| Amputate Thigh,Re-Amputatn (27596) |
$1,814.25 |
$2,419 |
0.6× |
| Amputation Finger/Thumb (26951) |
$2,410.12 |
$3,213.50 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$1,071 |
$1,428 |
0.4× |
| Amputation thigh through femur any level (27590) |
$2,046 |
$2,728 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$972 |
$1,296 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,830.75 |
$2,441 |
0.6× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,340 |
$3,120 |
0.4× |
| Anoscopy diagnostic (46600) |
$99 |
$132 |
0.8× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$164.25 |
$219 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$189 |
$252 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$270.75 |
$361 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,125 |
$1,500 |
0.2× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,605.88 |
$3,474.50 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$262.50 |
$350 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$54.75 |
$73 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$112.50 |
$150 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$752.25 |
$1,003 |
0.5× |
| Biopsy external auditory canal (69105) |
$154.50 |
$206 |
0.1× |
| Biopsy external ear (69100) |
$120 |
$160 |
0.6× |
| Biopsy muscle deep (20205) |
$393 |
$524 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$957.75 |
$1,277 |
0.6× |
| Biopsy of nail unit (11755) |
$189 |
$252 |
0.3× |
| Biopsy of penis (54100) |
$306.75 |
$409 |
0.2× |
| Biopsy of uterus lining (58100) |
$300 |
$400 |
1.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$187.50 |
$250 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$384 |
$512 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$1,086.75 |
$1,449 |
0.3× |
| Bladder Irrigation Simple (51700) |
$190.50 |
$254 |
0.8× |
| Bone marrow aspiration only (38220) |
$152.25 |
$203 |
0.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$366 |
$488 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$363.75 |
$485 |
0.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$687.38 |
$916.50 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$472.50 |
$630 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$949.50 |
$1,266 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$168.75 |
$225 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$1,166.25 |
$1,555 |
0.8× |
| Bx vulva/perineum 1 lesion (56605) |
$150 |
$200 |
0.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$600 |
$800 |
2.2× |
| Chest tube placement (32551) |
$464.62 |
$619.50 |
0.3× |
| Circum 28 days or older (54161) |
$483 |
$644 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$524.25 |
$699 |
2.3× |
| Closed Rx Radial Shaft Fx (25500) |
$187.50 |
$250 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$724.50 |
$966 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$524.25 |
$699 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$724.50 |
$966 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,583 |
$3,444 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$724.50 |
$966 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$724.50 |
$966 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$803.25 |
$1,071 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$724.50 |
$966 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$724.50 |
$966 |
3.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$524.25 |
$699 |
2.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$362.25 |
$483 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$362.25 |
$483 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$362.25 |
$483 |
1.6× |
| Colonoscopy flex w/rem forcep (45384) |
$969.38 |
$1,292.50 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$457.50 |
$610 |
0.4× |
| Colonoscopy thru stoma (44388) |
$415.50 |
$554 |
0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$337.50 |
$450 |
1.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$225 |
$300 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$225 |
$300 |
0.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$654.75 |
$873 |
2.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$337.50 |
$450 |
1.2× |
| Complex Drainage, Wound (10180) |
$436.50 |
$582 |
0.2× |
| Conization of cervix (57522) |
$2,325 |
$3,100 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$524.25 |
$699 |
4.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$209.25 |
$279 |
0.1× |
| Curettage postpartum (59160) |
$225 |
$300 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$2,380.50 |
$3,174 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$150 |
$200 |
0.4× |
| Debride nail 1-5 (11720) |
$281.25 |
$375 |
5.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$112.50 |
$150 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$386.25 |
$515 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$580.50 |
$774 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$97.50 |
$130 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$156.75 |
$209 |
0.2× |
| Dilation & curettage cervical stump (57558) |
$225 |
$300 |
0.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$537 |
$716 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$405.38 |
$540.50 |
0.5× |
| Division of fallopian tube (58600) |
$3,225 |
$4,300 |
1.1× |
| Drain hand tendon sheath (26020) |
$1,044 |
$1,392 |
0.4× |
| Drain penis lesion (54015) |
$754.50 |
$1,006 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$285.75 |
$381 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$446.25 |
$595 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$329.25 |
$439 |
1.8× |
| Drainage of hydrocele (55000) |
$210 |
$280 |
0.3× |
| Dressing change under anesthesia (15852) |
$118.50 |
$158 |
0.2× |
| Dstrj lesion anus simple surg excision (46922) |
$333.75 |
$445 |
0.1× |
| Dx duod intub w/asp spec (43756) |
$128.25 |
$171 |
0.2× |
| Egd guide wire insertion (43248) |
$804 |
$1,072 |
1.0× |
| Egd place gastrostomy tube (43246) |
$712.50 |
$950 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$451.50 |
$602 |
0.3× |
| Egd remove lesion snare (43251) |
$519 |
$692 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$531.75 |
$709 |
0.3× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$3,225 |
$4,300 |
0.7× |
| Enterorrhaphy single perforation (44602) |
$3,585.75 |
$4,781 |
1.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,437 |
$1,916 |
0.8× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,290.50 |
$3,054 |
0.7× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$956.25 |
$1,275 |
0.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$937.50 |
$1,250 |
0.3× |
| Exc abd les sc 3 cm/> (22903) |
$1,089.75 |
$1,453 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$999.75 |
$1,333 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$802.50 |
$1,070 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$381 |
$508 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$438 |
$584 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$893.25 |
$1,191 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,643.25 |
$2,191 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$825 |
$1,100 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$351 |
$468 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$599.62 |
$799.50 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$973.50 |
$1,298 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,306.50 |
$1,742 |
0.5× |
| Exc rect tum transanal part (45171) |
$1,476 |
$1,968 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,035 |
$1,380 |
0.7× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,717.50 |
$2,290 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$264.75 |
$353 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$356.25 |
$475 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$660.75 |
$881 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$393 |
$524 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,477.50 |
$1,970 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,417.88 |
$1,890.50 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$490.50 |
$654 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$665.62 |
$887.50 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,568.62 |
$2,091.50 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,444.12 |
$1,925.50 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$788.25 |
$1,051 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,032 |
$1,376 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$375 |
$500 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$112.50 |
$150 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,839.75 |
$2,453 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,327.50 |
$1,770 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$262.50 |
$350 |
0.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$812.25 |
$1,083 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$750 |
$1,000 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,107 |
$1,476 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$747 |
$996 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,536 |
$2,048 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$796.50 |
$1,062 |
0.5× |
| Excision Breast Lesion (19125) |
$2,313 |
$3,084 |
0.7× |
| Excision external ear partial simple repair (69110) |
$773.25 |
$1,031 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$683.25 |
$911 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
$792.75 |
$1,057 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$584.25 |
$779 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$768 |
$1,024 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$410.25 |
$547 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$427.50 |
$570 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$622.12 |
$829.50 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$526.50 |
$702 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$459.75 |
$613 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,166.62 |
$1,555.50 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$768 |
$1,024 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$364.50 |
$486 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$416.25 |
$555 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$517.50 |
$690 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,111.12 |
$1,481.50 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$314.25 |
$419 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$349.50 |
$466 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$828.75 |
$1,105 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$546.38 |
$728.50 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$481.12 |
$641.50 |
0.3× |
| Excision of nail fold toe (11765) |
$168 |
$224 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$455.25 |
$607 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$291.75 |
$389 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$616.50 |
$822 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,406.25 |
$1,875 |
0.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$596.25 |
$795 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,165.50 |
$1,554 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$764.25 |
$1,019 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$857.25 |
$1,143 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,022.25 |
$1,363 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,718.25 |
$2,291 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$638.25 |
$851 |
0.3× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,358 |
$3,144 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$741 |
$988 |
0.5× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$2,990.25 |
$3,987 |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$525 |
$700 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$857.25 |
$1,143 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,531.50 |
$2,042 |
3.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$359.25 |
$479 |
0.6× |
| Fine needle aspiration orbital contents (67415) |
$252 |
$336 |
0.1× |
| Fine needle aspiration without imaging guidance (10021) |
$112.50 |
$150 |
0.3× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,635 |
$2,180 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$150 |
$200 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,752 |
$2,336 |
1.0× |
| Harvest cultured skin graft (15040) |
$316.50 |
$422 |
0.2× |
| Hemorrhoidectomy (46255) |
$870.75 |
$1,161 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$772.50 |
$1,030 |
0.3× |
| I&d abscess simple (10060) |
$150 |
$200 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$528 |
$704 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$247.50 |
$330 |
0.4× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,166.25 |
$1,555 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$300 |
$400 |
0.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$167.25 |
$223 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$537.75 |
$717 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$300 |
$400 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$413.25 |
$551 |
0.6× |
| Incision and drainage of abscess of pelvis (57010) |
$1,050.75 |
$1,401 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$222 |
$296 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$262.50 |
$350 |
1.0× |
| Incision of rectal abscess (46040) |
$2,277.38 |
$3,036.50 |
2.1× |
| Incision thrombosed hemorrhoid external (46083) |
$191.62 |
$255.50 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$164.25 |
$219 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$477.75 |
$637 |
1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$63.75 |
$85 |
0.4× |
| Ins endovas vena cava filtr (37191) |
$5,431.50 |
$7,242 |
1.1× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$11,622 |
$15,496 |
1.2× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$11,622 |
$15,496 |
1.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$13,378.50 |
$17,838 |
1.4× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$7,995 |
$10,660 |
0.8× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$9,633 |
$12,844 |
1.3× |
| Insert 1 electrode pm-defib (33216) |
$6,642 |
$8,856 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$450 |
$600 |
0.2× |
| Insert pacing lead & connect (33224) |
$24,816 |
$33,088 |
2.6× |
| Insert Temp Bladder Cath (51702) |
$102.75 |
$137 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,782.50 |
$3,710 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108 |
$144 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,934 |
$3,912 |
0.9× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$633.75 |
$845 |
0.4× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$31,891.50 |
$42,522 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$750 |
$1,000 |
0.3× |
| Insj/rplcmt defib w/lead(s) (33249) |
$38,679 |
$51,572 |
1.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$5,794.50 |
$7,726 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$278.25 |
$371 |
1.3× |
| Lap ing hernia repair init (49650) |
$3,287.25 |
$4,383 |
0.6× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,507.50 |
$2,010 |
0.3× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,601.25 |
$2,135 |
0.3× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,605.50 |
$3,474 |
0.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$810.75 |
$1,081 |
0.1× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,738.25 |
$3,651 |
0.3× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$3,924.75 |
$5,233 |
0.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,836 |
$2,448 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$4,324.50 |
$5,766 |
0.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,324.50 |
$5,766 |
0.8× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$1,744.50 |
$2,326 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$918.75 |
$1,225 |
0.2× |
| Ligation or biopsy temporal artery (37609) |
$518.25 |
$691 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$488.25 |
$651 |
0.3× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,389 |
$1,852 |
0.2× |
| Mastectomy gynecomastia (19300) |
$1,008 |
$1,344 |
0.3× |
| Mastectomy partial (19301) |
$1,627.50 |
$2,170 |
0.5× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,524.50 |
$3,366 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$398.25 |
$531 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$103.50 |
$138 |
0.3× |
| Occlude fallopian tube(s) (58615) |
$600 |
$800 |
0.2× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure |
$1,978.50 |
$2,638 |
0.3× |
| Other procedure on head muscle or head bone (21499) |
$450 |
$600 |
2.1× |
| Ovarian cystectomy (58925) |
$1,841.25 |
$2,455 |
0.4× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$1,758.75 |
$2,345 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure |
$1,761.75 |
$2,349 |
0.3× |
| Placement of seton (46020) |
$571.50 |
$762 |
0.2× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,524 |
$2,032 |
0.5× |
| Proctosigmoidoscopy ablate (45320) |
$279.75 |
$373 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$132.75 |
$177 |
0.2× |
| Puncture Aspiration (10160) |
$230.25 |
$307 |
0.6× |
| Relocation of skin pocket for pacemaker (33222) |
$1,437 |
$1,916 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$763.50 |
$1,018 |
0.5× |
| Removal foreign body foot deep (28192) |
$810.75 |
$1,081 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$325.50 |
$434 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$895.50 |
$1,194 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$484.50 |
$646 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$37.50 |
$50 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$234 |
$312 |
0.4× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,290.50 |
$3,054 |
0.7× |
| Removal of anal fissure (46200) |
$784.50 |
$1,046 |
0.3× |
| Removal of arm foreign body (24200) |
$375 |
$500 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$337.50 |
$450 |
1.2× |
| Removal of nail bed (11750) |
$150 |
$200 |
0.4× |
| Removal of nose lesion (30124) |
$678.75 |
$905 |
0.5× |
| Removal of residual cervix (57550) |
$600 |
$800 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$162 |
$216 |
0.9× |
| Removal of sperm cord lesion (55520) |
$1,125 |
$1,500 |
0.4× |
| Removal of testis (54520) |
$801 |
$1,068 |
0.3× |
Removal of thyroid (60271)
unusually low: confirm this is the full procedure |
$2,648.25 |
$3,531 |
0.5× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$2,290.50 |
$3,054 |
0.3× |
| Remove anal fist subq (46270) |
$956.25 |
$1,275 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$269.25 |
$359 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$1,173 |
$1,564 |
0.5× |
| Remove Peritoneal Foreign Body (49402) |
$2,157 |
$2,876 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,067.25 |
$1,423 |
0.4× |
| Remove wrist tendon lesion (25111) |
$768 |
$1,024 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$177 |
$236 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$139.50 |
$186 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$60 |
$80 |
0.5× |
| Remv&replc cvd gen dual lead (33263) |
$31,891.50 |
$42,522 |
1.6× |
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure |
$2,469.75 |
$3,293 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$703.50 |
$938 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,518 |
$2,024 |
4.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$702 |
$936 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$651 |
$868 |
1.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,434 |
$1,912 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,443 |
$1,924 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,228.62 |
$2,971.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$495 |
$660 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$302.25 |
$403 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$373.88 |
$498.50 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$369.75 |
$493 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$504.75 |
$673 |
1.4× |
| Repair of hydrocele (55060) |
$932.25 |
$1,243 |
0.3× |
| Repair rectum & vagina (57250) |
$1,125 |
$1,500 |
0.2× |
| Replace duod/jej tube perc (49451) |
$230.25 |
$307 |
0.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$356.25 |
$475 |
0.4× |
| Reposition gastrostomy tube (43761) |
$675 |
$900 |
3.0× |
| Reposition pacing-defib lead (33215) |
$2,290.50 |
$3,054 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$2,250 |
$3,000 |
0.7× |
| Resect shoulder tumor < 5 cm (23077) |
$2,842.50 |
$3,790 |
1.1× |
| Revise hernia & sperm veins (55540) |
$1,381.50 |
$1,842 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,032 |
$1,376 |
0.6× |
| Revision of colostomy simple (44340) |
$1,555.50 |
$2,074 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$555.75 |
$741 |
0.5× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,071 |
$1,428 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,290.50 |
$3,054 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,290.50 |
$3,054 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$765 |
$1,020 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$774 |
$1,032 |
1.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$417 |
$556 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$542.25 |
$723 |
0.2× |
Rplcmt compl tun ctr vad w/subq pmp (36583)
likely a partial charge, not the full procedure |
$1,029 |
$1,372 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,302.50 |
$3,070 |
0.8× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$1,020.75 |
$1,361 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$769.50 |
$1,026 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$227.25 |
$303 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$187.50 |
$250 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$112.50 |
$150 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$118.12 |
$157.50 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$191.25 |
$255 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$150 |
$200 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$273 |
$364 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$138 |
$184 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$251.25 |
$335 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$112.50 |
$150 |
0.6× |
| Skin Pedicle Flap Trunk (15570) |
$1,794.75 |
$2,393 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$1,753.50 |
$2,338 |
0.9× |
| Skin tissue rearrangement (14040) |
$1,530.75 |
$2,041 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,709.25 |
$2,279 |
0.5× |
| Slitting of prepuce (54001) |
$339.75 |
$453 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$187.50 |
$250 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$302.25 |
$403 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$262.50 |
$350 |
0.4× |
| Strapping ankle (29540) |
$101.25 |
$135 |
0.7× |
| Strapping elbow/wrist (29260) |
$153 |
$204 |
2.9× |
| Strapping hand/finger (29280) |
$153 |
$204 |
2.9× |
| Strapping knee (29530) |
$60 |
$80 |
0.5× |
| Strapping shoulder (29240) |
$56.25 |
$75 |
0.5× |
| Strapping toes (29550) |
$153 |
$204 |
2.9× |
| Strapping unna boot (29580) |
$108.75 |
$145 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,010.25 |
$1,347 |
0.4× |
| Suspension of testis (54640) |
$1,176 |
$1,568 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$224.25 |
$299 |
0.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$2,736 |
$3,648 |
0.5× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,300.25 |
$3,067 |
0.4× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,212.75 |
$1,617 |
0.6× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,589.25 |
$2,119 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,707 |
$2,276 |
8.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$564.75 |
$753 |
0.4× |
| Treat finger dislocation (26775) |
$2,265.75 |
$3,021 |
8.9× |
| Treat pleurodesis w/agent (32560) |
$199.50 |
$266 |
0.4× |
| Treat Vaginal Bleeding (57180) |
$95.25 |
$127 |
0.5× |
| Treatment closed elbow dislocation req anes (24605) |
$2,580.75 |
$3,441 |
1.8× |
| Treatment of urethra lesion (53260) |
$225 |
$300 |
0.1× |
| Trim skin lesion (11055) |
$243.75 |
$325 |
1.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,149 |
$1,532 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$459.75 |
$613 |
0.7× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$675 |
$900 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure |
$2,100 |
$2,800 |
0.4× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$600 |
$800 |
0.1× |
| Unlisted procedure anus (46999) |
$225 |
$300 |
0.3× |
| Unlisted Procedure Rectum (45999) |
$93.75 |
$125 |
0.1× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$562.50 |
$750 |
2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,012.50 |
$1,350 |
1.2× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$13,378.50 |
$17,838 |
1.4× |
| Vaginal delivery only (59409) |
$1,050 |
$1,400 |
0.4× |
| Vasectomy (55250) |
$1,348.50 |
$1,798 |
0.7× |