| Abd paracentesis (49082) |
$377.46 |
$503.28 |
0.4× |
| Abd paracentesis w/imaging (49083) |
$492.60 |
$656.79 |
0.5× |
| Acne surgery (10040) |
$139.74 |
$186.32 |
0.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,959.80 |
$2,613.06 |
0.9× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$997.92 |
$1,330.56 |
0.3× |
| Amputation of penis; partial Age Under 21 (54120) |
$4,927.61 |
$6,570.14 |
1.3× |
| Anoscopy diagnostic (46600) |
$167.24 |
$222.98 |
1.2× |
| Anoscopy remove for body (46608) |
$811.26 |
$1,081.68 |
0.8× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$2,482.94 |
$3,310.58 |
3.2× |
| Application finger splint static (29130) |
$65.91 |
$87.88 |
0.5× |
| Application of long leg cast (thigh to toes); (29345) |
$320.53 |
$427.38 |
1.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$132.71 |
$176.94 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$119.96 |
$159.94 |
0.9× |
| Application of short leg cast (below knee to toes); (29405) |
$166.10 |
$221.48 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$124.36 |
$165.81 |
0.7× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$129.04 |
$172.06 |
0.8× |
| Application rigid total contact leg cast (29445) |
$337.85 |
$450.46 |
1.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$282.32 |
$376.44 |
1.0× |
| Apply hand/wrist cast (29085) |
$159.95 |
$213.26 |
0.9× |
| Apply long arm splint (29105) |
$91.40 |
$121.86 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$202.62 |
$270.16 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$295.34 |
$393.78 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$201.26 |
$268.34 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$207.02 |
$276.02 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$111.61 |
$148.81 |
0.3× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$187.14 |
$249.51 |
0.6× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446)
likely a partial charge — not the full procedure |
$3,353.48 |
$4,471.31 |
0.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,892.23 |
$2,522.97 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$3,151.42 |
$4,201.90 |
0.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$810.28 |
$1,080.37 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$2,670.70 |
$3,560.93 |
0.8× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) |
$905.19 |
$1,206.92 |
0.3× |
| Aspirate pleura w/o imaging (32554) |
$608.15 |
$810.86 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$72.07 |
$96.09 |
0.2× |
| Aspiration bladder needle (51100) |
$180.92 |
$241.22 |
0.7× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$66.80 |
$89.06 |
0.3× |
| Biopsy external ear (69100) |
$397.95 |
$530.60 |
1.6× |
| Biopsy lip (40490) |
$278.57 |
$371.42 |
1.1× |
| Biopsy of epididymis, needle (54800) |
$311.10 |
$414.80 |
0.2× |
| Biopsy of eyelid (67810) |
$179.08 |
$238.77 |
0.5× |
| Biopsy of eyelid lining (68100) |
$711.86 |
$949.15 |
0.3× |
| Biopsy of lacrimal gland Age Under 21 (68510) |
$2,214.65 |
$2,952.86 |
0.9× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$476.14 |
$634.84 |
0.5× |
| Biopsy of penis; (separate procedure) (54100) |
$1,245.31 |
$1,660.41 |
0.7× |
| Biopsy of testis, incisional (separate procedure) Age Under 21 (54505) |
$764.59 |
$1,019.45 |
0.2× |
| Biopsy of urethra (53200) |
$1,556.40 |
$2,075.20 |
0.7× |
| Biopsy of uterus lining (58100) |
$191.59 |
$255.45 |
0.9× |
| Biopsy vaginal mucosa simple (57100) |
$115.13 |
$153.50 |
0.1× |
| Biopsy vestibule mouth (40808) |
$261.41 |
$348.55 |
0.5× |
| Biopsy vulva/perineum 1 lesion (56605) |
$106.34 |
$141.79 |
0.1× |
| Bladder irrigation (51700) |
$157.31 |
$209.75 |
0.6× |
| Blepharoplasty lower eyelid (15820) |
$1,668.02 |
$2,224.03 |
0.8× |
| Bronchoscopy/lung bx each (31628) |
$1,309.46 |
$1,745.95 |
0.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$1,726.90 |
$2,302.54 |
0.5× |
| Cast short arm (29075) |
$137.99 |
$183.98 |
0.5× |
| Chemical cauterization of granulation tissue (17250) |
$38.66 |
$51.55 |
0.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$48.72 |
$64.95 |
0.2× |
| Chest tube placement (32551) |
$452.76 |
$603.68 |
0.3× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$1,556.40 |
$2,075.20 |
0.7× |
| Closed rx acetabular fx (27220) |
$778.66 |
$1,038.20 |
3.0× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$753.17 |
$1,004.22 |
2.9× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$983.74 |
$1,311.65 |
0.6× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$339.23 |
$452.30 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$359.88 |
$479.84 |
1.4× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$282.98 |
$377.30 |
1.1× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$380.08 |
$506.76 |
1.5× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,165.58 |
$1,554.10 |
0.7× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$369.11 |
$492.15 |
1.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$552.39 |
$736.52 |
2.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$391.95 |
$522.60 |
1.5× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$254.76 |
$339.68 |
1.0× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,457.82 |
$1,943.76 |
0.9× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$559.38 |
$745.84 |
2.1× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,524.96 |
$2,033.28 |
0.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$232.45 |
$309.94 |
0.9× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$524.22 |
$698.96 |
0.9× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$214.88 |
$286.50 |
0.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,221.39 |
$1,628.52 |
0.7× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$351.53 |
$468.70 |
1.4× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,249.12 |
$1,665.50 |
0.7× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$651.65 |
$868.86 |
2.5× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,269.05 |
$1,692.06 |
0.7× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$524.66 |
$699.55 |
2.0× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$387.56 |
$516.74 |
1.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$392.03 |
$522.70 |
1.5× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$876.92 |
$1,169.22 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$453.04 |
$604.05 |
1.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$429.32 |
$572.42 |
1.6× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$355.05 |
$473.40 |
1.4× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,232.73 |
$1,643.64 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$429.77 |
$573.02 |
1.7× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,263.14 |
$1,684.18 |
0.7× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$516.77 |
$689.02 |
2.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$356.07 |
$474.76 |
1.4× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$356.07 |
$474.76 |
1.4× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$160.82 |
$214.42 |
0.6× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$409.18 |
$545.56 |
1.6× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$439.42 |
$585.90 |
1.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$282.98 |
$377.30 |
1.1× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$309.80 |
$413.06 |
0.2× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$259.26 |
$345.68 |
1.0× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,563.82 |
$2,085.10 |
0.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$420.97 |
$561.29 |
1.6× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$426.23 |
$568.30 |
1.6× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$522.03 |
$696.04 |
2.0× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$446.44 |
$595.25 |
1.7× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$403.90 |
$538.53 |
1.6× |
| Closed treatment of ulnar styloid fracture (25650) |
$336.59 |
$448.79 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$507.62 |
$676.83 |
2.0× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,265.67 |
$1,687.56 |
0.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$505.82 |
$674.42 |
1.9× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$869.46 |
$1,159.28 |
3.3× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$520.28 |
$693.70 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$352.75 |
$470.33 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$837.59 |
$1,116.78 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$484.82 |
$646.42 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$490.40 |
$653.86 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$965.38 |
$1,287.18 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$408.66 |
$544.88 |
1.6× |
| Closed tx vert fx w/o manj (22310) |
$471.05 |
$628.07 |
1.8× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$482.47 |
$643.29 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$908.80 |
$1,211.72 |
0.5× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$577.40 |
$769.86 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$515 |
$686.66 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,117 |
$1,489.33 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$807.36 |
$1,076.48 |
3.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$286.76 |
$382.34 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$704.82 |
$939.76 |
2.7× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$288.26 |
$384.34 |
1.1× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$562.89 |
$750.52 |
0.3× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$310.10 |
$413.48 |
1.1× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$284.22 |
$378.96 |
1.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$328.76 |
$438.34 |
1.3× |
| Cltx metar fx w/manj (28475) |
$449.76 |
$599.68 |
1.7× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$301.41 |
$401.88 |
0.2× |
| Cltx post ankle fx (27767) |
$421.90 |
$562.54 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,088.24 |
$1,450.99 |
0.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$362.09 |
$482.78 |
1.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,327.33 |
$1,769.77 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$461.64 |
$615.52 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,281.30 |
$1,708.40 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$457.50 |
$610 |
1.8× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,053.28 |
$1,404.36 |
0.8× |
| Colposcopy cervix (57452) |
$162.59 |
$216.79 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$159.08 |
$212.10 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$195.97 |
$261.29 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$241.67 |
$322.23 |
0.8× |
| Colposcopy w/endocervical curettage (57456) |
$183.68 |
$244.91 |
0.6× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$156.88 |
$209.17 |
1.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$164.35 |
$219.13 |
1.2× |
| Corneal relaxing incision for correction of surgically induced astigmatism Age Under 21 (65772) |
$1,603.86 |
$2,138.48 |
1.5× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$2,545.09 |
$3,393.45 |
0.7× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$67.67 |
$90.22 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$166.10 |
$221.46 |
1.2× |
| Curette/treat cornea (65435) |
$754.26 |
$1,005.68 |
0.7× |
| Cystoscopy and treatment (52310) |
$2,149.62 |
$2,866.15 |
1.0× |
| Cystoscopy w/biopsy(s) (52204) |
$2,114.47 |
$2,819.29 |
1.0× |
| Cystourethroscopy (52000) |
$471.05 |
$628.07 |
0.6× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$2,120.61 |
$2,827.48 |
1.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$1,991.43 |
$2,655.24 |
0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$58.01 |
$77.35 |
0.1× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$202.70 |
$270.28 |
0.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$26.36 |
$35.15 |
0.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$29.88 |
$39.84 |
0.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$304.30 |
$405.74 |
0.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$760.16 |
$1,013.54 |
0.4× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$380.08 |
$506.77 |
0.5× |
| Declot vascular device (36593) |
$202.96 |
$270.61 |
0.6× |
Decompression fasciotomy, forearm, with brachial artery exploration Age Under 21 (24495)
unusually low — confirm this is the full procedure |
$2,463.81 |
$3,285.08 |
0.3× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$2,140.83 |
$2,854.44 |
0.6× |
| Delivery of placenta (59414) |
$1,418.44 |
$1,891.25 |
0.4× |
| Destruct lesion 15 or more (17111) |
$183.06 |
$244.08 |
0.9× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$71.79 |
$95.72 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$205.07 |
$273.42 |
0.5× |
| Destruction benign lesions up to 14 (17110) |
$101.32 |
$135.08 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,754 |
$3,672 |
1.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$234.09 |
$312.12 |
1.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$1,450.95 |
$1,934.60 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$819.95 |
$1,093.27 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$109.32 |
$145.76 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$493.46 |
$657.95 |
2.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$254.69 |
$339.59 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$145.26 |
$193.67 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$306 |
$408 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$262.65 |
$350.20 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$198.98 |
$265.30 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$235.03 |
$313.37 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$224.04 |
$298.72 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$493.46 |
$657.95 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$246.73 |
$328.97 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$493.46 |
$657.95 |
1.2× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$133.58 |
$178.11 |
0.6× |
| Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) |
$145.88 |
$194.51 |
1.1× |
| Drain shoulder lesion (23030) |
$1,563.44 |
$2,084.58 |
0.5× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$5.27 |
$7.03 |
0.0× |
| Drainage external auditory canal, abscess (69020) |
$296.16 |
$394.88 |
0.4× |
| Drainage finger abscess simple (26010) |
$326.48 |
$435.31 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$1,045.22 |
$1,393.62 |
0.6× |
| Drainage of scrotum (54700) |
$1,285.72 |
$1,714.30 |
0.6× |
| Drainage of tonsil abscess (42700) |
$328.70 |
$438.26 |
1.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,850 |
$3,800 |
1.4× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,448 |
$3,264 |
1.2× |
| Ed proc insert intraosseous IV (36680) |
$181.04 |
$241.38 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$295.62 |
$394.16 |
2.2× |
| Ed proc remve fb nasal- hospital (30300) |
$135.34 |
$180.45 |
1.0× |
| Ed prof burn - large - hospital (16030) |
$211.16 |
$281.54 |
0.5× |
| Ed prof burn medium - hospital (16025) |
$272.40 |
$363.19 |
1.3× |
| Ed prof burn small - hospital (16020) |
$101.36 |
$135.15 |
0.5× |
| Ed prof catheterization/straight (51701) |
$154.67 |
$206.23 |
1.1× |
| Ed prof closed tx post hip arthroplasty (27265) |
$532.96 |
$710.61 |
2.0× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,244.56 |
$1,659.41 |
0.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,241.18 |
$1,654.90 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$172.30 |
$229.74 |
1.2× |
| Ed prof insert foley cath simple (51702) |
$154.67 |
$206.23 |
1.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,104.90 |
$1,473.20 |
0.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$256.63 |
$342.17 |
0.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$338.26 |
$451.01 |
0.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$368.68 |
$491.56 |
1.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$156.43 |
$208.57 |
0.3× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,041.78 |
$1,389.04 |
0.5× |
| Epididymectomy; unilateral Age Under 21 (54860) |
$1,668.02 |
$2,224.03 |
0.4× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$381.15 |
$508.20 |
0.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,077.95 |
$1,437.26 |
0.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,725.15 |
$2,300.20 |
0.9× |
| Evac subungual hematoma (11740) |
$33.40 |
$44.53 |
0.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,172.47 |
$2,896.62 |
1.2× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$286.52 |
$382.04 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$118.25 |
$157.66 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$198.71 |
$264.94 |
0.3× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$326.89 |
$435.85 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$2,715.75 |
$3,621 |
0.9× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$177.38 |
$236.50 |
0.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$251.48 |
$335.32 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,292.32 |
$1,723.10 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,930.79 |
$2,574.39 |
1.1× |
| Exchange intraocular lens (66986) |
$2,758.64 |
$3,678.19 |
1.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,882.46 |
$2,509.94 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$246.29 |
$328.38 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$216.10 |
$288.14 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$564.38 |
$752.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$490.87 |
$654.50 |
0.7× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$431.51 |
$575.34 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$203.88 |
$271.84 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$152.92 |
$203.89 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$238.91 |
$318.54 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$549.18 |
$732.24 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,026.72 |
$1,368.96 |
0.6× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Age Under 21 (67808) |
$2,130.27 |
$2,840.36 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$952.67 |
$1,270.22 |
0.9× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,372.51 |
$1,830.02 |
0.8× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$3,017.90 |
$4,023.87 |
0.8× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$1,573.99 |
$2,098.65 |
0.7× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$810.28 |
$1,080.37 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$876.16 |
$1,168.22 |
0.7× |
| Excision olecranon bursa (24105) |
$2,407.18 |
$3,209.56 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$1,092.42 |
$1,456.56 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$2,812.25 |
$3,749.67 |
0.8× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$724.16 |
$965.54 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,981 |
$3,974.66 |
1.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,170.45 |
$1,560.60 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$348.20 |
$464.26 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,013.55 |
$1,351.40 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$225.87 |
$301.16 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$372.62 |
$496.82 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$312.15 |
$416.20 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$511.32 |
$681.76 |
0.3× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$1,417.99 |
$1,890.65 |
0.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$126.56 |
$168.74 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$228.82 |
$305.10 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$509.28 |
$679.04 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$621.33 |
$828.44 |
0.4× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$314.63 |
$419.50 |
0.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$116.89 |
$155.85 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,572.08 |
$2,096.10 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$238.77 |
$318.36 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$234.95 |
$313.26 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$152.10 |
$202.80 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$636.73 |
$848.97 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$835.32 |
$1,113.76 |
0.5× |
| Extraction of lens (66940) |
$1,967.70 |
$2,623.60 |
0.8× |
| Fasciectomy plantar fascia partial spx (28060) |
$1,939.58 |
$2,586.10 |
0.6× |
| Follow-up surgery of eye (66250) |
$2,387.72 |
$3,183.62 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,743.60 |
$2,324.80 |
0.8× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$1,959.80 |
$2,613.06 |
0.9× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,302.44 |
$1,736.58 |
0.6× |
| Gastric lavage (43753) |
$263.65 |
$351.53 |
1.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,712.40 |
$2,283.20 |
0.5× |
| I&d abscess simple/single (10060) |
$192.62 |
$256.82 |
0.9× |
| I&d hematoma/seroma/fluid (10140) |
$1,543.23 |
$2,057.64 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$295.85 |
$394.46 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,503.68 |
$2,004.90 |
0.5× |
| Incise & drain bladder (51040) |
$855.98 |
$1,141.31 |
0.4× |
| Incise external hemorrhoid (46083) |
$282.11 |
$376.14 |
1.1× |
| Incise finger tendon sheath (26055) |
$1,287.72 |
$1,716.96 |
0.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$313.30 |
$417.74 |
0.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$253.54 |
$338.05 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$330.44 |
$440.59 |
1.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$943.34 |
$1,257.78 |
0.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$660.44 |
$880.59 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$203 |
$270.67 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$87 |
$116 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,567.84 |
$2,090.44 |
0.9× |
| Incision of rectal abscess (46040) |
$1,266.52 |
$1,688.68 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$248.42 |
$331.22 |
0.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,266.93 |
$1,689.24 |
3.6× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$59.14 |
$78.85 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$772.65 |
$1,030.20 |
0.8× |
| Inj paravert f jnt l/s 1 lev (64493) |
$765 |
$1,020 |
0.8× |
| Inj tx nerve (64640) |
$918 |
$1,224 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$156.06 |
$208.08 |
0.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$770.36 |
$1,027.14 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$645.66 |
$860.88 |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$340.97 |
$454.62 |
1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$456.66 |
$608.87 |
0.5× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$405.91 |
$541.22 |
0.5× |
| Injection aa&/strd suprascapular nerve (64418) |
$599 |
$798.66 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$335.74 |
$447.66 |
1.0× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$86.14 |
$114.84 |
0.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$220.59 |
$294.12 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$84.82 |
$113.08 |
0.3× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$2,233.10 |
$2,977.47 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$56.24 |
$75 |
0.3× |
| Insert drug implant device (11981) |
$238.68 |
$318.24 |
1.7× |
| Insert pessary/other device (57160) |
$105.46 |
$140.61 |
0.5× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under… (66985) |
$2,800.83 |
$3,734.44 |
1.2× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$865.66 |
$1,154.21 |
0.5× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low — confirm this is the full procedure |
$3,247.30 |
$4,329.73 |
0.4× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$2,065.50 |
$2,754 |
0.1× |
| Intubation endotracheal (31500) |
$330.44 |
$440.60 |
1.3× |
| Knee arthroscopy/surgery (29876) |
$2,583.76 |
$3,445.01 |
0.7× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$5,882.02 |
$7,842.69 |
1.0× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$4,941.66 |
$6,588.88 |
1.3× |
| Lumbar puncture (62270) |
$282.98 |
$377.30 |
0.4× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$2,263.88 |
$3,018.51 |
1.0× |
| Mastotomy expl drg absc dp (19020) |
$1,494.01 |
$1,992.01 |
0.9× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$109.40 |
$145.86 |
1.8× |
| Meatotomy cutting meatus spx except infant (53020) |
$1,556.40 |
$2,075.20 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28.41 |
$37.88 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$32.48 |
$43.30 |
1.1× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,593.32 |
$2,124.43 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$614.30 |
$819.06 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$591.24 |
$788.32 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$696.15 |
$928.20 |
0.9× |
| Ocular reconst transplant (65780) |
$4,618.25 |
$6,157.67 |
1.1× |
Open treatment bimalleolar ankle fracture (27814)
likely a partial charge — not the full procedure |
$1,271.66 |
$1,695.55 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$2,405.80 |
$3,207.74 |
0.7× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$1,675.94 |
$2,234.58 |
0.2× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$3,227.06 |
$4,302.75 |
0.9× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge — not the full procedure |
$1,260.25 |
$1,680.33 |
0.2× |
Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676)
likely a partial charge — not the full procedure |
$1,065.15 |
$1,420.20 |
0.1× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure |
$1,145.99 |
$1,527.99 |
0.1× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
unusually low — confirm this is the full procedure |
$2,716.46 |
$3,621.95 |
0.4× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age Under 21 (28585)
likely a partial charge — not the full procedure |
$1,298.92 |
$1,731.89 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure |
$2,754.25 |
$3,672.33 |
0.2× |
| Open tx distal phalangeal fracture each (26765) |
$1,696.14 |
$2,261.53 |
0.5× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,829.74 |
$2,439.65 |
0.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,201.48 |
$2,935.31 |
0.6× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$2,281.45 |
$3,041.93 |
0.6× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$1,782.28 |
$2,376.37 |
0.5× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$1,409.64 |
$1,879.52 |
0.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$56.25 |
$75 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$44.82 |
$59.76 |
0.2× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia)|RIGHT SIDE (65730) |
$4,980.35 |
$6,640.46 |
1.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge — not the full procedure |
$1,487.87 |
$1,983.82 |
0.2× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$724.26 |
$965.68 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$591.37 |
$788.50 |
2.2× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$673.19 |
$897.58 |
0.9× |
| Pr inj. intralesional gt 7 lesions (11901) |
$254.69 |
$339.59 |
1.2× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$1,689.25 |
$2,252.33 |
0.7× |
| Preputial stretching (54450) |
$369.10 |
$492.14 |
1.4× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$1,262.25 |
$1,683 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$182.18 |
$242.90 |
0.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$175.78 |
$234.37 |
0.4× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$1,461.51 |
$1,948.68 |
0.4× |
| Reduction overcorrection ptosis (67909) |
$2,355.27 |
$3,140.36 |
0.9× |
| Reinsertion of ocular implant; with or without conjunctival graft Age Under 21 (65150) |
$2,442.28 |
$3,256.37 |
0.6× |
| Relieve pressure on nerve(s) (64722) |
$1,592 |
$2,122.66 |
0.8× |
| Removal foreign body foot complicated (28193) |
$948.25 |
$1,264.33 |
0.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$463.15 |
$617.53 |
0.6× |
| Removal foreign body mouth (40804) |
$208.28 |
$277.71 |
0.2× |
| Removal foreign body shoulder subcutaneous (23330) |
$639.34 |
$852.46 |
0.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,959.10 |
$2,612.14 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.56 |
$75.42 |
0.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$52.73 |
$70.31 |
0.8× |
| Removal implant deep (20680) |
$1,449.19 |
$1,932.26 |
0.5× |
| Removal implant superficial (20670) |
$825.22 |
$1,100.29 |
0.5× |
| Removal implantable contraceptive capsules (11976) |
$107.21 |
$142.95 |
0.1× |
| Removal of eye lesion (65400) |
$2,048.57 |
$2,731.42 |
1.9× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$3,510.06 |
$4,680.08 |
0.9× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$2,281.45 |
$3,041.93 |
0.6× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$2,457.94 |
$3,277.26 |
0.7× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$178.40 |
$237.86 |
0.1× |
| Removal of foreign body in scrotum (55120) |
$2,952.88 |
$3,937.17 |
1.3× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,036.78 |
$1,382.36 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$58.01 |
$77.35 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$136.66 |
$182.21 |
0.3× |
| Removal of foreign body, foot; deep (28192) |
$639.79 |
$853.05 |
0.4× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$2,215.02 |
$2,953.36 |
0.6× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$1,265.67 |
$1,687.56 |
0.4× |
| Removal of iud (58301) |
$100.19 |
$133.59 |
0.3× |
| Removal of lens material; aspiration technique, 1 or more stages Age Under 21 (66840) |
$1,437.77 |
$1,917.03 |
0.6× |
| Removal of nail bed (11750) |
$190.72 |
$254.29 |
0.4× |
Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee (27488)
unusually low — confirm this is the full procedure |
$6,494.59 |
$8,659.45 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$122.32 |
$163.08 |
0.6× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical… (67010) |
$3,688.46 |
$4,917.95 |
1.5× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$87.89 |
$117.18 |
0.3× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$3,362.41 |
$4,483.21 |
1.3× |
| Remove eyelid foreign body (67938) |
$440.88 |
$587.84 |
1.3× |
| Remove eyelid lesions (67801) |
$443.81 |
$591.74 |
0.4× |
| Remove foreign body from eye (65210) |
$55.37 |
$73.83 |
0.1× |
| Remove hip foreign body (27086) |
$661.32 |
$881.76 |
0.2× |
| Remove pharynx foreign body (42809) |
$180.60 |
$240.80 |
0.4× |
| Repair brow defect (67900) |
$3,341.31 |
$4,455.08 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$478.14 |
$637.52 |
1.1× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$515.60 |
$687.46 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$314.63 |
$419.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$741.58 |
$988.76 |
1.0× |
| Repair entropion excision tarsal wedge (67923) |
$2,216.41 |
$2,955.21 |
0.9× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,411.65 |
$1,882.20 |
0.8× |
| Repair eyelid defect (67924) |
$2,449.31 |
$3,265.74 |
1.0× |
| Repair eyelid defect (67904) |
$1,976.48 |
$2,635.31 |
0.8× |
| Repair finger tendon (26418) |
$1,510.72 |
$2,014.28 |
0.9× |
| Repair finger tendon (26433) |
$2,120.61 |
$2,827.48 |
0.6× |
| Repair incomplete circumcision (54163) |
$1,556.40 |
$2,075.20 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$256.28 |
$341.71 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$264.97 |
$353.29 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$250.36 |
$333.80 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$254.87 |
$339.82 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$266.29 |
$355.05 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$286.49 |
$381.99 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$282.54 |
$376.72 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$318.36 |
$424.48 |
0.4× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$246.73 |
$328.97 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$278.56 |
$371.42 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$297.04 |
$396.05 |
0.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$253.98 |
$338.64 |
0.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$496.22 |
$661.62 |
1.2× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$780.26 |
$1,040.34 |
1.8× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$562.45 |
$749.93 |
0.3× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$2,130.27 |
$2,840.36 |
0.8× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$2,401.83 |
$3,202.44 |
1.0× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$326.88 |
$435.83 |
0.7× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$667.26 |
$889.67 |
2.7× |
Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Age Under 21 (65280)
unusually low — confirm this is the full procedure |
$2,586.39 |
$3,448.52 |
0.5× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$1,711.97 |
$2,282.62 |
0.4× |
| Repair of nail bed (11760) |
$249.16 |
$332.22 |
0.3× |
| Repair tongue lacer,post 1/3 (41251) |
$414.28 |
$552.38 |
1.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$676.54 |
$902.06 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$855.60 |
$1,140.80 |
1.1× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$719.20 |
$958.92 |
1.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$477.70 |
$636.93 |
0.6× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$562.45 |
$749.93 |
0.3× |
| Reset dislocated jaw (21480) |
$234.92 |
$313.24 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$1,817.80 |
$2,423.72 |
0.9× |
| Revision of iris (66761) |
$1,124.48 |
$1,499.30 |
1.9× |
| Revision of upper eyelid (15823) |
$1,697.91 |
$2,263.88 |
0.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$887.36 |
$1,183.14 |
0.5× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$671.48 |
$895.30 |
1.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$142.38 |
$189.84 |
1.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$147.82 |
$197.08 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,553.78 |
$2,071.70 |
0.5× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$3,703.39 |
$4,937.85 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$311.10 |
$414.80 |
0.4× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$3,703.39 |
$4,937.85 |
1.0× |
| Scrotal exploration Age Under 21 (55110) |
$2,952.88 |
$3,937.17 |
0.8× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,563.40 |
$2,084.52 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$86.91 |
$115.88 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$105.02 |
$140.03 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$217.54 |
$290.05 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$93.16 |
$124.20 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$90.52 |
$120.69 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$140.61 |
$187.48 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$145.88 |
$194.51 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$103.70 |
$138.27 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$118.20 |
$157.60 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$190.72 |
$254.29 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$130.94 |
$174.59 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$210.92 |
$281.22 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$210.92 |
$281.22 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$348.90 |
$465.20 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$165.66 |
$220.87 |
0.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$238.16 |
$317.55 |
1.1× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$290 |
$386.67 |
0.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$524.51 |
$699.34 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$241.68 |
$322.23 |
1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$4,075.13 |
$5,433.51 |
0.8× |
| Slitting of prepuce (54001) |
$2,833.15 |
$3,777.53 |
1.3× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$145.52 |
$194.02 |
0.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$210.92 |
$281.22 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$230.26 |
$307.01 |
0.5× |
| Strapping ankle (29540) |
$87.89 |
$117.18 |
0.5× |
| Strapping elbow or wrist (29260) |
$53.22 |
$70.95 |
0.9× |
| Strapping hand/finger (29280) |
$54.06 |
$72.08 |
0.9× |
| Strapping of chest (29200) |
$141.90 |
$189.20 |
0.8× |
| Strapping of knee (29530) |
$114.88 |
$153.16 |
0.8× |
| Strapping of shoulder (29240) |
$115.08 |
$153.44 |
0.8× |
| Strapping of toes (29550) |
$64.19 |
$85.58 |
1.0× |
| Strapping unna boot (29580) |
$108.11 |
$144.15 |
0.6× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$397.95 |
$530.60 |
0.5× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$2,422.06 |
$3,229.41 |
1.0× |
| Syndactylization, toes (eg, webbing or Kelikian type procedure) Age Under 21 (28280) |
$2,049.87 |
$2,733.16 |
0.6× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$1,076.48 |
$1,435.30 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$165.61 |
$220.81 |
0.4× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$936.83 |
$1,249.11 |
0.9× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$2,807.42 |
$3,743.23 |
0.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$9,180 |
$12,240 |
0.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$562.46 |
$749.94 |
0.8× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,121.20 |
$4,161.60 |
0.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$662.45 |
$883.26 |
2.7× |
| Transfusion, blood or blood components (36430) |
$411.29 |
$548.39 |
0.9× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$1,762.94 |
$2,350.59 |
0.5× |
| Treat big toe fracture (28495) |
$339.12 |
$452.16 |
1.3× |
| Treat finger dislocation (26775) |
$710.08 |
$946.77 |
2.4× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$951.79 |
$1,269.05 |
0.1× |
| Treat lower leg fracture (27825) |
$1,337.46 |
$1,783.28 |
0.8× |
| Treat tail bone fracture (27200) |
$313.30 |
$417.74 |
1.2× |
| Treat thumb fracture (26645) |
$397.24 |
$529.65 |
0.2× |
| Treat toe dislocation (28630) |
$277.88 |
$370.50 |
1.1× |
| Treat ulnar fracture (24675) |
$1,256.38 |
$1,675.18 |
0.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$969.66 |
$1,292.88 |
0.6× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
likely a partial charge — not the full procedure |
$1,936.07 |
$2,581.42 |
0.3× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$353.30 |
$471.06 |
1.4× |
| Treatment of miscarriage (59812) |
$1,457.10 |
$1,942.80 |
0.4× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$560.10 |
$746.80 |
2.2× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$875.68 |
$1,167.57 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$386.69 |
$515.59 |
1.5× |
| Tx superficial wound dehiscence simple closure (12020) |
$204.77 |
$273.02 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$150.29 |
$200.38 |
0.4× |
| Vaginal delivery (59409) |
$1,965.51 |
$2,620.68 |
0.6× |
| Vasectomy (55250) |
$1,102.94 |
$1,470.59 |
0.5× |
| Venipuncture (36415) |
$18.45 |
$24.60 |
2.0× |
| Vitrectomy mechanical pars plana (67036) |
$3,776.33 |
$5,035.11 |
0.9× |
| Wedge excision skin nail fold (11765) |
$74.69 |
$99.59 |
0.2× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$2,800.83 |
$3,734.44 |
1.2× |