| Abd paracentesis w/imaging (49083) |
$608.25 |
$811 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$394.12 |
$525.50 |
0.5× |
| Acne Surgery (10040) |
$285.75 |
$381 |
1.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$936 |
$1,248 |
0.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,859.75 |
$3,813 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,389.38 |
$1,852.50 |
0.7× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,631.25 |
$2,175 |
0.9× |
| Amputation Finger/Thumb (26951) |
$1,968.75 |
$2,625 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$4,814.25 |
$6,419 |
1.6× |
| Amputation thigh through femur any level (27590) |
$2,550 |
$3,400 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$3,228.75 |
$4,305 |
1.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,698 |
$2,264 |
0.6× |
| Amputation, foot; transmetatarsal (28805) |
$9,843.75 |
$13,125 |
3.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$4,200 |
$5,600 |
0.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$3,187.50 |
$4,250 |
1.1× |
| Anoscopy diagnostic (46600) |
$412.50 |
$550 |
3.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$347.62 |
$463.50 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,870.50 |
$2,494 |
0.4× |
| Appendectomy (44950) |
$5,718.75 |
$7,625 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$276.75 |
$369 |
1.9× |
| Application cast elbow finger short arm (29075) |
$354.75 |
$473 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$426 |
$568 |
1.7× |
| Application finger splint static (29130) |
$212.25 |
$283 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$212.25 |
$283 |
1.4× |
| Application of long leg cast (29345) |
$283.50 |
$378 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$237 |
$316 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$237 |
$316 |
1.9× |
| Application short leg splint calf foot (29515) |
$189 |
$252 |
1.3× |
| Apply short leg cast (29405) |
$95.25 |
$127 |
0.4× |
| Arterial puncture (36600) |
$64.50 |
$86 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$305.25 |
$407 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$336 |
$448 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$428.62 |
$571.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$277.50 |
$370 |
1.0× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,429.50 |
$5,906 |
0.3× |
| Arthroplasty, patella; with prosthesis (27438) |
$6,512.25 |
$8,683 |
0.6× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,761.25 |
$5,015 |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,414.50 |
$5,886 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,490.75 |
$3,321 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,528.50 |
$6,038 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,429.50 |
$5,906 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,692.25 |
$4,923 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,937.50 |
$5,250 |
1.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$2,436.75 |
$3,249 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$10,188.75 |
$13,585 |
1.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,414.25 |
$7,219 |
0.8× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$3,562.50 |
$4,750 |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$131.25 |
$175 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,200 |
$1,600 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$85.50 |
$114 |
0.5× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$738.75 |
$985 |
0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$566.25 |
$755 |
0.4× |
| Biopsy Breast Open Incisional (19101) |
$1,644.75 |
$2,193 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,304.25 |
$1,739 |
1.5× |
| Biopsy external ear (69100) |
$172.50 |
$230 |
0.8× |
| Biopsy muscle deep (20205) |
$3,692.25 |
$4,923 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$672 |
$896 |
0.4× |
| Biopsy Muscle Superficial (20200) |
$656.25 |
$875 |
0.4× |
| Biopsy of lip (40490) |
$936 |
$1,248 |
4.3× |
| Biopsy of palate, uvula (42100) |
$369.75 |
$493 |
0.3× |
| Biopsy of urethra (53200) |
$562.50 |
$750 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$906 |
$1,208 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$369.75 |
$493 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,181.25 |
$1,575 |
1.4× |
| Biopsy/removal lymph nodes (38525) |
$4,075.50 |
$5,434 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$2,717.25 |
$3,623 |
0.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$866.25 |
$1,155 |
1.4× |
| Bladder Irrigation Simple (51700) |
$69.75 |
$93 |
0.3× |
| Bladder Scan (51798) |
$145.88 |
$194.50 |
2.7× |
| Blood patch (62273) |
$543.75 |
$725 |
0.8× |
| Blood transfusion service (36430) |
$585.75 |
$781 |
1.4× |
| Bone marrow aspiration only (38220) |
$679.50 |
$906 |
0.4× |
| Bone Marrow Biopsy (38221) |
$512.25 |
$683 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,757.25 |
$2,343 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$936 |
$1,248 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$512.25 |
$683 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,472.25 |
$1,963 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,185 |
$1,580 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,470.38 |
$1,960.50 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$609.75 |
$813 |
0.4× |
| Cataract surgery complex (66982) |
$2,717.25 |
$3,623 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$531.75 |
$709 |
2.6× |
| Change Cystostomy Tube Simple (51705) |
$75 |
$100 |
0.3× |
| Chest tube placement (32551) |
$398.25 |
$531 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$75 |
$100 |
0.6× |
| Circum 28 days or older (54161) |
$1,578 |
$2,104 |
0.8× |
| Circumcision (54150) |
$332.62 |
$443.50 |
0.2× |
| Claviculectomy; partial (23120) |
$4,075.50 |
$5,434 |
1.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,350 |
$1,800 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,476.75 |
$1,969 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$768.75 |
$1,025 |
0.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,035 |
$1,380 |
0.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,654.50 |
$2,206 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,173.50 |
$2,898 |
9.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$721.88 |
$962.50 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$237 |
$316 |
1.0× |
| Closure of gastrostomy surgical (43870) |
$1,698 |
$2,264 |
0.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$742.50 |
$990 |
3.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$248.25 |
$331 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$850.50 |
$1,134 |
3.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$921.75 |
$1,229 |
0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$495.75 |
$661 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,182 |
$1,576 |
5.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,329 |
$1,772 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,585.50 |
$2,114 |
7.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,417.50 |
$1,890 |
6.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$401.25 |
$535 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$630 |
$840 |
2.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$742.50 |
$990 |
3.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$712.50 |
$950 |
3.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$709.50 |
$946 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$804 |
$1,072 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$855 |
$1,140 |
3.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$921.75 |
$1,229 |
4.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$709.50 |
$946 |
3.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,134 |
$1,512 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$993 |
$1,324 |
4.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$201 |
$268 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,443.75 |
$1,925 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,575 |
$2,100 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,115 |
$2,820 |
1.4× |
| Coccygectomy Primary (27080) |
$1,870.50 |
$2,494 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$883.50 |
$1,178 |
0.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,406.25 |
$1,875 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,653.75 |
$2,205 |
1.5× |
| Colonoscopy w/band ligation (45398) |
$2,250 |
$3,000 |
2.0× |
| Colonoscopy w/fb removal (45379) |
$1,329.75 |
$1,773 |
1.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$861.75 |
$1,149 |
0.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,644.75 |
$2,193 |
1.5× |
| Complex Drainage, Wound (10180) |
$369.75 |
$493 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$325.50 |
$434 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$162 |
$216 |
1.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$3,422.25 |
$4,563 |
1.1× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$9,622.50 |
$12,830 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$406.50 |
$542 |
0.3× |
| Correction hammertoe (28285) |
$5,094.75 |
$6,793 |
1.7× |
| Correction of bunion (28292) |
$3,115.50 |
$4,154 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,925 |
$3,900 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,199.50 |
$4,266 |
1.1× |
| Create eardrum opening (69436) |
$1,191.75 |
$1,589 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$306.75 |
$409 |
2.5× |
| Curettage postpartum (59160) |
$1,811.25 |
$2,415 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$443.25 |
$591 |
0.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$2,038.50 |
$2,718 |
1.1× |
| Cystourethroscopy (52000) |
$1,181.25 |
$1,575 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$264.75 |
$353 |
0.1× |
| Debride nail 1-5 (11720) |
$98.25 |
$131 |
1.8× |
| Debride nail 6 or more (11721) |
$186.38 |
$248.50 |
3.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$268.50 |
$358 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$321.38 |
$428.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$305.62 |
$407.50 |
0.2× |
| Delivery placenta separate procedure (59414) |
$1,476.75 |
$1,969 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$1,500 |
$2,000 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,500 |
$2,000 |
0.8× |
| Destruction anal lesion(s) (46924) |
$2,437.50 |
$3,250 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$936 |
$1,248 |
5.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$418.50 |
$558 |
2.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$675 |
$900 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$423.75 |
$565 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,500 |
$2,000 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$492 |
$656 |
2.7× |
| Destruction premalignant lesion 1st (17000) |
$339.75 |
$453 |
1.8× |
| Destruction vaginal lesions simple (57061) |
$1,312.50 |
$1,750 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$473.62 |
$631.50 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$837 |
$1,116 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,170.38 |
$1,560.50 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$738.75 |
$985 |
0.9× |
| Dilation Esophagus Guide Wire (43453) |
$640.50 |
$854 |
0.4× |
| Dilation of anal sphincter (45905) |
$1,019.25 |
$1,359 |
0.9× |
| Dilation of urethra (53665) |
$1,417.50 |
$1,890 |
0.7× |
| Division of fallopian tube (58600) |
$2,830.50 |
$3,774 |
1.0× |
| Drainage mouth roof lesion (42000) |
$86.25 |
$115 |
0.4× |
| Drainage of gum lesion (41800) |
$375 |
$500 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$820.12 |
$1,093.50 |
0.5× |
| Draw blood off venous device (36591) |
$75 |
$100 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$407.25 |
$543 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$340.50 |
$454 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$407.25 |
$543 |
2.2× |
| Dry Needling 3+ Muscles (20561) |
$33.75 |
$45 |
1.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$453 |
$604 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$284.25 |
$379 |
0.8× |
| Dstrj lesion anus simple cryosurgery (46916) |
$345 |
$460 |
1.9× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,156.25 |
$2,875 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$386.62 |
$515.50 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,811.25 |
$2,415 |
1.0× |
| Egd flexible foreign body removal (43247) |
$608.62 |
$811.50 |
0.7× |
| Egd guide wire insertion (43248) |
$1,343.25 |
$1,791 |
1.6× |
| Egd place gastrostomy tube (43246) |
$618 |
$824 |
0.4× |
| Egd remove lesion snare (43251) |
$1,279.50 |
$1,706 |
0.7× |
| Endoscopy of bowel pouch (44385) |
$1,245 |
$1,660 |
1.5× |
| Enterorrhaphy single perforation (44602) |
$6,339.75 |
$8,453 |
1.8× |
| Epididymectomy unilateral (54860) |
$984.75 |
$1,313 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$9,843.75 |
$13,125 |
2.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$9,843.75 |
$13,125 |
2.8× |
| Esoph endoscopy dilation (43226) |
$1,019.25 |
$1,359 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$936 |
$1,248 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$130.50 |
$174 |
1.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,476.75 |
$1,969 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$2,662.50 |
$3,550 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,148.62 |
$1,531.50 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,266 |
$1,688 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$90.75 |
$121 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,151 |
$2,868 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$1,406.25 |
$1,875 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$81.75 |
$109 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,358.25 |
$1,811 |
0.9× |
| Exc frenum labial/buccal (40819) |
$1,687.50 |
$2,250 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,528.50 |
$6,038 |
1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,578.50 |
$3,438 |
1.7× |
| Exc neck tum deep < 5 cm (21556) |
$2,830.50 |
$3,774 |
1.1× |
| Exc Rect Tum Transanal Full (45172) |
$3,562.50 |
$4,750 |
1.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,983.75 |
$2,645 |
1.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,248 |
$5,664 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$975 |
$1,300 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$891 |
$1,188 |
2.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$675 |
$900 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$81.75 |
$109 |
0.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$453 |
$604 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$906 |
$1,208 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,166 |
$2,888 |
1.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,034.25 |
$1,379 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,352.75 |
$3,137 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,550 |
$3,400 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,038.50 |
$2,718 |
1.3× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,641 |
$2,188 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,830.50 |
$3,774 |
1.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$339.75 |
$453 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$708.75 |
$945 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,068.75 |
$1,425 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,830.50 |
$3,774 |
1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,436.75 |
$3,249 |
1.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$304.50 |
$406 |
0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,115.50 |
$4,154 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,151 |
$2,868 |
1.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$384.38 |
$512.50 |
0.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,625 |
$3,500 |
0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,808 |
$3,744 |
1.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,550 |
$3,400 |
1.7× |
| Excise/repair mouth lesion (40812) |
$910.50 |
$1,214 |
0.6× |
| Excision Breast Lesion (19125) |
$2,830.50 |
$3,774 |
0.8× |
| Excision external ear partial simple repair (69110) |
$172.50 |
$230 |
0.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,472.25 |
$1,963 |
0.6× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$295.50 |
$394 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$768.75 |
$1,025 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$773.25 |
$1,031 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$398.25 |
$531 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,078.50 |
$1,438 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,097 |
$2,796 |
3.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$517.12 |
$689.50 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$633 |
$844 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$696 |
$928 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$512.25 |
$683 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$693.75 |
$925 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$693.75 |
$925 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$398.25 |
$531 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,132.50 |
$1,510 |
0.7× |
| Excision of bartholin's gland or cyst (56740) |
$851.25 |
$1,135 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$285.75 |
$381 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,710.75 |
$2,281 |
2.6× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$2,209.50 |
$2,946 |
1.5× |
| Excision of hydrocele; unilateral (55040) |
$3,681.75 |
$4,909 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,496.25 |
$1,995 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$76.50 |
$102 |
0.1× |
| Excision of nail fold toe (11765) |
$738.75 |
$985 |
2.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,698 |
$2,264 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$1,698 |
$2,264 |
1.5× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$5,391 |
$7,188 |
1.0× |
| Excision olecranon bursa (24105) |
$1,870.50 |
$2,494 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,019.25 |
$1,359 |
0.3× |
| Excision or fulguration; urethral caruncle (53265) |
$2,904.75 |
$3,873 |
1.5× |
| Excision Prepatellar Bursa (27340) |
$2,707.50 |
$3,610 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,717.25 |
$3,623 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$453 |
$604 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,350 |
$1,800 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$465 |
$620 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,644.75 |
$2,193 |
0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$422.25 |
$563 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,075 |
$4,100 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$520.50 |
$694 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$322.50 |
$430 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,085.75 |
$2,781 |
0.7× |
| Fetal non-stress test (59025) |
$135.75 |
$181 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$633 |
$844 |
1.0× |
| Fixation of knee joint (27570) |
$1,607.62 |
$2,143.50 |
1.1× |
| Fixation of shoulder (23700) |
$1,058.62 |
$1,411.50 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,656.25 |
$4,875 |
1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$453 |
$604 |
0.2× |
| Gastrocnemius Recession (27687) |
$1,875 |
$2,500 |
0.6× |
| Hemorrhoidectomy (46255) |
$1,453.12 |
$1,937.50 |
0.6× |
| Hemorrhoidectomy external complete (46250) |
$1,055.62 |
$1,407.50 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$3,962.25 |
$5,283 |
1.6× |
| Hysteroscopy biopsy (58558) |
$3,169.50 |
$4,226 |
1.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$237 |
$316 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$492 |
$656 |
2.3× |
| I&d abscess simple (10060) |
$374.25 |
$499 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$846 |
$1,128 |
0.3× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,772.25 |
$2,363 |
0.6× |
| I&d perianal abscess superficial (46050) |
$900 |
$1,200 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$293.25 |
$391 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$443.25 |
$591 |
0.2× |
| Incise finger tendon sheath (26055) |
$1,124.25 |
$1,499 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,530.75 |
$2,041 |
4.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$797.25 |
$1,063 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,585.50 |
$2,114 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,034.25 |
$1,379 |
2.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$422.25 |
$563 |
2.3× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$345 |
$460 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$936 |
$1,248 |
3.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,698 |
$2,264 |
1.1× |
| Incision labial frenum frenotomy (40806) |
$321.75 |
$429 |
0.6× |
| Incision of eardrum (69421) |
$1,304.25 |
$1,739 |
0.4× |
| Incision of eardrum (69420) |
$625.50 |
$834 |
2.9× |
| Incision of lingual frenum (41010) |
$285.75 |
$381 |
0.2× |
| Incision of rectal abscess (46045) |
$936 |
$1,248 |
0.4× |
| Incision of rectal abscess (46040) |
$2,460.75 |
$3,281 |
2.2× |
| Incision thrombosed hemorrhoid external (46083) |
$172.50 |
$230 |
0.8× |
| Inj dupuytren cord w/enzyme (20527) |
$117.75 |
$157 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$354.75 |
$473 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$138 |
$184 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$189.75 |
$253 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$113.25 |
$151 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$492 |
$656 |
0.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$221.52 |
$295.36 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$600 |
$800 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$300 |
$400 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$134.25 |
$179 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$311.25 |
$415 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$72 |
$96 |
0.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$202.50 |
$270 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$669.75 |
$893 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$126 |
$168 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$126 |
$168 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$149.25 |
$199 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$276 |
$368 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$325.50 |
$434 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$216.75 |
$289 |
1.2× |
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
unusually low: confirm this is the full procedure |
$4,267.50 |
$5,690 |
0.4× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
unusually low: confirm this is the full procedure |
$4,267.50 |
$5,690 |
0.4× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$4,267.50 |
$5,690 |
0.6× |
| Insert Drug Implant Device (11981) |
$187.50 |
$250 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,104.12 |
$2,805.50 |
0.7× |
| Insert picc cath (36569) |
$1,435.50 |
$1,914 |
1.0× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$3,888.75 |
$5,185 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$75 |
$100 |
0.6× |
| Insert tun ip cath perc (49418) |
$4,075.50 |
$5,434 |
1.2× |
| Insert tunneled cv cath (36561) |
$1,574.62 |
$2,099.50 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$75 |
$100 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$787.50 |
$1,050 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,516 |
$4,688 |
2.4× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,132.50 |
$1,510 |
2.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$2,460.75 |
$3,281 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,839.62 |
$5,119.50 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,468.12 |
$1,957.50 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$267.38 |
$356.50 |
1.2× |
| Knee arthroscopy/surgery (29876) |
$4,414.50 |
$5,886 |
1.5× |
| Knee arthroscopy/surgery (29886) |
$4,414.50 |
$5,886 |
1.5× |
| Lap ing hernia repair init (49650) |
$7,087.50 |
$9,450 |
1.3× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$7,358.25 |
$9,811 |
0.8× |
| Laparoscopy appendectomy (44970) |
$2,971.12 |
$3,961.50 |
0.5× |
| Laparoscopy biopsy (49321) |
$5,661 |
$7,548 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$5,886.75 |
$7,849 |
1.1× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$5,606.25 |
$7,475 |
0.6× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,725.50 |
$3,634 |
0.5× |
| Laparoscopy w/lysis of adhesions (58660) |
$5,606.25 |
$7,475 |
1.0× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,160.62 |
$1,547.50 |
0.2× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,828.50 |
$6,438 |
0.9× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$1,811.25 |
$2,415 |
0.3× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$7,875 |
$10,500 |
1.4× |
| Late closure of wound (13160) |
$2,156.25 |
$2,875 |
0.7× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$4,856.25 |
$6,475 |
0.7× |
| Ligation of hemorrhoid(s) (46221) |
$1,453.12 |
$1,937.50 |
1.7× |
| Ligation or biopsy temporal artery (37609) |
$787.50 |
$1,050 |
0.5× |
| Liver Biopsy (47000) |
$1,127.25 |
$1,503 |
0.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$649.88 |
$866.50 |
0.3× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$197.25 |
$263 |
0.9× |
| Mastectomy partial (19301) |
$5,661 |
$7,548 |
1.6× |
| Mastectomy simple complete (19303) |
$7,087.50 |
$9,450 |
1.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,378.50 |
$1,838 |
7.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$851.25 |
$1,135 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.50 |
$30 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,102.50 |
$1,470 |
2.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$525 |
$700 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$768 |
$1,024 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$414 |
$552 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$768 |
$1,024 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$372.75 |
$497 |
0.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$964.50 |
$1,286 |
0.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$12,656.25 |
$16,875 |
1.9× |
| Open treatment metatarsal fracture each (28485) |
$7,875 |
$10,500 |
1.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
unusually low: confirm this is the full procedure |
$3,199.50 |
$4,266 |
0.5× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$7,678.50 |
$10,238 |
1.2× |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
$4,031.25 |
$5,375 |
1.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$5,094.75 |
$6,793 |
0.8× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$5,625 |
$7,500 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,600 |
$4,800 |
1.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,550 |
$3,400 |
0.8× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
unusually low: confirm this is the full procedure |
$2,166 |
$2,888 |
0.3× |
| Ovarian cystectomy (58925) |
$6,225.75 |
$8,301 |
1.4× |
| Partial excision bone metacarpal (26230) |
$3,187.50 |
$4,250 |
1.1× |
| Partial Excision Bone Olecranon Process (24147) |
$1,641 |
$2,188 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,562.50 |
$4,750 |
1.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,543.75 |
$4,725 |
0.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,343.75 |
$3,125 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$1,811.25 |
$2,415 |
0.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,800 |
$2,400 |
0.6× |
| Peritoneal Lavage (49084) |
$463.50 |
$618 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$512.25 |
$683 |
0.8× |
| Perq device breast 1st imag (19281) |
$453 |
$604 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$738.75 |
$985 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$591 |
$788 |
2.6× |
| Placement of needle for intraosseous infusion (36680) |
$312 |
$416 |
0.8× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$2,212.50 |
$2,950 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$501.75 |
$669 |
1.3× |
| Puncture Aspiration (10160) |
$312.75 |
$417 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$405 |
$540 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,500 |
$2,000 |
0.8× |
| Realignment extensor tendon hand each tendon (26437) |
$1,172.25 |
$1,563 |
0.4× |
| Reconstr disloc patella w mscl adv (27422) |
$3,656.25 |
$4,875 |
0.5× |
| Reduction of rectal prolapse (45900) |
$472.50 |
$630 |
0.6× |
| Release palm contracture (26121) |
$2,100 |
$2,800 |
0.7× |
| Removal fb intranasal (30300) |
$331.50 |
$442 |
2.7× |
| Removal foreign body foot subcutaneous (28190) |
$2,038.50 |
$2,718 |
3.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$405 |
$540 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$354.75 |
$473 |
6.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$453 |
$604 |
8.4× |
| Removal Implant Deep (20680) |
$2,765.62 |
$3,687.50 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,136.62 |
$1,515.50 |
0.7× |
| Removal of adenoids (42831) |
$3,445.50 |
$4,594 |
1.1× |
| Removal of adenoids (42830) |
$2,038.50 |
$2,718 |
0.7× |
| Removal of bone lesion (23140) |
$2,756.25 |
$3,675 |
0.9× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$964.50 |
$1,286 |
0.7× |
| Removal of finger lesion (26210) |
$1,968.75 |
$2,625 |
1.3× |
| Removal of heel bone (28118) |
$5,703.75 |
$7,605 |
1.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$450 |
$600 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$633 |
$844 |
2.3× |
| Removal of nail bed (11750) |
$423.75 |
$565 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$339.75 |
$453 |
1.8× |
| Removal of testis (54520) |
$1,983.75 |
$2,645 |
0.6× |
Removal of thyroid lesion (60200)
unusually low: confirm this is the full procedure |
$2,717.25 |
$3,623 |
0.5× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,215.50 |
$2,954 |
0.4× |
| Removal of tonsils (42826) |
$2,377.50 |
$3,170 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$283.50 |
$378 |
1.1× |
| Remove anal fist 2 stage (46285) |
$843.75 |
$1,125 |
0.3× |
| Remove anal fist subq (46270) |
$1,406.25 |
$1,875 |
0.6× |
| Remove by ligat int hem grps (46946) |
$2,156.25 |
$2,875 |
0.8× |
| Remove digit nerve lesion (64776) |
$1,802.25 |
$2,403 |
1.0× |
| Remove elbow lesion (24120) |
$3,228.75 |
$4,305 |
1.1× |
| Remove Eyelid Foreign Body (67938) |
$331.50 |
$442 |
1.1× |
| Remove femur lesion (27355) |
$1,245 |
$1,660 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$3,703.50 |
$4,938 |
1.5× |
| Remove Pilonidal Cyst Exten (11771) |
$3,375 |
$4,500 |
1.3× |
| Remove radius head implant (24164) |
$2,700 |
$3,600 |
0.9× |
| Remove shoulder joint lining (23105) |
$3,849.75 |
$5,133 |
0.6× |
| Remove wrist tendon lesion (25111) |
$2,377.50 |
$3,170 |
1.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$904.50 |
$1,206 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$306.75 |
$409 |
2.5× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$4,528.50 |
$6,038 |
0.5× |
| Repair achilles tendon (27650) |
$4,814.25 |
$6,419 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$339.75 |
$453 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$661.50 |
$882 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$495.75 |
$661 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$306.75 |
$409 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$436.12 |
$581.50 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$516 |
$688 |
0.8× |
| Repair elbow deb/attch open (24359) |
$4,641 |
$6,188 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,134 |
$1,512 |
0.8× |
| Repair finger tendon (26432) |
$1,870.50 |
$2,494 |
1.3× |
| Repair forearm tendon/muscle (25260) |
$306.75 |
$409 |
0.1× |
| Repair hallux rigidus (28289) |
$3,703.50 |
$4,938 |
1.2× |
| Repair incomplete circumcision (54163) |
$1,358.25 |
$1,811 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,456.25 |
$3,275 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$797.25 |
$1,063 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$450 |
$600 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$538.12 |
$717.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$319.12 |
$425.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$713.25 |
$951 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$850.50 |
$1,134 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,755 |
$2,340 |
4.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$259.50 |
$346 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$409.88 |
$546.50 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,182 |
$1,576 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$512.25 |
$683 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,437.50 |
$3,250 |
1.3× |
Repair kneecap tendon (27380)
unusually low: confirm this is the full procedure |
$3,028.50 |
$4,038 |
0.5× |
| Repair lower leg tendons (27676) |
$5,400 |
$7,200 |
0.8× |
| Repair of anal sphincter (46750) |
$2,038.50 |
$2,718 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,218.75 |
$5,625 |
0.7× |
| Repair of hydrocele (55060) |
$738.75 |
$985 |
0.2× |
| Repair of nail bed (11760) |
$340.50 |
$454 |
0.5× |
| Repair of nasal septum (30520) |
$1,894.50 |
$2,526 |
0.6× |
| Repair of rectocele (45560) |
$4,875 |
$6,500 |
1.9× |
| Repair of rectum (45505) |
$1,668.75 |
$2,225 |
0.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$5,094.75 |
$6,793 |
0.8× |
| Repair of thigh musc (27385) |
$3,692.25 |
$4,923 |
0.6× |
| Repair of vagina (57260) |
$7,019.25 |
$9,359 |
1.5× |
| Repair rectum & vagina (57250) |
$6,512.25 |
$8,683 |
1.4× |
| Repair rotator cuff acute (23410) |
$5,094.75 |
$6,793 |
0.8× |
| Repair shoulder capsule (23450) |
$4,676.25 |
$6,235 |
0.7× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,962.50 |
$3,950 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$2,934.38 |
$3,912.50 |
0.9× |
| Revise median n/carpal tunnel surg (64721) |
$1,768.50 |
$2,358 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$2,362.50 |
$3,150 |
1.3× |
| Revision of colostomy simple (44340) |
$8,367 |
$11,156 |
2.6× |
| Revision of lower leg tendon (27685) |
$1,387.50 |
$1,850 |
0.5× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
unusually low: confirm this is the full procedure |
$5,212.50 |
$6,950 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$5,625 |
$7,500 |
0.5× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$2,625 |
$3,500 |
0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$712.50 |
$950 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$558 |
$744 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,362.50 |
$3,150 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,585.50 |
$2,114 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$420.38 |
$560.50 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$375 |
$500 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,585.50 |
$2,114 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,062.50 |
$2,750 |
0.4× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,031.25 |
$5,375 |
0.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,281.25 |
$4,375 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,208 |
$2,944 |
0.7× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$2,371.88 |
$3,162.50 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,468.75 |
$8,625 |
1.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,875 |
$6,500 |
1.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,250 |
$3,000 |
1.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$472.50 |
$630 |
0.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,417.50 |
$1,890 |
2.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$591 |
$788 |
0.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,358.25 |
$1,811 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$423.75 |
$565 |
1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$422.25 |
$563 |
2.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$453 |
$604 |
2.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$468.75 |
$625 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$369.75 |
$493 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$709.50 |
$946 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$393.75 |
$525 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,182 |
$1,576 |
6.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$102.75 |
$137 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$542.25 |
$723 |
0.8× |
| Skin sub graft trnk/arm/leg (15271) |
$303 |
$404 |
0.4× |
| Skin tissue rearrangement (14040) |
$1,068.75 |
$1,425 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,218.75 |
$5,625 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,078.50 |
$9,438 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$283.50 |
$378 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$271.50 |
$362 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,620 |
$2,160 |
4.3× |
| Sphincterotomy (46080) |
$1,279.50 |
$1,706 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$465.75 |
$621 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$557.25 |
$743 |
0.9× |
| Strapping knee (29530) |
$273.75 |
$365 |
2.2× |
| Strapping shoulder (29240) |
$260.25 |
$347 |
2.1× |
| Strapping toes (29550) |
$212.25 |
$283 |
3.9× |
| Strapping unna boot (29580) |
$387.75 |
$517 |
2.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$891 |
$1,188 |
0.3× |
| Suspension of testis (54620) |
$1,547.25 |
$2,063 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$624.75 |
$833 |
1.7× |
| Tenolysis flexor foot single tendon (28220) |
$679.50 |
$906 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,417.50 |
$1,890 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$512.25 |
$683 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$885.75 |
$1,181 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$565.88 |
$754.50 |
1.0× |
| Throat Surgery Procedure (42999) |
$512.25 |
$683 |
2.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,377.50 |
$3,170 |
0.8× |
| Total hip arthroplasty (27130) |
$9,622.50 |
$12,830 |
0.8× |
| Total knee arthroplasty (27447) |
$9,622.50 |
$12,830 |
0.8× |
| Treat fx distal radial (25606) |
$2,250 |
$3,000 |
0.7× |
| Treat fx rad extra-articul (25607) |
$4,781.25 |
$6,375 |
0.7× |
| Treat Lower Leg Fracture (27827) |
$6,093.75 |
$8,125 |
0.5× |
| Treat ulnar fracture (24685) |
$3,450 |
$4,600 |
0.5× |
Treat wrist fracture (25685)
likely a partial charge, not the full procedure |
$1,425 |
$1,900 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,012.50 |
$1,350 |
0.7× |
| Treatment of ankle fracture (27822) |
$8,613.75 |
$11,485 |
1.3× |
| Treatment of ankle fracture (27792) |
$7,125 |
$9,500 |
1.1× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,473.75 |
$5,965 |
0.7× |
| Trim skin lesion (11055) |
$213.75 |
$285 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$90 |
$120 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$45.75 |
$61 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$609.38 |
$812.50 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,169.25 |
$1,559 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,151 |
$2,868 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$255.75 |
$341 |
0.4× |
| Unlisted laparoscopy procedure, spleen (38129) |
$3,984.75 |
$5,313 |
0.7× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$1,811.25 |
$2,415 |
0.3× |
| Unlisted procedure anus (46999) |
$1,698 |
$2,264 |
2.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$851.25 |
$1,135 |
3.9× |
| Unlisted Procedure Nervous System (64999) |
$276 |
$368 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$225 |
$300 |
0.3× |
| Unlisted procedure, male genital system (55899) |
$609.75 |
$813 |
2.7× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$5,661 |
$7,548 |
1.2× |
| Vaginal delivery only (59409) |
$731.25 |
$975 |
0.2× |
| Venipuncture (36415) |
$11.62 |
$15.50 |
1.2× |
| Xfer single deep low leg tendon (27691) |
$5,100 |
$6,800 |
0.8× |