| Abd paracentesis w/imaging (49083) |
$233.35 |
$359 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$163.15 |
$251 |
0.2× |
| Ablate inf turbinate submuc (30802) |
$457.60 |
$704 |
0.3× |
Ablation renal tumor unilateral perq cryotherapy (50593)
likely a partial charge, not the full procedure |
$1,001 |
$1,540 |
0.1× |
Abltj 1/> lvr tum prq rf (47382)
likely a partial charge, not the full procedure |
$1,608.10 |
$2,474 |
0.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$343.85 |
$529 |
0.2× |
| Abortion (59841) |
$845.65 |
$1,301 |
0.3× |
| Abrasion single lesion (15786) |
$302.25 |
$465 |
1.5× |
| Acne surgery (10040) |
$116.35 |
$179 |
0.6× |
| Adding Walker Previously Applied Cast (29440) |
$63.05 |
$97 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,136.20 |
$1,748 |
0.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,947.40 |
$2,996 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,833.65 |
$2,821 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,275.30 |
$1,962 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,491.75 |
$2,295 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,707.55 |
$2,627 |
0.8× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,590.55 |
$2,447 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,554.80 |
$2,392 |
0.5× |
| Amputation Finger/Thumb (26951) |
$1,599.65 |
$2,461 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$952.90 |
$1,466 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$386.75 |
$595 |
0.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$396.50 |
$610 |
0.1× |
| Anoscopy diagnostic (46600) |
$92.95 |
$143 |
0.7× |
| Anoscopy w/control bleeding (46614) |
$144.30 |
$222 |
0.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$190.45 |
$293 |
0.2× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$179.40 |
$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 |
$1,383.85 |
$2,129 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$548.60 |
$844 |
3.3× |
| Application cast elbow finger short arm (29075) |
$169 |
$260 |
0.6× |
| Application Cast Finger (29086) |
$111.80 |
$172 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$154.05 |
$237 |
0.5× |
| Application Cast Shoulder Spica (29055) |
$311.35 |
$479 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$78 |
$120 |
1.3× |
| Application finger splint static (29130) |
$107.90 |
$166 |
0.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$357.50 |
$550 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$183.62 |
$282.50 |
1.1× |
| Application Long Leg Cast Brace (29358) |
$232.70 |
$358 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$239.20 |
$368 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$198.25 |
$305 |
0.7× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$400.40 |
$616 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$221 |
$340 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$195.65 |
$301 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$111.80 |
$172 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$143.65 |
$221 |
1.0× |
| Apply Hand/Wrist Cast (29085) |
$152.75 |
$235 |
0.9× |
| Apply long leg splint (29505) |
$192.40 |
$296 |
1.1× |
| Apply short leg cast (29405) |
$132.60 |
$204 |
0.5× |
| Apply short leg cast (29425) |
$306.48 |
$471.50 |
1.1× |
| Apply short leg splint (29515) |
$196.95 |
$303 |
1.2× |
| Arterial puncture (36600) |
$33.15 |
$51 |
0.2× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure |
$3,849.95 |
$5,923 |
0.3× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,639.30 |
$2,522 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$228.15 |
$191 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$116.35 |
$179 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$359.12 |
$226 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$131.95 |
$203 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$264.55 |
$407 |
0.8× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$759.20 |
$1,168 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,303.25 |
$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 |
$3,572.40 |
$5,496 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$1,006.20 |
$1,548 |
0.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$828.75 |
$1,275 |
0.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$919.10 |
$1,414 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$699.40 |
$1,076 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$742.30 |
$1,142 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$685.42 |
$1,054.50 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$92.30 |
$142 |
0.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$107.25 |
$165 |
0.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$315.90 |
$486 |
0.1× |
| Aspiration bladder needle (51100) |
$87.10 |
$134 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$612.95 |
$943 |
3.0× |
| Biopsy bone open superficial (20240) |
$312.65 |
$481 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$285.35 |
$439 |
0.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$192.40 |
$296 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$169 |
$260 |
0.2× |
| Biopsy External Auditory Canal (69105) |
$143.65 |
$221 |
0.1× |
| Biopsy external ear (69100) |
$103.35 |
$159 |
0.4× |
| Biopsy intranasal (30100) |
$154.05 |
$237 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$126.75 |
$195 |
0.1× |
| Biopsy Muscle Superficial (20200) |
$213.85 |
$329 |
0.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$134.55 |
$207 |
0.2× |
| Biopsy of floor of mouth (41108) |
$206.70 |
$318 |
0.1× |
| Biopsy of lip (40490) |
$154.05 |
$237 |
0.6× |
| Biopsy of mouth lesion (40808) |
$201.50 |
$310 |
0.4× |
| Biopsy of palate, uvula (42100) |
$248.95 |
$383 |
0.2× |
| Biopsy of penis (54100) |
$271.70 |
$418 |
0.2× |
| Biopsy of tongue (41100) |
$242.45 |
$373 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$575.90 |
$886 |
0.1× |
| Biopsy Oropharynx (42800) |
$265.85 |
$409 |
0.2× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$990.60 |
$1,524 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$183.95 |
$283 |
0.1× |
| Biopsy Salivary Gland Incisional (42405) |
$512.85 |
$789 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$118.30 |
$182 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$351.65 |
$541 |
0.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$248.95 |
$383 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$146.90 |
$226 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$132.60 |
$204 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$940.55 |
$1,447 |
0.2× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$321.75 |
$495 |
0.1× |
| Bl exchange/transfuse nb (36450) |
$376.35 |
$579 |
0.8× |
| Bl push transfuse 2 yr/< (36440) |
$111.15 |
$171 |
0.2× |
| Bladder Irrigation Simple (51700) |
$197.60 |
$304 |
0.8× |
| Blepharotomy drain absc eyelid (67700) |
$348.40 |
$536 |
1.1× |
| Blood patch (62273) |
$252.20 |
$388 |
0.3× |
| Blood transfusion service (36430) |
$1,584.70 |
$2,438 |
3.5× |
| Bone marrow aspiration only (38220) |
$148.85 |
$229 |
0.1× |
| Bone Marrow Biopsy (38221) |
$156 |
$240 |
0.1× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$342.55 |
$527 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$289.90 |
$446 |
0.2× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$385.45 |
$593 |
0.1× |
| Bronch ebus samplng 1/2 node (31652) |
$482.30 |
$742 |
0.1× |
| Bronch ebus samplng 3/> node (31653) |
$534.95 |
$823 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$291.85 |
$449 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$385.45 |
$593 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$323.05 |
$497 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$293.15 |
$451 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$181.35 |
$279 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$358.15 |
$551 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$338.65 |
$521 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$189.15 |
$291 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$757.25 |
$1,165 |
0.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$569.40 |
$876 |
0.3× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Facility (28264) |
$1,513.20 |
$2,328 |
0.9× |
| Cartilage graft; nasal septum Facility (20912) |
$1,093.30 |
$1,682 |
0.3× |
| Cataract surgery complex (66982) |
$5,941.91 |
$9,141.40 |
2.5× |
| Cauterization,cervix,electro/thermal (57510) |
$255.45 |
$393 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$334.75 |
$515 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$341.25 |
$525 |
0.1× |
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure |
$3,019.90 |
$4,646 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$178.75 |
$275 |
0.2× |
| Change of cystostomy tube simple (51705) |
$115.70 |
$178 |
0.4× |
| Change Ureter Stent, Percut (50382) |
$547.30 |
$842 |
0.3× |
| Chemical cautery tissue (17250) |
$702.65 |
$1,081 |
3.4× |
| Chemodenerv Eccrine Glands (64650) |
$91.65 |
$141 |
0.3× |
| Chemodenerv musc migraine (64615) |
$276.90 |
$426 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$247.65 |
$381 |
0.8× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$241.15 |
$371 |
0.3× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$172.90 |
$266 |
0.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$731.90 |
$1,126 |
0.2× |
Chromotubation oviduct (58350)
likely a partial charge, not the full procedure |
$215.80 |
$332 |
0.0× |
| Circumcision (54150) |
$328 |
$328 |
0.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$446.55 |
$687 |
1.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$609.70 |
$938 |
2.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,147.25 |
$1,765 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$821.60 |
$1,264 |
3.2× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,437.15 |
$2,211 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$606.45 |
$933 |
2.4× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,259.05 |
$1,937 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$544.05 |
$837 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$755.30 |
$1,162 |
3.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$677.30 |
$1,042 |
2.7× |
| Closed Treat Vert Body Fract (22310) |
$680.55 |
$1,047 |
2.7× |
| Closed treat wrist dislocation (25660) |
$1,041.30 |
$1,602 |
4.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$447.20 |
$688 |
1.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$213.20 |
$328 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$534.95 |
$823 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$960.70 |
$1,478 |
3.8× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$387.40 |
$596 |
0.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$823.55 |
$1,267 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,697.15 |
$2,611 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$690.95 |
$1,063 |
2.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$1,164.80 |
$1,792 |
0.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$704.60 |
$1,084 |
2.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$609.70 |
$938 |
2.4× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$560.95 |
$863 |
0.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$490.10 |
$754 |
1.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,019.20 |
$1,568 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,061.45 |
$1,633 |
4.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$677.30 |
$1,042 |
2.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$236.60 |
$364 |
0.9× |
| Closed Treatment Sternum Fracture (21820) |
$345.15 |
$531 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$716.30 |
$1,102 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$751.08 |
$1,155.50 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$992.55 |
$1,527 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$715.65 |
$1,101 |
2.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$939.25 |
$1,445 |
3.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,036.10 |
$1,594 |
0.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,245.40 |
$1,916 |
0.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,016.60 |
$1,564 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,102.40 |
$1,696 |
4.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,084.85 |
$1,669 |
4.3× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,138.15 |
$1,751 |
0.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,078.35 |
$1,659 |
1.9× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure |
$2,087.80 |
$3,212 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$477.10 |
$734 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,352.65 |
$2,081 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$133.90 |
$206 |
0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,129.05 |
$1,737 |
4.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$622.38 |
$957.50 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$946.40 |
$1,456 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$462.15 |
$711 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,071.20 |
$1,648 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,077.70 |
$1,658 |
0.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$570.05 |
$877 |
2.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$846.95 |
$1,303 |
3.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$461.50 |
$710 |
1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$762.45 |
$1,173 |
0.5× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,755 |
$2,700 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$218.08 |
$335.50 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$969.80 |
$1,492 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$627.90 |
$966 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$572 |
$880 |
2.2× |
| Closure of gastrostomy, surgical (43870) |
$1,595.75 |
$2,455 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$326.95 |
$503 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$757.25 |
$1,165 |
3.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$536.90 |
$826 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$941.85 |
$1,449 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$800.80 |
$1,232 |
3.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$944.45 |
$1,453 |
3.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,129.70 |
$1,738 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$780.65 |
$1,201 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$519.35 |
$799 |
2.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$985.40 |
$1,516 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$732.55 |
$1,127 |
2.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,122.55 |
$1,727 |
4.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$893.75 |
$1,375 |
3.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$670.80 |
$1,032 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$640.90 |
$986 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$448.50 |
$690 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$677.62 |
$1,042.50 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,006.20 |
$1,548 |
0.6× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,238.90 |
$1,906 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,552.20 |
$2,388 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,145.95 |
$1,763 |
4.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,101.10 |
$1,694 |
4.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,708.20 |
$2,628 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$345.80 |
$532 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$289.90 |
$446 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$332.80 |
$512 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$280.80 |
$432 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,131 |
$1,740 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$711.10 |
$1,094 |
2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$401.70 |
$618 |
1.6× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$736.45 |
$1,133 |
2.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,175.20 |
$1,808 |
0.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,049.10 |
$1,614 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,075.75 |
$1,655 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$254.48 |
$391.50 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$314.28 |
$483.50 |
1.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,154.75 |
$3,315 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$829.40 |
$1,276 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$518.05 |
$797 |
2.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,363.05 |
$2,097 |
0.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$719.55 |
$1,107 |
2.8× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,021.15 |
$1,571 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$600.28 |
$923.50 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$674.70 |
$1,038 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$732.55 |
$1,127 |
2.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$297.05 |
$457 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$252.20 |
$388 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$712.40 |
$1,096 |
2.8× |
| Cltx post ankle fx w/mnpj (27768) |
$1,038.05 |
$1,597 |
0.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,329.90 |
$2,046 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$964.60 |
$1,484 |
3.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$937.95 |
$1,443 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$666.90 |
$1,026 |
2.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$991.25 |
$1,525 |
0.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$838.50 |
$1,290 |
3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$283.72 |
$436.50 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$931.45 |
$1,433 |
0.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,160.25 |
$1,785 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,322.10 |
$2,034 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,814.80 |
$2,792 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$406.25 |
$625 |
1.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,129.05 |
$1,737 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,223.95 |
$1,883 |
4.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$689 |
$1,060 |
2.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$891.15 |
$1,371 |
6.5× |
| Colonoscopy flex w/blln dilat (45386) |
$467.35 |
$719 |
0.4× |
| Colonoscopy flex w/inj submuc (45381) |
$7,587.45 |
$11,673 |
6.1× |
| Colonoscopy flex w/rem forcep (45384) |
$504.40 |
$776 |
0.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$554.45 |
$853 |
0.4× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$637.65 |
$981 |
0.1× |
| Colonoscopy stoma w/biopsy (44389) |
$379.60 |
$584 |
0.3× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$379.60 |
$584 |
0.3× |
| Colonoscopy thru stoma (44388) |
$1,060.80 |
$1,632 |
1.1× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$497.25 |
$765 |
0.4× |
| Colonoscopy w/ablation (45388) |
$596.05 |
$917 |
0.5× |
| Colonoscopy w/band ligation (45398) |
$520 |
$800 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$525.85 |
$809 |
0.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$570.05 |
$877 |
0.5× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$4,501.90 |
$6,926 |
1.6× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$177.45 |
$273 |
0.0× |
| Colpoperineorrhaphy non ob (57210) |
$891.15 |
$1,371 |
0.3× |
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure |
$1,575.60 |
$2,424 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,563.90 |
$2,406 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$754.65 |
$1,161 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$300.30 |
$462 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$204.10 |
$314 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$409.50 |
$630 |
0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$357.50 |
$550 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$201.50 |
$310 |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$226.85 |
$349 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$273 |
$420 |
0.3× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$1,755 |
$2,700 |
0.3× |
| Complex Uroflowmetry (51741) |
$18.85 |
$29 |
0.1× |
| Conization of cervix (57520) |
$672.75 |
$1,035 |
0.2× |
| Conization of cervix (57522) |
$579.15 |
$891 |
0.2× |
| Contour of face bone lesion (21029) |
$1,411.15 |
$2,171 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$78 |
$120 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$247.65 |
$381 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$228.48 |
$351.50 |
1.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$364.65 |
$561 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,170.65 |
$1,801 |
0.3× |
| Conversion ext bil drg cath (47535) |
$425.10 |
$654 |
0.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$318.50 |
$490 |
0.2× |
| Convert nephrostomy catheter (50434) |
$416 |
$640 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$333.45 |
$513 |
0.2× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$1,571.70 |
$2,418 |
0.4× |
| Correction hammertoe (28285) |
$876.85 |
$1,349 |
0.3× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,149.85 |
$1,769 |
0.2× |
| Correction of bunion (28292) |
$1,100.45 |
$1,693 |
0.3× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$1,346.80 |
$2,072 |
0.2× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$1,359.80 |
$2,092 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,160.90 |
$1,786 |
0.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,363.05 |
$2,097 |
0.4× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$932.75 |
$1,435 |
3.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$285.02 |
$438.50 |
2.1× |
| Curettage postpartum (59160) |
$427.70 |
$658 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$295.75 |
$455 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$445.90 |
$686 |
0.1× |
| Cystometrogram W/Vp&Up (51729) |
$568.75 |
$875 |
0.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,670.50 |
$2,570 |
0.2× |
| Cystourethroscopy (52000) |
$178.10 |
$274 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$465.40 |
$716 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$313.30 |
$482 |
0.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$360.10 |
$554 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$61.75 |
$95 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$926.90 |
$1,426 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$617.50 |
$950 |
0.8× |
| Debride nail 1-5 (11720) |
$63.05 |
$97 |
1.0× |
| Debride nail 6 or more (11721) |
$87.75 |
$135 |
1.4× |
| Debride skin musc at fx site (11011) |
$664.30 |
$1,022 |
0.9× |
| Debride tissue/muscle (11043) |
$342.55 |
$527 |
0.4× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$310.05 |
$477 |
0.6× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$115.70 |
$178 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,047.15 |
$1,611 |
2.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$502.45 |
$773 |
0.3× |
| Declot vascular device (36593) |
$1,468.35 |
$2,259 |
4.3× |
| Decompression Of Tibia Nerve (28035) |
$813.15 |
$1,251 |
0.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$776.10 |
$1,194 |
0.4× |
| Delivery placenta separate procedure (59414) |
$203.45 |
$313 |
0.1× |
| Dermabrasion segmental face (15781) |
$960.70 |
$1,478 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$429.65 |
$661 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$430.30 |
$662 |
0.2× |
| Destruction Benign Lesions 15/> (17111) |
$187.85 |
$289 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$395 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$266.50 |
$410 |
0.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$150.80 |
$232 |
0.5× |
| Destruction Lesions Vulva Extensive (56515) |
$481 |
$740 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$302.90 |
$466 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$265.20 |
$408 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$305.50 |
$470 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$381.55 |
$587 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$443.30 |
$682 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$601.90 |
$926 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$196.30 |
$302 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$247.65 |
$381 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$273.65 |
$421 |
1.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$292.50 |
$450 |
0.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$342.55 |
$527 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$195.65 |
$301 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$215.15 |
$331 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$235.95 |
$363 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$271.70 |
$418 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$306.80 |
$472 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$373.75 |
$575 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$158.60 |
$244 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$326.30 |
$502 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$386.75 |
$595 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$217.10 |
$334 |
0.1× |
| Destruction of skin lesions (17106) |
$621.40 |
$956 |
1.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$221 |
$340 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$124.15 |
$213 |
0.6× |
| Destruction Vaginal Lesions Simple (57061) |
$261.95 |
$403 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$188.50 |
$290 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,164.80 |
$1,792 |
1.2× |
| Dilate Urethra Stricture (53620) |
$193.05 |
$297 |
0.3× |
| Dilate urethra stricture (53600) |
$141.05 |
$217 |
0.5× |
| Dilation and curettage (58120) |
$527.80 |
$812 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$177.45 |
$273 |
0.2× |
| Dilation of cervical canal (57800) |
$108.55 |
$167 |
0.0× |
| Dilation Salivary Duct (42650) |
$133.25 |
$205 |
0.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$217.75 |
$335 |
0.1× |
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure |
$1,182.35 |
$1,819 |
0.2× |
| Drain bladder by trocar/cath (51101) |
$113.10 |
$174 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$365.95 |
$563 |
0.2× |
| Drain lower leg bursa (27604) |
$732.55 |
$1,127 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$255.78 |
$393.50 |
0.3× |
| Drain shoulder bursa (23031) |
$506.35 |
$779 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$102.05 |
$157 |
0.3× |
| Drainage Abscess Parotid Simple (42300) |
$354.90 |
$546 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$274.95 |
$423 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$278.20 |
$428 |
0.5× |
| Drainage external auditory canal abscess (69020) |
$1,866.15 |
$2,871 |
2.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$334.42 |
$514.50 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$421.20 |
$648 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$335.40 |
$516 |
1.6× |
| Drainage Mouth Roof Lesion (42000) |
$247.65 |
$381 |
1.0× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$304.85 |
$469 |
0.5× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$406.25 |
$625 |
0.7× |
| Drainage of gum lesion (41800) |
$349.70 |
$538 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$2,386.80 |
$3,672 |
1.4× |
| Drainage of hydrocele (55000) |
$189.15 |
$291 |
0.3× |
| Drainage of mouth lesion (41017) |
$770.25 |
$1,185 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$379.60 |
$584 |
0.2× |
| Drainage of skene's gland abscess or cyst (53060) |
$373.75 |
$575 |
0.2× |
Drainage of throat abscess (42725)
likely a partial charge, not the full procedure |
$1,800.50 |
$2,770 |
0.3× |
| Draw blood off venous device (36591) |
$1,048.77 |
$1,613.50 |
7.6× |
| Dressing change under anesthesia (15852) |
$99.45 |
$153 |
0.1× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$475.80 |
$732 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$295.75 |
$455 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$250.25 |
$385 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$198.58 |
$305.50 |
1.0× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$808.60 |
$1,244 |
1.1× |
| Dstrj lesion anus simple chemical (46900) |
$310.70 |
$478 |
0.7× |
| Dstrj lesion anus simple cryosurgery (46916) |
$320.45 |
$493 |
1.5× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$241.80 |
$372 |
0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$252.85 |
$389 |
1.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$451.10 |
$694 |
1.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$534.95 |
$823 |
0.6× |
| Dx bone marrow bx & aspir (38222) |
$166.40 |
$256 |
0.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$358.15 |
$551 |
0.2× |
| Dx laryngoscopy w/oper scope (31526) |
$351 |
$540 |
0.2× |
Ear Cartilage Graft (21235)
likely a partial charge, not the full procedure |
$1,288.95 |
$1,983 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$494.65 |
$761 |
0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$506.35 |
$779 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$6,622.84 |
$10,188.98 |
3.3× |
| Egd band ligation esophgeal/gastric varices (43244) |
$540.15 |
$831 |
0.3× |
| Egd control bleeding any (43255) |
$441.35 |
$679 |
0.2× |
| Egd dilate stricture (43245) |
$5,975.79 |
$9,193.53 |
3.0× |
| Egd endo mucosal resection (43254) |
$594.75 |
$915 |
0.3× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$480.35 |
$739 |
0.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$376.35 |
$579 |
0.2× |
| Egd flexible foreign body removal (43247) |
$390.65 |
$601 |
0.4× |
| Egd guide wire insertion (43248) |
$1,072.50 |
$1,650 |
1.1× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$524.55 |
$807 |
0.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$579.15 |
$891 |
0.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$511.55 |
$787 |
0.3× |
| Egd place gastrostomy tube (43246) |
$442.65 |
$681 |
0.2× |
| Egd remove lesion snare (43251) |
$4,256.85 |
$6,549 |
2.1× |
| Egd us exam duodenum/jejunum (43259) |
$497.25 |
$765 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$577.85 |
$889 |
0.3× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$863.20 |
$1,328 |
0.1× |
| Endocervical Curettage (57505) |
$248.30 |
$382 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure |
$521.30 |
$802 |
0.1× |
| Endometrial Biopsy (58100) |
$141.70 |
$218 |
0.7× |
| Endoscopic us exam esoph (43237) |
$431.60 |
$664 |
0.2× |
| Endoscopy bowel pouch/biop (44386) |
$198.25 |
$305 |
0.2× |
| Endoscopy of bowel pouch (44385) |
$162.50 |
$250 |
0.2× |
| Endoscopy Upper Small Intestine (44360) |
$317.85 |
$489 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$332.80 |
$512 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,017.90 |
$1,566 |
0.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$710.45 |
$1,093 |
0.2× |
| Ercp ea duct/ampulla dilate (43277) |
$832 |
$1,280 |
0.2× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$952.90 |
$1,466 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$800.80 |
$1,232 |
0.2× |
| Ercp remove forgn body duct (43275) |
$828.10 |
$1,274 |
0.4× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,059.50 |
$1,630 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$745.55 |
$1,147 |
0.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$785.20 |
$1,208 |
0.2× |
| Escharotomy initial incision (16035) |
$436.15 |
$671 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$230.75 |
$355 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,335.75 |
$2,055 |
1.4× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$261.95 |
$403 |
0.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$353.60 |
$544 |
0.2× |
| Esophagoscopy flexible guide wire dilation (43226) |
$289.90 |
$446 |
0.1× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$217.75 |
$335 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$196.30 |
$302 |
0.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$347.10 |
$534 |
0.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$439.40 |
$676 |
0.2× |
Esophagoscopy transoral stent placement (43212)
likely a partial charge, not the full procedure |
$417.30 |
$642 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$228.80 |
$352 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$313.30 |
$482 |
0.2× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure |
$1,229.80 |
$1,892 |
0.2× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,760.85 |
$2,709 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$117.98 |
$181.50 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$751.40 |
$1,156 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$191.10 |
$294 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$185.90 |
$286 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$354.90 |
$546 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$408.20 |
$628 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$261.30 |
$499.50 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$242.45 |
$373 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$403.65 |
$621 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$276.90 |
$426 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$700.05 |
$1,077 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$619.45 |
$953 |
0.4× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$274.95 |
$423 |
0.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$790.40 |
$1,216 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$1,199.25 |
$1,845 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$246.35 |
$379 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$238.55 |
$367 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$338 |
$520 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$507.65 |
$781 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$712.40 |
$1,096 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$602.55 |
$927 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$560.30 |
$862 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$868.40 |
$1,336 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$707.20 |
$1,088 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$371.80 |
$572 |
0.2× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$910 |
$1,400 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$698.75 |
$1,075 |
0.4× |
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure |
$1,368.25 |
$2,105 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$804.05 |
$1,237 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$654.55 |
$1,007 |
0.4× |
| Exc/fulguration urethral caruncle (53265) |
$424.45 |
$653 |
0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$286.65 |
$441 |
0.1× |
| Exchange nephrostomy cath (50435) |
$218.40 |
$336 |
0.1× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$154.05 |
$237 |
0.1× |
| Excise cutaneous neurofibroma (64788) |
$930.15 |
$1,431 |
0.5× |
| Excise Inferior Turbinate (30130) |
$941.85 |
$1,449 |
0.3× |
| Excise pharynx lesion (42808) |
$376.35 |
$579 |
0.1× |
| Excise tendon forearm/wrist (25109) |
$1,227.20 |
$1,888 |
0.4× |
| Excise/repair mouth lesion (40812) |
$410.15 |
$631 |
0.3× |
| Excision Aural Polyp (69540) |
$295.75 |
$455 |
0.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$642.85 |
$989 |
0.2× |
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 |
$1,218.10 |
$1,874 |
0.2× |
| Excision Chalazion Single (67800) |
$227.50 |
$350 |
0.7× |
| Excision external ear partial simple repair (69110) |
$741 |
$1,140 |
0.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$753.35 |
$1,159 |
0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$565.50 |
$870 |
0.2× |
| Excision interdigital morton neuroma single each (28080) |
$859.30 |
$1,322 |
0.5× |
| Excision Lesion Floor Mouth (41116) |
$489.45 |
$753 |
0.1× |
| Excision lesion mouth roof (42104) |
$305.50 |
$470 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$330.85 |
$509 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$275.60 |
$424 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$332.80 |
$512 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$361.40 |
$556 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$431.60 |
$664 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$475.15 |
$731 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$285.35 |
$439 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$348.40 |
$536 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$407.55 |
$627 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$507.65 |
$781 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$629.20 |
$968 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$277.55 |
$427 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$334.75 |
$515 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$379.60 |
$584 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$467.35 |
$719 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$531.70 |
$818 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$391.95 |
$603 |
0.1× |
| Excision nasal polyp extensive (30115) |
$1,054.95 |
$1,623 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$301.60 |
$464 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$332.15 |
$511 |
0.5× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure |
$810.55 |
$1,247 |
0.1× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200)
likely a partial charge, not the full procedure |
$1,511.25 |
$2,325 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$750.75 |
$1,155 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$637 |
$980 |
0.2× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$594.75 |
$915 |
0.2× |
| Excision of lesion of tongue with closure; with local tongue flap Facility (41114) |
$1,400.10 |
$2,154 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$293.80 |
$452 |
0.1× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827)
likely a partial charge, not the full procedure |
$649.35 |
$999 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$306.80 |
$472 |
0.2× |
| Excision of maxillary torus palatinus (21032) |
$586.95 |
$903 |
0.2× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$920.40 |
$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 |
$2,384.85 |
$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 |
$1,424.15 |
$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 |
$2,666.95 |
$4,103 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$418.60 |
$644 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$275.60 |
$424 |
0.2× |
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure |
$826.15 |
$1,271 |
0.1× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$784.55 |
$1,207 |
0.2× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$943.15 |
$1,451 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$256.75 |
$395 |
0.2× |
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281)
likely a partial charge, not the full procedure |
$1,348.10 |
$2,074 |
0.2× |
| Excision of tongue lesion (41112) |
$547.95 |
$843 |
0.2× |
| Excision of tonsil tags (42860) |
$443.30 |
$682 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$425.75 |
$655 |
0.1× |
Excision or destruction lingual tonsil, any method (separate procedure) Facility (42870)
likely a partial charge, not the full procedure |
$1,325.35 |
$2,039 |
0.2× |
| Excision or fulguration; Skene's glands Facility (53270) |
$415.35 |
$639 |
0.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$584.35 |
$899 |
0.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$765.05 |
$1,177 |
0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$591.50 |
$910 |
0.3× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$750.75 |
$1,155 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,664 |
$2,560 |
0.6× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$361.40 |
$556 |
0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$769.60 |
$1,184 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$591.50 |
$910 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$926.25 |
$1,425 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$934.70 |
$1,438 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$576.55 |
$887 |
0.3× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$1,634.10 |
$2,514 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$973.70 |
$1,498 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$711.75 |
$1,095 |
0.4× |
| Exploration of middle ear (69440) |
$1,565.85 |
$2,409 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$471.25 |
$725 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$776.10 |
$1,194 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,344.85 |
$2,069 |
2.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$780 |
$1,200 |
0.2× |
Explore Parathyroid Glands (60500)
unusually low: confirm this is the full procedure |
$2,182.70 |
$3,358 |
0.4× |
| External cephalic version (59412) |
$231.40 |
$356 |
0.1× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Facility (41018) |
$898.30 |
$1,382 |
0.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Facility (41015) |
$671.45 |
$1,033 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$816.40 |
$1,256 |
0.2× |
| Fasciotomy foot and/or toe (28008) |
$666.25 |
$1,025 |
0.2× |
| Fetal non-stress test (59025) |
$281.12 |
$432.50 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$161.85 |
$249 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$122.20 |
$188 |
0.3× |
| Fit/Insert Intravag Support Device (57160) |
$102.70 |
$158 |
0.5× |
| Fitting of diaphragm/cap (57170) |
$105.95 |
$163 |
0.5× |
| Fluid pressure muscle (20950) |
$198.90 |
$306 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$66.95 |
$103 |
0.3× |
| Forehead flap w/vasc pedicle (15731) |
$2,236.65 |
$3,441 |
0.6× |
| Foreskin manipulation (54450) |
$126.75 |
$195 |
0.5× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$1,662.05 |
$2,557 |
0.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$268.45 |
$413 |
0.1× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$569.40 |
$876 |
0.2× |
| Frenulotomy of penis (54164) |
$439.40 |
$676 |
0.2× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,452.10 |
$2,234 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,788.15 |
$2,751 |
0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,895.40 |
$2,916 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,371.50 |
$2,110 |
0.6× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,513.85 |
$2,329 |
0.7× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,394.25 |
$2,145 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$48.10 |
$74 |
0.2× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
$1,054.30 |
$1,622 |
0.3× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$837.20 |
$1,288 |
0.2× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,584.05 |
$2,437 |
0.8× |
Glossectomy; less than one-half tongue Facility (41120)
unusually low: confirm this is the full procedure |
$2,369.90 |
$3,646 |
0.4× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$1,567.80 |
$2,412 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$297.05 |
$457 |
0.4× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$1,085.50 |
$1,670 |
0.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,045.20 |
$1,608 |
0.3× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$605.80 |
$932 |
0.2× |
| Hymenotomy Simple Incision (56442) |
$107.25 |
$165 |
0.0× |
| Hysteroscopy biopsy (58558) |
$517.40 |
$796 |
0.2× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$635.05 |
$977 |
0.1× |
Hysteroscopy removal leiomyomata (58561)
likely a partial charge, not the full procedure |
$800.15 |
$1,231 |
0.2× |
Hysteroscopy w endometrial ablation (58563)
likely a partial charge, not the full procedure |
$549.90 |
$846 |
0.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$338.65 |
$521 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$495.95 |
$763 |
0.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$867.10 |
$1,334 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$415.35 |
$639 |
1.7× |
| I&d abscess simple (10060) |
$1,116.05 |
$1,079 |
5.4× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$313.30 |
$482 |
0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,158.30 |
$1,782 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$766.35 |
$1,179 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$479.70 |
$738 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,569.75 |
$2,415 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$304.85 |
$469 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$373.75 |
$575 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$367.90 |
$566 |
0.2× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$410.15 |
$631 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$383.82 |
$590.50 |
1.2× |
| Ileoscopy thru stoma (44380) |
$128.05 |
$197 |
0.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$164.45 |
$253 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$424.45 |
$653 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$424.45 |
$653 |
0.2× |
Implant cochlear device (69930)
likely a partial charge, not the full procedure |
$2,733.25 |
$4,205 |
0.1× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$928.85 |
$1,429 |
0.1× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714)
likely a partial charge, not the full procedure |
$1,116.05 |
$1,717 |
0.1× |
| Incise external hemorrhoid (46083) |
$306.15 |
$471 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$349.70 |
$538 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$884 |
$1,360 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$780.32 |
$1,200.50 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$412.75 |
$635 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$375.05 |
$577 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$321.42 |
$494.50 |
1.5× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,280.50 |
$1,970 |
0.4× |
| Incision and drainage of thyroglossal duct cyst, infected Facility (60000) |
$358.80 |
$552 |
0.2× |
| Incision and drainage perianal abscess superficial (46050) |
$769.28 |
$1,183.50 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$403 |
$620 |
0.1× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$488.15 |
$751 |
0.2× |
| Incision bone cortex foot (28005) |
$1,288.30 |
$1,982 |
0.4× |
| Incision of eardrum (69421) |
$343.20 |
$528 |
0.1× |
| Incision of eardrum (69420) |
$273.65 |
$421 |
1.1× |
| Incision of eyelid fold (67715) |
$240.50 |
$370 |
0.1× |
| Incision of labial frenum (frenotomy) (40806) |
$66.95 |
$103 |
0.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$248.95 |
$383 |
0.2× |
| Incision of rectal abscess (46040) |
$964.60 |
$1,484 |
0.8× |
Incision of windpipe (31610)
unusually low: confirm this is the full procedure |
$2,154.10 |
$3,314 |
0.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$150.80 |
$232 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$126.10 |
$194 |
0.2× |
| Induced abortion by d&c (59840) |
$505.70 |
$778 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$102.05 |
$157 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$235.30 |
$362 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$87.10 |
$134 |
0.3× |
| Inj therapeutic carpal tunnel (20526) |
$127.40 |
$196 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$154.05 |
$237 |
0.2× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$104 |
$160 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$291.20 |
$448 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$142.35 |
$219 |
0.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$211.25 |
$325 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$55.90 |
$86 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$129.35 |
$199 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$190.45 |
$293 |
0.2× |
| Inject Rx Celiac Plexus Nerve (64680) |
$358.15 |
$551 |
0.4× |
| Inject Sinus Tract Theraputic (20500) |
$201.50 |
$310 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$301.92 |
$464.50 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$183.30 |
$282 |
0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$182 |
$280 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$370.82 |
$570.50 |
0.5× |
| Injection aa&/strd pudendal nerve (64430) |
$122.20 |
$188 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$295.75 |
$455 |
0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$237.25 |
$365 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$281.45 |
$433 |
0.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$140.40 |
$216 |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$123.50 |
$190 |
0.2× |
| Injection for identification of sentinel node (38792) |
$71.50 |
$110 |
0.2× |
| Injection into skin lesions (11900) |
$66.95 |
$103 |
0.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$228.80 |
$352 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$283.72 |
$436.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$93.60 |
$144 |
0.3× |
| Injection Turbinate Therapeutic (30200) |
$134.55 |
$207 |
0.2× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$98.15 |
$151 |
0.1× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$248.30 |
$382 |
0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$101.40 |
$156 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$780 |
$1,200 |
0.2× |
| Ins cath ren art 1st unilat (36251) |
$557.70 |
$858 |
0.2× |
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure |
$769.60 |
$1,184 |
0.1× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$480.35 |
$739 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$169 |
$260 |
1.3× |
| Insert cath pleura w/ image (32557) |
$326.95 |
$503 |
0.2× |
| Insert cath pleura w/o image (32556) |
$273.65 |
$421 |
0.1× |
| Insert Drug Implant Device (11981) |
$140.40 |
$282.50 |
1.0× |
| Insert gastrostomy tube percutaneous (49440) |
$443.30 |
$682 |
0.2× |
Insert heart pm atrial (33206)
likely a partial charge, not the full procedure |
$1,002.95 |
$1,543 |
0.1× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$1,766.70 |
$2,718 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,021.48 |
$1,571.50 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$185.90 |
$286 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$202.15 |
$311 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$4,139.20 |
$6,368 |
30.1× |
| Insert tun ip cath perc (49418) |
$437.45 |
$673 |
0.1× |
| Insert tunneled cv cath (36561) |
$733.85 |
$1,129 |
0.2× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$717.60 |
$1,104 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$102.38 |
$157.50 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$448.50 |
$690 |
0.1× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$291.20 |
$448 |
0.2× |
Insertion of cannula (36800)
likely a partial charge, not the full procedure |
$266.50 |
$410 |
0.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$660.40 |
$1,016 |
0.0× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$820.95 |
$1,263 |
0.1× |
| Insj picc rs&i 5 yr+ (36573) |
$1,328.28 |
$2,043.50 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$694.85 |
$1,069 |
0.2× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure |
$973.05 |
$1,497 |
0.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$858 |
$1,320 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$570.70 |
$878 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$352.95 |
$543 |
0.0× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$369.85 |
$569 |
0.0× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$768.95 |
$1,183 |
0.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$235.30 |
$362 |
0.4× |
| Intraoral i&d tongue/floor masticator space (41009) |
$642.85 |
$989 |
1.2× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$261.95 |
$403 |
1.1× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$581.10 |
$894 |
0.2× |
| Intro cath dialysis circuit (36901) |
$366.60 |
$564 |
0.2× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure |
$687.05 |
$1,057 |
0.1× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
likely a partial charge, not the full procedure |
$522.60 |
$804 |
0.1× |
| Intro Gastrointestinal Tube (44500) |
$42.25 |
$65 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$521.62 |
$802.50 |
2.1× |
| Irrigation maxillary sinus (31000) |
$250.90 |
$386 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$300.95 |
$463 |
1.2× |
| Island pedicle flap graft (15740) |
$1,891.50 |
$2,910 |
0.9× |
| Labyrinthotomy Transcanal (69801) |
$278.85 |
$429 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low: confirm this is the full procedure |
$2,512.90 |
$3,866 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure |
$2,930.20 |
$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 |
$2,795.65 |
$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 |
$2,496.65 |
$3,841 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge, not the full procedure |
$2,081.95 |
$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 |
$2,937.35 |
$4,519 |
0.4× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$3,434.60 |
$5,284 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
likely a partial charge, not the full procedure |
$1,756.95 |
$2,703 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,359.15 |
$2,091 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$776.75 |
$1,195 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,744.95 |
$4,223 |
0.3× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,050.75 |
$3,155 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,469 |
$2,260 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,065.05 |
$3,177 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,416.05 |
$3,717 |
0.2× |
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 |
$2,032.55 |
$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 |
$2,041 |
$3,140 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,821.30 |
$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 |
$2,284.75 |
$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 |
$1,988.35 |
$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 |
$2,208.70 |
$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 |
$2,518.75 |
$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 |
$2,934.75 |
$4,515 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,618.50 |
$2,490 |
0.3× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure |
$1,467.05 |
$2,257 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$841.10 |
$1,294 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,543.75 |
$2,375 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$743.60 |
$1,144 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,608.10 |
$2,474 |
0.3× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge, not the full procedure |
$1,307.15 |
$2,011 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,160.90 |
$1,786 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,795.95 |
$2,763 |
0.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$554.45 |
$853 |
0.1× |
Laryngoplasty, medialization, unilateral Facility (31591)
unusually low: confirm this is the full procedure |
$2,481.05 |
$3,817 |
0.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$510.90 |
$786 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$111.80 |
$172 |
0.5× |
| Laryngoscopy Direct Aspiration (31515) |
$248.30 |
$382 |
0.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$350.35 |
$539 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$322.40 |
$496 |
0.1× |
| Laryngoscopy flexible diagnostic (31575) |
$778.70 |
$1,198 |
3.8× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$334.75 |
$515 |
0.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$298.35 |
$459 |
0.7× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$301.60 |
$464 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$421.85 |
$649 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$468 |
$720 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$536.90 |
$826 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$443.30 |
$682 |
0.2× |
| Larynscop w/tumr exc + scope (31541) |
$585.65 |
$901 |
0.2× |
| Late closure of wound (13160) |
$1,786.20 |
$2,748 |
0.5× |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
$1,969.50 |
$3,030 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$433.55 |
$667 |
0.5× |
| Ligation Of Neck Artery (37615) |
$1,155.05 |
$1,777 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$456.95 |
$703 |
0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$566.80 |
$872 |
0.2× |
| Lip shave (40500) |
$839.80 |
$1,292 |
0.2× |
| Liver Biopsy (47000) |
$193.05 |
$297 |
0.1× |
| Lyse chest fibrin init day (32561) |
$148.20 |
$228 |
0.2× |
| Lyse Chest Fibrin Subq Day (32562) |
$132.60 |
$204 |
0.2× |
| Lysis Intranasal Synechia (30560) |
$342.55 |
$527 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$450.45 |
$693 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$410.80 |
$632 |
0.1× |
Mastoidectomy; complete (69502)
unusually low: confirm this is the full procedure |
$2,130.05 |
$3,277 |
0.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$99.45 |
$153 |
0.1× |
| Mech remov tunneled cv cath (36595) |
$395.85 |
$609 |
0.1× |
| Metatarsectomy (28140) |
$960.05 |
$1,477 |
0.3× |
| Mohs 1 stage h/n/hf/g (17311) |
$786.50 |
$1,210 |
1.0× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$705.90 |
$1,086 |
0.9× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$759.85 |
$1,169 |
0.3× |
| Myelography Lumbar Injection (62304) |
$260 |
$400 |
0.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$262.60 |
$404 |
0.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$262.60 |
$404 |
0.3× |
| Myringoplasty (69620) |
$1,119.30 |
$1,722 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$121.55 |
$187 |
0.2× |
| N Block Inj, Plantar Digit (64455) |
$74.10 |
$114 |
0.2× |
| Nasal endoscopy dx (31231) |
$691.60 |
$1,064 |
3.4× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$542.10 |
$834 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$401.70 |
$618 |
0.1× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$303.55 |
$467 |
0.8× |
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 |
$843.05 |
$1,297 |
0.1× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$448.50 |
$690 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$356.20 |
$548 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Facility (31241) |
$992.55 |
$1,527 |
0.5× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$521.95 |
$803 |
0.1× |
Nasal/Sinus Ndsc Dstrj Cryoablation Pst Nsl Nrv (31243)
likely a partial charge, not the full procedure |
$352.95 |
$543 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$358.15 |
$551 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$375.05 |
$577 |
0.2× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure |
$400.40 |
$616 |
0.1× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure |
$352.30 |
$542 |
0.0× |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure |
$321.75 |
$495 |
0.0× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,112.80 |
$1,712 |
0.2× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,049.10 |
$1,614 |
0.1× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$993.20 |
$1,528 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$720.20 |
$1,108 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$88.40 |
$136 |
0.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$442.65 |
$681 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40.30 |
$62 |
1.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,132.37 |
$6,357.50 |
2.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$1,736.15 |
$2,671 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$557.05 |
$857 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$160.55 |
$247 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$172.25 |
$265 |
0.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$364 |
$560 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$154.05 |
$237 |
0.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$202.15 |
$311 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$239.20 |
$368 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$221.65 |
$341 |
0.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$146.25 |
$225 |
0.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$336.70 |
$518 |
0.5× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$592.15 |
$911 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$111.80 |
$172 |
0.1× |
| Occipital Nerve Block (64405) |
$296.72 |
$456.50 |
0.9× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581)
likely a partial charge, not the full procedure |
$1,467.05 |
$2,257 |
0.2× |
Open nasoethmoid fx w/o fixj (21338)
likely a partial charge, not the full procedure |
$1,513.20 |
$2,328 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,281.80 |
$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 |
$1,651 |
$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 |
$2,421.90 |
$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 |
$2,614.95 |
$4,023 |
0.4× |
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360)
likely a partial charge, not the full procedure |
$1,190.80 |
$1,832 |
0.2× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356)
likely a partial charge, not the full procedure |
$911.95 |
$1,403 |
0.1× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406)
likely a partial charge, not the full procedure |
$1,318.20 |
$2,028 |
0.2× |
Open treatment of mandibular condylar fracture Facility (21465)
likely a partial charge, not the full procedure |
$1,788.80 |
$2,752 |
0.3× |
Open treatment of mandibular fracture; with interdental fixation Facility (21462)
unusually low: confirm this is the full procedure |
$2,601.30 |
$4,002 |
0.4× |
Open treatment of mandibular fracture; without interdental fixation Facility (21461)
unusually low: confirm this is the full procedure |
$2,386.15 |
$3,671 |
0.4× |
Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386)
likely a partial charge, not the full procedure |
$1,558.70 |
$2,398 |
0.3× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
likely a partial charge, not the full procedure |
$1,805.05 |
$2,777 |
0.3× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure |
$1,600.95 |
$2,463 |
0.2× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,307.80 |
$2,012 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,157.65 |
$1,781 |
0.3× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$1,979.90 |
$3,046 |
0.3× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$668.85 |
$1,029 |
0.1× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$960.05 |
$1,477 |
0.1× |
| Ostectomy calcaneus (28118) |
$958.75 |
$1,475 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$966.55 |
$1,487 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$709.80 |
$1,092 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$666.25 |
$1,025 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$988 |
$1,520 |
0.3× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$824.85 |
$1,269 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$924.30 |
$1,422 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$880.75 |
$1,355 |
0.3× |
| Osteotomy Phalanx Finger Each (26567) |
$1,636.05 |
$2,517 |
0.5× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,731.60 |
$2,664 |
0.3× |
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure |
$1,554.15 |
$2,391 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,122.55 |
$1,727 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$994.50 |
$1,530 |
0.3× |
| Partial excision of lip (40520) |
$807.30 |
$1,242 |
0.2× |
| Partial hymenectomy or revision (56700) |
$460.20 |
$708 |
0.1× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,593.15 |
$2,451 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,594.45 |
$2,453 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$758.55 |
$1,167 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$238.55 |
$367 |
0.1× |
Perc Radiofreq Ablate Renal Tumor (50592)
likely a partial charge, not the full procedure |
$750.75 |
$1,155 |
0.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$206.70 |
$318 |
0.3× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$856.05 |
$1,317 |
0.1× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$745.55 |
$1,147 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$514.15 |
$791 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$617.50 |
$950 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$185.25 |
$285 |
0.3× |
| Perq device breast 1st imag (19281) |
$216.45 |
$333 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$83.20 |
$128 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$185.25 |
$285 |
0.3× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$1,110.85 |
$1,709 |
0.1× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$962.65 |
$1,481 |
0.1× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
likely a partial charge, not the full procedure |
$801.45 |
$1,233 |
0.1× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,060.15 |
$1,631 |
0.1× |
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure |
$1,137.50 |
$1,750 |
0.2× |
| Phalangectomy toe each toe (28150) |
$633.75 |
$975 |
0.2× |
| Picc line placement (36569) |
$208.65 |
$321 |
0.1× |
| Place Cath Thoracic Aorta (36221) |
$437.45 |
$673 |
0.1× |
| Place duod/jej tube perc (49441) |
$529.10 |
$814 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$132.60 |
$204 |
0.3× |
| Plastic Repair Introitus (56800) |
$572.65 |
$881 |
0.2× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple Facility (42500)
likely a partial charge, not the full procedure |
$783.25 |
$1,205 |
0.1× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure |
$728.65 |
$1,121 |
0.1× |
Plmt Bile Duct Stent Prq Existing Access (47538)
likely a partial charge, not the full procedure |
$508.30 |
$782 |
0.1× |
Plmt bile duct stent prq new access w/sep cath (47540)
likely a partial charge, not the full procedure |
$950.95 |
$1,463 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$445.90 |
$686 |
0.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$553.15 |
$851 |
0.2× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$742.30 |
$1,142 |
0.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$443.30 |
$682 |
0.1× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure |
$1,389.70 |
$2,138 |
0.3× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$938.60 |
$1,444 |
0.0× |
| Probe nasolacrimal duct (68810) |
$285.35 |
$439 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$107.90 |
$166 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$225.55 |
$347 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$163.15 |
$251 |
0.1× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$247.65 |
$381 |
0.2× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
likely a partial charge, not the full procedure |
$677.30 |
$1,042 |
0.1× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure |
$724.10 |
$1,114 |
0.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$571.35 |
$879 |
0.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$799.50 |
$1,230 |
0.2× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,537.90 |
$2,366 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$234 |
$360 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$93.60 |
$144 |
0.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$217.75 |
$335 |
0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$126.10 |
$194 |
0.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$172.90 |
$266 |
0.2× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842)
unusually low: confirm this is the full procedure |
$2,269.15 |
$3,491 |
0.4× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$1,057.55 |
$1,627 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$820.95 |
$1,263 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,105.65 |
$1,701 |
0.1× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$480.35 |
$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 |
$2,514.85 |
$3,869 |
0.4× |
| Reconstruction of nail bed with graft (11762) |
$419.90 |
$646 |
0.2× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
likely a partial charge, not the full procedure |
$1,566.50 |
$2,410 |
0.2× |
| Reduce testis torsion (54600) |
$1,018.55 |
$1,567 |
0.3× |
| Relieve inner eye pressure (65820) |
$7,576.27 |
$11,655.80 |
1.8× |
| Rem Endovas Vena Cava Filter (37193) |
$754.65 |
$1,161 |
0.2× |
| Removal biliary drg cath (47537) |
$210.60 |
$324 |
0.2× |
| Removal entire oi implt skl perq attachment esp (69726) |
$1,075.75 |
$1,655 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$911.30 |
$1,402 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$825.50 |
$1,270 |
0.5× |
| Removal foreign body foot deep (28192) |
$701.35 |
$1,079 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$725.40 |
$1,116 |
1.0× |
| Removal foreign body intranasal (30300) |
$241.48 |
$371.50 |
1.8× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$334.75 |
$515 |
0.2× |
| Removal foreign body pharynx (42809) |
$287.30 |
$442 |
0.6× |
| Removal foreign body shoulder subcutaneous (23330) |
$382.20 |
$588 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$917.80 |
$1,412 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$471.25 |
$725 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$32.50 |
$56 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$399.75 |
$332 |
6.6× |
| Removal implant deep (20680) |
$950.30 |
$1,462 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$327.60 |
$504 |
0.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$207.35 |
$319 |
0.3× |
| Removal of adenoids (42835) |
$453.05 |
$697 |
0.1× |
| Removal of adenoids (42831) |
$527.15 |
$811 |
0.2× |
| Removal of adenoids (42830) |
$485.55 |
$747 |
0.1× |
| Removal of adenoids (42836) |
$559 |
$860 |
0.2× |
| Removal of ankle implant (27704) |
$1,287.65 |
$1,981 |
0.4× |
| Removal of arm foreign body (24200) |
$321.75 |
$495 |
0.2× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$155.35 |
$239 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$262.60 |
$404 |
0.8× |
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure |
$1,512.55 |
$2,327 |
0.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$515.45 |
$793 |
0.4× |
| Removal of foreign body in scrotum (55120) |
$801.45 |
$1,233 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$185.90 |
$286 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$348.40 |
$536 |
0.5× |
| Removal of iud (58301) |
$148.20 |
$305.50 |
0.5× |
| Removal of nail bed (11750) |
$664.30 |
$1,022 |
1.6× |
| Removal of salivary stone (42330) |
$375.05 |
$577 |
0.1× |
| Removal of sesamoid bone (28315) |
$738.40 |
$1,136 |
0.2× |
| Removal Of Tendon Lesion (27630) |
$813.80 |
$1,252 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$611 |
$940 |
0.1× |
| Removal of tonsils (42826) |
$581.75 |
$895 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$492.05 |
$757 |
0.2× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Facility (69711) |
$1,892.15 |
$2,911 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$171.60 |
$266 |
0.8× |
| Removal Submand Stone,Complicated (42335) |
$597.35 |
$919 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$99.45 |
$153 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$74.10 |
$114 |
0.3× |
| Remove anal fist subq (46270) |
$908.70 |
$1,398 |
0.3× |
| Remove cranial cavity fluid (61000) |
$258.05 |
$397 |
0.4× |
| Remove drug implant device (11982) |
$163.15 |
$318 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,018.55 |
$1,567 |
0.3× |
| Remove renal tube w/fluoro (50389) |
$117 |
$180 |
0.2× |
| Remove spine eltrd perq aray (63661) |
$744.25 |
$1,145 |
0.4× |
| Remove spine eltrd plate (63662) |
$1,942.85 |
$2,989 |
0.5× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,030.25 |
$1,585 |
0.2× |
| Remove ureter stent, percut (50384) |
$494.65 |
$761 |
0.2× |
| Remove vagina gland lesion (56740) |
$711.75 |
$1,095 |
0.2× |
| Remove vc lesion w/scope (31545) |
$804.70 |
$1,238 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$230.75 |
$423.50 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$215.80 |
$332 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$149.18 |
$229.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$161.85 |
$249 |
1.2× |
| Remv/revisn shldr/hip spica cast (29710) |
$183.95 |
$283 |
0.6× |
| Renal Biopsy Percutaneous (50200) |
$278.20 |
$428 |
0.2× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,491.10 |
$2,294 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$619.45 |
$953 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$746.20 |
$1,148 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$708.50 |
$1,090 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$593.12 |
$912.50 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$516.75 |
$795 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$574.60 |
$884 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$447.20 |
$688 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$550.55 |
$847 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,423.50 |
$2,190 |
0.9× |
| Repair Eyelid Wound (67935) |
$971.75 |
$1,495 |
0.4× |
| Repair eyelid wound (67930) |
$522.60 |
$804 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,450.15 |
$2,231 |
0.4× |
| Repair hand tendon (26410) |
$1,368.90 |
$2,106 |
0.8× |
| Repair incomplete circumcision (54163) |
$494.65 |
$761 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$676.65 |
$1,041 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$356.20 |
$548 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$458.58 |
$705.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$861.25 |
$1,325 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$481.65 |
$741 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$492.70 |
$758 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$939.90 |
$1,446 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$614.90 |
$946 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$409.18 |
$629.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$486.85 |
$749 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$537.88 |
$827.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$794.30 |
$1,222 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$666.25 |
$1,025 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$468.65 |
$721 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$568.75 |
$875 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$633.75 |
$975 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$683.48 |
$1,051.50 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$735.80 |
$1,132 |
0.3× |
| Repair Laceration Palate </2 Cm (42180) |
$424.45 |
$653 |
0.8× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$583.05 |
$897 |
0.1× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$1,383.20 |
$2,128 |
0.2× |
| Repair Mouth Laceration (40831) |
$451.10 |
$694 |
0.8× |
| Repair nasal septal perforations (30630) |
$1,513.20 |
$2,328 |
0.4× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,317.25 |
$3,565 |
0.4× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$1,145.95 |
$1,763 |
0.2× |
| Repair of eye wound (65270) |
$312 |
$480 |
0.1× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$825.50 |
$1,270 |
0.1× |
| Repair of leg tendon each (27658) |
$840.45 |
$1,293 |
0.2× |
| Repair of nail bed (11760) |
$393.90 |
$606 |
0.5× |
| Repair of nasal septum (30520) |
$1,527.50 |
$2,350 |
0.4× |
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)
likely a partial charge, not the full procedure |
$378.30 |
$582 |
0.1× |
| Repair oval window fistula Facility (69666) |
$1,825.85 |
$2,809 |
0.5× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,621.75 |
$2,495 |
0.2× |
| Repair Spica Body Cast/Jacket (29720) |
$98.15 |
$151 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$729.30 |
$1,122 |
0.2× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,710.80 |
$2,632 |
0.2× |
| Repair tongue laceration (41252) |
$470.60 |
$724 |
1.9× |
| Repair Tongue Laceration (41250) |
$422.50 |
$650 |
0.9× |
| Repair tympanic membrane (69610) |
$648.70 |
$998 |
0.4× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,310.40 |
$2,016 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,105.65 |
$1,701 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$1,443.65 |
$2,221 |
0.2× |
| Repeat control of nosebleed (30906) |
$299.98 |
$461.50 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$193.05 |
$297 |
0.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$143 |
$220 |
0.2× |
| Replace tunneled cv cath (36578) |
$451.75 |
$695 |
0.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$297.05 |
$457 |
0.3× |
| Reposition cv cath w/fluoro (36597) |
$131.95 |
$203 |
0.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$231.40 |
$356 |
0.9× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$5,353.40 |
$8,236 |
2.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$569.40 |
$876 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$515.45 |
$793 |
0.1× |
| Revise finger/toe nerve (64702) |
$1,171.95 |
$1,803 |
0.6× |
| Revise Hand/Foot Nerve (64704) |
$735.80 |
$1,132 |
0.4× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,242.15 |
$1,911 |
0.2× |
Revise spine eltrd perq aray (63663)
likely a partial charge, not the full procedure |
$1,014 |
$1,560 |
0.2× |
| Revise vag graft via vagina (57295) |
$1,133.60 |
$1,744 |
0.3× |
| Revise/Remove Neuroreceiver (63688) |
$679.90 |
$1,046 |
0.2× |
Revision mastoidectomy; resulting in complete mastoidectomy Facility (69601)
unusually low: confirm this is the full procedure |
$2,295.15 |
$3,531 |
0.4× |
| Revision of lower leg tendon (27685) |
$1,059.50 |
$1,630 |
0.3× |
Revision of stapedectomy or stapedotomy Facility (69662)
unusually low: confirm this is the full procedure |
$2,607.80 |
$4,012 |
0.4× |
Revision of tips (37183)
likely a partial charge, not the full procedure |
$811.20 |
$1,248 |
0.1× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$784.55 |
$1,207 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$323.70 |
$498 |
0.1× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$3,274.05 |
$5,037 |
0.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$181.35 |
$279 |
0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$438.10 |
$674 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$257.40 |
$396 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$201.50 |
$310 |
1.5× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$79.30 |
$122 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$557.05 |
$857 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$385.45 |
$593 |
0.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,491.82 |
$6,910.50 |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$420.55 |
$647 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$301.60 |
$464 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$143 |
$220 |
0.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$128.05 |
$197 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$634.40 |
$976 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$402.35 |
$619 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$766.35 |
$1,179 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,820.65 |
$2,801 |
2.5× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$1,073.15 |
$1,651 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$716.30 |
$1,102 |
0.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$414.70 |
$638 |
1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,089.08 |
$1,675.50 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,086.48 |
$1,671.50 |
2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,365 |
$2,100 |
0.9× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
likely a partial charge, not the full procedure |
$337.35 |
$519 |
0.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$741 |
$1,140 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,133.60 |
$1,744 |
0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$73.45 |
$113 |
0.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,698.45 |
$2,613 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$261.30 |
$402 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$148.85 |
$229 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$266.50 |
$410 |
0.2× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$436.80 |
$672 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$76.05 |
$117 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$83.20 |
$128 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$101.40 |
$156 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$213.20 |
$328 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$108.55 |
$167 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$138.45 |
$213 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$155.35 |
$239 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$139.10 |
$214 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$164.45 |
$253 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$113.75 |
$175 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$157.95 |
$243 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$132.60 |
$204 |
0.6× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Facility (42340) |
$783.25 |
$1,205 |
0.2× |
| Sigmoidoscopy & decompress (45337) |
$252.85 |
$389 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$354.90 |
$546 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$260.65 |
$401 |
0.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$274.95 |
$423 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$209.30 |
$322 |
0.2× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$340.60 |
$524 |
0.1× |
| Sigmoidoscopy w/biopsy (45331) |
$161.20 |
$248 |
0.2× |
| Sigmoidoscopy w/us guide bx (45342) |
$377 |
$580 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$285.35 |
$439 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$236.28 |
$363.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$272.02 |
$418.50 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$343.85 |
$529 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$324.02 |
$498.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$357.18 |
$549.50 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$387.40 |
$596 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$194.02 |
$298.50 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$321.75 |
$495 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$233.02 |
$358.50 |
1.1× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
likely a partial charge, not the full procedure |
$1,342.90 |
$2,066 |
0.2× |
| Skin pinch graft (15050) |
$1,030.25 |
$1,585 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,965.60 |
$3,024 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$373.42 |
$574.50 |
0.5× |
| Skin sub grft t/arm/lg child (15273) |
$433.55 |
$667 |
0.2× |
| Skin tissue rearrangement (14040) |
$1,400.10 |
$2,154 |
0.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,549.60 |
$2,384 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$494.65 |
$761 |
0.2× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,676.35 |
$2,579 |
0.3× |
| Slitting of prepuce (54001) |
$316.55 |
$487 |
0.1× |
| Slitting of prepuce (54000) |
$250.90 |
$386 |
0.1× |
| Small bowel endoscopy (44366) |
$527.80 |
$812 |
0.3× |
| Small bowel endoscopy (44364) |
$450.45 |
$693 |
0.2× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$540.80 |
$832 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$350.35 |
$539 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$196.62 |
$302.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$356.20 |
$548 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$258.70 |
$398 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$507.98 |
$781.50 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$206.05 |
$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 |
$2,084.55 |
$3,207 |
0.3× |
| Strapping ankle (29540) |
$38.35 |
$59 |
0.2× |
| Strapping elbow or wrist (29260) |
$42.25 |
$65 |
0.7× |
| Strapping hand/finger (29280) |
$44.85 |
$69 |
0.7× |
| Strapping Hip (29520) |
$40.95 |
$63 |
0.3× |
| Strapping knee (29530) |
$39.65 |
$61 |
0.3× |
| Strapping shoulder (29240) |
$39.65 |
$61 |
0.3× |
| Strapping thorax (29200) |
$40.95 |
$63 |
0.2× |
| Strapping toes (29550) |
$24.70 |
$38 |
0.4× |
| Strapping unna boot (29580) |
$276.90 |
$426 |
1.7× |
| Subconjunctival injection (68200) |
$76.05 |
$117 |
0.2× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$848.25 |
$1,305 |
0.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$398.45 |
$613 |
0.1× |
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure |
$1,814.80 |
$2,792 |
0.3× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$542.10 |
$834 |
0.1× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
likely a partial charge, not the full procedure |
$388.05 |
$597 |
0.1× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$752.05 |
$1,157 |
0.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,573.65 |
$2,421 |
0.8× |
| Suture pharynx for wound or injury Facility (42900) |
$747.50 |
$1,150 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$83.85 |
$129 |
0.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,478.75 |
$2,275 |
0.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$612.95 |
$943 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$472.55 |
$727 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$547.30 |
$842 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$633.75 |
$975 |
0.4× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$190.45 |
$293 |
0.0× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure |
$924.95 |
$1,423 |
0.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$195.65 |
$301 |
0.3× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$843.70 |
$1,298 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$707.20 |
$1,088 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$735.15 |
$1,131 |
0.2× |
| Thyroid biopsy (60100) |
$169 |
$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 |
$2,444 |
$3,760 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,062.45 |
$3,173 |
0.3× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure |
$2,963.35 |
$4,559 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$690.95 |
$1,063 |
0.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$758.55 |
$1,167 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$258.70 |
$398 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$731.90 |
$1,126 |
3.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$711.10 |
$1,094 |
0.4× |
| Tracheostomy planned (31600) |
$678.60 |
$1,044 |
0.2× |
| Tracheotomy tube change (31502) |
$78 |
$120 |
0.3× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$466.05 |
$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 |
$1,446.25 |
$2,225 |
0.2× |
| Treat clavicle dislocation (23540) |
$555.75 |
$855 |
2.2× |
| Treat clavicle fracture (23505) |
$780 |
$1,200 |
0.5× |
| Treat humerus fracture (24500) |
$783.90 |
$1,206 |
3.1× |
| Treat humerus fracture (23600) |
$741 |
$1,140 |
2.9× |
| Treat knee fracture (27532) |
$1,329.25 |
$2,045 |
0.4× |
| Treat Knee Fracture(S) (27538) |
$1,041.30 |
$1,602 |
4.1× |
| Treat Metatarsal Fracture (28475) |
$529.75 |
$815 |
2.1× |
| Treat shoulder blade fx (23575) |
$884 |
$1,360 |
0.5× |
| Treat Thigh Fracture (27246) |
$891.15 |
$1,371 |
3.5× |
| Treat Thumb Dislocation (26641) |
$891.15 |
$1,371 |
3.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$919.10 |
$1,414 |
0.6× |
| Treat vagina infection (57150) |
$57.85 |
$89 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$273.65 |
$421 |
1.3× |
| Treat wrist bone fracture (25622) |
$666.90 |
$1,026 |
2.6× |
| Treat Wrist Bone Fracture (25630) |
$666.25 |
$1,025 |
2.6× |
| Treatment closed elbow dislocation req anes (24605) |
$1,102.40 |
$1,696 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$633.75 |
$975 |
2.5× |
| Treatment mouth roof lesion (42160) |
$317.85 |
$489 |
0.1× |
| Treatment of anal fissure (46940) |
$326.30 |
$502 |
0.1× |
| Treatment of foot infection (28003) |
$576.55 |
$887 |
0.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$880.10 |
$1,354 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$859.95 |
$1,323 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$444.60 |
$684 |
1.7× |
| Trim skin lesion (11055) |
$563.55 |
$867 |
2.7× |
| Trim skin lesions 2 to 4 (11056) |
$302.90 |
$466 |
1.5× |
| Trim skin lesions over 4 (11057) |
$63.70 |
$98 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$16.90 |
$26 |
0.3× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
likely a partial charge, not the full procedure |
$646.75 |
$995 |
0.1× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$328.25 |
$505 |
0.2× |
| Tubal ligation (58600) |
$839.80 |
$1,292 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$731.58 |
$1,125.50 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$699.40 |
$1,076 |
0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$645.45 |
$993 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$816.40 |
$1,256 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$423.15 |
$651 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$317.85 |
$489 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$525.20 |
$808 |
0.3× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$3,535.35 |
$5,439 |
0.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$3,322.80 |
$5,112 |
0.5× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$3,386.50 |
$5,210 |
0.6× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low: confirm this is the full procedure |
$3,016 |
$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 |
$2,349.75 |
$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 |
$2,375.10 |
$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 |
$2,010.45 |
$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 |
$2,438.15 |
$3,751 |
0.4× |
| Tympanostomy (69433) |
$300.95 |
$463 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$362.05 |
$557 |
0.2× |
| Us urine capacity measure (51798) |
$64.35 |
$99 |
1.1× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,220.05 |
$1,877 |
0.4× |
| Uvulectomy excision of uvula (42140) |
$370.50 |
$570 |
0.1× |
| Vaginal delivery only (59409) |
$1,795.30 |
$2,762 |
0.5× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,034.50 |
$3,130 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$1,892.15 |
$2,911 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure |
$2,015 |
$3,100 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$2,796.95 |
$4,303 |
0.5× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,090.40 |
$3,216 |
0.4× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,217.45 |
$1,873 |
0.4× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$1,034.80 |
$1,592 |
0.1× |
Vasc Embolize/Occlude Bleed (37244)
likely a partial charge, not the full procedure |
$1,433.25 |
$2,205 |
0.1× |
Vasc embolize/occlude organ (37243)
likely a partial charge, not the full procedure |
$1,215.50 |
$1,870 |
0.1× |
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure |
$929.50 |
$1,430 |
0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$518.05 |
$797 |
0.2× |
| Venipuncture (36415) |
$19.48 |
$29.98 |
2.1× |
| Venipuncture cutdown under age 1 yr (36420) |
$105.95 |
$163 |
0.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$87.75 |
$135 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$136.50 |
$210 |
0.0× |
| Vulvectomy Simple Partial (56620) |
$1,331.85 |
$2,049 |
0.4× |
| Wedge excision skin nail fold (11765) |
$409.18 |
$629.50 |
1.0× |
| Wedging of cast (29740) |
$154.05 |
$237 |
0.5× |
| Windowing of cast (29730) |
$100.75 |
$155 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$576.55 |
$887 |
1.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$488.15 |
$751 |
0.6× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$12,309.24 |
$18,937.30 |
2.2× |