 |
$1,655 |
0.4× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,853 |
$2,180 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$885.70 |
$1,042 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,436.08 |
$1,689.50 |
0.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,445 |
$1,700 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$4,947.85 |
$5,821 |
2.7× |
Exploration Of Hip Joint (27033) likely a partial charge, not the full procedure |
$1,867.45 |
$2,197 |
0.2× |
| Exploration of knee joint (27310) |
$2,244.85 |
$2,641 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$979.20 |
$1,152 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,476.45 |
$1,737 |
0.4× |
Explore Parathyroid Glands (60500) likely a partial charge, not the full procedure |
$1,909.10 |
$2,246 |
0.3× |
| Explore/Treat Elbow Joint (24101) |
$987.70 |
$1,162 |
0.3× |
| Explore/treat hand joint (26070) |
$1,337.90 |
$1,574 |
0.7× |
| Explore/Treat Knee Joint (27331) |
$906.10 |
$1,066 |
0.2× |
| External cephalic version (59412) |
$1,062.50 |
$1,250 |
0.3× |
| Fasciectomy Palm Only (26121) |
$1,173.85 |
$1,381 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,266.50 |
$1,490 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$1,110.95 |
$1,307 |
0.3× |
| Fasciotomy Iliotibial Open (27305) |
$1,582.70 |
$1,862 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$1,625.20 |
$1,912 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$1,433.95 |
$1,687 |
0.8× |
| Fasciotomy, hip or thigh, any type (27025) |
$3,014.10 |
$3,546 |
0.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,697.05 |
$3,173 |
0.7× |
| Fetal non-stress test (59025) |
$266.05 |
$313 |
1.2× |
| Filleted finger/toe flap (14350) |
$3,963.55 |
$4,663 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$629.42 |
$740.50 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$258.82 |
$304.50 |
0.6× |
| Fit/Insert Intravag Support Device (57160) |
$176.80 |
$208 |
0.8× |
| Fixation contralateral testis separate procedure (54620) |
$567.80 |
$668 |
0.1× |
| Fixation of shoulder (23700) |
$646.85 |
$761 |
0.4× |
| Fluid pressure muscle (20950) |
$1,062.08 |
$1,249.50 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$729.30 |
$858 |
2.7× |
| Forehead flap w/vasc pedicle (15731) |
$2,202.35 |
$2,591 |
0.6× |
| Foreskin manipulation (54450) |
$154.70 |
$182 |
0.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,857.25 |
$2,185 |
0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$157.05 |
$184.76 |
0.1× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,564.85 |
$1,841 |
0.7× |
| Fusion of finger tendons (26471) |
$1,877.65 |
$2,209 |
0.5× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,625.20 |
$1,912 |
0.2× |
Fusion of hand joint (26843) likely a partial charge, not the full procedure |
$2,262.70 |
$2,662 |
0.3× |
Fusion of thumb (26841) likely a partial charge, not the full procedure |
$2,208.30 |
$2,598 |
0.3× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$2,380 |
$2,800 |
0.3× |
| Fusion/graft of finger joint (26862) |
$2,192.15 |
$2,579 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$76.50 |
$90 |
0.3× |
| Gastrocnemius recession (27687) |
$1,382.10 |
$1,626 |
0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,600.15 |
$3,059 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,355.75 |
$1,595 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,569.10 |
$1,846 |
2.0× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,165.80 |
$2,548 |
0.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$4,510.95 |
$5,307 |
1.2× |
| Hemorrhoidectomy (46255) |
$1,075.25 |
$1,265 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$856.80 |
$1,008 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$771.80 |
$908 |
0.2× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$896.75 |
$1,055 |
0.3× |
| Hemorrhoidopexy by stapling (46947) |
$4,697.10 |
$5,526 |
1.5× |
Hip arthro w/labral repair (29916) unusually low: confirm this is the full procedure |
$3,350.70 |
$3,942 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$753.10 |
$886 |
2.9× |
| I&d abscess simple (10060) |
$267.75 |
$315 |
1.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$980.90 |
$1,154 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,016.20 |
$2,372 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,488.90 |
$7,634 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$472.60 |
$556 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,411.95 |
$6,367 |
1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,239.75 |
$2,635 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$583.52 |
$686.50 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$844.90 |
$994 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$632.40 |
$744 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$908.65 |
$1,069 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$293.25 |
$345 |
0.9× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,997.50 |
$2,350 |
0.9× |
| Ileoscopy thru stoma (44380) |
$392.70 |
$462 |
0.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$600.95 |
$707 |
0.6× |
| Image Cath Fluid Colxn Visc (49405) |
$3,582.75 |
$4,215 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$3,582.75 |
$4,215 |
1.9× |
| Incise external hemorrhoid (46083) |
$545.28 |
$641.50 |
2.0× |
| Incise finger tendon sheath (26055) |
$1,949.05 |
$2,293 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$459 |
$540 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,523.20 |
$1,792 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$815.15 |
$959 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$590.75 |
$695 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$433.08 |
$509.50 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$415.22 |
$488.50 |
1.8× |
| Incision and drainage perianal abscess superficial (46050) |
$473.45 |
$557 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$656.20 |
$772 |
0.2× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$2,342.60 |
$2,756 |
1.3× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$735.25 |
$865 |
0.2× |
| Incision bone cortex foot (28005) |
$2,141.15 |
$2,519 |
0.6× |
| Incision bone cortex hand/finger (26034) |
$2,014.50 |
$2,370 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$1,082.90 |
$1,274 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$450.50 |
$530 |
0.3× |
| Incision of rectal abscess (46045) |
$847.45 |
$997 |
0.3× |
| Incision of rectal abscess (46040) |
$1,546.58 |
$1,819.50 |
1.2× |
Incision of tibia (27705) unusually low: confirm this is the full procedure |
$2,536.40 |
$2,984 |
0.3× |
Incision of tibia & fibula (27709) likely a partial charge, not the full procedure |
$2,482 |
$2,920 |
0.2× |
| Incision of urethra (53020) |
$3,192.60 |
$3,756 |
1.4× |
| Incision&drainage bursa foot (28001) |
$579.70 |
$682 |
0.3× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$1,929.50 |
$2,270 |
0.5× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$1,906.55 |
$2,243 |
0.5× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$2,351.10 |
$2,766 |
0.6× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$954.55 |
$1,123 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$335.32 |
$394.50 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$250.75 |
$295 |
1.1× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$296.65 |
$349 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$697 |
$820 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$219.30 |
$258 |
0.6× |
| Inj therapeutic carpal tunnel (20526) |
$158.95 |
$187 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$813.45 |
$957 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$222.28 |
$261.50 |
0.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$832.15 |
$979 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,534.70 |
$2,982 |
2.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$712.30 |
$838 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$494.70 |
$582 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,207 |
$1,420 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$202.72 |
$238.50 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,095.65 |
$1,289 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,625.20 |
$1,912 |
2.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$384.20 |
$452 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$332.35 |
$391 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$349.78 |
$411.50 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$382.50 |
$450 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$568.65 |
$669 |
0.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$795.18 |
$935.50 |
1.0× |
| Injection for identification of sentinel node (38792) |
$278.80 |
$328 |
0.6× |
| Injection into skin lesions (11900) |
$110.50 |
$130 |
0.5× |
| Injection peyronie disease (54200) |
$227.80 |
$268 |
0.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$760.75 |
$895 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$198.05 |
$233 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$334.05 |
$393 |
1.0× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$327.25 |
$385 |
0.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$134.30 |
$158 |
0.6× |
| Ins tun ip cath for dial opn (49421) |
$11,426.55 |
$13,443 |
2.9× |
| Insert and remove bone pin (20650) |
$549.10 |
$646 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$511.70 |
$602 |
3.6× |
| Insert cath pleura w/ image (32557) |
$1,797.32 |
$2,114.50 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,433.10 |
$1,686 |
0.7× |
| Insert cervical dilator (59200) |
$248.20 |
$292 |
0.7× |
| Insert Drug Implant Device (11981) |
$231.20 |
$272 |
1.6× |
| Insert gastrostomy tube percutaneous (49440) |
$1,884.45 |
$2,217 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$400.35 |
$471 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$670.22 |
$788.50 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,043.38 |
$1,227.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$261.80 |
$308 |
1.8× |
| Insert tun ip cath perc (49418) |
$3,655 |
$4,300 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,198.10 |
$2,586 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$98.60 |
$116 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,192.15 |
$2,579 |
0.5× |
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) likely a partial charge, not the full procedure |
$1,456.05 |
$1,713 |
0.1× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) likely a partial charge, not the full procedure |
$1,597.15 |
$1,879 |
0.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,208.40 |
$7,304 |
0.7× |
Insertion/rplcmt peripheral/gastric npgr (64590) likely a partial charge, not the full procedure |
$518.50 |
$610 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$614.12 |
$722.50 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,533.85 |
$2,981 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,214.25 |
$2,605 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$982.18 |
$1,155.50 |
0.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$686.80 |
$808 |
0.2× |
| Intro Gastrointestinal Tube (44500) |
$170 |
$200 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$479.82 |
$564.50 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$800.70 |
$942 |
2.9× |
Kidney endoscopy (50551) likely a partial charge, not the full procedure |
$672.35 |
$791 |
0.1× |
Knee Arthroscopy/Surgery (29885) unusually low: confirm this is the full procedure |
$2,652 |
$3,120 |
0.3× |
| Knee Arthroscopy/Surgery (29874) |
$1,949.05 |
$2,293 |
0.5× |
| Knee Arthroscopy/Surgery (29879) |
$2,210 |
$2,600 |
0.6× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$856.80 |
$1,008 |
0.1× |
Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$3,400 |
$4,000 |
0.3× |
Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$2,925.70 |
$3,442 |
0.2× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,190.85 |
$1,401 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$638.35 |
$751 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,357.05 |
$2,773 |
0.2× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$1,762.90 |
$2,074 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,264.80 |
$1,488 |
0.2× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,884.45 |
$2,217 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,812.20 |
$2,132 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,123.30 |
$2,498 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,894.65 |
$2,229 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,417.80 |
$1,668 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,206.60 |
$2,596 |
0.2× |
Laparoscopy, surgical; partial nephrectomy (50543) likely a partial charge, not the full procedure |
$2,934.20 |
$3,452 |
0.2× |
Laparoscopy, surgical; pyeloplasty Facility (50544) likely a partial charge, not the full procedure |
$2,367.25 |
$2,785 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,114.35 |
$1,311 |
0.2× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$1,309 |
$1,540 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,348.10 |
$1,586 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$649.40 |
$764 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,413.55 |
$1,663 |
0.2× |
Laps surg gastrostomy w/o constj gstr tube spx (43653) likely a partial charge, not the full procedure |
$1,101.60 |
$1,296 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$709.75 |
$835 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$328.10 |
$386 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$246.50 |
$290 |
1.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,490.10 |
$4,106 |
1.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$260.95 |
$307 |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$6,738.80 |
$7,928 |
3.4× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$3,465.45 |
$4,077 |
0.6× |
| Late closure of wound (13160) |
$1,723.80 |
$2,028 |
0.4× |
| Lateral retinacular release open (27425) |
$1,577.60 |
$1,856 |
0.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) unusually low: confirm this is the full procedure |
$2,475.20 |
$2,912 |
0.3× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) likely a partial charge, not the full procedure |
$3,371.95 |
$3,967 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,092.70 |
$2,462 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$993.65 |
$1,169 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$7,258.15 |
$8,539 |
3.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$870.82 |
$1,024.50 |
0.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,664.30 |
$1,958 |
0.4× |
| Lithotripsy (50590) |
$1,444.15 |
$1,699 |
0.4× |
| Liver Biopsy (47000) |
$1,113.92 |
$1,310.50 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$503.20 |
$592 |
0.2× |
Male sling procedure (53440) likely a partial charge, not the full procedure |
$1,445 |
$1,700 |
0.1× |
| Manipulation knee joint under general anesthesia (27570) |
$518.50 |
$610 |
0.3× |
| Manipulation, elbow, under anesthesia (24300) |
$1,433.95 |
$1,687 |
0.8× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,116.90 |
$1,314 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$1,066.75 |
$1,255 |
0.6× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,942.70 |
$3,462 |
0.8× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,340.90 |
$2,754 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$1,150.90 |
$1,354 |
0.3× |
| Mastectomy partial (19301) |
$1,303.05 |
$1,533 |
0.3× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,814.75 |
$2,135 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$242.25 |
$285 |
0.1× |
| Metatarsectomy (28140) |
$150.45 |
$177 |
0.0× |
| Muscle-skin graft trunk (15734) |
$2,891.70 |
$3,402 |
0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$621.35 |
$731 |
0.8× |
| N Block Inj, Plantar Digit (64455) |
$127.92 |
$150.50 |
0.4× |
| Nasal endoscopy dx (31231) |
$371.45 |
$437 |
1.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$4,567.05 |
$5,373 |
2.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$133.02 |
$156.50 |
0.3× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$871.25 |
$1,025 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,484.95 |
$1,747 |
0.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$2,563.60 |
$3,016 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$2,007.70 |
$2,362 |
0.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,316.65 |
$1,549 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$640.90 |
$754 |
1.5× |
| Nipple exploration (19110) |
$960.50 |
$1,130 |
0.2× |
| Njx aa&/strd sciatic nerve (64445) |
$858.50 |
$1,010 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$418.20 |
$492 |
0.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$175.95 |
$207 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$617.10 |
$726 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,392.30 |
$1,638 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,392.30 |
$1,638 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,095.65 |
$1,289 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,095.65 |
$1,289 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,095.65 |
$1,289 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,095.65 |
$1,289 |
1.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,665.15 |
$1,959 |
2.1× |
| Occipital Nerve Block (64405) |
$822.80 |
$968 |
2.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$879.75 |
$1,035 |
0.2× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) likely a partial charge, not the full procedure |
$1,260.55 |
$1,483 |
0.2× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$34,892.50 |
$41,050 |
1.0× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,499 |
$2,940 |
0.3× |
Open treatment calcaneal fracture (28415) likely a partial charge, not the full procedure |
$2,244 |
$2,640 |
0.3× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$3,263.15 |
$3,839 |
0.2× |
Open treatment greater trochanteric fracture (27248) unusually low: confirm this is the full procedure |
$2,453.10 |
$2,886 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,961.80 |
$2,308 |
0.2× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,113.92 |
$1,310.50 |
0.1× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$5,608.30 |
$6,598 |
0.7× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,255.45 |
$1,477 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) unusually low: confirm this is the full procedure |
$2,567.85 |
$3,021 |
0.3× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) likely a partial charge, not the full procedure |
$2,303.50 |
$2,710 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,581.45 |
$3,037 |
0.3× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) likely a partial charge, not the full procedure |
$2,329 |
$2,740 |
0.3× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) likely a partial charge, not the full procedure |
$1,846.20 |
$2,172 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$3,841.15 |
$4,519 |
0.3× |
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) likely a partial charge, not the full procedure |
$2,364.70 |
$2,782 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) unusually low: confirm this is the full procedure |
$3,214.70 |
$3,782 |
0.4× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$4,404.70 |
$5,182 |
0.5× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$3,972.05 |
$4,673 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$3,201.10 |
$3,766 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) likely a partial charge, not the full procedure |
$2,262.70 |
$2,662 |
0.3× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) likely a partial charge, not the full procedure |
$1,515.55 |
$1,783 |
0.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$2,601.85 |
$3,061 |
0.2× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) likely a partial charge, not the full procedure |
$3,357.50 |
$3,950 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) unusually low: confirm this is the full procedure |
$3,602.30 |
$4,238 |
0.4× |
Open treatment of lunate dislocation Facility (25695) likely a partial charge, not the full procedure |
$1,988.15 |
$2,339 |
0.2× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$8,632.60 |
$10,156 |
2.4× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) likely a partial charge, not the full procedure |
$1,739.95 |
$2,047 |
0.2× |
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) likely a partial charge, not the full procedure |
$1,634.55 |
$1,923 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,331.10 |
$1,566 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$2,592.50 |
$3,050 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,293.70 |
$1,522 |
0.2× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) likely a partial charge, not the full procedure |
$1,943.95 |
$2,287 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) likely a partial charge, not the full procedure |
$2,374.90 |
$2,794 |
0.2× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) likely a partial charge, not the full procedure |
$1,744.20 |
$2,052 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$2,767.60 |
$3,256 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) likely a partial charge, not the full procedure |
$1,928.65 |
$2,269 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$2,114.80 |
$2,488 |
0.3× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,459.45 |
$1,717 |
0.2× |
Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$2,013.65 |
$2,369 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,513.45 |
$2,957 |
0.2× |
Open tx acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$1,944.80 |
$2,288 |
0.2× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,561.90 |
$3,014 |
0.7× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,127.95 |
$1,327 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$2,128.40 |
$2,504 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$2,210 |
$2,600 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,696.60 |
$1,996 |
0.5× |
Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,475.20 |
$2,912 |
0.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,080.35 |
$1,271 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$2,237.20 |
$2,632 |
0.2× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$2,414.85 |
$2,841 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$1,944.80 |
$2,288 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,137.30 |
$1,338 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,533.40 |
$1,804 |
0.4× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$2,869.60 |
$3,376 |
0.4× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$2,122.45 |
$2,497 |
0.3× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Facility (26492) |
$1,789.25 |
$2,105 |
0.5× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$2,563.60 |
$3,016 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,620.15 |
$4,259 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607) unusually low: confirm this is the full procedure |
$2,488.80 |
$2,928 |
0.3× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,499.45 |
$4,117 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$2,653.70 |
$3,122 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) likely a partial charge, not the full procedure |
$2,214.25 |
$2,605 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,031.90 |
$1,214 |
0.3× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$1,413.55 |
$1,663 |
0.4× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$1,356.60 |
$1,596 |
0.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$2,091.85 |
$2,461 |
0.6× |
| Ostectomy calcaneus (28118) |
$1,443.30 |
$1,698 |
0.4× |
| Ostectomy complete 1st metatarsal head (28111) |
$1,354.90 |
$1,594 |
0.4× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,073.15 |
$2,439 |
0.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,231.65 |
$1,449 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$904.40 |
$1,064 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,140.70 |
$1,342 |
0.3× |
Osteochondral allograft, knee, open (27415) likely a partial charge, not the full procedure |
$2,661.35 |
$3,131 |
0.2× |
Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391) likely a partial charge, not the full procedure |
$2,514.30 |
$2,958 |
0.2× |
Osteoplasty, radius OR ulna; shortening Facility (25390) unusually low: confirm this is the full procedure |
$2,889.15 |
$3,399 |
0.4× |
Osteot shrt corrj prox phalanx 1st toe (28310) likely a partial charge, not the full procedure |
$1,067.60 |
$1,256 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$1,195.95 |
$1,407 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,121.15 |
$1,319 |
0.3× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,269.05 |
$1,493 |
0.2× |
| Osteotomy Metacarpal Each (26565) |
$2,107.15 |
$2,479 |
0.6× |
| Osteotomy Phalanx Finger Each (26567) |
$1,439.05 |
$1,693 |
0.4× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) likely a partial charge, not the full procedure |
$3,063.40 |
$3,604 |
0.2× |
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) unusually low: confirm this is the full procedure |
$3,748.50 |
$4,410 |
0.5× |
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) unusually low: confirm this is the full procedure |
$2,615.45 |
$3,077 |
0.3× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) unusually low: confirm this is the full procedure |
$3,021.75 |
$3,555 |
0.4× |
P-mastectomy w/ln removal (19302) likely a partial charge, not the full procedure |
$1,789.25 |
$2,105 |
0.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,182.40 |
$3,744 |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$2,272.05 |
$2,673 |
0.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$2,004.30 |
$2,358 |
0.5× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) likely a partial charge, not the full procedure |
$2,378.30 |
$2,798 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$1,563.15 |
$1,839 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$2,221.90 |
$2,614 |
0.6× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$2,608.65 |
$3,069 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,285.20 |
$1,512 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,148.35 |
$1,351 |
0.3× |
| Partial excision bone tibia (27640) |
$3,128.85 |
$3,681 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,716.15 |
$2,019 |
1.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,661.75 |
$1,955 |
0.9× |
| Partial removal of hand bone (26230) |
$980.90 |
$1,154 |
0.3× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,506.20 |
$1,772 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,395.70 |
$1,642 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,075.68 |
$1,265.50 |
0.3× |
Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$1,995.80 |
$2,348 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,009.45 |
$4,717 |
1.1× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$1,790.10 |
$2,106 |
0.5× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$3,248.70 |
$3,822 |
0.4× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) unusually low: confirm this is the full procedure |
$2,877.25 |
$3,385 |
0.4× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,448.40 |
$1,704 |
0.4× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$1,445 |
$1,700 |
0.4× |
| Pericardiocentesis W/Imaging (33016) |
$549.95 |
$647 |
0.3× |
| Peritoneal Lavage (49084) |
$835.55 |
$983 |
0.8× |
| Perq dev breast 1st strtctc (19283) |
$640.90 |
$754 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$770.95 |
$907 |
1.0× |
| Perq device breast 1st imag (19281) |
$833.42 |
$980.50 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$764.15 |
$899 |
2.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,878.50 |
$2,210 |
2.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,201.50 |
$2,590 |
0.6× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$7,778.35 |
$9,151 |
2.1× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$6,506.75 |
$7,655 |
1.8× |
| Picc line placement (36569) |
$750.12 |
$882.50 |
0.4× |
| Pin hand dislocation (26676) |
$1,524.05 |
$1,793 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$231.20 |
$272 |
0.5× |
| Placement of seton (46020) |
$575.45 |
$677 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,659.20 |
$1,952 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,626.05 |
$1,913 |
0.7× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$233.75 |
$275 |
0.7× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,154.30 |
$1,358 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$2,171.75 |
$2,555 |
2.1× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) unusually low: confirm this is the full procedure |
$3,214.70 |
$3,782 |
0.4× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) likely a partial charge, not the full procedure |
$512.55 |
$603 |
0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,272.45 |
$1,497 |
0.3× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$1,705.95 |
$2,007 |
0.5× |
| Prq skel fixj metar fx w/manj (28476) |
$766.70 |
$902 |
0.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,411 |
$1,660 |
0.4× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) unusually low: confirm this is the full procedure |
$2,599.30 |
$3,058 |
0.3× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$943.50 |
$1,110 |
0.3× |
Prq Skeletal Fixj Femoral Fx Distal End (27509) likely a partial charge, not the full procedure |
$1,814.75 |
$2,135 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$284.75 |
$335 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$836.40 |
$984 |
1.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$376.12 |
$442.50 |
0.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,161.10 |
$1,366 |
1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,037.85 |
$1,221 |
1.3× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$2,272.05 |
$2,673 |
0.3× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,770.15 |
$3,259 |
0.8× |
Rad resect elbow caps/sr bone w rels (24149) unusually low: confirm this is the full procedure |
$3,057.45 |
$3,597 |
0.4× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$1,487.50 |
$1,750 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$2,715.75 |
$3,195 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$2,408.90 |
$2,834 |
0.7× |
| Radical resection of tumor, femur or knee Facility (27365) |
$3,650.75 |
$4,295 |
1.0× |
Radical resection of tumor, proximal humerus Facility (23220) unusually low: confirm this is the full procedure |
$3,859.85 |
$4,541 |
0.5× |
| Radical styloidectomy separate procedure (25230) |
$1,437.35 |
$1,691 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,784.60 |
$3,276 |
1.3× |
Rcnstj Dislocating Patella (27420) unusually low: confirm this is the full procedure |
$2,584.85 |
$3,041 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,322.60 |
$1,556 |
0.2× |
| Realignment extensor tendon hand each tendon (26437) |
$1,887.85 |
$2,221 |
0.5× |
| Reconstruct Finger Joint (26548) |
$2,352.80 |
$2,768 |
0.6× |
Reconstruct Shoulder Joint (23470) unusually low: confirm this is the full procedure |
$4,303.55 |
$5,063 |
0.3× |
Reconstruct ulna/radioulnar (25337) unusually low: confirm this is the full procedure |
$3,094 |
$3,640 |
0.4× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) likely a partial charge, not the full procedure |
$2,285.65 |
$2,689 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) unusually low: confirm this is the full procedure |
$2,571.25 |
$3,025 |
0.3× |
| Reconstruction of nail bed with graft (11762) |
$1,884.45 |
$2,217 |
0.8× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$2,179.40 |
$2,564 |
0.6× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$2,576.35 |
$3,031 |
0.7× |
| Reduce testis torsion (54600) |
$873.80 |
$1,028 |
0.2× |
Reinforce humerus (24498) likely a partial charge, not the full procedure |
$3,312.45 |
$3,897 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) unusually low: confirm this is the full procedure |
$2,563.60 |
$3,016 |
0.3× |
| Release finger contracture (26525) |
$2,165.80 |
$2,548 |
1.2× |
| Release muscles of hand (26593) |
$1,761.20 |
$2,072 |
0.5× |
| Release of big toe (28240) |
$909.50 |
$1,070 |
0.2× |
| Release wrist/forearm tendon (25295) |
$2,074 |
$2,440 |
0.6× |
| Relieve pressure on nerve(s) (64722) |
$1,374.45 |
$1,617 |
0.6× |
| Removal Anal Seton Other Marker (46030) |
$512.55 |
$603 |
0.4× |
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) likely a partial charge, not the full procedure |
$1,530 |
$1,800 |
0.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,340.45 |
$1,577 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$1,437.35 |
$1,691 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,275.85 |
$1,501 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$581.40 |
$684 |
0.7× |
| Removal foreign body intranasal (30300) |
$679.15 |
$799 |
4.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$733.55 |
$863 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$4,985.25 |
$5,865 |
1.4× |
| Removal foreign body pharynx (42809) |
$675.75 |
$795 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$40.38 |
$47.50 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$147.90 |
$174 |
2.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,582.75 |
$4,215 |
1.0× |
| Removal implant deep (20680) |
$1,194.25 |
$1,405 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$742.90 |
$874 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$214.20 |
$252 |
0.3× |
| Removal of anal fissure (46200) |
$978.35 |
$1,151 |
0.3× |
| Removal of arm foreign body (24200) |
$481.10 |
$566 |
0.3× |
Removal of bone for graft (20902) likely a partial charge, not the full procedure |
$685.10 |
$806 |
0.1× |
| Removal of bone lesion (23140) |
$1,670.25 |
$1,965 |
0.5× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$468.35 |
$551 |
0.4× |
| Removal of embedded foreign body, eyelid (67938) |
$545.70 |
$642 |
1.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$698.70 |
$822 |
0.5× |
| Removal of finger lesion (26210) |
$1,834.30 |
$2,158 |
1.0× |
| Removal of fixation device (20665) |
$464.10 |
$546 |
0.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$164.05 |
$193 |
0.3× |
| Removal of heel spur (28119) |
$1,288.60 |
$1,516 |
0.4× |
| Removal of hip joint lining (27054) |
$2,189.60 |
$2,576 |
0.6× |
| Removal of implant from finger or hand (26320) |
$1,575.90 |
$1,854 |
0.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$634.10 |
$746 |
0.9× |
| Removal of iud (58301) |
$306 |
$360 |
0.9× |
Removal of kidney stone (50081) likely a partial charge, not the full procedure |
$2,150.50 |
$2,530 |
0.2× |
| Removal of knee cartilage (27332) |
$2,011.10 |
$2,366 |
0.6× |
Removal Of Knee Prosthesis (27488) likely a partial charge, not the full procedure |
$3,594.65 |
$4,229 |
0.3× |
| Removal of nail bed (11750) |
$308.55 |
$363 |
0.7× |
| Removal of salivary stone (42330) |
$4,836.50 |
$5,690 |
1.3× |
| Removal of sesamoid bone (28315) |
$942.65 |
$1,109 |
0.3× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$1,253.75 |
$1,475 |
0.4× |
| Removal Of Tendon Lesion (27630) |
$1,856.40 |
$2,184 |
0.5× |
| Removal of testis (54520) |
$629 |
$740 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,428 |
$1,680 |
0.4× |
| Removal of wrist bone (25210) |
$1,679.60 |
$1,976 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$195.50 |
$230 |
0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$277.10 |
$326 |
0.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$107.95 |
$127 |
0.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,080.35 |
$1,271 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$250.75 |
$295 |
0.8× |
| Remove anal fist subq (46270) |
$1,059.10 |
$1,246 |
0.3× |
| Remove drug implant device (11982) |
$307.70 |
$362 |
0.6× |
| Remove Elbow Joint Lining (24102) |
$2,352.80 |
$2,768 |
0.6× |
| Remove elbow lesion (24120) |
$1,045.50 |
$1,230 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$2,077.40 |
$2,444 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$1,263.10 |
$1,486 |
0.4× |
Remove Prostate Regrowth (52630) likely a partial charge, not the full procedure |
$799.85 |
$941 |
0.1× |
| Remove spine eltrd perq aray (63661) |
$2,348.55 |
$2,763 |
1.1× |
| Remove Tendon Sheath Lesion (26160) |
$2,121.60 |
$2,496 |
1.2× |
| Remove tissue expander (11971) |
$199.75 |
$235 |
0.1× |
Remove uro sphincter (53446) likely a partial charge, not the full procedure |
$1,236.75 |
$1,455 |
0.2× |
| Remove/graft finger lesion (26215) |
$2,147.95 |
$2,527 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$418.20 |
$492 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$334.90 |
$394 |
2.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$212.50 |
$250 |
1.4× |
| Renal Biopsy Percutaneous (50200) |
$1,421.62 |
$1,672.50 |
0.8× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$1,784.15 |
$2,099 |
0.2× |
| Repair anal fistula (46288) |
$1,048.90 |
$1,234 |
0.3× |
| Repair arm/leg nerve (64857) |
$2,931.65 |
$3,449 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$6,953 |
$8,180 |
2.0× |
| Repair blood vessel lesion (35190) |
$14,303.80 |
$16,828 |
2.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,399.10 |
$1,646 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,041.70 |
$2,402 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$983.45 |
$1,157 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,037.85 |
$1,221 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$880.18 |
$1,035.50 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,502.80 |
$1,768 |
3.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$653.22 |
$768.50 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,448.40 |
$1,704 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,041.28 |
$2,401.50 |
1.1× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,210 |
$2,600 |
0.6× |
| Repair Finger Tendon (26433) |
$1,739.10 |
$2,046 |
0.5× |
| Repair Forearm Tendon Sheath (25275) |
$2,298.40 |
$2,704 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$2,210 |
$2,600 |
0.6× |
| Repair hand joint with graft (26542) |
$1,982.20 |
$2,332 |
0.5× |
| Repair hand tendon (26410) |
$2,121.60 |
$2,496 |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,250.35 |
$1,471 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,142.40 |
$1,344 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,134.75 |
$1,335 |
0.3× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) likely a partial charge, not the full procedure |
$776.90 |
$914 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$719.95 |
$847 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$744.60 |
$876 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,086.30 |
$1,278 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$808.35 |
$951 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,250.35 |
$1,471 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,331.95 |
$1,567 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$890.80 |
$1,048 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,181.08 |
$1,389.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$527 |
$620 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$755.65 |
$889 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$926.08 |
$1,089.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$933.30 |
$1,098 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$992.80 |
$1,168 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$525.30 |
$618 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$674.90 |
$794 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$773.50 |
$910 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,124.55 |
$1,323 |
2.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$936.70 |
$1,102 |
0.4× |
| Repair intrinsic muscles hand each muscle (26591) |
$1,926.10 |
$2,266 |
0.5× |
| Repair Lower Leg Tendons (27675) |
$1,716.15 |
$2,019 |
0.5× |
Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$1,277.55 |
$1,503 |
0.2× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345) unusually low: confirm this is the full procedure |
$2,505.80 |
$2,948 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,620.10 |
$1,906 |
0.2× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,802 |
$2,120 |
0.2× |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
$2,874.70 |
$3,382 |
0.8× |
| Repair of defect with autograft; radius OR ulna Facility (25425) |
$4,882.40 |
$5,744 |
0.6× |
Repair of foot bones (28320) likely a partial charge, not the full procedure |
$1,188.30 |
$1,398 |
0.1× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$3,048.10 |
$3,586 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$2,014.50 |
$2,370 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$1,356.60 |
$1,596 |
0.2× |
| Repair of leg tendon each (27658) |
$1,237.60 |
$1,456 |
0.3× |
| Repair of nail bed (11760) |
$672.35 |
$791 |
0.8× |
| Repair of nasal septum (30520) |
$4,465.05 |
$5,253 |
1.2× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) likely a partial charge, not the full procedure |
$3,185.80 |
$3,748 |
0.2× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) unusually low: confirm this is the full procedure |
$3,889.60 |
$4,576 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) likely a partial charge, not the full procedure |
$1,997.50 |
$2,350 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) unusually low: confirm this is the full procedure |
$3,035.35 |
$3,571 |
0.4× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) unusually low: confirm this is the full procedure |
$3,564.05 |
$4,193 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) unusually low: confirm this is the full procedure |
$2,969.90 |
$3,494 |
0.4× |
| Repair of shoulder (23420) |
$4,697.95 |
$5,527 |
0.6× |
| Repair of sperm duct (55400) |
$963.05 |
$1,133 |
0.2× |
Repair of tibia (27720) unusually low: confirm this is the full procedure |
$2,937.60 |
$3,456 |
0.4× |
| Repair of web finger (26560) |
$1,881.90 |
$2,214 |
1.1× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$2,477.75 |
$2,915 |
0.7× |
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) unusually low: confirm this is the full procedure |
$2,603.55 |
$3,063 |
0.3× |
| Repair Profundus Tendon,Primary (26370) |
$3,365.15 |
$3,959 |
0.9× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,428 |
$1,680 |
0.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,193.40 |
$1,404 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$1,416.10 |
$1,666 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,251.20 |
$1,472 |
0.3× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$2,226.58 |
$2,619.50 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$2,387.65 |
$2,809 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,679.60 |
$1,976 |
0.5× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,029.35 |
$1,211 |
0.1× |
| Repair tongue laceration (41252) |
$463.25 |
$545 |
1.8× |
| Repair Tongue Laceration (41250) |
$994.50 |
$1,170 |
2.0× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$4,152.25 |
$4,885 |
0.5× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) unusually low: confirm this is the full procedure |
$3,781.65 |
$4,449 |
0.5× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$1,507.90 |
$1,774 |
0.2× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) likely a partial charge, not the full procedure |
$1,856.40 |
$2,184 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,635.40 |
$1,924 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$2,537.25 |
$2,985 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) unusually low: confirm this is the full procedure |
$2,985.20 |
$3,512 |
0.4× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) likely a partial charge, not the full procedure |
$2,376.60 |
$2,796 |
0.3× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) likely a partial charge, not the full procedure |
$2,209.15 |
$2,599 |
0.3× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$2,241.45 |
$2,637 |
0.6× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$2,535.55 |
$2,983 |
0.7× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) likely a partial charge, not the full procedure |
$2,385.95 |
$2,807 |
0.3× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$2,387.65 |
$2,809 |
0.3× |
| Repair/graft finger tendon (26420) |
$2,386.80 |
$2,808 |
0.7× |
Repair/graft wrist bone (25440) unusually low: confirm this is the full procedure |
$3,083.80 |
$3,628 |
0.4× |
Repair/revise wrist joint (25320) unusually low: confirm this is the full procedure |
$2,908.70 |
$3,422 |
0.4× |
Repair/transpose nerve (64856) likely a partial charge, not the full procedure |
$1,411 |
$1,660 |
0.1× |
| Repeat control of nosebleed (30906) |
$455.60 |
$536 |
1.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,269.50 |
$2,670 |
2.2× |
Replace elbow joint (24363) likely a partial charge, not the full procedure |
$5,059.20 |
$5,952 |
0.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,359.58 |
$1,599.50 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,946.95 |
$3,467 |
2.9× |
Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Facility (20802) likely a partial charge, not the full procedure |
$5,078.75 |
$5,975 |
0.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,413.15 |
$2,839 |
0.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$3,137.35 |
$3,691 |
1.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,014.05 |
$1,193 |
0.3× |
Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$5,569.20 |
$6,552 |
0.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$6,500.80 |
$7,648 |
0.5× |
| Revise abdomen-venous shunt (49426) |
$1,324.30 |
$1,558 |
0.3× |
| Revise finger/toe nerve (64702) |
$1,741.65 |
$2,049 |
0.8× |
| Revise Hand/Foot Nerve (64704) |
$870.40 |
$1,024 |
0.4× |
Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$1,766.30 |
$2,078 |
0.2× |
Revise knuckle with implant (26531) likely a partial charge, not the full procedure |
$1,124.55 |
$1,323 |
0.1× |
Revise Lower Leg Tendon (27691) unusually low: confirm this is the full procedure |
$2,468.40 |
$2,904 |
0.3× |
Revise radius & ulna (25365) likely a partial charge, not the full procedure |
$2,455.65 |
$2,889 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$2,041.70 |
$2,402 |
0.9× |
| Revise wrist/forearm tendon (25280) |
$1,988.15 |
$2,339 |
0.5× |
Revise/Implant Finger Joint (26536) likely a partial charge, not the full procedure |
$2,334.95 |
$2,747 |
0.3× |
| Revision of colostomy simple (44340) |
$1,214.65 |
$1,429 |
0.3× |
| Revision of foot (28116) |
$1,664.30 |
$1,958 |
0.5× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,929.50 |
$2,270 |
0.5× |
| Revision of lower leg tendon (27685) |
$1,603.95 |
$1,887 |
0.4× |
| Revision of scrotum (55175) |
$702.95 |
$827 |
0.2× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) unusually low: confirm this is the full procedure |
$4,780.40 |
$5,624 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) unusually low: confirm this is the full procedure |
$4,346.05 |
$5,113 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) likely a partial charge, not the full procedure |
$5,574.30 |
$6,558 |
0.3× |
Revision of ulna (25360) likely a partial charge, not the full procedure |
$2,268.65 |
$2,669 |
0.3× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$6,268.75 |
$7,375 |
0.4× |
Revj tot hip arthrp fem only w/wo algrft (27138) unusually low: confirm this is the full procedure |
$4,980.15 |
$5,859 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$479.40 |
$564 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$280.50 |
$330 |
1.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,301.78 |
$1,531.50 |
0.4× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$1,060.80 |
$1,248 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$430.95 |
$507 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627.72 |
$738.50 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$676.60 |
$796 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,035.35 |
$3,571 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,921.85 |
$2,261 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,761.20 |
$2,072 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,391.10 |
$5,166 |
1.2× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$7,272.60 |
$8,556 |
4.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,569.10 |
$1,846 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$722.50 |
$850 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,346.40 |
$1,584 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,202.75 |
$1,415 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$889.10 |
$1,046 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,206.15 |
$1,419 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,001.30 |
$1,178 |
0.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,768.45 |
$3,257 |
0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$657.05 |
$773 |
0.4× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,494.30 |
$1,758 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,025.10 |
$1,206 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,071 |
$1,260 |
4.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,670.25 |
$1,965 |
2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,209.15 |
$2,599 |
1.3× |
Rpr non-union mtcrpl/phalanx (26546) unusually low: confirm this is the full procedure |
$3,624.40 |
$4,264 |
0.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,179.80 |
$1,388 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$2,056.15 |
$2,419 |
0.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,643.05 |
$1,933 |
2.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,206.60 |
$2,596 |
0.6× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,652 |
$3,120 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,677.95 |
$4,327 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$2,825.40 |
$3,324 |
0.8× |
| Scrotal exploration (55110) |
$750.55 |
$883 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$573.75 |
$675 |
0.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$226.10 |
$266 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$203.15 |
$239 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$232.90 |
$274 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$236.30 |
$278 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$214.20 |
$252 |
1.0× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$1,974.55 |
$2,323 |
0.5× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,977.10 |
$2,326 |
0.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,151.75 |
$1,355 |
0.3× |
Shoulder prosthesis removal (23334) likely a partial charge, not the full procedure |
$1,976.25 |
$2,325 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$306.85 |
$361 |
1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$170 |
$200 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$303.45 |
$357 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$303.45 |
$357 |
1.4× |
| Sigmoidoscopy & decompress (45337) |
$213.35 |
$251 |
0.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$992.80 |
$1,168 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$661.30 |
$778 |
0.6× |
| Sigmoidoscopy w/biopsy (45331) |
$608.60 |
$716 |
0.6× |
| Simple Cystometrogram (51725) |
$463.25 |
$545 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$619.65 |
$729 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$325.55 |
$383 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$297.08 |
$349.50 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$798.15 |
$939 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$521.90 |
$614 |
2.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$646.85 |
$761 |
2.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$816.85 |
$961 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$273.70 |
$322 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,002.15 |
$1,179 |
4.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$383.35 |
$451 |
1.7× |
| Skin Pedicle Flap Trunk (15570) |
$1,782.45 |
$2,097 |
0.8× |
| Skin pinch graft (15050) |
$6,478.70 |
$7,622 |
7.9× |
| Skin splt grft trnk/arm/leg (15100) |
$1,758.65 |
$2,069 |
0.8× |
| Skin tissue rearrangement (14040) |
$1,006.40 |
$1,184 |
0.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,465.05 |
$5,253 |
1.1× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$1,473.90 |
$1,734 |
0.3× |
| Slitting of prepuce (54001) |
$390.15 |
$459 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$325.55 |
$383 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$405.45 |
$477 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$702.95 |
$827 |
1.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$580.55 |
$683 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$956.68 |
$1,125.50 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$1,202.75 |
$1,415 |
1.5× |
| Strapping ankle (29540) |
$250.75 |
$295 |
1.4× |
| Strapping elbow or wrist (29260) |
$55.25 |
$65 |
0.8× |
| Strapping hand/finger (29280) |
$56.10 |
$66 |
0.9× |
| Strapping knee (29530) |
$352.75 |
$415 |
2.4× |
| Strapping shoulder (29240) |
$352.75 |
$415 |
2.4× |
| Strapping toes (29550) |
$73.95 |
$87 |
1.1× |
| Strapping unna boot (29580) |
$399.50 |
$470 |
2.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,856.40 |
$2,184 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,074.40 |
$1,264 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$1,092.25 |
$1,285 |
0.4× |
| Suspension of testis (54640) |
$829.60 |
$976 |
0.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,986.45 |
$2,337 |
0.9× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$2,210 |
$2,600 |
0.3× |
| Suture of 1 nerve ulnar motor (64836) |
$2,195.55 |
$2,583 |
0.6× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$1,965.20 |
$2,312 |
0.5× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) unusually low: confirm this is the full procedure |
$2,810.10 |
$3,306 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$2,408.90 |
$2,834 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) unusually low: confirm this is the full procedure |
$2,540.65 |
$2,989 |
0.3× |
| Suture/repair testicular injury (54670) |
$785.40 |
$924 |
0.2× |
| Synovectomy, carpometacarpal joint Facility (26130) |
$1,591.20 |
$1,872 |
0.4× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$2,096.95 |
$2,467 |
1.2× |
| Synovectomy, tendon sheath, foot; flexor Facility (28086) |
$1,590.35 |
$1,871 |
0.4× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,117.35 |
$2,491 |
1.2× |
Talectomy (astragalectomy) Facility (28130) likely a partial charge, not the full procedure |
$1,882.75 |
$2,215 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$227.80 |
$268 |
0.5× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) likely a partial charge, not the full procedure |
$1,147.50 |
$1,350 |
0.1× |
| Tendon shortening (26477) |
$1,768 |
$2,080 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,392.30 |
$1,638 |
0.4× |
| Tenodesis at wrist; flexors of fingers Facility (25300) |
$2,247.40 |
$2,644 |
0.6× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$2,045.95 |
$2,407 |
0.3× |
| Tenolysis extensor tendon hand/finger each (26445) |
$1,961.80 |
$2,308 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,068.90 |
$2,434 |
1.2× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,414.40 |
$1,664 |
0.4× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$2,425.05 |
$2,853 |
0.7× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$1,206.15 |
$1,419 |
0.3× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$1,339.60 |
$1,576 |
0.7× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$791.35 |
$931 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$805.80 |
$948 |
0.4× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$2,017.90 |
$2,374 |
0.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,158.55 |
$1,363 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$827.48 |
$973.50 |
0.5× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$978.35 |
$1,151 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,051.45 |
$1,237 |
0.6× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,728.50 |
$3,210 |
1.6× |
| Ther Apheresis,Platelets (36513) |
$388.45 |
$457 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,819 |
$2,140 |
2.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$577.58 |
$679.50 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$965.60 |
$1,136 |
2.6× |
| Thyroid biopsy (60100) |
$414.80 |
$488 |
0.5× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) unusually low: confirm this is the full procedure |
$2,056.15 |
$2,419 |
0.3× |
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,951.60 |
$2,296 |
0.3× |
Tibial Arthroscopy/Surgery (29855) unusually low: confirm this is the full procedure |
$2,522.80 |
$2,968 |
0.3× |
| Tnot elbow lateral/medial debride open (24358) |
$1,041.25 |
$1,225 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,892.10 |
$2,226 |
0.5× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$4,733.65 |
$5,569 |
0.3× |
Total Knee Arthroplasty (27447) unusually low: confirm this is the full procedure |
$4,791.45 |
$5,637 |
0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,495.15 |
$1,759 |
2.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$839.80 |
$988 |
3.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,003.85 |
$1,181 |
0.6× |
| Tracheotomy tube change (31502) |
$125.80 |
$148 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$1,094.80 |
$1,288 |
0.5× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) likely a partial charge, not the full procedure |
$1,250.35 |
$1,471 |
0.2× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$1,070.15 |
$1,259 |
0.5× |
| Transplant hand tendon (26480) |
$2,475.20 |
$2,912 |
0.7× |
| Transplant/graft hand tendon (26483) |
$2,787.15 |
$3,279 |
0.8× |
Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,437.35 |
$1,691 |
0.2× |
| Transurethral incision of prostate (52450) |
$879.75 |
$1,035 |
0.2× |
| Transurethral resection bladder neck (52500) |
$950.30 |
$1,118 |
0.2× |
| Treat Big Toe Fracture (28505) |
$1,232.50 |
$1,450 |
0.3× |
| Treat clavicle dislocation (23540) |
$801.55 |
$943 |
2.9× |
| Treat clavicle fracture (23505) |
$855.10 |
$1,006 |
0.5× |
Treat elbow dislocation (24615) likely a partial charge, not the full procedure |
$2,094.40 |
$2,464 |
0.3× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$3,250.40 |
$3,824 |
0.2× |
Treat Elbow Fracture (24635) unusually low: confirm this is the full procedure |
$3,247 |
$3,820 |
0.4× |
Treat fracture radius/ulna (25575) unusually low: confirm this is the full procedure |
$2,476.90 |
$2,914 |
0.3× |
| Treat Hand Dislocation (26685) |
$1,745.90 |
$2,054 |
0.5× |
| Treat humerus fracture (24500) |
$1,015.32 |
$1,194.50 |
3.7× |
| Treat humerus fracture (23600) |
$1,227.82 |
$1,444.50 |
4.5× |
| Treat knee fracture (27532) |
$1,965.20 |
$2,312 |
0.5× |
Treat Knee Fracture (27535) unusually low: confirm this is the full procedure |
$3,390.65 |
$3,989 |
0.4× |
Treat Knee Fracture (27540) unusually low: confirm this is the full procedure |
$2,714.05 |
$3,193 |
0.3× |
| Treat Knee Fracture(S) (27538) |
$580.55 |
$683 |
2.1× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$2,275.45 |
$2,677 |
0.3× |
| Treat Lower Leg Bone Lesion (27607) |
$2,202.35 |
$2,591 |
0.6× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$3,689 |
$4,340 |
0.3× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,295.40 |
$1,524 |
0.2× |
| Treat shoulder blade fx (23575) |
$890.80 |
$1,048 |
0.5× |
| Treat Thigh Fracture (27246) |
$508.30 |
$598 |
1.8× |
| Treat Thigh Fracture (27245) |
$4,301 |
$5,060 |
0.5× |
| Treat Thumb Dislocation (26641) |
$1,142.40 |
$1,344 |
4.2× |
| Treat thumb fracture (26665) |
$1,232.50 |
$1,450 |
0.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,039.55 |
$1,223 |
0.6× |
| Treat wrist bone fracture (25622) |
$933.72 |
$1,098.50 |
3.4× |
| Treat Wrist Bone Fracture (25630) |
$932.02 |
$1,096.50 |
3.4× |
Treat wrist fracture (25685) likely a partial charge, not the full procedure |
$2,278 |
$2,680 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,142.40 |
$1,344 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,153.88 |
$1,357.50 |
4.2× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$2,336.65 |
$2,749 |
0.3× |
| Treatment of foot infection (28003) |
$1,916.75 |
$2,255 |
0.5× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,490.10 |
$4,106 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$820.25 |
$965 |
3.0× |
| Trim skin lesion (11055) |
$425 |
$500 |
1.9× |
| Trim skin lesions 2 to 4 (11056) |
$162.35 |
$191 |
0.7× |
| Trim skin lesions over 4 (11057) |
$178.50 |
$210 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$28.05 |
$33 |
0.4× |
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) likely a partial charge, not the full procedure |
$1,437.35 |
$1,691 |
0.1× |
| Tube thoracostomy includes water seal (32551) |
$475.58 |
$559.50 |
0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$958.80 |
$1,128 |
0.3× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$2,671.55 |
$3,143 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,635.85 |
$3,101 |
0.7× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,083.75 |
$1,275 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,154.30 |
$1,358 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$572.05 |
$673 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$608.60 |
$716 |
1.3× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$3,201.10 |
$3,766 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,103.30 |
$1,298 |
0.3× |
Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$861.05 |
$1,013 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$416.50 |
$490 |
0.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$956.25 |
$1,125 |
3.5× |
| Unlisted procedure nervous system (64999) |
$331.50 |
$390 |
1.0× |
| Unlisted procedure shoulder (23929) |
$84.15 |
$99 |
0.3× |
| Us urine capacity measure (51798) |
$225.25 |
$265 |
3.4× |
| Vaginal delivery only (59409) |
$2,575.92 |
$3,030.50 |
0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$773.50 |
$910 |
0.3× |
| Venipuncture (36415) |
$29.32 |
$34.50 |
3.1× |
| Wedge excision skin nail fold (11765) |
$316.62 |
$372.50 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$2,320.50 |
$2,730 |
5.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$742.90 |
$874 |
0.9× |