| Abd paracentesis w/imaging (49083) |
$476.35 |
$680.50 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$511.70 |
$365.50 |
0.5× |
| Ablate inf turbinate submuc (30802) |
$674.80 |
$704 |
0.4× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$13,906.20 |
$18,358 |
1.2× |
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure |
$4,982.25 |
$7,117.50 |
0.4× |
Abltj 1/> lvr tum prq rf (47382)
likely a partial charge, not the full procedure |
$1,731.80 |
$2,474 |
0.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$530.60 |
$529 |
0.3× |
| Abortion (59841) |
$910.70 |
$1,301 |
0.3× |
| Abrasion single lesion (15786) |
$555.80 |
$465 |
2.6× |
| Acne surgery (10040) |
$282.10 |
$201.50 |
1.3× |
| Adding Walker Previously Applied Cast (29440) |
$67.90 |
$97 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,223.60 |
$1,748 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,097.20 |
$1,874 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,417.80 |
$2,821 |
1.1× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,710.10 |
$1,962 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,864.80 |
$2,295 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,240 |
$2,627 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,105.60 |
$2,447 |
1.0× |
| Amniocentesis diagnostic (59000) |
$287.70 |
$411 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,674.40 |
$2,392 |
0.5× |
| Amputation Finger/Thumb (26951) |
$1,722.70 |
$2,461 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,026.20 |
$1,466 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$704.90 |
$595 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$716.10 |
$610 |
0.2× |
| Anoscopy diagnostic (46600) |
$244.65 |
$265 |
1.8× |
| Anoscopy w/control bleeding (46614) |
$155.40 |
$222 |
0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$205.10 |
$293 |
0.2× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$193.20 |
$276 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge, not the full procedure |
$1,490.30 |
$2,129 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$590.80 |
$844 |
3.5× |
| Application cast elbow finger short arm (29075) |
$217 |
$218 |
0.7× |
| Application Cast Finger (29086) |
$190.40 |
$172 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$245 |
$350 |
0.8× |
| Application Cast Shoulder Spica (29055) |
$335.30 |
$479 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$133 |
$120 |
2.2× |
| Application finger splint static (29130) |
$103.60 |
$124.50 |
0.7× |
| Application Hip Spica Cast 1 Leg (29305) |
$385 |
$550 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$205.10 |
$149 |
1.2× |
| Application Long Leg Cast Brace (29358) |
$250.60 |
$358 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$257.60 |
$368 |
0.9× |
| Application of cylinder cast (thigh to ankle) (29365) |
$213.50 |
$305 |
0.7× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$431.20 |
$616 |
1.5× |
| Application of rigid total contact leg cast (29445) |
$238 |
$340 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$210.70 |
$301 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$156.80 |
$224 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$165.20 |
$141 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$238 |
$235 |
1.4× |
| Apply long leg splint (29505) |
$221.90 |
$182 |
1.3× |
| Apply short leg cast (29405) |
$198.10 |
$283 |
0.7× |
| Apply short leg cast (29425) |
$185.50 |
$188 |
0.6× |
| Apply short leg splint (29515) |
$178.50 |
$173 |
1.0× |
| Arterial puncture (36600) |
$35.70 |
$51 |
0.3× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure |
$4,146.10 |
$5,923 |
0.3× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,765.40 |
$2,522 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$133.70 |
$127 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$218.40 |
$179 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$158.20 |
$157 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$240.80 |
$203 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$130.90 |
$124 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,220.80 |
$1,168 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,887.20 |
$2,005 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$3,847.20 |
$5,496 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$1,083.60 |
$1,548 |
0.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$1,311.80 |
$1,275 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$989.80 |
$1,414 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$935.55 |
$1,336.50 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,178.10 |
$1,142 |
0.3× |
| Artificial Insemination Intra-Uterine (58322) |
$222.60 |
$318 |
1.1× |
| Artificial insemination; intra-cervical Facility (58321) |
$200.20 |
$286 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$505.40 |
$722 |
0.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$158.20 |
$142 |
0.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$115.50 |
$165 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$340.20 |
$486 |
0.2× |
| Aspiration bladder needle (51100) |
$93.80 |
$134 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$461.65 |
$659.50 |
2.2× |
| Biopsy bone open superficial (20240) |
$336.70 |
$481 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$307.30 |
$439 |
0.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$557.90 |
$398.50 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$373.10 |
$266.50 |
0.4× |
| Biopsy External Auditory Canal (69105) |
$350.70 |
$250.50 |
0.2× |
| Biopsy external ear (69100) |
$231.70 |
$165.50 |
0.9× |
| Biopsy intranasal (30100) |
$341.60 |
$244 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$136.50 |
$195 |
0.1× |
| Biopsy Muscle Superficial (20200) |
$230.30 |
$329 |
0.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$296.10 |
$211.50 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$795.90 |
$1,137 |
0.2× |
| Biopsy of floor of mouth (41108) |
$408.80 |
$318 |
0.2× |
| Biopsy of lip (40490) |
$296.80 |
$237 |
1.2× |
| Biopsy of mouth lesion (40808) |
$410.90 |
$310 |
0.7× |
| Biopsy of palate, uvula (42100) |
$355.60 |
$383 |
0.2× |
| Biopsy of penis (54100) |
$491.40 |
$418 |
0.3× |
| Biopsy of tongue (41100) |
$455 |
$373 |
0.8× |
| Biopsy of urethra (53200) |
$385 |
$550 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$817.60 |
$886 |
0.2× |
| Biopsy Oropharynx (42800) |
$386.40 |
$409 |
0.2× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$1,066.80 |
$1,524 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$198.10 |
$283 |
0.1× |
| Biopsy Salivary Gland Incisional (42405) |
$742 |
$789 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$231.70 |
$182 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$647.50 |
$541 |
0.4× |
| Biopsy Tongue Posterior One-Third (41105) |
$457.10 |
$383 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$205.10 |
$293 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$234.50 |
$204 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,146.95 |
$1,638.50 |
0.3× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$587.30 |
$495 |
0.2× |
| Bl exchange/transfuse nb (36450) |
$405.30 |
$579 |
0.9× |
| Bl push transfuse 2 yr/< (36440) |
$119.70 |
$171 |
0.3× |
| Bladder Irrigation Simple (51700) |
$185.50 |
$265 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$576.80 |
$576 |
1.7× |
| Blood patch (62273) |
$271.60 |
$388 |
0.4× |
| Blood transfusion service (36430) |
$769.30 |
$1,099 |
1.7× |
| Bone marrow aspiration only (38220) |
$160.30 |
$229 |
0.1× |
| Bone Marrow Biopsy (38221) |
$168 |
$240 |
0.1× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$604.45 |
$863.50 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$486.85 |
$695.50 |
0.3× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$654.85 |
$935.50 |
0.2× |
| Bronch ebus samplng 1/2 node (31652) |
$2,986.90 |
$742 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$576.10 |
$823 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$602.70 |
$449 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$560.70 |
$801 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$504.70 |
$721 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$465.50 |
$665 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$195.30 |
$279 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$385.70 |
$551 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$778.05 |
$1,111.50 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$361.20 |
$516 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$420 |
$300 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,176.70 |
$1,165 |
0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$924.70 |
$876 |
0.5× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$1,629.60 |
$2,328 |
1.0× |
| Cartilage graft; nasal septum Facility (20912) |
$1,177.40 |
$1,682 |
0.3× |
| Cataract surgery complex (66982) |
$5,739.37 |
$8,199.10 |
2.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$115.50 |
$165 |
0.5× |
| Cauterization,cervix,electro/thermal (57510) |
$341.25 |
$487.50 |
0.1× |
| Cautery cervix laser ablation (57513) |
$501.90 |
$717 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$423.50 |
$605 |
1.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$367.50 |
$525 |
0.1× |
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure |
$3,252.20 |
$4,646 |
0.5× |
| Change Cystostomy Tube Complicated (51710) |
$261.10 |
$373 |
0.4× |
| Change of cystostomy tube simple (51705) |
$235.90 |
$337 |
0.9× |
| Change Ureter Stent, Percut (50382) |
$589.40 |
$842 |
0.3× |
| Chemical cautery tissue (17250) |
$739.90 |
$1,057 |
3.5× |
| Chemodenerv Eccrine Glands (64650) |
$157.15 |
$224.50 |
0.5× |
| Chemodenerv musc migraine (64615) |
$373.80 |
$426 |
1.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$337.40 |
$381 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$392.70 |
$561 |
0.5× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$372.40 |
$371 |
0.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$335.30 |
$414 |
1.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$186.20 |
$266 |
0.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$788.20 |
$1,126 |
0.2× |
Chromotubation oviduct (58350)
likely a partial charge, not the full procedure |
$374.50 |
$332 |
0.1× |
| Circumcision (54150) |
$513 |
$328 |
0.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$480.90 |
$687 |
1.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$656.60 |
$938 |
2.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,235.50 |
$1,765 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$925.40 |
$1,322 |
3.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,547.70 |
$2,211 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$721.70 |
$933 |
2.8× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,355.90 |
$1,937 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$585.90 |
$837 |
2.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$781.20 |
$1,116 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$729.40 |
$1,042 |
2.8× |
| Closed Treat Vert Body Fract (22310) |
$732.90 |
$1,047 |
2.8× |
| Closed treat wrist dislocation (25660) |
$1,121.40 |
$1,602 |
4.3× |
| Closed Treatment Coccygeal Fracture (27200) |
$481.60 |
$688 |
1.9× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$525 |
$375 |
0.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$620.20 |
$823 |
2.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,090.95 |
$1,478 |
4.2× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$417.20 |
$596 |
0.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$886.90 |
$1,267 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,827.70 |
$2,611 |
1.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$744.10 |
$1,063 |
2.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$1,254.40 |
$1,792 |
0.4× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$790.65 |
$1,129.50 |
3.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$656.60 |
$938 |
2.5× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$604.10 |
$863 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$527.80 |
$754 |
2.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,097.60 |
$1,568 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,143.10 |
$1,633 |
4.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$729.40 |
$1,042 |
2.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$291.90 |
$364 |
1.1× |
| Closed Treatment Sternum Fracture (21820) |
$371.70 |
$531 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$771.40 |
$1,102 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$808.85 |
$1,155.50 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$968.80 |
$1,384 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$770.70 |
$1,101 |
3.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,011.50 |
$1,445 |
3.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,115.80 |
$1,594 |
0.7× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,341.20 |
$1,916 |
0.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,094.80 |
$1,564 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,187.20 |
$1,696 |
4.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,168.30 |
$1,669 |
4.5× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,225.70 |
$1,751 |
0.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,161.30 |
$1,659 |
2.1× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure |
$2,642.50 |
$3,212 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$545.30 |
$734 |
2.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,456.70 |
$2,081 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$370.30 |
$264.50 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,215.90 |
$1,737 |
4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$856.80 |
$1,224 |
3.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,019.20 |
$1,456 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$623.70 |
$891 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,214.50 |
$1,735 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,160.60 |
$1,658 |
0.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$613.90 |
$877 |
2.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$912.10 |
$1,303 |
3.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$497 |
$710 |
1.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$821.10 |
$1,173 |
0.5× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,890 |
$2,700 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$74.90 |
$107 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,044.40 |
$1,492 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$676.20 |
$966 |
2.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$616 |
$880 |
2.4× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$1,127 |
$1,610 |
0.3× |
| Closure of gastrostomy, surgical (43870) |
$1,718.50 |
$2,455 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$352.10 |
$503 |
1.4× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$1,493.80 |
$2,134 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$815.50 |
$1,165 |
3.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$571.90 |
$817 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,014.30 |
$1,449 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$839.30 |
$1,081 |
3.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,017.10 |
$1,453 |
3.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,216.60 |
$1,738 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$840.70 |
$1,201 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$559.30 |
$799 |
2.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,061.20 |
$1,516 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$724.15 |
$1,034.50 |
2.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,208.90 |
$1,727 |
4.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$962.50 |
$1,375 |
3.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$788.90 |
$1,032 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$690.20 |
$986 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$480.20 |
$686 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$838.25 |
$1,171 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,274 |
$1,820 |
0.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,334.20 |
$1,906 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,671.60 |
$2,388 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,234.10 |
$1,763 |
4.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,185.80 |
$1,694 |
4.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,839.60 |
$2,628 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$372.40 |
$532 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$354.20 |
$446 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$402.50 |
$512 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$678.30 |
$969 |
2.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,218 |
$1,740 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$765.80 |
$1,094 |
3.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$432.60 |
$618 |
1.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$793.10 |
$1,133 |
3.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,265.60 |
$1,808 |
0.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$837.90 |
$1,197 |
0.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,158.50 |
$1,655 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$371.70 |
$442 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$271.60 |
$388 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,320.50 |
$3,315 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$995.40 |
$1,276 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$697.90 |
$949 |
2.7× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,467.90 |
$2,097 |
0.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$807.45 |
$1,153.50 |
3.1× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,099.70 |
$1,571 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$749.70 |
$1,071 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$744.80 |
$1,038 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$788.90 |
$1,127 |
3.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$369.95 |
$528.50 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$271.60 |
$388 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$814.80 |
$1,164 |
3.2× |
| Cltx post ankle fx w/mnpj (27768) |
$1,117.90 |
$1,597 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,432.20 |
$2,046 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,038.80 |
$1,484 |
4.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,010.10 |
$1,443 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$718.20 |
$1,026 |
2.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,067.50 |
$1,525 |
0.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$903 |
$1,290 |
3.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$254.80 |
$279 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,003.10 |
$1,433 |
0.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,249.50 |
$1,785 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,423.80 |
$2,034 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,954.40 |
$2,792 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$487.20 |
$625 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,215.90 |
$1,737 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,318.10 |
$1,883 |
5.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$742 |
$1,060 |
2.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$1,254.40 |
$1,792 |
9.0× |
| Colonoscopy flex w/blln dilat (45386) |
$984.20 |
$1,406 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$1,067.50 |
$1,102.50 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$860.30 |
$1,229 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$597.10 |
$853 |
0.5× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$686.70 |
$981 |
0.1× |
| Colonoscopy stoma w/biopsy (44389) |
$992.60 |
$709 |
0.8× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,014.30 |
$724.50 |
0.8× |
| Colonoscopy thru stoma (44388) |
$763.70 |
$1,091 |
0.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,057 |
$765 |
0.8× |
| Colonoscopy w/ablation (45388) |
$5,836.60 |
$4,169 |
4.7× |
| Colonoscopy w/band ligation (45398) |
$1,974 |
$1,410 |
1.6× |
| Colonoscopy w/fb removal (45379) |
$566.30 |
$809 |
0.5× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,106.35 |
$1,580.50 |
0.9× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,606.85 |
$2,295.50 |
0.6× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$191.10 |
$273 |
0.0× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,292.20 |
$1,846 |
0.2× |
| Colpoperineorrhaphy non ob (57210) |
$959.70 |
$1,371 |
0.3× |
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure |
$1,696.80 |
$2,424 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,684.20 |
$2,406 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$812.70 |
$1,161 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$410.90 |
$462 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$308.70 |
$314 |
1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$394.10 |
$563 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$847.70 |
$630 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$572.95 |
$818.50 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$324.10 |
$310 |
1.0× |
| Colposcopy vulva (56820) |
$305.20 |
$436 |
1.4× |
| Colposcopy vulva w/biopsy (56821) |
$409.50 |
$585 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$371.70 |
$349 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$433.30 |
$420 |
0.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
unusually low: confirm this is the full procedure |
$2,112.60 |
$3,018 |
0.4× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$1,890 |
$2,700 |
0.4× |
| Complex Cystometrogram (51726) |
$525.70 |
$751 |
2.0× |
| Complex cystometrogram urethral press profile (51727) |
$632.10 |
$903 |
0.9× |
| Complex Uroflowmetry (51741) |
$20.30 |
$29 |
0.1× |
| Conization of cervix (57520) |
$724.50 |
$1,035 |
0.2× |
| Conization of cervix (57522) |
$739.90 |
$891 |
0.2× |
| Contour of face bone lesion (21029) |
$1,876.70 |
$2,171 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$185.15 |
$264.50 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$589.40 |
$421 |
4.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$356.65 |
$346 |
2.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$392.70 |
$561 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,260.70 |
$1,801 |
0.4× |
| Conversion ext bil drg cath (47535) |
$2,100 |
$1,500 |
0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,892.80 |
$1,352 |
0.9× |
| Convert nephrostomy catheter (50434) |
$1,299.55 |
$1,856.50 |
0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$359.10 |
$513 |
0.2× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$1,692.60 |
$2,418 |
0.5× |
| Correction hammertoe (28285) |
$1,306.90 |
$1,349 |
0.4× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$2,019.50 |
$1,769 |
0.3× |
| Correction of bunion (28292) |
$1,185.10 |
$1,693 |
0.3× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,445.10 |
$2,072 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,469.60 |
$2,092 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,135 |
$1,786 |
0.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,467.90 |
$2,097 |
0.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$127.40 |
$182 |
2.1× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,004.50 |
$1,435 |
4.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$602.70 |
$513 |
4.3× |
| Curettage postpartum (59160) |
$563.85 |
$805.50 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$318.50 |
$455 |
0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$788.20 |
$1,126 |
0.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,178.45 |
$1,683.50 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$771.40 |
$1,102 |
0.4× |
| Cystometrogram w/vp (51728) |
$755.65 |
$1,079.50 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$629.30 |
$899 |
0.9× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,799 |
$2,570 |
0.2× |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
$1,874.60 |
$2,678 |
0.5× |
| Cystourethroscopy (52000) |
$385.35 |
$550.50 |
0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$935.90 |
$1,337 |
0.4× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$846.30 |
$1,209 |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$501.20 |
$716 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$624.05 |
$891.50 |
0.3× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$387.80 |
$554 |
0.2× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,012.90 |
$1,447 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$143.50 |
$102.50 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,573.60 |
$1,426 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,082.20 |
$950 |
1.5× |
| Debride nail 1-5 (11720) |
$107.80 |
$151.50 |
1.7× |
| Debride nail 6 or more (11721) |
$94.50 |
$135 |
1.5× |
| Debride skin musc at fx site (11011) |
$1,208.90 |
$1,022 |
1.6× |
| Debride tissue/muscle (11043) |
$562.80 |
$527 |
0.7× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$525.70 |
$477 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$190.40 |
$178 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,308.30 |
$1,869 |
3.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$753.20 |
$773 |
0.4× |
| Declot vascular device (36593) |
$84 |
$120 |
0.2× |
| Decompression Of Tibia Nerve (28035) |
$875.70 |
$1,251 |
0.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,124.90 |
$1,194 |
0.5× |
| Delivery placenta separate procedure (59414) |
$219.10 |
$313 |
0.1× |
| Dermabrasion segmental face (15781) |
$1,298.50 |
$1,478 |
1.8× |
| Destroy cerv/thor facet jnt (64633) |
$1,059.10 |
$756.50 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,067.50 |
$762.50 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$725.90 |
$906.50 |
3.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$428.05 |
$611.50 |
2.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$600.60 |
$429 |
0.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$219.80 |
$232 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$596.75 |
$852.50 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$397.60 |
$568 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$437.50 |
$408 |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$499.10 |
$470 |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$590.10 |
$587 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$669.90 |
$682 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$859.60 |
$926 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$361.20 |
$302 |
1.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$433.30 |
$381 |
2.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$469 |
$421 |
2.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$502.60 |
$450 |
1.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$571.20 |
$527 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$342.30 |
$301 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$364 |
$331 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$404.60 |
$363 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$458.50 |
$418 |
2.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$508.20 |
$472 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$593.60 |
$575 |
1.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$242.90 |
$244 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$351.40 |
$502 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$541.10 |
$595 |
0.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$336 |
$334 |
0.2× |
| Destruction of skin lesions (17106) |
$837.20 |
$956 |
2.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$406 |
$340 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$149.10 |
$191 |
0.7× |
| Destruction Vaginal Lesions Simple (57061) |
$345.45 |
$493.50 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$203 |
$290 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$450.10 |
$643 |
0.5× |
| Dil urethra,female,subsequent (53661) |
$181.30 |
$259 |
1.3× |
| Dilate Urethra Stricture (53620) |
$207.90 |
$297 |
0.3× |
| Dilate urethra stricture (53600) |
$151.90 |
$217 |
0.6× |
| Dilation and curettage (58120) |
$647.50 |
$925 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$191.10 |
$273 |
0.2× |
| Dilation of cervical canal (57800) |
$153.30 |
$219 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$184.80 |
$264 |
1.4× |
| Dilation Salivary Duct (42650) |
$181.30 |
$205 |
0.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$234.50 |
$335 |
0.1× |
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure |
$1,273.30 |
$1,819 |
0.2× |
| Drain bladder by trocar/cath (51101) |
$121.80 |
$174 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$534.10 |
$563 |
0.3× |
| Drain lower leg bursa (27604) |
$1,059.80 |
$1,127 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$389.20 |
$412 |
0.5× |
| Drain shoulder bursa (23031) |
$545.30 |
$779 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$200.90 |
$157 |
0.6× |
| Drainage Abscess Parotid Simple (42300) |
$524.30 |
$546 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$469.70 |
$671 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$655.90 |
$468.50 |
1.2× |
| Drainage external auditory canal abscess (69020) |
$564.90 |
$502 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$433.65 |
$437 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$453.60 |
$648 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$605.15 |
$537 |
2.9× |
| Drainage Mouth Roof Lesion (42000) |
$329 |
$470 |
1.3× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$415.10 |
$469 |
0.7× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$635.60 |
$625 |
1.1× |
| Drainage of gum lesion (41800) |
$541.80 |
$536 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$2,438.10 |
$3,483 |
1.4× |
| Drainage of hydrocele (55000) |
$203.70 |
$291 |
0.3× |
| Drainage of mouth lesion (41017) |
$1,124.90 |
$1,185 |
0.3× |
| Drainage of salivary gland (42305) |
$1,057 |
$1,510 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$562.10 |
$584 |
0.3× |
| Drainage of skene's gland abscess or cyst (53060) |
$402.50 |
$575 |
0.2× |
Drainage of throat abscess (42725)
unusually low: confirm this is the full procedure |
$1,939 |
$2,770 |
0.3× |
| Draw blood off venous device (36591) |
$844.90 |
$1,207 |
6.1× |
| Dressing change under anesthesia (15852) |
$107.10 |
$153 |
0.1× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$512.40 |
$732 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$398.65 |
$569.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$329 |
$470 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$208.60 |
$194 |
1.0× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,086.40 |
$1,244 |
1.4× |
| Dstrj lesion anus simple chemical (46900) |
$459.20 |
$656 |
1.1× |
| Dstrj lesion anus simple cryosurgery (46916) |
$632.80 |
$493 |
3.0× |
| Dstrj lesion anus simple surg excision (46922) |
$760.20 |
$1,086 |
0.3× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$352.10 |
$372 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$352.80 |
$389 |
1.7× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$587.30 |
$839 |
1.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,157.80 |
$827 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$179.20 |
$256 |
0.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$496.65 |
$709.50 |
0.3× |
| Dx laryngoscopy w/oper scope (31526) |
$378 |
$540 |
0.2× |
Ear Cartilage Graft (21235)
likely a partial charge, not the full procedure |
$1,589.70 |
$2,271 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,752.80 |
$761 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$545.30 |
$779 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,270.80 |
$3,244 |
1.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$581.70 |
$831 |
0.3× |
| Egd control bleeding any (43255) |
$989.80 |
$1,414 |
0.5× |
| Egd dilate stricture (43245) |
$922.25 |
$1,317.50 |
0.5× |
| Egd endo mucosal resection (43254) |
$640.50 |
$915 |
0.3× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$517.30 |
$739 |
0.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,082.90 |
$968 |
0.5× |
| Egd flexible foreign body removal (43247) |
$420.70 |
$601 |
0.4× |
| Egd guide wire insertion (43248) |
$996.80 |
$1,424 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$564.90 |
$807 |
0.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$623.70 |
$891 |
0.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$550.90 |
$787 |
0.3× |
| Egd place gastrostomy tube (43246) |
$476.70 |
$681 |
0.2× |
| Egd remove lesion snare (43251) |
$1,190.70 |
$1,701 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$535.50 |
$765 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$622.30 |
$889 |
0.3× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$929.60 |
$1,328 |
0.1× |
| Endocervical Curettage (57505) |
$322.70 |
$461 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure |
$1,393.35 |
$1,990.50 |
0.3× |
| Endometrial Biopsy (58100) |
$246.40 |
$218 |
1.2× |
| Endoscopic us exam esoph (43237) |
$464.80 |
$664 |
0.2× |
| Endoscopy bowel pouch/biop (44386) |
$749 |
$535 |
0.8× |
| Endoscopy of bowel pouch (44385) |
$175 |
$250 |
0.2× |
| Endoscopy Upper Small Intestine (44360) |
$342.30 |
$489 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$459.55 |
$656.50 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,096.20 |
$1,566 |
0.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$765.10 |
$1,093 |
0.2× |
| Ercp ea duct/ampulla dilate (43277) |
$896 |
$1,280 |
0.2× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,026.20 |
$1,466 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$862.40 |
$1,232 |
0.2× |
| Ercp remove forgn body duct (43275) |
$891.80 |
$1,274 |
0.4× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,141 |
$1,630 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$802.90 |
$1,147 |
0.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$845.60 |
$1,208 |
0.2× |
| Escharotomy initial incision (16035) |
$469.70 |
$671 |
1.1× |
| Esoph Scope W/Submucous Inj (43201) |
$627.20 |
$355 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$968.10 |
$1,383 |
1.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,215.55 |
$1,736.50 |
0.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,013.60 |
$544 |
0.5× |
| Esophagoscopy flexible guide wire dilation (43226) |
$930.30 |
$664.50 |
0.5× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$494.90 |
$395 |
0.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$636.30 |
$454.50 |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$373.80 |
$534 |
0.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$473.20 |
$676 |
0.2× |
Esophagoscopy transoral stent placement (43212)
likely a partial charge, not the full procedure |
$449.40 |
$642 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$858.20 |
$1,226 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$641.90 |
$917 |
0.3× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure |
$1,324.40 |
$1,892 |
0.2× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,896.30 |
$2,709 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$140.70 |
$112 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,290.10 |
$1,156 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$312.20 |
$294 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$308 |
$286 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$499.10 |
$546 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$578.20 |
$628 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$417.90 |
$402 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$348.60 |
$373 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$554.40 |
$621 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$525.70 |
$426 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$940.45 |
$1,343.50 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,022.70 |
$953 |
0.6× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$534.80 |
$423 |
0.2× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$1,190.70 |
$1,216 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,291.50 |
$1,845 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$388.50 |
$379 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$379.40 |
$367 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$481.60 |
$520 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$688.10 |
$781 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$931.70 |
$1,096 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$796.60 |
$927 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$775.60 |
$862 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$935.20 |
$1,336 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$983.50 |
$1,405 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,086.40 |
$1,088 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$545.30 |
$572 |
0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,092 |
$1,560 |
0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$980 |
$1,400 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,381.10 |
$1,973 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,150.10 |
$1,643 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,779.40 |
$2,542 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,056.30 |
$1,075 |
0.6× |
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure |
$1,473.50 |
$2,105 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,270.50 |
$1,237 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,049.30 |
$1,007 |
0.6× |
| Exc/fulguration urethral caruncle (53265) |
$557.20 |
$653 |
0.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$906.50 |
$1,295 |
0.2× |
| Exchange nephrostomy cath (50435) |
$826 |
$1,180 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,388.10 |
$991.50 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$1,001.70 |
$1,431 |
0.5× |
| Excise Inferior Turbinate (30130) |
$1,014.30 |
$1,449 |
0.3× |
| Excise pharynx lesion (42808) |
$567 |
$579 |
0.2× |
| Excise tendon forearm/wrist (25109) |
$1,321.60 |
$1,888 |
0.4× |
| Excise/repair mouth lesion (40812) |
$670.60 |
$631 |
0.4× |
| Excision Aural Polyp (69540) |
$416.15 |
$594.50 |
0.3× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$952 |
$989 |
0.3× |
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815)
likely a partial charge, not the full procedure |
$1,311.80 |
$1,874 |
0.2× |
| Excision Chalazion Single (67800) |
$277.90 |
$397 |
0.8× |
| Excision external ear partial simple repair (69110) |
$1,141 |
$1,140 |
0.4× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$1,289.40 |
$1,159 |
0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$1,016.40 |
$870 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,108.45 |
$1,583.50 |
0.7× |
| Excision Lesion Floor Mouth (41116) |
$809.90 |
$753 |
0.2× |
| Excision lesion mouth roof (42104) |
$528.50 |
$470 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$495.25 |
$707.50 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$479.50 |
$424 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$555.10 |
$512 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$593.60 |
$556 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$675.50 |
$664 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$753.20 |
$731 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$493.50 |
$439 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$575.40 |
$536 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$651 |
$627 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$763.70 |
$781 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$942.20 |
$968 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$481.60 |
$427 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$556.50 |
$515 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$614.60 |
$584 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$717.50 |
$719 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$817.60 |
$818 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$422.10 |
$603 |
0.1× |
| Excision nasal polyp extensive (30115) |
$1,136.10 |
$1,623 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$423.50 |
$464 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$470.40 |
$511 |
0.6× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure |
$1,108.80 |
$1,247 |
0.2× |
Excision of cervical stump, vaginal approach; Facility (57550)
likely a partial charge, not the full procedure |
$1,054.90 |
$1,507 |
0.2× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
likely a partial charge, not the full procedure |
$1,506.40 |
$2,152 |
0.3× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200)
likely a partial charge, not the full procedure |
$1,627.50 |
$2,325 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$808.50 |
$1,155 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$899.50 |
$980 |
0.3× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$877.10 |
$915 |
0.3× |
| Excision of lesion of tongue with closure; with local tongue flap Facility (41114) |
$1,507.80 |
$2,154 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$557.90 |
$452 |
0.2× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
likely a partial charge, not the full procedure |
$1,045.80 |
$999 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$436.10 |
$472 |
0.3× |
| Excision of maxillary torus palatinus (21032) |
$901.60 |
$903 |
0.3× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$991.20 |
$1,416 |
0.5× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure |
$2,568.30 |
$3,669 |
0.4× |
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410)
likely a partial charge, not the full procedure |
$1,533.70 |
$2,191 |
0.2× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure |
$2,872.10 |
$4,103 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$655.20 |
$936 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$452.90 |
$647 |
0.4× |
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure |
$1,152.90 |
$1,271 |
0.2× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$1,311.10 |
$1,207 |
0.4× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$1,015.70 |
$1,451 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$518.70 |
$395 |
0.4× |
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281)
likely a partial charge, not the full procedure |
$1,451.80 |
$2,074 |
0.2× |
| Excision of tongue lesion (41112) |
$822.50 |
$843 |
0.2× |
| Excision of tonsil tags (42860) |
$477.40 |
$682 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$603.40 |
$655 |
0.2× |
| Excision of vaginal septum (57130) |
$561.40 |
$802 |
0.2× |
Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870)
likely a partial charge, not the full procedure |
$1,427.30 |
$2,039 |
0.2× |
| Excision or fulguration; Skene's glands Facility (53270) |
$480.90 |
$687 |
0.1× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$634.20 |
$906 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$999.60 |
$899 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,146.60 |
$1,638 |
0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,153.60 |
$1,177 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$926.80 |
$910 |
0.5× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,253.70 |
$1,155 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$2,166.50 |
$2,560 |
0.7× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$607.60 |
$556 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$828.80 |
$1,184 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$910 |
$910 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$997.50 |
$1,425 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,393.30 |
$1,709.50 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$620.90 |
$887 |
0.3× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure |
$1,759.80 |
$2,514 |
0.3× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,223.20 |
$3,176 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,048.60 |
$1,498 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$766.50 |
$1,095 |
0.4× |
| Exploration of middle ear (69440) |
$1,686.30 |
$2,409 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$507.50 |
$725 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$835.80 |
$1,194 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,448.30 |
$2,069 |
2.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$840 |
$1,200 |
0.2× |
Explore Parathyroid Glands (60500)
unusually low: confirm this is the full procedure |
$2,350.60 |
$3,358 |
0.4× |
| External cephalic version (59412) |
$249.20 |
$356 |
0.1× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$1,268.40 |
$1,382 |
0.8× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$965.30 |
$1,033 |
1.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$879.20 |
$1,256 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$1,033.20 |
$1,025 |
0.3× |
| Fetal non-stress test (59025) |
$60.20 |
$86 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$174.30 |
$232 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$245 |
$188 |
0.6× |
| Fit/Insert Intravag Support Device (57160) |
$180.60 |
$158 |
0.9× |
| Fitting of diaphragm/cap (57170) |
$151.55 |
$216.50 |
0.7× |
| Fluid pressure muscle (20950) |
$214.20 |
$306 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$200.20 |
$286 |
0.8× |
| Forehead flap w/vasc pedicle (15731) |
$2,718.80 |
$3,441 |
0.7× |
| Foreskin manipulation (54450) |
$167.30 |
$195 |
0.6× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,147.60 |
$2,557 |
1.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$289.10 |
$413 |
0.1× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$890.40 |
$876 |
0.3× |
| Frenulotomy of penis (54164) |
$473.20 |
$676 |
0.2× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,891.40 |
$2,234 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,255.40 |
$2,751 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,423.40 |
$2,916 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,869 |
$2,110 |
0.9× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,038.40 |
$2,329 |
0.9× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,501.50 |
$2,145 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$51.80 |
$74 |
0.2× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$1,135.40 |
$1,622 |
0.3× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$901.60 |
$1,288 |
0.2× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,705.90 |
$2,437 |
0.8× |
Glossectomy; less than one-half tongue Facility (41120)
unusually low: confirm this is the full procedure |
$2,552.20 |
$3,646 |
0.4× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,051.70 |
$2,412 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$1,528.80 |
$1,092 |
2.1× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$1,169 |
$1,670 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,395.45 |
$1,993.50 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$987 |
$932 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$115.50 |
$165 |
0.0× |
| Hysteroscopy biopsy (58558) |
$557.20 |
$796 |
0.2× |
Hysteroscopy div/rescj intrauterine septum (58560)
likely a partial charge, not the full procedure |
$753.20 |
$1,076 |
0.1× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$683.90 |
$977 |
0.1× |
Hysteroscopy removal leiomyomata (58561)
likely a partial charge, not the full procedure |
$861.70 |
$1,231 |
0.2× |
| Hysteroscopy w endometrial ablation (58563) |
$2,818.20 |
$4,026 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$872.90 |
$623.50 |
0.3× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$4,001.90 |
$5,717 |
0.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,043.70 |
$763 |
0.3× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,086.40 |
$1,334 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$469 |
$474 |
1.9× |
| I&d abscess simple (10060) |
$639.10 |
$755 |
3.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$592.90 |
$482 |
0.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,247.40 |
$1,782 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,006.95 |
$1,438.50 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$516.60 |
$738 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,690.50 |
$2,415 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$917.70 |
$1,316.50 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$402.50 |
$575 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$396.20 |
$566 |
0.2× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$441.70 |
$631 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$357.70 |
$443 |
1.1× |
| Ileoscopy thru stoma (44380) |
$476 |
$340 |
0.5× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$718.90 |
$513.50 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,279.25 |
$1,827.50 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$2,102.10 |
$653 |
1.2× |
Implant cochlear device (69930)
likely a partial charge, not the full procedure |
$2,943.50 |
$4,205 |
0.1× |
| Implant neuroelectrodes (63650) |
$5,498.50 |
$1,429 |
0.8× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714)
likely a partial charge, not the full procedure |
$1,201.90 |
$1,717 |
0.1× |
| Incise external hemorrhoid (46083) |
$448.35 |
$383 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$521.50 |
$640 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$952 |
$1,360 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$833.70 |
$595.50 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$641.90 |
$635 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$369.60 |
$367 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$437.85 |
$386 |
2.1× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,379 |
$1,970 |
0.5× |
| Incision and drainage of thyroglossal duct cyst, infected Facility (60000) |
$386.40 |
$552 |
0.2× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$779.10 |
$1,113 |
0.3× |
| Incision and drainage perianal abscess superficial (46050) |
$573.30 |
$819 |
0.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$637.70 |
$620 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$872.90 |
$751 |
0.3× |
| Incision bone cortex foot (28005) |
$1,387.40 |
$1,982 |
0.4× |
| Incision of eardrum (69421) |
$369.60 |
$528 |
0.1× |
| Incision of eardrum (69420) |
$464.80 |
$421 |
1.9× |
| Incision of eyelid fold (67715) |
$259 |
$370 |
0.1× |
| Incision of labial frenum (frenotomy) (40806) |
$241.50 |
$172.50 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$525 |
$383 |
0.3× |
| Incision of rectal abscess (46040) |
$1,193.85 |
$1,705.50 |
1.0× |
Incision of windpipe (31610)
unusually low: confirm this is the full procedure |
$2,319.80 |
$3,314 |
0.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$443.10 |
$316.50 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$135.80 |
$269 |
0.2× |
| Induced abortion by d&c (59840) |
$578.90 |
$827 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$193.20 |
$276 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$466.20 |
$362 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$716.10 |
$1,023 |
2.2× |
| Inj therapeutic carpal tunnel (20526) |
$200.20 |
$196 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$324.10 |
$237 |
0.3× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$123.20 |
$160 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$478.10 |
$683 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$153.30 |
$219 |
0.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$389.90 |
$557 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$80.50 |
$86 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$237.30 |
$199 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$557.20 |
$398 |
0.6× |
| Inject Rx Celiac Plexus Nerve (64680) |
$604.80 |
$864 |
0.7× |
| Inject Sinus Tract Theraputic (20500) |
$217 |
$310 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$139.30 |
$133 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$536.20 |
$383 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$196 |
$393.50 |
0.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$182 |
$144 |
0.2× |
| Injection aa&/strd pudendal nerve (64430) |
$238 |
$188 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$275.80 |
$215 |
0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$255.50 |
$365 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$470.40 |
$433 |
0.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$215.95 |
$308.50 |
0.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$208.60 |
$190 |
0.3× |
| Injection for identification of sentinel node (38792) |
$77 |
$110 |
0.2× |
| Injection into skin lesions (11900) |
$139.30 |
$103 |
0.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$369.60 |
$352 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$127.40 |
$127 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$147 |
$144 |
0.5× |
| Injection Turbinate Therapeutic (30200) |
$268.10 |
$207 |
0.5× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$195.30 |
$151 |
0.3× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$267.40 |
$382 |
0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$170.10 |
$156 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$2,072 |
$2,960 |
0.6× |
| Ins cath ren art 1st unilat (36251) |
$3,045.70 |
$858 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,751.60 |
$1,184 |
0.8× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,641.45 |
$3,773.50 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$271.95 |
$388.50 |
2.0× |
| Insert cath pleura w/ image (32557) |
$352.10 |
$503 |
0.2× |
| Insert cath pleura w/o image (32556) |
$294.70 |
$421 |
0.1× |
| Insert cervical dilator (59200) |
$254.80 |
$364 |
0.8× |
| Insert Drug Implant Device (11981) |
$2,562 |
$3,660 |
18.4× |
| Insert gastrostomy tube percutaneous (49440) |
$1,224.30 |
$1,749 |
0.6× |
Insert heart pm atrial (33206)
likely a partial charge, not the full procedure |
$1,080.10 |
$1,543 |
0.1× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$1,902.60 |
$2,718 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$511.70 |
$731 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$200.20 |
$286 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$217.70 |
$311 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$151.20 |
$129 |
1.1× |
| Insert tun ip cath perc (49418) |
$1,399.65 |
$1,999.50 |
0.4× |
| Insert tunneled cv cath (36561) |
$1,552.25 |
$2,217.50 |
0.5× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$772.80 |
$1,104 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108.50 |
$88 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,169 |
$1,670 |
0.3× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$737.80 |
$527 |
0.5× |
Insertion of cannula (36800)
likely a partial charge, not the full procedure |
$287 |
$410 |
0.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$890.05 |
$1,271.50 |
0.0× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$884.10 |
$1,263 |
0.1× |
| Insj picc rs&i 5 yr+ (36573) |
$1,430.45 |
$2,043.50 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$748.30 |
$1,069 |
0.2× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure |
$1,047.90 |
$1,497 |
0.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,933 |
$2,095 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,285.55 |
$1,836.50 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$380.10 |
$543 |
0.0× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$398.30 |
$569 |
0.0× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$828.10 |
$1,183 |
0.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$352.10 |
$362 |
0.6× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,026.90 |
$989 |
1.8× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$551.60 |
$403 |
2.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$952 |
$894 |
0.3× |
| Intro cath dialysis circuit (36901) |
$394.80 |
$564 |
0.2× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
unusually low: confirm this is the full procedure |
$5,381.60 |
$7,688 |
0.4× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
likely a partial charge, not the full procedure |
$562.80 |
$804 |
0.1× |
| Intro Gastrointestinal Tube (44500) |
$45.50 |
$65 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$561.75 |
$802.50 |
2.3× |
| Irrigation maxillary sinus (31000) |
$452.20 |
$386 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$540.40 |
$463 |
2.1× |
| Island pedicle flap graft (15740) |
$2,459.10 |
$2,910 |
1.1× |
| Labyrinthotomy Transcanal (69801) |
$553.70 |
$429 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low: confirm this is the full procedure |
$2,706.20 |
$3,866 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure |
$3,155.60 |
$4,508 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure |
$3,010.70 |
$4,301 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020)
unusually low: confirm this is the full procedure |
$2,688.70 |
$3,841 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge, not the full procedure |
$2,242.10 |
$3,203 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
unusually low: confirm this is the full procedure |
$3,163.30 |
$4,519 |
0.4× |
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure |
$4,165.70 |
$5,951 |
0.4× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$3,698.80 |
$5,284 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
likely a partial charge, not the full procedure |
$1,892.10 |
$2,703 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,463.70 |
$2,091 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$836.50 |
$1,195 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,956.10 |
$4,223 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$905.80 |
$1,294 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,208.50 |
$3,155 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,582 |
$2,260 |
0.2× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$2,355.50 |
$3,365 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,223.90 |
$3,177 |
0.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,601.90 |
$3,717 |
0.2× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge, not the full procedure |
$2,727.90 |
$3,897 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$2,300.20 |
$3,286 |
0.6× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
unusually low: confirm this is the full procedure |
$2,188.90 |
$3,127 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge, not the full procedure |
$2,198 |
$3,140 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,961.40 |
$2,802 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572)
likely a partial charge, not the full procedure |
$2,460.50 |
$3,515 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$2,141.30 |
$3,059 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,378.60 |
$3,398 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553)
likely a partial charge, not the full procedure |
$2,712.50 |
$3,875 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$3,160.50 |
$4,515 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,743 |
$2,490 |
0.3× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure |
$1,579.90 |
$2,257 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$905.80 |
$1,294 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,662.50 |
$2,375 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$800.80 |
$1,144 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,731.80 |
$2,474 |
0.3× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$2,014.60 |
$2,878 |
0.2× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$1,407.70 |
$2,011 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,250.20 |
$1,786 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$910 |
$1,300 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure |
$1,934.10 |
$2,763 |
0.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$597.10 |
$853 |
0.2× |
Laryngoplasty, medialization, unilateral Facility (31591)
unusually low: confirm this is the full procedure |
$2,671.90 |
$3,817 |
0.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$833 |
$786 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$120.40 |
$172 |
0.6× |
| Laryngoscopy Direct Aspiration (31515) |
$267.40 |
$382 |
0.7× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$377.30 |
$539 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$347.20 |
$496 |
0.1× |
| Laryngoscopy flexible diagnostic (31575) |
$312.90 |
$237 |
1.5× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$360.50 |
$1,611.50 |
0.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$321.30 |
$459 |
0.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$324.80 |
$464 |
1.6× |
| Laryngoscopy w/biopsy (31535) |
$454.30 |
$649 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$504 |
$720 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$578.20 |
$826 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$477.40 |
$682 |
0.3× |
| Larynscop w/tumr exc + scope (31541) |
$630.70 |
$901 |
0.2× |
| Late closure of wound (13160) |
$1,923.60 |
$2,748 |
0.5× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$2,121 |
$3,030 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$686.70 |
$667 |
0.7× |
| Ligation Of Neck Artery (37615) |
$1,243.90 |
$1,777 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$751.10 |
$703 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$610.40 |
$872 |
0.2× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562)
likely a partial charge, not the full procedure |
$1,713.60 |
$2,448 |
0.2× |
| Lip shave (40500) |
$1,288 |
$1,292 |
0.4× |
| Liver Biopsy (47000) |
$207.90 |
$297 |
0.1× |
| Lyse chest fibrin init day (32561) |
$194.25 |
$277.50 |
0.3× |
| Lyse Chest Fibrin Subq Day (32562) |
$173.95 |
$248.50 |
0.3× |
| Lysis Intranasal Synechia (30560) |
$780.50 |
$527 |
1.4× |
| Lysis of labial adhesions (56441) |
$448 |
$640 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$485.10 |
$693 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$442.40 |
$632 |
0.1× |
Mastoidectomy; complete (69502)
unusually low: confirm this is the full procedure |
$2,293.90 |
$3,277 |
0.4× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$192.15 |
$274.50 |
0.1× |
| Mech remov tunneled cv cath (36595) |
$917 |
$1,310 |
0.3× |
| Metatarsectomy (28140) |
$1,373.40 |
$1,477 |
0.4× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,646.40 |
$1,210 |
2.1× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,547.70 |
$1,105.50 |
2.0× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$818.30 |
$1,169 |
0.3× |
| Myelography Lumbar Injection (62304) |
$608.30 |
$434.50 |
0.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$611.10 |
$436.50 |
0.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$282.80 |
$404 |
0.3× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,386.70 |
$1,981 |
0.4× |
| Myringoplasty (69620) |
$1,503.95 |
$2,148.50 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$267.40 |
$191 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$828.80 |
$1,184 |
2.6× |
| Nasal endoscopy dx (31231) |
$453.60 |
$324 |
2.2× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$820.40 |
$1,172 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$432.60 |
$618 |
0.1× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$644 |
$482 |
1.6× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$907.90 |
$1,297 |
0.1× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$483 |
$690 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$383.60 |
$548 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$1,068.90 |
$1,527 |
0.6× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$562.10 |
$803 |
0.1× |
Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243)
likely a partial charge, not the full procedure |
$380.10 |
$543 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$623.70 |
$551 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$606.20 |
$577 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$4,028.50 |
$2,877.50 |
0.5× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure |
$2,173.85 |
$3,105.50 |
0.3× |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure |
$2,139.90 |
$3,057 |
0.3× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,198.40 |
$1,712 |
0.2× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,129.80 |
$1,614 |
0.2× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,069.60 |
$1,528 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$775.60 |
$1,108 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$95.20 |
$136 |
0.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$893.90 |
$681 |
0.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$1,869.70 |
$2,671 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$599.90 |
$857 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$383.60 |
$274 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$354.20 |
$265 |
0.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$178.50 |
$255 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$585.55 |
$836.50 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$429.10 |
$311 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$635.60 |
$454 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$625.10 |
$446.50 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$462.35 |
$660.50 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$935.20 |
$1,336 |
1.3× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$637.70 |
$911 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$1,736.70 |
$1,240.50 |
1.8× |
| Occipital Nerve Block (64405) |
$183.40 |
$182 |
0.6× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581)
likely a partial charge, not the full procedure |
$1,579.90 |
$2,257 |
0.2× |
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure |
$1,629.60 |
$2,328 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,380.40 |
$1,972 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge, not the full procedure |
$1,778 |
$2,540 |
0.2× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)
unusually low: confirm this is the full procedure |
$2,608.20 |
$3,726 |
0.4× |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)
unusually low: confirm this is the full procedure |
$2,816.10 |
$4,023 |
0.5× |
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360)
likely a partial charge, not the full procedure |
$1,282.40 |
$1,832 |
0.2× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
likely a partial charge, not the full procedure |
$1,155 |
$1,650 |
0.2× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure |
$1,419.60 |
$2,028 |
0.2× |
Open treatment of mandibular condylar fracture Facility (21465)
unusually low: confirm this is the full procedure |
$1,926.40 |
$2,752 |
0.3× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$3,760.40 |
$5,372 |
0.6× |
| Open treatment of mandibular fracture; without interdental fixation Facility (21461) |
$3,499.30 |
$4,999 |
0.6× |
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
unusually low: confirm this is the full procedure |
$2,511.60 |
$3,588 |
0.4× |
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure |
$1,678.60 |
$2,398 |
0.3× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
unusually low: confirm this is the full procedure |
$1,943.90 |
$2,777 |
0.3× |
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)
unusually low: confirm this is the full procedure |
$1,928.50 |
$2,755 |
0.3× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure |
$2,180.50 |
$2,463 |
0.3× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,408.40 |
$2,012 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,246.70 |
$1,781 |
0.4× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$2,132.20 |
$3,046 |
0.3× |
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure |
$4,437.30 |
$6,339 |
0.4× |
Open/Perq Placement Intravascular Stent Initial (37236)
unusually low: confirm this is the full procedure |
$3,764.95 |
$5,378.50 |
0.3× |
| Ostectomy calcaneus (28118) |
$1,032.50 |
$1,475 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,040.90 |
$1,487 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$764.40 |
$1,092 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$918.40 |
$1,312 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,461.60 |
$1,520 |
0.4× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$888.30 |
$1,269 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$995.40 |
$1,422 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,166.20 |
$1,666 |
0.3× |
| Osteotomy Phalanx Finger Each (26567) |
$1,761.90 |
$2,517 |
0.5× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,864.80 |
$2,664 |
0.4× |
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure |
$1,673.70 |
$2,391 |
0.3× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure |
$2,017.40 |
$2,882 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,622.60 |
$1,727 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,251.95 |
$1,788.50 |
0.4× |
| Partial excision of lip (40520) |
$1,046.15 |
$1,494.50 |
0.3× |
| Partial hymenectomy or revision (56700) |
$495.60 |
$708 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,715.70 |
$2,451 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,717.10 |
$2,453 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,155 |
$1,167 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$256.90 |
$367 |
0.1× |
Perc Radiofreq Ablate Renal Tumor (50592)
likely a partial charge, not the full procedure |
$808.50 |
$1,155 |
0.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$222.60 |
$318 |
0.3× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$3,999.10 |
$2,856.50 |
0.3× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$802.90 |
$1,147 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$553.70 |
$791 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$665 |
$950 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$199.50 |
$285 |
0.3× |
| Perq device breast 1st imag (19281) |
$233.10 |
$333 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$89.60 |
$128 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$199.50 |
$285 |
0.3× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$1,196.30 |
$1,709 |
0.1× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$3,209.15 |
$4,584.50 |
0.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,279.80 |
$1,233 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,315.35 |
$10,450.50 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,386.75 |
$10,552.50 |
1.0× |
| Phalangectomy toe each toe (28150) |
$682.50 |
$975 |
0.2× |
| Picc line placement (36569) |
$224.70 |
$321 |
0.1× |
| Place Cath Thoracic Aorta (36221) |
$1,407.70 |
$2,011 |
0.4× |
| Place duod/jej tube perc (49441) |
$1,425.20 |
$2,036 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$230.30 |
$329 |
0.5× |
| Plastic Repair Introitus (56800) |
$616.70 |
$881 |
0.2× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500)
likely a partial charge, not the full procedure |
$1,094.80 |
$1,205 |
0.2× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure |
$784.70 |
$1,121 |
0.1× |
Plmt Bile Duct Stent Prq Existing Access (47538)
likely a partial charge, not the full procedure |
$547.40 |
$782 |
0.1× |
Plmt bile duct stent prq new access w/sep cath (47540)
likely a partial charge, not the full procedure |
$1,024.10 |
$1,463 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,316 |
$1,880 |
0.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,637.65 |
$2,339.50 |
0.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$1,986.60 |
$2,838 |
0.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,356.90 |
$1,683.50 |
0.6× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,496.60 |
$2,138 |
0.3× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$1,010.80 |
$1,444 |
0.1× |
| Probe nasolacrimal duct (68810) |
$307.30 |
$439 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$116.20 |
$166 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$242.90 |
$347 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$175.70 |
$251 |
0.1× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$266.70 |
$381 |
0.2× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
likely a partial charge, not the full procedure |
$1,771 |
$1,265 |
0.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$5,124.70 |
$3,660.50 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$615.30 |
$879 |
0.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$861 |
$1,230 |
0.2× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,656.20 |
$2,366 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$112 |
$216.50 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$242.90 |
$173.50 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$315 |
$335 |
0.7× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$135.80 |
$194 |
0.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$324.10 |
$266 |
0.4× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842)
unusually low: confirm this is the full procedure |
$2,443.70 |
$3,491 |
0.4× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$1,138.90 |
$1,627 |
0.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$884.10 |
$1,263 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,407.35 |
$2,010.50 |
0.2× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$517.30 |
$739 |
0.5× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
unusually low: confirm this is the full procedure |
$2,708.30 |
$3,869 |
0.4× |
| Reconstruction of nail bed with graft (11762) |
$452.20 |
$646 |
0.2× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
likely a partial charge, not the full procedure |
$1,687 |
$2,410 |
0.2× |
| Reduce testis torsion (54600) |
$1,096.90 |
$1,567 |
0.3× |
| Rem Endovas Vena Cava Filter (37193) |
$2,177.35 |
$3,110.50 |
0.7× |
| Removal biliary drg cath (47537) |
$695.45 |
$993.50 |
0.7× |
| Removal entire oi implt skl perq attachment esp (69726) |
$1,158.50 |
$1,655 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$981.40 |
$1,402 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,257.20 |
$1,270 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,108.10 |
$1,079 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$581.70 |
$460 |
0.8× |
| Removal foreign body intranasal (30300) |
$405.30 |
$428 |
2.9× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$529.90 |
$515 |
0.3× |
| Removal foreign body pharynx (42809) |
$504 |
$442 |
1.1× |
| Removal foreign body shoulder subcutaneous (23330) |
$732.90 |
$588 |
0.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$988.40 |
$1,412 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$507.50 |
$725 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$466.20 |
$666 |
7.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$447.30 |
$568 |
7.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$428.40 |
$612 |
0.1× |
| Removal implant deep (20680) |
$1,458.10 |
$1,462 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$606.55 |
$866.50 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$352.10 |
$319 |
0.5× |
| Removal of adenoids (42835) |
$487.90 |
$697 |
0.1× |
| Removal of adenoids (42831) |
$567.70 |
$811 |
0.2× |
| Removal of adenoids (42830) |
$522.90 |
$747 |
0.2× |
| Removal of adenoids (42836) |
$602 |
$860 |
0.2× |
| Removal of ankle implant (27704) |
$1,386.70 |
$1,981 |
0.4× |
| Removal of arm foreign body (24200) |
$535.50 |
$495 |
0.3× |
Removal of cervix (57530)
likely a partial charge, not the full procedure |
$914.90 |
$1,307 |
0.2× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$167.30 |
$239 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$282.80 |
$404 |
0.9× |
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure |
$1,628.90 |
$2,327 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$555.10 |
$793 |
0.4× |
| Removal of foreign body in scrotum (55120) |
$863.10 |
$1,233 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$147 |
$142 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$407.40 |
$582 |
0.6× |
| Removal of iud (58301) |
$268.10 |
$228 |
0.8× |
| Removal of nail bed (11750) |
$664.30 |
$949 |
1.6× |
| Removal of salivary stone (42330) |
$570.50 |
$577 |
0.2× |
| Removal of sesamoid bone (28315) |
$795.20 |
$1,136 |
0.2× |
| Removal Of Tendon Lesion (27630) |
$876.40 |
$1,252 |
0.3× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$658 |
$940 |
0.1× |
| Removal of tonsils (42826) |
$626.50 |
$895 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$529.90 |
$757 |
0.2× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$2,037.70 |
$2,911 |
0.6× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,804.60 |
$2,578 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$544.60 |
$706.50 |
2.6× |
| Removal Submand Stone,Complicated (42335) |
$1,054.20 |
$919 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$107.10 |
$153 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$118.65 |
$169.50 |
0.4× |
| Remove anal fist subq (46270) |
$978.60 |
$1,398 |
0.3× |
| Remove cerclage suture (59871) |
$324.10 |
$463 |
0.1× |
| Remove cranial cavity fluid (61000) |
$277.90 |
$397 |
0.4× |
| Remove drug implant device (11982) |
$786.10 |
$1,001 |
1.7× |
| Remove ext hem groups 2+ (46250) |
$1,160.60 |
$1,658 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,313.20 |
$1,876 |
0.4× |
| Remove renal tube w/fluoro (50389) |
$984.20 |
$703 |
1.3× |
| Remove spine eltrd perq aray (63661) |
$1,660.40 |
$1,186 |
0.8× |
| Remove spine eltrd plate (63662) |
$2,092.30 |
$2,989 |
0.6× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,109.50 |
$1,585 |
0.2× |
| Remove ureter stent, percut (50384) |
$2,033.50 |
$761 |
0.9× |
| Remove vagina gland lesion (56740) |
$766.50 |
$1,095 |
0.2× |
| Remove vc lesion w/scope (31545) |
$866.60 |
$1,238 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$344.40 |
$355 |
0.7× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$232.40 |
$332 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$195.30 |
$164 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$68.95 |
$99 |
0.5× |
| Remv/revisn shldr/hip spica cast (29710) |
$198.10 |
$283 |
0.7× |
| Renal Biopsy Percutaneous (50200) |
$299.60 |
$428 |
0.2× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,605.80 |
$2,294 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,022 |
$953 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,185.45 |
$1,148 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$938 |
$830 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,068.90 |
$1,035 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$858.20 |
$795 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$953.05 |
$884 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$823.90 |
$688 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$959 |
$847 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,533 |
$2,190 |
0.9× |
| Repair Eyelid Wound (67935) |
$1,442.70 |
$1,495 |
0.6× |
| Repair eyelid wound (67930) |
$562.80 |
$804 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,561.70 |
$2,231 |
0.5× |
| Repair hand tendon (26410) |
$1,474.20 |
$2,106 |
0.9× |
| Repair incomplete circumcision (54163) |
$532.70 |
$761 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,218 |
$1,041 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$670.60 |
$585 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$697.55 |
$687 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$927.50 |
$1,325 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$718.20 |
$741 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$728.70 |
$1,041 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,012.20 |
$1,446 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$662.20 |
$946 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$584.50 |
$501 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$663.95 |
$674 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$784 |
$739 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$855.40 |
$1,222 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$897.40 |
$833 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$637 |
$523 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$736.40 |
$656 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$682.50 |
$975 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$811.30 |
$708 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$792.40 |
$1,132 |
0.4× |
| Repair Laceration Palate </2 Cm (42180) |
$620.20 |
$653 |
1.1× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$715.05 |
$1,021.50 |
0.1× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$1,489.60 |
$2,128 |
0.2× |
| Repair Mouth Laceration (40831) |
$485.80 |
$694 |
0.9× |
| Repair nasal septal perforations (30630) |
$1,629.60 |
$2,328 |
0.5× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,495.50 |
$3,565 |
0.4× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$1,234.10 |
$1,763 |
0.2× |
| Repair of eye wound (65270) |
$336 |
$480 |
0.1× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$889 |
$1,270 |
0.1× |
| Repair of leg tendon each (27658) |
$905.10 |
$1,293 |
0.3× |
| Repair of nail bed (11760) |
$448 |
$379 |
0.6× |
| Repair of nasal septum (30520) |
$1,645 |
$2,350 |
0.5× |
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)
likely a partial charge, not the full procedure |
$407.40 |
$582 |
0.1× |
| Repair oval window fistula Facility (69666) |
$1,966.30 |
$2,809 |
0.6× |
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure |
$1,680.70 |
$2,401 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,746.50 |
$2,495 |
0.2× |
| Repair Spica Body Cast/Jacket (29720) |
$105.70 |
$151 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$785.40 |
$1,122 |
0.2× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,842.40 |
$2,632 |
0.2× |
| Repair tongue laceration (41252) |
$506.80 |
$724 |
2.0× |
| Repair Tongue Laceration (41250) |
$611.45 |
$534 |
1.3× |
| Repair tympanic membrane (69610) |
$932.40 |
$998 |
0.6× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,411.20 |
$2,016 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,190.70 |
$1,701 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$1,554.70 |
$2,221 |
0.2× |
| Repeat control of nosebleed (30906) |
$908.60 |
$649 |
3.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,507.80 |
$1,077 |
1.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$782.25 |
$1,117.50 |
0.8× |
| Replace tunneled cv cath (36578) |
$756.35 |
$1,080.50 |
0.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,075.55 |
$1,536.50 |
1.1× |
| Reposition cv cath w/fluoro (36597) |
$203.70 |
$291 |
0.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$298.20 |
$356 |
1.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$780.15 |
$1,114.50 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$718.20 |
$1,026 |
0.2× |
| Revise finger/toe nerve (64702) |
$1,262.10 |
$1,803 |
0.6× |
| Revise Hand/Foot Nerve (64704) |
$792.40 |
$1,132 |
0.4× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,337.70 |
$1,911 |
0.2× |
Revise spine eltrd perq aray (63663)
likely a partial charge, not the full procedure |
$1,092 |
$1,560 |
0.2× |
| Revise vag graft via vagina (57295) |
$1,220.80 |
$1,744 |
0.4× |
| Revise/Remove Neuroreceiver (63688) |
$732.20 |
$1,046 |
0.2× |
Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601)
unusually low: confirm this is the full procedure |
$2,471.70 |
$3,531 |
0.4× |
| Revision of lower leg tendon (27685) |
$1,141 |
$1,630 |
0.3× |
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure |
$2,808.40 |
$4,012 |
0.5× |
| Revision of tips (37183) |
$7,287 |
$10,410 |
1.2× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$844.90 |
$1,207 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$467.60 |
$668 |
0.1× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$3,525.90 |
$5,037 |
0.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$751.80 |
$1,074 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$742.70 |
$674 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$459.20 |
$396 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$142.10 |
$203 |
1.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$88.90 |
$127 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$861.70 |
$1,231 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$756.70 |
$593 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$493.85 |
$705.50 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$360.15 |
$514.50 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$449.40 |
$321 |
0.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$454.30 |
$649 |
0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,070.60 |
$1,479 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,134 |
$1,620 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$825.30 |
$1,179 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,960.70 |
$2,801 |
2.6× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$1,155.70 |
$1,651 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$771.40 |
$1,102 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$446.60 |
$638 |
1.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,260.70 |
$1,261 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$774.90 |
$1,107 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,428.70 |
$1,486 |
0.9× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
likely a partial charge, not the full procedure |
$363.30 |
$4,214.50 |
0.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$798 |
$1,140 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,220.80 |
$1,744 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$345.10 |
$246.50 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,829.10 |
$2,613 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$281.40 |
$402 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$430.85 |
$615.50 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$504.70 |
$721 |
0.4× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$470.40 |
$672 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$243.60 |
$174 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$254.80 |
$182 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$839.30 |
$1,021.50 |
4.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$438.20 |
$328 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$296.80 |
$212 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$335.30 |
$239.50 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$352.80 |
$252 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$331.10 |
$236.50 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$376.60 |
$269 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$465.50 |
$542.50 |
2.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$367.50 |
$262.50 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$331.80 |
$237 |
1.6× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$1,297.80 |
$1,205 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$272.30 |
$389 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,921.80 |
$4,174 |
2.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,182.30 |
$844.50 |
0.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$296.10 |
$423 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$791.70 |
$565.50 |
0.8× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$366.80 |
$524 |
0.1× |
| Sigmoidoscopy w/biopsy (45331) |
$690.90 |
$493.50 |
0.7× |
| Sigmoidoscopy w/us guide bx (45342) |
$406 |
$580 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$307.30 |
$439 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$272.30 |
$198 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$283.50 |
$206 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$370.30 |
$529 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$346.50 |
$258 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$417.90 |
$597 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$417.20 |
$596 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$228.90 |
$172 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$346.50 |
$495 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$323.40 |
$253 |
1.5× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure |
$1,446.20 |
$2,066 |
0.2× |
| Skin pinch graft (15050) |
$1,109.50 |
$1,585 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,956.50 |
$2,795 |
2.5× |
| Skin sub graft trnk/arm/leg (15271) |
$4,475.10 |
$6,393 |
5.8× |
| Skin sub grft t/arm/lg child (15273) |
$466.90 |
$667 |
0.2× |
| Skin tissue rearrangement (14040) |
$1,845.20 |
$2,154 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,049.60 |
$2,384 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$532.70 |
$761 |
0.2× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,805.30 |
$2,579 |
0.3× |
| Slitting of prepuce (54001) |
$340.90 |
$487 |
0.2× |
| Slitting of prepuce (54000) |
$270.20 |
$386 |
0.1× |
| Small bowel endoscopy (44366) |
$568.40 |
$812 |
0.3× |
| Small bowel endoscopy (44364) |
$485.10 |
$693 |
0.2× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$582.40 |
$832 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$377.30 |
$539 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$277.20 |
$203 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$430.50 |
$615 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$496.30 |
$709 |
1.2× |
| Sperm washing for artificial insemination Facility (58323) |
$36.40 |
$47 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$353.50 |
$505 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$221.90 |
$317 |
0.3× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
unusually low: confirm this is the full procedure |
$2,244.90 |
$3,207 |
0.4× |
| Strapping ankle (29540) |
$315 |
$450 |
1.9× |
| Strapping elbow or wrist (29260) |
$58.10 |
$83 |
0.9× |
| Strapping hand/finger (29280) |
$48.30 |
$69 |
0.8× |
| Strapping Hip (29520) |
$44.10 |
$63 |
0.3× |
| Strapping knee (29530) |
$42.70 |
$61 |
0.3× |
| Strapping shoulder (29240) |
$42.70 |
$61 |
0.3× |
| Strapping thorax (29200) |
$44.10 |
$63 |
0.3× |
| Strapping toes (29550) |
$26.60 |
$38 |
0.4× |
| Strapping unna boot (29580) |
$154.70 |
$131 |
0.9× |
| Subconjunctival injection (68200) |
$100.10 |
$117 |
0.2× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$2,199.40 |
$1,571 |
0.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$573.30 |
$819 |
0.2× |
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure |
$1,954.40 |
$2,792 |
0.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$3,641.40 |
$5,202 |
0.6× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
likely a partial charge, not the full procedure |
$417.90 |
$597 |
0.1× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$1,082.90 |
$1,157 |
0.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,694.70 |
$2,421 |
0.8× |
| Suture pharynx for wound or injury Facility (42900) |
$805 |
$1,150 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$90.30 |
$174 |
0.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,592.50 |
$2,275 |
0.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$660.10 |
$943 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$571.20 |
$727 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$589.40 |
$842 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$769.30 |
$975 |
0.5× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$205.10 |
$293 |
0.0× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure |
$996.10 |
$1,423 |
0.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$210.70 |
$301 |
0.3× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$908.60 |
$1,298 |
0.2× |
| Thrombolytic Therapy Stroke (37195) |
$761.60 |
$1,088 |
2.2× |
| Thrombolytic Venous Therapy (37212) |
$791.70 |
$1,131 |
0.2× |
| Thyroid biopsy (60100) |
$182 |
$260 |
0.2× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260)
unusually low: confirm this is the full procedure |
$2,632 |
$3,760 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,221.10 |
$3,173 |
0.4× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$3,191.30 |
$4,559 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$744.10 |
$1,063 |
0.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$816.90 |
$1,167 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$417.20 |
$398 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$788.20 |
$1,126 |
3.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$765.80 |
$1,094 |
0.5× |
| Tracheostomy planned (31600) |
$730.80 |
$1,044 |
0.2× |
| Tracheotomy tube change (31502) |
$84 |
$120 |
0.3× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$501.90 |
$717 |
0.1× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
likely a partial charge, not the full procedure |
$1,557.50 |
$2,225 |
0.2× |
| Treat clavicle dislocation (23540) |
$598.50 |
$855 |
2.3× |
| Treat clavicle fracture (23505) |
$840 |
$1,200 |
0.5× |
| Treat humerus fracture (24500) |
$844.20 |
$1,206 |
3.3× |
| Treat humerus fracture (23600) |
$798 |
$1,140 |
3.1× |
| Treat knee fracture (27532) |
$1,431.50 |
$2,045 |
0.4× |
| Treat Knee Fracture(S) (27538) |
$1,121.40 |
$1,602 |
4.3× |
| Treat Metatarsal Fracture (28475) |
$570.50 |
$815 |
2.2× |
| Treat shoulder blade fx (23575) |
$952 |
$1,360 |
0.6× |
| Treat Thigh Fracture (27246) |
$959.70 |
$1,371 |
3.7× |
| Treat Thumb Dislocation (26641) |
$1,054.20 |
$1,371 |
4.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$989.80 |
$1,414 |
0.6× |
| Treat vagina infection (57150) |
$62.30 |
$89 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$294.70 |
$421 |
1.4× |
| Treat wrist bone fracture (25622) |
$779.10 |
$1,026 |
3.0× |
| Treat Wrist Bone Fracture (25630) |
$772.10 |
$1,025 |
3.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,187.20 |
$1,696 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$858.20 |
$1,226 |
3.3× |
| Treatment mouth roof lesion (42160) |
$549.50 |
$489 |
0.2× |
| Treatment of anal fissure (46940) |
$351.40 |
$502 |
0.1× |
| Treatment of foot infection (28003) |
$910.70 |
$887 |
0.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,012.20 |
$1,446 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,060.50 |
$1,323 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$528.50 |
$684 |
2.0× |
| Trim skin lesion (11055) |
$195.30 |
$279 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$210.70 |
$301 |
1.0× |
| Trim skin lesions over 4 (11057) |
$218.40 |
$156 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$557.90 |
$797 |
9.0× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
likely a partial charge, not the full procedure |
$696.50 |
$995 |
0.1× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$353.50 |
$505 |
0.2× |
| Tubal ligation (58600) |
$904.40 |
$1,292 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$787.85 |
$1,125.50 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$820.40 |
$1,172 |
0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$695.10 |
$993 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$879.20 |
$1,256 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$727.30 |
$651 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$342.30 |
$489 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$565.60 |
$808 |
0.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$3,807.30 |
$5,439 |
0.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$3,578.40 |
$5,112 |
0.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$3,647 |
$5,210 |
0.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$3,248 |
$4,640 |
0.5× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
unusually low: confirm this is the full procedure |
$2,530.50 |
$3,615 |
0.4× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
unusually low: confirm this is the full procedure |
$2,557.80 |
$3,654 |
0.4× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
unusually low: confirm this is the full procedure |
$2,165.10 |
$3,093 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
unusually low: confirm this is the full procedure |
$2,625.70 |
$3,751 |
0.4× |
| Tympanostomy (69433) |
$492.10 |
$463 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$389.90 |
$557 |
0.2× |
| Us urine capacity measure (51798) |
$78.40 |
$112 |
1.3× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,313.90 |
$1,877 |
0.4× |
| Uvulectomy excision of uvula (42140) |
$755.30 |
$570 |
0.2× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$2,788.80 |
$3,984 |
0.4× |
| Vaginal delivery only (59409) |
$1,933.40 |
$2,762 |
0.6× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,191 |
$3,130 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,037.70 |
$2,911 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263)
unusually low: confirm this is the full procedure |
$2,412.20 |
$3,446 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure |
$2,170 |
$3,100 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$3,012.10 |
$4,303 |
0.6× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,251.20 |
$3,216 |
0.4× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,311.10 |
$1,873 |
0.4× |
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure |
$8,903.30 |
$12,719 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$8,498 |
$12,140 |
0.7× |
| Vasc embolize/occlude organ (37243) |
$10,768.45 |
$15,383.50 |
0.9× |
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure |
$5,960.85 |
$8,515.50 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$812.70 |
$797 |
0.4× |
| Venipuncture (36415) |
$18.90 |
$27 |
2.0× |
| Venipuncture cutdown under age 1 yr (36420) |
$114.10 |
$163 |
0.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$94.50 |
$135 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$228.20 |
$326 |
0.1× |
| Vulvectomy Simple Partial (56620) |
$1,434.30 |
$2,049 |
0.4× |
| Wedge excision skin nail fold (11765) |
$402.50 |
$322 |
0.9× |
| Wedging of cast (29740) |
$165.90 |
$237 |
0.6× |
| Windowing of cast (29730) |
$108.50 |
$155 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$620.90 |
$887 |
1.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$525.70 |
$751 |
0.7× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$9,210.25 |
$13,157.50 |
1.7× |