| Abd paracentesis w/imaging (49083) |
$812.49 |
$1,055.18 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$255.83 |
$332.24 |
0.3× |
| Acne surgery (10040) |
$186.82 |
$242.62 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,127.58 |
$4,061.80 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,242.23 |
$4,210.68 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,127.25 |
$1,463.96 |
0.3× |
| Amputate metacarpal bone (26910) |
$3,322.28 |
$4,314.65 |
1.0× |
| Amputation Finger/Thumb (26951) |
$1,536.19 |
$1,995.04 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,071.53 |
$1,391.59 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$1,072.52 |
$1,392.87 |
0.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,183.92 |
$1,537.54 |
0.4× |
| Anoscopy diagnostic (46600) |
$134.38 |
$174.50 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$281.26 |
$365.26 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low: confirm this is the full procedure |
$1,884.79 |
$2,447.78 |
0.4× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,787.64 |
$2,321.60 |
0.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$459.24 |
$596.42 |
2.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$170.95 |
$222.01 |
1.0× |
| Application cast elbow finger short arm (29075) |
$193.67 |
$251.51 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$207.03 |
$268.86 |
0.7× |
| Application finger splint static (29130) |
$86.60 |
$112.46 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$187.41 |
$243.38 |
1.1× |
| Application of long leg cast (29345) |
$292.89 |
$380.37 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$307 |
$398.70 |
1.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$409.94 |
$532.39 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$138.54 |
$179.92 |
1.0× |
| Apply Hand/Wrist Cast (29085) |
$145.64 |
$189.14 |
0.9× |
| Apply long leg splint (29505) |
$173.19 |
$224.91 |
1.0× |
| Apply short leg cast (29405) |
$177.17 |
$230.08 |
0.6× |
| Apply short leg cast (29425) |
$382.18 |
$496.33 |
1.3× |
| Apply short leg splint (29515) |
$152.67 |
$198.26 |
0.9× |
| Arterial puncture (36600) |
$125.96 |
$163.58 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$176.57 |
$229.31 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$588.69 |
$764.52 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$215.94 |
$280.44 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$520.28 |
$675.68 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$142.46 |
$185.02 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,407.92 |
$3,127.16 |
0.3× |
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,633.82 |
$3,420.54 |
0.4× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,701.30 |
$4,806.88 |
1.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,523.50 |
$5,874.67 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,936.50 |
$5,112.34 |
1.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,521.38 |
$4,573.21 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,814.74 |
$3,655.50 |
0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,010.06 |
$3,909.16 |
0.9× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$3,424.40 |
$4,447.26 |
1.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,696.18 |
$2,202.84 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,079.40 |
$3,999.21 |
0.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,878.87 |
$3,738.79 |
0.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,803.30 |
$6,238.05 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,009.25 |
$3,908.11 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,596.32 |
$7,267.94 |
0.7× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$2,948.04 |
$3,828.62 |
0.9× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$3,050.08 |
$3,961.14 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,635.90 |
$4,721.94 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$695.65 |
$903.43 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$154.84 |
$201.08 |
0.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$269.66 |
$350.20 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$399.93 |
$519.38 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$207.80 |
$269.86 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$432.62 |
$561.84 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$365.62 |
$474.84 |
0.4× |
| Biopsy external ear (69100) |
$181.10 |
$235.20 |
0.7× |
| Biopsy Nail Unit Separate Procedure (11755) |
$188.76 |
$245.14 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$997.75 |
$1,295.77 |
0.2× |
| Biopsy of lip (40490) |
$244.22 |
$317.16 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$476.28 |
$618.54 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$234.18 |
$304.12 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$219.85 |
$285.51 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,372.67 |
$1,782.68 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$383.50 |
$498.05 |
0.5× |
| Bladder Irrigation Simple (51700) |
$240.22 |
$311.97 |
0.9× |
| Blepharotomy drain absc eyelid (67700) |
$553.12 |
$718.32 |
1.7× |
| Blood transfusion service (36430) |
$514.48 |
$668.16 |
1.1× |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
$5,766.57 |
$7,489.04 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,633.77 |
$3,420.48 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,314.58 |
$1,707.24 |
0.8× |
| Bx/exc lymph node needle superficial (38505) |
$1,314.58 |
$1,707.24 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,706.54 |
$2,216.27 |
0.5× |
| Capsular contracture release (23020) |
$1,597.80 |
$2,075.06 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$212.46 |
$275.92 |
0.1× |
| Change of cystostomy tube simple (51705) |
$222.60 |
$289.09 |
0.9× |
| Chemical cautery tissue (17250) |
$168.39 |
$218.68 |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$457.90 |
$594.66 |
0.6× |
| Chemodenerv musc migraine (64615) |
$568.62 |
$738.46 |
1.8× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$390.88 |
$507.64 |
0.5× |
Chromotubation oviduct (58350)
likely a partial charge, not the full procedure |
$226.08 |
$293.60 |
0.0× |
| Circum 28 days or older (54161) |
$747.70 |
$971.04 |
0.3× |
| Circumcision (54150) |
$351.54 |
$456.54 |
0.2× |
| Claviculectomy partial (23120) |
$2,988.35 |
$3,880.97 |
0.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$457.90 |
$594.66 |
1.8× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,522.07 |
$1,976.70 |
6.0× |
| Closed Rx Radial Shaft Fx (25500) |
$412.75 |
$536.03 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$530.27 |
$688.66 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$2,342.28 |
$3,041.92 |
9.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$747.24 |
$970.44 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$749.58 |
$973.47 |
2.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,460.88 |
$1,897.24 |
5.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$562.33 |
$730.30 |
2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$876 |
$1,137.65 |
0.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$794.52 |
$1,031.84 |
3.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$761.36 |
$988.76 |
3.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$439.16 |
$570.34 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$579.16 |
$752.14 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$943.06 |
$1,224.75 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$558.15 |
$724.86 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,079.31 |
$1,401.69 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,318.41 |
$1,712.22 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$518.65 |
$673.56 |
2.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$398.11 |
$517.02 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$513.92 |
$667.42 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$333.98 |
$433.74 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$605.58 |
$786.46 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$470.64 |
$611.21 |
1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$760.23 |
$987.30 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$565.67 |
$734.63 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$911.61 |
$1,183.90 |
3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$678.57 |
$881.25 |
2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$481.92 |
$625.86 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$684.07 |
$888.39 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,194.98 |
$1,551.91 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,359.22 |
$4,362.62 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,977.83 |
$2,568.60 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$273.26 |
$354.88 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$221.54 |
$287.70 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$534.02 |
$693.52 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,243.22 |
$1,614.56 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$724.26 |
$940.58 |
2.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$766.43 |
$995.36 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$236.10 |
$306.62 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$584.07 |
$758.52 |
2.3× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$512.82 |
$666 |
2.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$740.50 |
$961.68 |
0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$688.86 |
$894.62 |
2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$624.31 |
$810.79 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$628.68 |
$816.46 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$488.09 |
$633.88 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$237.34 |
$308.22 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$629.70 |
$817.79 |
2.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$708.09 |
$919.60 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$909.80 |
$1,181.56 |
3.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,187.70 |
$1,542.47 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$290.46 |
$377.22 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$647.22 |
$840.54 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$729.74 |
$947.72 |
0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$943.54 |
$1,225.37 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$828.30 |
$1,075.72 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$86.60 |
$112.46 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,241.32 |
$1,612.10 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,537.09 |
$1,996.22 |
1.2× |
| Colonoscopy thru stoma (44388) |
$827.92 |
$1,075.21 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,403.39 |
$1,822.58 |
1.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$1,065.14 |
$1,383.29 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$483.76 |
$628.26 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$338.38 |
$439.44 |
1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$380.47 |
$494.11 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,088.13 |
$1,413.14 |
0.3× |
| Colposcopy vulva (56820) |
$295.26 |
$383.44 |
1.4× |
| Colposcopy vulva w/biopsy (56821) |
$213.63 |
$277.44 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$392.40 |
$509.60 |
1.2× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
unusually low: confirm this is the full procedure |
$1,950.41 |
$2,533 |
0.4× |
| Conization of cervix (57522) |
$1,180.94 |
$1,533.69 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$238.98 |
$310.36 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$210.18 |
$272.95 |
1.5× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
unusually low: confirm this is the full procedure |
$3,554.46 |
$4,616.16 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$677.02 |
$879.24 |
0.4× |
| Correction hammertoe (28285) |
$1,931.82 |
$2,508.84 |
0.6× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,390.82 |
$3,104.96 |
0.3× |
| Correction of bunion (28292) |
$2,405.70 |
$3,124.28 |
0.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,869.75 |
$2,428.24 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$331.20 |
$430.12 |
2.4× |
| Cystometrogram w/vp (51728) |
$609.08 |
$791.01 |
0.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$586.10 |
$761.16 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$122.58 |
$159.19 |
0.3× |
| Debride nail 1-5 (11720) |
$82.23 |
$106.78 |
1.4× |
| Debride nail 6 or more (11721) |
$114.69 |
$148.94 |
1.9× |
| Debride tissue/muscle (11043) |
$608.01 |
$789.62 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$366.90 |
$476.49 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$565.55 |
$734.48 |
0.3× |
| Declot vascular device (36593) |
$327.59 |
$425.43 |
1.0× |
| Decompression Of Tibia Nerve (28035) |
$1,609.10 |
$2,089.74 |
0.8× |
| Destruction anal lesion(s) (46924) |
$1,386.40 |
$1,800.51 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$348.66 |
$452.80 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$291.51 |
$378.58 |
1.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$549.62 |
$713.79 |
0.6× |
| Destruction Lesions Vulva Extensive (56515) |
$515.76 |
$669.82 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$396.17 |
$514.50 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$612.42 |
$795.34 |
3.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$494.26 |
$641.88 |
2.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$275.21 |
$357.41 |
1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$576.39 |
$748.56 |
2.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$640.44 |
$831.74 |
3.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$339.58 |
$441 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$339.04 |
$440.32 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$288.82 |
$375.08 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$323.72 |
$420.42 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$363.02 |
$471.44 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$402.34 |
$522.51 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$441.64 |
$573.54 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,115.50 |
$1,448.70 |
0.6× |
| Destruction of skin lesions (17106) |
$680.64 |
$883.95 |
1.6× |
| Destruction Premalignant Lesion 15/> (17004) |
$478.62 |
$621.58 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$213.19 |
$276.87 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,464.30 |
$1,901.67 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$375.68 |
$487.90 |
0.4× |
| Dilation and curettage (58120) |
$815.34 |
$1,058.88 |
0.2× |
| Dilation of cervical canal (57800) |
$168.54 |
$218.88 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$283.21 |
$367.80 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$327.82 |
$425.73 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$410.15 |
$532.66 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$738.37 |
$958.92 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$562.03 |
$729.90 |
2.7× |
| Drainage of gum lesion (41800) |
$573.88 |
$745.29 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$344.86 |
$447.86 |
0.2× |
| Drainage of hydrocele (55000) |
$184.98 |
$240.24 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$144.55 |
$187.72 |
0.1× |
| Draw blood off venous device (36591) |
$74.26 |
$96.44 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$279.46 |
$362.94 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$226.04 |
$293.55 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$174.74 |
$226.93 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$786.84 |
$1,021.86 |
0.3× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$355.86 |
$462.14 |
0.8× |
| Egd flexible foreign body removal (43247) |
$946.06 |
$1,228.64 |
1.0× |
| Egd remove lesion snare (43251) |
$946.98 |
$1,229.85 |
0.5× |
| Endocervical Curettage (57505) |
$271.49 |
$352.58 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,262.48 |
$2,938.28 |
0.4× |
| Endometrial Biopsy (58100) |
$292.57 |
$379.95 |
1.4× |
| Episiotomy or vaginal repair (59300) |
$516.24 |
$670.44 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$836.13 |
$1,085.88 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$102.33 |
$132.89 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,630.87 |
$2,118 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$319.26 |
$414.62 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$317.34 |
$412.13 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$584.14 |
$758.62 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$606.04 |
$787.06 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$355.07 |
$461.12 |
0.5× |
| Exc back les sc < 3 cm (21930) |
$1,171.30 |
$1,521.16 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$288.13 |
$374.19 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$585.97 |
$761 |
0.3× |
| Exc ganglion wrist recurrent (25112) |
$1,972.12 |
$2,561.18 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,868.46 |
$2,426.58 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,322.96 |
$1,718.13 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,419.92 |
$1,844.04 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$1,388.96 |
$1,803.84 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,595.36 |
$2,071.88 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$409.18 |
$531.40 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$387.18 |
$502.82 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$654.78 |
$850.36 |
0.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$650.29 |
$844.52 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,011.35 |
$1,313.44 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$863.19 |
$1,121.02 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$840.23 |
$1,091.20 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,207.36 |
$1,567.98 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,166.24 |
$1,514.60 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,313.59 |
$1,705.96 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$629.67 |
$817.74 |
0.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,397.53 |
$1,814.97 |
0.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,262.20 |
$1,639.22 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,952.92 |
$2,536.25 |
0.7× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,928 |
$2,503.88 |
1.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,274.78 |
$2,954.26 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,742.40 |
$3,561.56 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$967.66 |
$1,256.70 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,276.14 |
$1,657.32 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,098.27 |
$1,426.32 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,732.07 |
$2,249.44 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,665.62 |
$2,163.13 |
0.5× |
| Excision interdigital morton neuroma single each (28080) |
$1,349.78 |
$1,752.96 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$788.44 |
$1,023.94 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$596.46 |
$774.62 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$844.54 |
$1,096.80 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,011.62 |
$1,313.78 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,081.25 |
$1,404.22 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$649.70 |
$843.76 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$680.32 |
$883.52 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$755.40 |
$981.04 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$841.18 |
$1,092.43 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,112.66 |
$1,445 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$573.28 |
$744.52 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$607.99 |
$789.59 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$672 |
$872.71 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$786.78 |
$1,021.78 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$886.12 |
$1,150.79 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$437.82 |
$568.58 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$800.09 |
$1,039.07 |
1.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$837.40 |
$1,087.54 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$456.01 |
$592.22 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$586.45 |
$761.62 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$504.60 |
$655.32 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$475.12 |
$617.04 |
0.4× |
| Excision olecranon bursa (24105) |
$1,245.09 |
$1,617 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$2,468.76 |
$3,206.18 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,309.44 |
$2,999.26 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,360.54 |
$1,766.92 |
0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,236.85 |
$1,606.30 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,114.56 |
$1,447.48 |
0.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,153.76 |
$1,498.38 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,554.30 |
$2,018.56 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,148.98 |
$1,492.18 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$689.34 |
$895.25 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$702.83 |
$912.76 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$2,020.82 |
$2,624.42 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,486.18 |
$1,930.09 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,057.42 |
$2,671.96 |
0.7× |
| Excision; trochanteric bursa or calcification (27062) |
$2,343.30 |
$3,043.24 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$734.36 |
$953.70 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$307.72 |
$399.62 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,245.06 |
$1,616.96 |
0.7× |
| Fasciectomy Palm Only (26121) |
$2,962.57 |
$3,847.48 |
0.9× |
| Fasciotomy palmar open partial (26045) |
$2,156.25 |
$2,800.32 |
0.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,279.28 |
$5,557.50 |
1.3× |
| Fetal non-stress test (59025) |
$95.44 |
$123.94 |
0.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,371.59 |
$1,781.28 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$316.47 |
$410.99 |
0.8× |
| Fit/Insert Intravag Support Device (57160) |
$166.42 |
$216.12 |
0.8× |
| Fitting of diaphragm/cap (57170) |
$127.48 |
$165.55 |
0.6× |
| Fixation of shoulder (23700) |
$973.06 |
$1,263.70 |
0.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,080.42 |
$2,701.84 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$31.54 |
$40.94 |
0.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,406.52 |
$1,826.64 |
1.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,923.22 |
$2,497.68 |
0.6× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,220.86 |
$1,585.52 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,893.41 |
$2,458.97 |
0.7× |
| Hymenotomy Simple Incision (56442) |
$62.10 |
$80.64 |
0.0× |
| Hysteroscopy biopsy (58558) |
$495.18 |
$643.08 |
0.1× |
Hysteroscopy w endometrial ablation (58563)
unusually low: confirm this is the full procedure |
$1,702.92 |
$2,211.58 |
0.3× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$748.94 |
$972.64 |
0.2× |
| I&d abscess simple (10060) |
$244.02 |
$316.90 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,904.81 |
$2,473.78 |
0.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,090.32 |
$4,013.40 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$377.05 |
$489.67 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$396.48 |
$514.90 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$240.89 |
$312.84 |
0.8× |
| Incise external hemorrhoid (46083) |
$381.81 |
$495.85 |
1.5× |
| Incise finger tendon sheath (26055) |
$1,600.92 |
$2,079.11 |
1.0× |
| Incise wrist/forearm tendon (25290) |
$2,245.89 |
$2,916.73 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$519.13 |
$674.19 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,399.64 |
$1,817.71 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$584.90 |
$759.60 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$301.53 |
$391.59 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$454.68 |
$590.50 |
2.2× |
| Incision and drainage perianal abscess superficial (46050) |
$428.22 |
$556.12 |
0.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$909.58 |
$1,181.26 |
0.3× |
| Incision bone cortex foot (28005) |
$1,269.63 |
$1,648.86 |
0.4× |
| Incision extensor tendon sheath wrist (25000) |
$1,605.20 |
$2,084.66 |
1.0× |
| Incision of rectal abscess (46040) |
$809.13 |
$1,050.81 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$247.66 |
$321.64 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$106.28 |
$138.02 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,662.31 |
$2,158.84 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$209.65 |
$272.26 |
0.7× |
| Inj therapeutic carpal tunnel (20526) |
$1,002.02 |
$1,301.32 |
3.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,460.68 |
$3,195.68 |
2.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,231.40 |
$2,897.91 |
3.1× |
| Inject Tendon Origin/Insert (20551) |
$204.42 |
$265.48 |
0.6× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,460.68 |
$3,195.68 |
2.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$349.44 |
$453.81 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$254.99 |
$331.15 |
0.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,509.41 |
$1,960.26 |
2.1× |
| Injection for identification of sentinel node (38792) |
$902.01 |
$1,171.43 |
2.2× |
| Injection into skin lesions (11900) |
$112.32 |
$145.86 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$141.46 |
$183.71 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$244.72 |
$317.81 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$141.96 |
$184.36 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$206.38 |
$268.02 |
1.6× |
| Insert Drug Implant Device (11981) |
$125.30 |
$162.72 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$348.71 |
$452.86 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$62.96 |
$81.76 |
0.5× |
| Insert tunneled cv cath (36561) |
$2,235.39 |
$2,903.10 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$94.42 |
$122.62 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,615.86 |
$3,397.21 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,160.71 |
$2,806.12 |
0.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$1,346.26 |
$1,748.38 |
0.5× |
| Intro Gastrointestinal Tube (44500) |
$125.20 |
$162.60 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$238.57 |
$309.82 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$432.68 |
$561.92 |
1.7× |
| Knee Arthroscopy/Surgery (29874) |
$3,137.69 |
$4,074.92 |
0.9× |
| Knee Arthroscopy/Surgery (29879) |
$3,671.98 |
$4,768.80 |
1.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
unusually low: confirm this is the full procedure |
$1,896.91 |
$2,463.51 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,020.90 |
$1,325.84 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$918.81 |
$1,193.26 |
0.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$3,276.04 |
$4,254.58 |
0.5× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
unusually low: confirm this is the full procedure |
$4,685.36 |
$6,084.88 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,791.14 |
$2,326.15 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
unusually low: confirm this is the full procedure |
$2,075.14 |
$2,694.98 |
0.3× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,748.78 |
$2,271.14 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$131.56 |
$170.86 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,002.25 |
$1,301.62 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$834.52 |
$1,083.79 |
0.5× |
| Liver Biopsy (47000) |
$2,298.34 |
$2,984.85 |
1.3× |
| Manipulation knee joint under general anesthesia (27570) |
$692.64 |
$899.52 |
0.4× |
| Mastectomy partial (19301) |
$1,681.38 |
$2,183.62 |
0.4× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,717.24 |
$2,230.18 |
0.5× |
| N Block Inj, Plantar Digit (64455) |
$118.76 |
$154.23 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$434.48 |
$564.24 |
0.9× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$956.07 |
$1,241.64 |
0.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,080.09 |
$4,000.11 |
1.9× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,991.28 |
$2,586.06 |
1.0× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,186.56 |
$2,839.68 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$768.50 |
$998.05 |
1.8× |
| Njx aa&/strd sciatic nerve (64445) |
$753.92 |
$979.10 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,589.58 |
$2,064.38 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,844.72 |
$2,395.74 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,415.96 |
$1,838.90 |
1.9× |
| Occipital Nerve Block (64405) |
$331.43 |
$430.42 |
1.0× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$3,287.70 |
$4,269.73 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$2,782.93 |
$3,614.19 |
0.4× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,509.74 |
$3,259.39 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,232.74 |
$2,899.66 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
unusually low: confirm this is the full procedure |
$2,861.23 |
$3,715.88 |
0.4× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$3,061.76 |
$3,976.30 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,308.77 |
$2,998.40 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,646.87 |
$3,437.49 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,665.84 |
$3,462.13 |
0.8× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$2,922.01 |
$3,794.82 |
0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$3,864.34 |
$5,018.61 |
0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$4,803.12 |
$6,237.81 |
0.6× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$3,465.12 |
$4,500.16 |
0.5× |
| Ostectomy calcaneus (28118) |
$1,987.40 |
$2,581.02 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,203.44 |
$1,562.90 |
0.4× |
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure |
$2,591.72 |
$3,365.87 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,072.96 |
$2,692.15 |
1.2× |
| Partial hymenectomy or revision (56700) |
$988.70 |
$1,284.01 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,693.98 |
$2,199.97 |
0.5× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$1,196.84 |
$1,554.32 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$380.25 |
$493.83 |
1.5× |
| Picc line placement (36569) |
$1,030.46 |
$1,338.25 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$283.90 |
$368.70 |
0.6× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$361.33 |
$469.25 |
0.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$1,571.46 |
$2,040.86 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$307.13 |
$398.86 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,492.30 |
$1,938.04 |
0.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,837.06 |
$2,385.80 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$204.59 |
$265.70 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$544.30 |
$706.88 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$277.11 |
$359.88 |
0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,861.71 |
$3,716.50 |
0.8× |
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure |
$2,958.02 |
$3,841.58 |
0.4× |
| Removal foreign body foot deep (28192) |
$851.94 |
$1,106.40 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$547.14 |
$710.56 |
0.7× |
| Removal foreign body intranasal (30300) |
$365.51 |
$474.68 |
2.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$447.63 |
$581.34 |
0.3× |
| Removal foreign body pharynx (42809) |
$272.16 |
$353.44 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,155.25 |
$1,500.32 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$29.99 |
$38.94 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.51 |
$72.09 |
0.9× |
| Removal implant deep (20680) |
$2,171.66 |
$2,820.34 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$765.86 |
$994.61 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$123.58 |
$160.49 |
0.3× |
| Removal of implant from finger or hand (26320) |
$1,512.86 |
$1,964.74 |
0.9× |
| Removal of iud (58301) |
$209.41 |
$271.95 |
0.7× |
| Removal of nail bed (11750) |
$756.67 |
$982.68 |
1.8× |
| Removal of wrist bone (25210) |
$2,293.16 |
$2,978.12 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$186.54 |
$242.25 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$142.52 |
$185.09 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$68.96 |
$89.54 |
0.2× |
| Remove anal fist subq (46270) |
$2,710.03 |
$3,519.51 |
0.9× |
| Remove drug implant device (11982) |
$121.16 |
$157.35 |
0.3× |
| Remove foreign body from eye (65235) |
$665.83 |
$864.70 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$1,474.69 |
$1,915.18 |
0.5× |
| Remove Tendon Sheath Lesion (26160) |
$1,627.07 |
$2,113.08 |
1.0× |
| Remove/Insert Drug Implant (11983) |
$265.48 |
$344.76 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$275.51 |
$357.80 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$118.89 |
$154.39 |
0.9× |
| Renal Biopsy Percutaneous (50200) |
$2,633.77 |
$3,420.48 |
1.5× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,564.88 |
$3,331 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$626.98 |
$814.25 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$866.52 |
$1,125.34 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$554.42 |
$720.02 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,254.79 |
$1,629.60 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$502.67 |
$652.82 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$959.57 |
$1,246.19 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$676.97 |
$879.18 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$859.63 |
$1,116.39 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$2,976.80 |
$3,865.97 |
0.9× |
| Repair hand tendon (26410) |
$2,746.86 |
$3,567.34 |
1.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,686.52 |
$2,190.28 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,630.36 |
$3,416.05 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$715.82 |
$929.62 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$561.34 |
$729.01 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$641.59 |
$833.23 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$530.27 |
$688.66 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$563.43 |
$731.72 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$626.32 |
$813.40 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$518.72 |
$673.66 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$625.04 |
$811.73 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$762.79 |
$990.63 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$817.88 |
$1,062.18 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$508.54 |
$660.43 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$836.90 |
$1,086.88 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$668.33 |
$867.96 |
1.6× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$3,333.54 |
$4,329.27 |
0.4× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$1,368.84 |
$1,777.70 |
0.3× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,771.43 |
$2,300.56 |
0.2× |
| Repair of nail bed (11760) |
$265.79 |
$345.18 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure |
$3,147.80 |
$4,088.04 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$3,276.04 |
$4,254.58 |
0.4× |
| Repair of shoulder (23420) |
$4,775.44 |
$6,201.86 |
0.6× |
Repair radius & ulna (25415)
unusually low: confirm this is the full procedure |
$3,150.26 |
$4,091.24 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,645.13 |
$2,136.52 |
0.4× |
| Repair rotator cuff acute (23410) |
$4,061.87 |
$5,275.14 |
0.5× |
| Repair Spica Body Cast/Jacket (29720) |
$118.62 |
$154.05 |
0.7× |
| Repair tongue laceration (41252) |
$423.07 |
$549.44 |
1.7× |
| Repair Tongue Laceration (41250) |
$401.44 |
$521.34 |
0.9× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
unusually low: confirm this is the full procedure |
$2,493.94 |
$3,238.88 |
0.3× |
| Repeat control of nosebleed (30906) |
$253.04 |
$328.61 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$3,030.12 |
$3,935.21 |
1.5× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$6,933.38 |
$9,004.38 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
unusually low: confirm this is the full procedure |
$8,950.19 |
$11,623.62 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$188.37 |
$244.64 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$116.42 |
$151.18 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,133.80 |
$1,472.46 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,054.36 |
$1,369.30 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$451.14 |
$585.89 |
0.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,542.23 |
$5,899 |
1.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,579.66 |
$2,051.51 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$974.74 |
$1,265.88 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,491.61 |
$1,937.16 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,329.80 |
$1,727 |
1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$882.88 |
$1,146.60 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,005.84 |
$1,306.28 |
1.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$157.74 |
$204.85 |
0.4× |
| Shave skin lesion 0.5 cm/< (11305) |
$182.82 |
$237.42 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$224.63 |
$291.72 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$179.60 |
$233.24 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,533.78 |
$3,290.62 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$314.90 |
$408.95 |
1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$271.66 |
$352.80 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$244.72 |
$317.81 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$249.02 |
$323.40 |
1.2× |
| Sigmoidoscopy w/biopsy (45331) |
$757.73 |
$984.06 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$342.60 |
$444.94 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$243.27 |
$315.93 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$266.10 |
$345.58 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$222.68 |
$289.19 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$391.25 |
$508.12 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$245.18 |
$318.40 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$202.36 |
$262.80 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$286.39 |
$371.93 |
1.4× |
| Skin tissue rearrangement (14040) |
$1,562.77 |
$2,029.56 |
0.7× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$2,290.90 |
$2,975.18 |
0.4× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$983.24 |
$1,276.92 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$241.68 |
$313.86 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$263.19 |
$341.80 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$325.28 |
$422.43 |
0.8× |
| Sphincterotomy anal division sphincter spx (46080) |
$1,113.84 |
$1,446.54 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$412.01 |
$535.07 |
0.6× |
| Strapping ankle (29540) |
$94.28 |
$122.44 |
0.6× |
| Strapping elbow or wrist (29260) |
$111.01 |
$144.16 |
1.8× |
| Strapping hand/finger (29280) |
$107.86 |
$140.07 |
1.8× |
| Strapping knee (29530) |
$111.01 |
$144.16 |
0.8× |
| Strapping shoulder (29240) |
$86.57 |
$112.42 |
0.6× |
| Strapping toes (29550) |
$47.40 |
$61.54 |
0.8× |
| Strapping unna boot (29580) |
$113.04 |
$146.80 |
0.7× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,331.70 |
$3,028.17 |
0.7× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,882.48 |
$2,444.77 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$2,655.10 |
$3,448.18 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$134.06 |
$174.10 |
0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,183.24 |
$4,134.06 |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$3,870.63 |
$5,026.78 |
1.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,090.72 |
$2,715.21 |
0.6× |
| Tenotomy flexor finger open each tendon (26455) |
$1,925.32 |
$2,500.42 |
1.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$1,793.08 |
$2,328.68 |
0.5× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$2,665.92 |
$3,462.22 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,215.94 |
$1,579.14 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$471.12 |
$611.84 |
0.7× |
| Thyroid biopsy (60100) |
$1,314.58 |
$1,707.24 |
1.8× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,835.28 |
$6,279.57 |
0.4× |
| Total Knee Arthroplasty (27447) |
$8,085.05 |
$10,500.06 |
0.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$621.44 |
$807.06 |
2.5× |
| Transplant hand tendon (26480) |
$3,579.82 |
$4,649.11 |
1.1× |
| Transplant/graft hand tendon (26483) |
$4,024 |
$5,225.98 |
1.2× |
| Treat clavicle fracture (23505) |
$532.52 |
$691.58 |
0.3× |
| Treat humerus fracture (24500) |
$544.30 |
$706.87 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$279.70 |
$363.24 |
1.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$796.66 |
$1,034.62 |
0.5× |
| Treatment closed elbow dislocation req anes (24605) |
$718 |
$932.47 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$556.12 |
$722.23 |
2.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$556.82 |
$723.14 |
0.2× |
| Trim skin lesion (11055) |
$130.98 |
$170.09 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$146.24 |
$189.92 |
0.7× |
| Trim skin lesions over 4 (11057) |
$110.94 |
$144.06 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$58.35 |
$75.77 |
1.0× |
| Tubal ligation (58600) |
$1,979.30 |
$2,570.52 |
0.6× |
| Tube thoracostomy includes water seal (32551) |
$491.90 |
$638.82 |
0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,176.87 |
$2,827.10 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$940.14 |
$1,220.95 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,417.13 |
$1,840.42 |
0.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$571.50 |
$742.20 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$423.44 |
$549.92 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$255.34 |
$331.60 |
0.6× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure |
$2,840.14 |
$3,688.48 |
0.5× |
| Unlisted procedure anus (46999) |
$1,045.79 |
$1,358.16 |
1.1× |
| Unlisted procedure nervous system (64999) |
$1,004.13 |
$1,304.06 |
3.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$611.18 |
$793.74 |
0.7× |
| Unlisted procedure, hands or fingers (26989) |
$3,663.82 |
$4,758.20 |
14.4× |
| Unlisted procedure, stomach (43999) |
$1,178.06 |
$1,529.93 |
1.3× |
| Urology Surgery Procedure (53899) |
$3,253.07 |
$4,224.76 |
12.6× |
| Us urine capacity measure (51798) |
$65.67 |
$85.28 |
1.1× |
| Vaginal delivery only (59409) |
$1,804.28 |
$2,343.22 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,156.64 |
$2,800.82 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure |
$2,021.40 |
$2,625.19 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,490.17 |
$3,233.98 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,141.30 |
$1,482.20 |
0.5× |
| Venipuncture (36415) |
$26.99 |
$35.04 |
2.9× |
| Vulvectomy Simple Partial (56620) |
$2,603.36 |
$3,380.98 |
0.8× |
| Wedge excision skin nail fold (11765) |
$344.86 |
$447.86 |
0.8× |