| Abd paracentesis w/imaging (49083) |
$777.92 |
$1,144 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,167.90 |
$1,717.50 |
0.4× |
| Amputation, foot; transmetatarsal (28805) |
$1,167.90 |
$1,717.50 |
0.4× |
| Anoscopy diagnostic (46600) |
$663 |
$975 |
5.5× |
| Application finger splint static (29130) |
$65.96 |
$97 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$110.84 |
$163 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$168.64 |
$248 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$111.86 |
$164.50 |
0.9× |
| Application short leg splint calf foot (29515) |
$134.64 |
$198 |
0.9× |
| Arterial puncture (36600) |
$44.57 |
$65.55 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$173.40 |
$255 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$173.40 |
$255 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$288.15 |
$423.75 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$173.40 |
$255 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$173.40 |
$255 |
0.6× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$4,917.25 |
$7,231.25 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$277.78 |
$408.50 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$85 |
$125 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$1,572.50 |
$2,312.50 |
0.4× |
| Biopsy pleura percutaneous needle (32400) |
$662.15 |
$973.75 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$1,326 |
$1,950 |
0.4× |
| Bladder Scan (51798) |
$40.29 |
$59.25 |
0.8× |
| Blood transfusion service (36430) |
$705.16 |
$1,037 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$867 |
$1,275 |
0.6× |
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure |
$4,088.16 |
$6,012 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$398.20 |
$585.58 |
0.6× |
| Chemical Cautery Tissue (17250) |
$164.90 |
$242.50 |
0.9× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$277.78 |
$408.50 |
1.0× |
| Chest tube placement (32551) |
$420.58 |
$618.50 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$257.05 |
$378.01 |
2.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$947.24 |
$1,393 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$183.60 |
$270 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$602.48 |
$886 |
2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$234.60 |
$345 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$332.86 |
$489.50 |
1.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$268.66 |
$395.09 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$233.92 |
$344 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,536.12 |
$2,259 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$176.12 |
$259 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$506.60 |
$745 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$378.42 |
$556.50 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$332.86 |
$489.50 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$323 |
$475 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$784.04 |
$1,153 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$323 |
$475 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$234.60 |
$345 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$219.64 |
$323 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$317.22 |
$466.50 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$392.70 |
$577.50 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$323 |
$475 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$371.28 |
$546 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$252.45 |
$371.25 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,098.88 |
$1,616 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$476.34 |
$700.50 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$525.30 |
$772.50 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$787.95 |
$1,158.75 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$525.30 |
$772.50 |
0.5× |
| Colonoscopy w/ablation (45388) |
$476.34 |
$700.50 |
0.4× |
| Colonoscopy w/band ligation (45398) |
$836.40 |
$1,230 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$802.40 |
$1,180 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$737.29 |
$1,084.25 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$452.20 |
$665 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$175.44 |
$258 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$168.30 |
$247.50 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141.44 |
$208 |
1.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$617.44 |
$908 |
1.0× |
| Debride nail 1-5 (11720) |
$123.76 |
$182 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$306.68 |
$451 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$595 |
$875 |
0.9× |
| Declot vascular device (36593) |
$95.25 |
$140.08 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,252.22 |
$1,841.50 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,165.18 |
$1,713.50 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$165.92 |
$244 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$140.08 |
$206 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$546.55 |
$803.75 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,165.18 |
$1,713.50 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$82.96 |
$122 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,208.36 |
$1,777 |
1.4× |
| Drain shoulder lesion (23030) |
$756.50 |
$1,112.50 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$173.40 |
$255 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$310.08 |
$456 |
1.7× |
| Drainage of gum lesion (41800) |
$117.64 |
$173 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$214.88 |
$316 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,281.12 |
$1,884 |
0.9× |
| Draw blood off venous device (36591) |
$257.75 |
$379.04 |
2.1× |
| Dressing change under anesthesia (15852) |
$81.52 |
$119.88 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$306.68 |
$451 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$159.80 |
$235 |
0.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$714 |
$1,050 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$725.22 |
$1,066.50 |
0.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$787.95 |
$1,158.75 |
0.5× |
| Egd flexible foreign body removal (43247) |
$612 |
$900 |
0.7× |
| Egd guide wire insertion (43248) |
$725.22 |
$1,066.50 |
0.9× |
| Egd place gastrostomy tube (43246) |
$833 |
$1,225 |
0.5× |
| Egd rem tumr/polyp forcep (43250) |
$657.90 |
$967.50 |
0.4× |
| Egd remove lesion snare (43251) |
$476 |
$700 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$499.12 |
$734 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$787.95 |
$1,158.75 |
1.0× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$737.29 |
$1,084.25 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$57.12 |
$84 |
0.5× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$812.60 |
$1,195 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$259.08 |
$381 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$299.88 |
$441 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$241.40 |
$355 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$175.44 |
$258 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$288.32 |
$424 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$1,139 |
$1,675 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,076.10 |
$1,582.50 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$201.96 |
$297 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$192.44 |
$283 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$653.48 |
$961 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,280.44 |
$1,883 |
2.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$361.76 |
$532 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$425 |
$625 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$501.84 |
$738 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$748 |
$1,100 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$575.28 |
$846 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$860.20 |
$1,265 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$653.48 |
$961 |
1.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$247.52 |
$364 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$292.40 |
$430 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$316.88 |
$466 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$362.44 |
$533 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$401.20 |
$590 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$715.36 |
$1,052 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$249.56 |
$367 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$293.76 |
$432 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$327.08 |
$481 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$790.50 |
$1,162.50 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,285.87 |
$1,890.98 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$216.92 |
$319 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$241.40 |
$355 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$442 |
$650 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,280.44 |
$1,883 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,076.10 |
$1,582.50 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$482.63 |
$709.75 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,167.90 |
$1,717.50 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$739.50 |
$1,087.50 |
0.5× |
Exploration of spinal fusion (22830)
unusually low: confirm this is the full procedure |
$2,448 |
$3,600 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,281.12 |
$1,884 |
0.9× |
| Explore/treat hand joint (26070) |
$474.64 |
$698 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$493 |
$725 |
0.8× |
| Fluoro exam of g/colon tube (49465) |
$298.52 |
$439 |
1.4× |
| Follow-up surgery of eye (66250) |
$419.56 |
$617 |
0.2× |
| Hemorrhoidectomy (46255) |
$1,020 |
$1,500 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$391.45 |
$575.66 |
0.2× |
| I&d abscess simple (10060) |
$153.68 |
$226 |
0.8× |
| I&d perianal abscess superficial (46050) |
$632.40 |
$930 |
0.7× |
| Implant neuroelectrodes (63650) |
$6,653.56 |
$9,784.65 |
1.2× |
| Implant neuroelectrodes (64580) |
$21,760 |
$32,000 |
1.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$6,056.08 |
$8,906 |
0.8× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$11,938.08 |
$17,556 |
1.2× |
| Incis 1 vertebral seg lumbar (22214) |
$16,883.72 |
$24,829 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$297.50 |
$437.50 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$382.50 |
$562.50 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,020 |
$1,500 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$174.08 |
$256 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$181.56 |
$267 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$341.36 |
$502 |
1.2× |
| Incision of rectal abscess (46040) |
$2,259.64 |
$3,323 |
2.1× |
| Incision thrombosed hemorrhoid external (46083) |
$280.84 |
$413 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$159.80 |
$235 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$591.19 |
$869.40 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$277.78 |
$408.50 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$546.38 |
$803.50 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$673.88 |
$991 |
1.1× |
| Inject 5th nerv-2,3 div,f.ovale (64605) |
$1,863.88 |
$2,741 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$886.79 |
$1,304.10 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$144.08 |
$211.88 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$546.38 |
$803.50 |
0.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$421.26 |
$619.50 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$546.38 |
$803.50 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$421.26 |
$619.50 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$716.58 |
$1,053.80 |
0.9× |
| Inject Nerv Blck,Pudendal (64430) |
$873.80 |
$1,285 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$230.78 |
$339.38 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$903.18 |
$1,328.20 |
1.4× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$437.92 |
$644 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$421.26 |
$619.50 |
0.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$673.88 |
$991 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$421.26 |
$619.50 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$93.09 |
$136.89 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$421.26 |
$619.50 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$873.80 |
$1,285 |
1.1× |
| Injection for identification of sentinel node (38792) |
$442.51 |
$650.75 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$173.40 |
$255 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$288.15 |
$423.75 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$173.40 |
$255 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$173.40 |
$255 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$170 |
$250 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$69.36 |
$102 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$176.80 |
$260 |
1.5× |
| Insert Drug Implant Device (11981) |
$181.56 |
$267 |
1.5× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,071.96 |
$3,047 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$535.50 |
$787.50 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$339.44 |
$499.17 |
0.1× |
| Insert picc cath (36569) |
$2,632.19 |
$3,870.87 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$106.25 |
$156.25 |
0.9× |
| Insert tun ip cath perc (49418) |
$637.50 |
$937.50 |
0.2× |
| Insert tunneled cv cath (36561) |
$1,144.10 |
$1,682.50 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$82.96 |
$122 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$662.15 |
$973.75 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,611.79 |
$3,840.87 |
1.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,144.10 |
$1,682.50 |
0.4× |
| Insrt/redo spine n generator (63685) |
$46,926.12 |
$69,009 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$381.99 |
$561.75 |
1.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,763.05 |
$11,416.25 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,184.25 |
$13,506.25 |
1.4× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$5,751.44 |
$8,458 |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,618.50 |
$8,262.50 |
0.9× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$826.20 |
$1,215 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,451.80 |
$2,135 |
0.3× |
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure |
$1,207 |
$1,775 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,441.60 |
$2,120 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,815.60 |
$2,670 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,581 |
$2,325 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,151.80 |
$4,635 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$816 |
$1,200 |
1.0× |
| Mastectomy partial (19301) |
$1,162.38 |
$1,709.38 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,558.50 |
$3,762.50 |
0.4× |
| Neuroeltrd stim post tibial (64566) |
$277.78 |
$408.50 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$382.77 |
$562.90 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$546.38 |
$803.50 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$546.38 |
$803.50 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$448.53 |
$659.60 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$672.79 |
$989.40 |
1.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,344.70 |
$1,977.50 |
0.4× |
| Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) |
$5,366.90 |
$7,892.50 |
0.8× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
$15,313.60 |
$22,520 |
2.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$306 |
$450 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$317.90 |
$467.50 |
1.4× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$6,545 |
$9,625 |
1.1× |
| Prq impltj neurostimulator eltrd cranial nerve (64553) |
$11,938.08 |
$17,556 |
1.2× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$6,545 |
$9,625 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$148.24 |
$218 |
0.4× |
| Puncture Aspiration (10160) |
$310.08 |
$456 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$140.08 |
$206 |
0.2× |
| Pvb thoracic cont infusion (64463) |
$238 |
$350 |
0.4× |
| Pvb thoracic single inj site (64461) |
$221 |
$325 |
0.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,165.18 |
$1,713.50 |
0.7× |
Reinsertion Spinal Fixation Device (22849)
likely a partial charge, not the full procedure |
$2,299.76 |
$3,382 |
0.2× |
| Removal fb intranasal (30300) |
$117.64 |
$173 |
1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$493.67 |
$725.98 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,281.12 |
$1,884 |
2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$720.80 |
$1,060 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68 |
$100 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$87.72 |
$129 |
1.6× |
| Removal of nail bed (11750) |
$261.80 |
$385 |
0.7× |
Removal of posterior instrumentation (eg, harrington rod) (22850)
likely a partial charge, not the full procedure |
$1,564 |
$2,300 |
0.2× |
Removal of posterior segmental instrumentation (22852)
likely a partial charge, not the full procedure |
$1,918.96 |
$2,822 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$159.80 |
$235 |
0.9× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,863.88 |
$2,741 |
1.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$208.76 |
$307 |
0.1× |
| Remove by ligat int hem grps (46946) |
$615.94 |
$905.80 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$354.96 |
$522 |
1.2× |
| Remove in/ex hem groups 2+ (46260) |
$549.64 |
$808.30 |
0.2× |
Remove/graft bone lesion (24115)
likely a partial charge, not the full procedure |
$943.84 |
$1,388 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$101.32 |
$149 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$102.68 |
$151 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$478.38 |
$703.50 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$584.80 |
$860 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,093.44 |
$1,608 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$273.02 |
$401.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$327.76 |
$482 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$306.68 |
$451 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$266.90 |
$392.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$306.68 |
$451 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$151.64 |
$223 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$306.68 |
$451 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$306.68 |
$451 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$330.82 |
$486.50 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$267.24 |
$393 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$320.96 |
$472 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$337.96 |
$497 |
0.9× |
| Repair of nail bed (11760) |
$582.76 |
$857 |
0.9× |
| Repair Tongue Laceration (41250) |
$123.76 |
$182 |
0.3× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)
likely a partial charge, not the full procedure |
$4,523.02 |
$6,651.50 |
0.3× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,479.90 |
$5,117.50 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$142.12 |
$209 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$96.56 |
$142 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,144.10 |
$1,682.50 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$340.34 |
$500.50 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$297.16 |
$437 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$306 |
$450 |
1.3× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,344.70 |
$1,977.50 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$875.84 |
$1,288 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,152.94 |
$1,695.50 |
0.4× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$808.52 |
$1,189 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,217.20 |
$1,790 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$316.20 |
$465 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$525.30 |
$772.50 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,050.60 |
$1,545 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$144.84 |
$213 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$237.32 |
$349 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$130.56 |
$192 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$155.04 |
$228 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$183.60 |
$270 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$195.84 |
$288 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$123.76 |
$182 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$172.72 |
$254 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$202.64 |
$298 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$152.32 |
$224 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$196.52 |
$289 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.16 |
$262 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$525.30 |
$772.50 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$787.95 |
$1,158.75 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$183.60 |
$270 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$131.92 |
$194 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$147.90 |
$217.50 |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$185.30 |
$272.50 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$85 |
$125 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$306.68 |
$451 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$135.32 |
$199 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$1,931.20 |
$2,840 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$112.20 |
$165 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$160.82 |
$236.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$245.82 |
$361.50 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$606.56 |
$892 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$673.88 |
$991 |
1.1× |
| Strapping ankle (29540) |
$115.26 |
$169.50 |
0.8× |
| Strapping elbow/wrist (29260) |
$45.90 |
$67.50 |
0.9× |
| Strapping hand/finger (29280) |
$41.82 |
$61.50 |
0.8× |
| Strapping knee (29530) |
$65.96 |
$97 |
0.5× |
| Strapping shoulder (29240) |
$69.36 |
$102 |
0.6× |
| Strapping toes (29550) |
$72.08 |
$106 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$115.60 |
$170 |
0.3× |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
$620.16 |
$912 |
0.2× |
| Therapeutic pneumothorax (32960) |
$224.40 |
$330 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$782.34 |
$1,150.50 |
1.4× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low: confirm this is the full procedure |
$5,348.88 |
$7,866 |
0.3× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$4,529.82 |
$6,661.50 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$223.04 |
$328 |
1.0× |
| Trim skin lesion (11055) |
$71.40 |
$105 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$85.68 |
$126 |
0.5× |
| Venipuncture (36415) |
$10.54 |
$15.50 |
1.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$576.30 |
$847.50 |
0.9× |