| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$2,999.70 |
$3,333 |
0.8× |
| Abd paracentesis w/imaging (49083) |
$1,451.70 |
$1,613 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,126.80 |
$1,252 |
1.2× |
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)… (51845) unusually low: confirm this is the full procedure |
$1,917.90 |
$2,131 |
0.4× |
| Acne surgery (10040) |
$280.80 |
$312 |
1.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,028.50 |
$3,365 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,480.50 |
$1,645 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,932.30 |
$2,147 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,533.50 |
$2,815 |
1.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,943.10 |
$2,159 |
0.9× |
| Amniocentesis diagnostic (59000) |
$281.70 |
$313 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,812.40 |
$4,236 |
1.1× |
| Amputate metacarpal bone (26910) |
$2,952.90 |
$3,281 |
0.9× |
| Amputation Finger/Thumb (26951) |
$3,655.35 |
$4,061.50 |
1.1× |
| Amputation foot transmetarsal (28805) |
$1,633.50 |
$1,815 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$2,105.10 |
$2,339 |
0.6× |
| Amputation of penis; partial Facility (54120) |
$1,915.20 |
$2,128 |
0.5× |
| Amputation thigh through femur any level (27590) |
$3,537 |
$3,930 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,281.50 |
$2,535 |
0.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,565 |
$2,850 |
0.8× |
Amputation, arm through humerus; with primary closure Facility (24900) likely a partial charge, not the full procedure |
$2,331 |
$2,590 |
0.2× |
| Amputation, leg, through tibia and fibula; (27880) |
$3,931.20 |
$4,368 |
0.5× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$3,240 |
$3,600 |
1.0× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$3,293.10 |
$3,659 |
1.0× |
| Analyze spine infus pump (62367) |
$117.90 |
$131 |
0.4× |
| Anoscopy diagnostic (46600) |
$266.85 |
$296.50 |
1.9× |
| Anoscopy; with biopsy, single or multiple (46606) |
$705.60 |
$784 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$463.50 |
$515 |
0.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$2,601.90 |
$2,891 |
0.5× |
| Anterior tibial tubercleplasty (27418) |
$4,013.10 |
$4,459 |
0.5× |
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) unusually low: confirm this is the full procedure |
$1,948.50 |
$2,165 |
0.4× |
Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,682 |
$2,980 |
0.4× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$609.30 |
$677 |
3.6× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$579.60 |
$644 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$225.45 |
$250.50 |
1.3× |
| Appl Multlay Comprs Arm/Hand (29584) |
$221.40 |
$246 |
1.3× |
| Application cast elbow finger short arm (29075) |
$479.70 |
$533 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$500.85 |
$556.50 |
1.7× |
| Application Finger Splint Dynamic (29131) |
$253.80 |
$282 |
4.2× |
| Application finger splint static (29130) |
$145.80 |
$162 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$413.10 |
$459 |
2.5× |
| Application Long Leg Cast Brace (29358) |
$1,007.10 |
$1,119 |
3.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$639 |
$710 |
2.2× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) unusually low: confirm this is the full procedure |
$4,097.70 |
$4,553 |
0.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$556.20 |
$618 |
1.9× |
| Application of long leg cast (29345) |
$625.50 |
$695 |
2.2× |
| Application of rigid total contact leg cast (29445) |
$592.65 |
$658.50 |
2.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$537.30 |
$597 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$332.10 |
$369 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$299.25 |
$332.50 |
2.2× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,440 |
$1,600 |
0.2× |
| Apply long leg splint (29505) |
$308.25 |
$342.50 |
1.8× |
| Apply short leg cast (29405) |
$407.70 |
$453 |
1.4× |
| Apply short leg cast (29425) |
$439.20 |
$488 |
1.5× |
| Apply short leg splint (29515) |
$361.80 |
$402 |
2.2× |
| Arterial puncture (36600) |
$83.02 |
$92.24 |
0.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$7,412.40 |
$8,236 |
0.6× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) unusually low: confirm this is the full procedure |
$5,621.40 |
$6,246 |
0.4× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$2,042.10 |
$2,269 |
0.2× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$3,186.90 |
$3,541 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$596.70 |
$663 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$808.20 |
$898 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$414.45 |
$460.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$623.70 |
$693 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$658.80 |
$732 |
2.1× |
Arthrodesis ankle open (27870) unusually low: confirm this is the full procedure |
$4,983.30 |
$5,537 |
0.4× |
Arthrodesis Glenohumeral Joint (23800) unusually low: confirm this is the full procedure |
$2,791.80 |
$3,102 |
0.4× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$2,085.30 |
$2,317 |
0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,056.30 |
$4,507 |
0.5× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$3,222 |
$3,580 |
1.0× |
Arthrodesis pantalar (28705) unusually low: confirm this is the full procedure |
$6,343.20 |
$7,048 |
0.4× |
Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$2,193.30 |
$2,437 |
0.1× |
Arthrodesis triple (28715) unusually low: confirm this is the full procedure |
$4,668.30 |
$5,187 |
0.4× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$8,158.50 |
$9,065 |
0.3× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) unusually low: confirm this is the full procedure |
$7,190.10 |
$7,989 |
0.4× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Facility (26844) |
$4,486.50 |
$4,985 |
0.6× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) unusually low: confirm this is the full procedure |
$10,333.80 |
$11,482 |
0.4× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) likely a partial charge, not the full procedure |
$6,678.90 |
$7,421 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) unusually low: confirm this is the full procedure |
$5,589 |
$6,210 |
0.3× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$9,107.10 |
$10,119 |
0.5× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) unusually low: confirm this is the full procedure |
$5,465.70 |
$6,073 |
0.3× |
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) unusually low: confirm this is the full procedure |
$6,057.90 |
$6,731 |
0.5× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$9,713.70 |
$10,793 |
0.5× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) unusually low: confirm this is the full procedure |
$8,945.10 |
$9,939 |
0.5× |
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) likely a partial charge, not the full procedure |
$3,250.80 |
$3,612 |
0.2× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) likely a partial charge, not the full procedure |
$4,502.70 |
$5,003 |
0.2× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) likely a partial charge, not the full procedure |
$3,402.90 |
$3,781 |
0.3× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) unusually low: confirm this is the full procedure |
$3,062.70 |
$3,403 |
0.4× |
Arthrodesis; subtalar (28725) unusually low: confirm this is the full procedure |
$4,050.90 |
$4,501 |
0.3× |
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$4,896.90 |
$5,441 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472) unusually low: confirm this is the full procedure |
$7,180.20 |
$7,978 |
0.4× |
| Arthroplasty interphalangeal joint each (26535) |
$1,601.10 |
$1,779 |
0.5× |
Arthroplasty patella w/prosthesis (27438) unusually low: confirm this is the full procedure |
$4,069.80 |
$4,522 |
0.3× |
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) unusually low: confirm this is the full procedure |
$5,958.90 |
$6,621 |
0.3× |
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) likely a partial charge, not the full procedure |
$2,203.20 |
$2,448 |
0.1× |
Arthroplasty with prosthetic replacement; lunate Facility (25444) likely a partial charge, not the full procedure |
$2,255.40 |
$2,506 |
0.2× |
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) likely a partial charge, not the full procedure |
$4,816.80 |
$5,352 |
0.3× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) unusually low: confirm this is the full procedure |
$4,229.10 |
$4,699 |
0.3× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,841.20 |
$4,268 |
1.1× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) unusually low: confirm this is the full procedure |
$5,518.80 |
$6,132 |
0.4× |
Arthroplasty, patella; without prosthesis Facility (27437) unusually low: confirm this is the full procedure |
$3,195 |
$3,550 |
0.4× |
Arthroplasty, radial head; with implant Facility (24366) likely a partial charge, not the full procedure |
$2,454.30 |
$2,727 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) unusually low: confirm this is the full procedure |
$5,746.50 |
$6,385 |
0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$2,063.70 |
$2,293 |
0.6× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$4,047.30 |
$4,497 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,908.80 |
$3,232 |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,795.40 |
$3,106 |
0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,532.60 |
$2,814 |
0.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,997 |
$3,330 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$2,951.10 |
$3,279 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,386 |
$1,540 |
0.4× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,200.40 |
$3,556 |
0.9× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$2,942.10 |
$3,269 |
0.9× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) unusually low: confirm this is the full procedure |
$2,477.70 |
$2,753 |
0.3× |
| Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) |
$2,412 |
$2,680 |
0.7× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$2,438.10 |
$2,709 |
0.7× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) unusually low: confirm this is the full procedure |
$3,726 |
$4,140 |
0.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,234.80 |
$1,372 |
0.4× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867) unusually low: confirm this is the full procedure |
$5,220.90 |
$5,801 |
0.4× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$4,754.70 |
$5,283 |
0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,494.80 |
$2,772 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,627.90 |
$4,031 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,289.50 |
$3,655 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,195.90 |
$3,551 |
0.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$3,717.90 |
$4,131 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,322.60 |
$5,914 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,720.60 |
$4,134 |
1.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,816.80 |
$5,352 |
0.6× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$3,062.70 |
$3,403 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,822.30 |
$4,247 |
0.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,194.10 |
$3,549 |
0.9× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$2,869.20 |
$3,188 |
0.8× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$2,102.40 |
$2,336 |
0.6× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,275.10 |
$3,639 |
1.0× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$1,509.30 |
$1,677 |
0.9× |
| Arthrotomy w/synovectomy ankle (27625) |
$2,276.10 |
$2,529 |
0.7× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$1,164.60 |
$1,294 |
0.3× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,318.40 |
$2,576 |
0.7× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage… (23101) |
$2,551.50 |
$2,835 |
0.8× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$1,558.80 |
$1,732 |
0.5× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$1,626.30 |
$1,807 |
0.5× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$2,265.30 |
$2,517 |
0.7× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,468.60 |
$3,854 |
1.0× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) unusually low: confirm this is the full procedure |
$3,257.10 |
$3,619 |
0.4× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$1,506.60 |
$1,674 |
0.4× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$3,058.20 |
$3,398 |
0.9× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$2,489.40 |
$2,766 |
0.7× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$3,272.40 |
$3,636 |
1.0× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$1,152.90 |
$1,281 |
0.3× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$5,303.70 |
$5,893 |
1.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,898.70 |
$5,443 |
0.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,833.20 |
$3,148 |
0.8× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,973.70 |
$2,193 |
0.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,815.30 |
$2,017 |
1.1× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,398.60 |
$1,554 |
0.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,812.60 |
$2,014 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,252.80 |
$1,392 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$551.70 |
$613 |
1.7× |
| Aspiration and injection for treatment of bone cyst (20615) |
$611.10 |
$679 |
0.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,385.10 |
$1,539 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$393.30 |
$437 |
1.9× |
Axillary lymphadenectomy; superficial Facility (38740) unusually low: confirm this is the full procedure |
$2,537.10 |
$2,819 |
0.4× |
| Biopsy bone open deep (20245) |
$2,814.30 |
$3,127 |
0.9× |
| Biopsy bone open superficial (20240) |
$683.10 |
$759 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$586.80 |
$652 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$2,754 |
$3,060 |
1.6× |
| Biopsy Muscle Superficial (20200) |
$540 |
$600 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$798.30 |
$887 |
0.2× |
| Biopsy of penis (54105) |
$890.10 |
$989 |
0.3× |
| Biopsy of penis (54100) |
$585 |
$650 |
0.3× |
| Biopsy of shoulder joint (23100) |
$1,337.40 |
$1,486 |
0.4× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$1,725.30 |
$1,917 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$825.30 |
$917 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$990.90 |
$1,101 |
0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$780.30 |
$867 |
0.5× |
| Biopsy testis incisional separate procedure (54505) |
$655.20 |
$728 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$248.40 |
$276 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$366.30 |
$407 |
0.4× |
| Biopsy/removal lymph nodes (38525) |
$1,382.40 |
$1,536 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$3,974.40 |
$4,416 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$688.05 |
$764.50 |
1.0× |
| Bladder Irrigation Simple (51700) |
$654.30 |
$727 |
2.5× |
| Blepharotomy drain absc eyelid (67700) |
$697.50 |
$775 |
2.1× |
| Blood patch (62273) |
$1,467.90 |
$1,631 |
2.0× |
| Blood transfusion service (36430) |
$930.60 |
$1,034 |
2.0× |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
$5,593.50 |
$6,215 |
0.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) unusually low: confirm this is the full procedure |
$2,595.60 |
$2,884 |
0.3× |
| Bone Marrow Biopsy (38221) |
$1,325.25 |
$1,472.50 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,554.30 |
$1,727 |
0.9× |
| Bx anorectal wall anal approach (45100) |
$894.60 |
$994 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$2,820.60 |
$3,134 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$2,261.70 |
$2,513 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$940.50 |
$1,045 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,741.50 |
$1,935 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,152.80 |
$2,392 |
0.6× |
| Capsular contracture release (23020) |
$1,648.80 |
$1,832 |
0.5× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,289.95 |
$3,655.50 |
1.0× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$3,987 |
$4,430 |
1.2× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$4,831.20 |
$5,368 |
0.6× |
| Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450) |
$4,752 |
$5,280 |
0.6× |
| Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) |
$5,072.40 |
$5,636 |
0.7× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$4,714.20 |
$5,238 |
0.6× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$4,691.70 |
$5,213 |
0.6× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$784.80 |
$872 |
0.5× |
| Carpectomy All Bones Proximal Row (25215) |
$2,421 |
$2,690 |
0.7× |
| Casting/strapping procedure (29799) |
$70.20 |
$78 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$357.30 |
$397 |
1.6× |
| Cauterization,cervix,electro/thermal (57510) |
$413.10 |
$459 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$492.30 |
$547 |
1.6× |
| Change of cystostomy tube simple (51705) |
$470.25 |
$522.50 |
1.8× |
| Chemical cautery tissue (17250) |
$367.20 |
$408 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,485 |
$1,650 |
2.0× |
| Chemodenerv Eccrine Glands (64650) |
$209.70 |
$233 |
0.7× |
| Chemodenerv musc migraine (64615) |
$582.75 |
$647.50 |
1.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$628.20 |
$698 |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,723.50 |
$1,915 |
2.4× |
| Chemodenervation internal anal sphincter (46505) |
$1,135.80 |
$1,262 |
0.9× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,483.65 |
$1,648.50 |
2.0× |
Chromotubation oviduct (58350) likely a partial charge, not the full procedure |
$380.70 |
$423 |
0.1× |
| Circum 28 days or older (54161) |
$592.20 |
$658 |
0.3× |
| Circumcision (54150) |
$514.80 |
$572 |
0.2× |
| Claviculectomy partial (23120) |
$2,903.40 |
$3,226 |
0.9× |
| Claviculectomy; total (23125) |
$3,053.70 |
$3,393 |
0.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,097.10 |
$1,219 |
4.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,509.30 |
$1,677 |
5.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,782 |
$1,980 |
7.0× |
| Closed Rx Radial Shaft Fx (25500) |
$1,283.40 |
$1,426 |
5.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,253.60 |
$2,504 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,711.80 |
$1,902 |
6.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,933.20 |
$2,148 |
7.6× |
| Closed Treat Vert Body Fract (22310) |
$909.90 |
$1,011 |
3.6× |
| Closed treat wrist dislocation (25660) |
$1,944.90 |
$2,161 |
7.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,375.80 |
$4,862 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,283.40 |
$1,426 |
5.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,066.50 |
$1,185 |
4.2× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,005.30 |
$1,117 |
0.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,620.25 |
$4,022.50 |
2.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,573.20 |
$1,748 |
6.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,609.20 |
$1,788 |
6.3× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,290.60 |
$1,434 |
5.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,229.40 |
$1,366 |
4.8× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$682.20 |
$758 |
2.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,642.95 |
$1,825.50 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,409.30 |
$2,677 |
9.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$809.10 |
$899 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,269 |
$1,410 |
5.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,675.80 |
$1,862 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,577.70 |
$1,753 |
6.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,668.05 |
$2,964.50 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,853.10 |
$2,059 |
7.3× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,039.50 |
$1,155 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,170.90 |
$1,301 |
4.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,726.20 |
$1,918 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,256.30 |
$2,507 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$592.20 |
$658 |
2.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$370.80 |
$412 |
1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,773.90 |
$1,971 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$907.65 |
$1,008.50 |
3.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,729.35 |
$1,921.50 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,614.50 |
$2,905 |
1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$719.10 |
$799 |
2.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$592.20 |
$658 |
2.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$909.90 |
$1,011 |
3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$369.90 |
$411 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,395.90 |
$1,551 |
5.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,235.70 |
$1,373 |
4.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$986.40 |
$1,096 |
4.0× |
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) unusually low: confirm this is the full procedure |
$1,708.20 |
$1,898 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,143 |
$1,270 |
4.5× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$2,552.40 |
$2,836 |
10.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$2,552.40 |
$2,836 |
10.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,332.80 |
$2,592 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,714.50 |
$1,905 |
6.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,353.60 |
$1,504 |
5.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,095.30 |
$1,217 |
4.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,217.70 |
$1,353 |
4.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,422 |
$1,580 |
5.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$910.80 |
$1,012 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$822.60 |
$914 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$892.80 |
$992 |
3.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,511 |
$2,790 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,952.10 |
$2,169 |
7.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,771.20 |
$1,968 |
7.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,828.60 |
$4,254 |
2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$495 |
$550 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$652.50 |
$725 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$586.80 |
$652 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$616.50 |
$685 |
2.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,171.15 |
$3,523.50 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,175.85 |
$1,306.50 |
4.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,973.70 |
$2,193 |
7.8× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,415.70 |
$1,573 |
5.6× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,879.65 |
$2,088.50 |
1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,753.20 |
$1,948 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$398.70 |
$443 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$623.70 |
$693 |
2.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,281.15 |
$1,423.50 |
4.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$882 |
$980 |
3.5× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,455.30 |
$1,617 |
5.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,617.30 |
$1,797 |
6.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$807.30 |
$897 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,043.90 |
$2,271 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$783.90 |
$871 |
3.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$525.60 |
$584 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,161 |
$1,290 |
4.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,416.85 |
$3,796.50 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,986.30 |
$2,207 |
7.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,525.50 |
$1,695 |
6.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,304 |
$2,560 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$591.30 |
$657 |
2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,085.30 |
$2,317 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,557 |
$1,730 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,315.70 |
$2,573 |
1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$2,918.70 |
$3,243 |
11.5× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$753.30 |
$837 |
0.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,295.45 |
$2,550.50 |
1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,009.35 |
$1,121.50 |
4.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$176.40 |
$196 |
1.3× |
| Colonoscopy flex w/inj submuc (45381) |
$1,104.30 |
$1,227 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$2,246.40 |
$2,496 |
1.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,398.60 |
$1,554 |
1.1× |
| Colonoscopy stoma w/biopsy (44389) |
$1,096.20 |
$1,218 |
0.9× |
| Colonoscopy thru stoma (44388) |
$938.70 |
$1,043 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,077.30 |
$1,197 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,676.70 |
$1,863 |
1.4× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$878.40 |
$976 |
0.3× |
Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,931.40 |
$2,146 |
0.3× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) likely a partial charge, not the full procedure |
$1,682.10 |
$1,869 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$883.80 |
$982 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$468 |
$520 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$391.50 |
$435 |
1.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$535.50 |
$595 |
1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$869.40 |
$966 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,184.40 |
$1,316 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$363.60 |
$404 |
1.2× |
| Colposcopy vulva (56820) |
$407.70 |
$453 |
2.0× |
| Colposcopy vulva w/biopsy (56821) |
$483.30 |
$537 |
1.5× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$594.90 |
$661 |
1.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$433.80 |
$482 |
0.5× |
| Colpotomy; with exploration (57000) |
$861.30 |
$957 |
0.3× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$2,637.90 |
$2,931 |
0.5× |
Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$2,311.20 |
$2,568 |
0.4× |
| Complex cystometrogram urethral press profile (51727) |
$830.70 |
$923 |
1.2× |
| Complex Uroflowmetry (51741) |
$34.20 |
$38 |
0.2× |
| Conization of cervix (57520) |
$945 |
$1,050 |
0.3× |
| Conization of cervix (57522) |
$1,617.30 |
$1,797 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$441 |
$490 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$328.95 |
$365.50 |
2.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$7,447.50 |
$8,275 |
0.6× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415) unusually low: confirm this is the full procedure |
$3,659.40 |
$4,066 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,551.50 |
$2,835 |
1.5× |
| Correction hammertoe (28285) |
$1,823.40 |
$2,026 |
0.5× |
Correction of bunion (28298) unusually low: confirm this is the full procedure |
$3,100.50 |
$3,445 |
0.4× |
| Correction of bunion (28292) |
$3,105 |
$3,450 |
0.9× |
Correction of bunion (28299) unusually low: confirm this is the full procedure |
$2,558.70 |
$2,843 |
0.3× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$3,064.50 |
$3,405 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,519.90 |
$3,911 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,645.10 |
$2,939 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$270 |
$300 |
2.0× |
| Curettage postpartum (59160) |
$848.70 |
$943 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$922.50 |
$1,025 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,487.70 |
$1,653 |
0.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,051.10 |
$2,279 |
0.6× |
| Cysto w/destruction of lesions (52214) |
$1,873.80 |
$2,082 |
0.5× |
| Cysto w/insert ureteral stent (52332) |
$1,088.10 |
$1,209 |
0.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,071 |
$1,190 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$751.50 |
$835 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,410.75 |
$1,567.50 |
0.7× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,125 |
$1,250 |
0.3× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$1,290.60 |
$1,434 |
0.2× |
Cystolithotomy (51050) likely a partial charge, not the full procedure |
$1,392.30 |
$1,547 |
0.3× |
| Cystometrogram W/Vp&Up (51729) |
$953.10 |
$1,059 |
1.3× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$2,467.80 |
$2,742 |
0.3× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$807.30 |
$897 |
0.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$868.50 |
$965 |
0.4× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$1,835.10 |
$2,039 |
0.5× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
$1,784.70 |
$1,983 |
0.5× |
| Cystouretero & or pyeloscope (52351) |
$973.80 |
$1,082 |
0.3× |
| Cystourethroscopy (52000) |
$1,080 |
$1,200 |
1.5× |
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) likely a partial charge, not the full procedure |
$981.90 |
$1,091 |
0.2× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$4,165.20 |
$4,628 |
1.1× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,312.20 |
$1,458 |
0.6× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$857.70 |
$953 |
1.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$882 |
$980 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$637.20 |
$708 |
0.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$753.30 |
$837 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$1,681.20 |
$1,868 |
0.8× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) likely a partial charge, not the full procedure |
$1,548 |
$1,720 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,041.30 |
$1,157 |
0.5× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,338.30 |
$1,487 |
0.6× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,185.30 |
$1,317 |
0.5× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$801 |
$890 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$424.35 |
$471.50 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,759.85 |
$3,066.50 |
0.9× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,686.50 |
$2,985 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,805.40 |
$2,006 |
2.5× |
| Debride nail 1-5 (11720) |
$83.25 |
$92.50 |
1.4× |
| Debride nail 6 or more (11721) |
$122.40 |
$136 |
2.0× |
| Debride skin musc at fx site (11011) |
$2,586.60 |
$2,874 |
3.5× |
| Debride tissue/muscle (11043) |
$1,083.15 |
$1,203.50 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$368.10 |
$409 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,377.35 |
$2,641.50 |
1.4× |
| Declot vascular device (36593) |
$552.60 |
$614 |
1.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,006.90 |
$3,341 |
1.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$4,767.30 |
$5,297 |
2.9× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) Facility (26035) |
$3,084.30 |
$3,427 |
0.9× |
| Decompression of lower leg (27600) |
$1,771.20 |
$1,968 |
0.5× |
| Decompression; plantar digital nerve Facility (64726) |
$1,295.10 |
$1,439 |
0.6× |
| Decompressive fasciotomy hand (26037) |
$1,875.60 |
$2,084 |
0.6× |
| Delivery placenta separate procedure (59414) |
$373.50 |
$415 |
0.1× |
| Derma-fat-fascia graft (15770) |
$3,028.50 |
$3,365 |
0.8× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$3,187.80 |
$3,542 |
0.9× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$1,878.30 |
$2,087 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,677.95 |
$2,975.50 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$533.70 |
$593 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$2,683.80 |
$2,982 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$321.30 |
$357 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$275.40 |
$306 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$605.70 |
$673 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$681.30 |
$757 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$474.30 |
$527 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$684 |
$760 |
3.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$588.60 |
$654 |
2.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$495.90 |
$551 |
2.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$495.90 |
$551 |
2.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$397.80 |
$442 |
1.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$909 |
$1,010 |
0.5× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$639 |
$710 |
0.3× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$2,189.70 |
$2,433 |
0.8× |
| Destruction of skin lesions (17106) |
$819.90 |
$911 |
2.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$405.90 |
$451 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$180.90 |
$201 |
0.9× |
| Destruction Vaginal Lesions Simple (57061) |
$413.10 |
$459 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$622.80 |
$692 |
0.6× |
| Dil urethra,female,subsequent (53661) |
$239.40 |
$266 |
1.7× |
| Dilate Urethra Stricture (53620) |
$419.40 |
$466 |
0.6× |
| Dilate urethra stricture (53600) |
$432.90 |
$481 |
1.7× |
| Dilation and curettage (58120) |
$766.80 |
$852 |
0.2× |
| Dilation of anal sphincter (45905) |
$491.40 |
$546 |
0.4× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$239.40 |
$266 |
1.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$273.60 |
$304 |
2.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$198.90 |
$221 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$900.45 |
$1,000.50 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,187.10 |
$1,319 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$715.95 |
$795.50 |
3.5× |
| Drainage of gum lesion (41800) |
$528.75 |
$587.50 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$413.10 |
$459 |
0.2× |
| Drainage of hydrocele (55000) |
$398.70 |
$443 |
0.5× |
| Drainage of ovarian cyst(s) (58800) |
$889.20 |
$988 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,105.20 |
$1,228 |
0.6× |
| Drainage of skene's gland abscess or cyst (53060) |
$533.70 |
$593 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,394.90 |
$2,661 |
0.7× |
| Draw blood off venous device (36591) |
$120.60 |
$134 |
0.9× |
| Dressing change under anesthesia (15852) |
$537.30 |
$597 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$536.85 |
$596.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$454.05 |
$504.50 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$360 |
$400 |
1.7× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$2,313.90 |
$2,571 |
0.7× |
| Dstrj lesion anus simple chemical (46900) |
$599.40 |
$666 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$1,166.40 |
$1,296 |
0.4× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$383.40 |
$426 |
0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$370.80 |
$412 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$540.90 |
$601 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,287.80 |
$2,542 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$696.60 |
$774 |
0.4× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,658.70 |
$1,843 |
0.8× |
| Egd control bleeding any (43255) |
$1,586.70 |
$1,763 |
0.8× |
| Egd dilate stricture (43245) |
$1,505.70 |
$1,673 |
0.8× |
| Egd endo mucosal resection (43254) |
$2,287.80 |
$2,542 |
1.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,146.60 |
$1,274 |
0.6× |
| Egd flexible foreign body removal (43247) |
$967.50 |
$1,075 |
1.0× |
| Egd guide wire insertion (43248) |
$1,034.10 |
$1,149 |
1.1× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,104.30 |
$1,227 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,062 |
$1,180 |
0.5× |
| Egd remove lesion snare (43251) |
$1,246.50 |
$1,385 |
0.6× |
| Elbow arthroscopy (29830) |
$1,292.40 |
$1,436 |
0.4× |
| Elbow Arthroscopy/Surgery (29837) |
$2,622.60 |
$2,914 |
0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$616.50 |
$685 |
1.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$117.90 |
$131 |
0.4× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$506.25 |
$562.50 |
1.6× |
| Electrical stimulation bone healing noninvasive (20974) |
$175.95 |
$195.50 |
1.8× |
| EMG anal/urethral sphincter (51785) |
$151.20 |
$168 |
0.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$627.30 |
$697 |
4.7× |
| Endocervical Curettage (57505) |
$437.40 |
$486 |
0.5× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353) likely a partial charge, not the full procedure |
$1,490.40 |
$1,656 |
0.3× |
| Endometrial Biopsy (58100) |
$482.40 |
$536 |
2.3× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$5,366.70 |
$5,963 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$2,295.90 |
$2,551 |
0.7× |
| Endoscopic us exam esoph (43237) |
$675.90 |
$751 |
0.3× |
| Endoscopy bowel pouch/biop (44386) |
$782.10 |
$869 |
0.8× |
| Endovenous rf 1st vein (36475) |
$5,179.05 |
$5,754.50 |
1.6× |
| Enterorrhaphy single perforation (44602) |
$4,478.40 |
$4,976 |
1.1× |
| Epididymectomy unilateral (54860) |
$1,251 |
$1,390 |
0.3× |
| Episiotomy or vaginal repair (59300) |
$616.50 |
$685 |
0.2× |
| Esc i p ulcer w ostect & flap (15946) |
$5,974.20 |
$6,638 |
2.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,008.90 |
$1,121 |
1.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,787.30 |
$3,097 |
0.7× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$720 |
$800 |
0.2× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$720 |
$800 |
0.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$938.70 |
$1,043 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$988.20 |
$1,098 |
0.5× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$690.30 |
$767 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$155.25 |
$172.50 |
1.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,524.60 |
$1,694 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,195.20 |
$1,328 |
0.7× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,865.60 |
$3,184 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,317.60 |
$1,464 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$439.65 |
$488.50 |
0.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$519.30 |
$577 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$667.80 |
$742 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$725.40 |
$806 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$747.90 |
$831 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$2,330.10 |
$2,589 |
1.4× |
| Exc back tum deep < 5 cm (21932) |
$1,952.10 |
$2,169 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$513 |
$570 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$747 |
$830 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,120.50 |
$1,245 |
0.7× |
| Exc ganglion wrist recurrent (25112) |
$1,538.10 |
$1,709 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,116.90 |
$1,241 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$529.20 |
$588 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,092.50 |
$2,325 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,988.10 |
$2,209 |
1.2× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$1,171.80 |
$1,302 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,286.10 |
$1,429 |
0.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,822.40 |
$3,136 |
1.4× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$1,410.30 |
$1,567 |
0.7× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$1,726.20 |
$1,918 |
0.9× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,964.70 |
$2,183 |
1.0× |
| Exc skin abd (15830) |
$3,565.80 |
$3,962 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$690.30 |
$767 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$648.90 |
$721 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$849.15 |
$943.50 |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$880.20 |
$978 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,236.60 |
$1,374 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,051.20 |
$1,168 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,350 |
$1,500 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,606.50 |
$1,785 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,227.60 |
$1,364 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,375.20 |
$1,528 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,195.20 |
$1,328 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,212.75 |
$1,347.50 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,606.50 |
$1,785 |
0.9× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,989.90 |
$2,211 |
1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,178.10 |
$1,309 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,455.20 |
$2,728 |
0.8× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,378.80 |
$1,532 |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,457 |
$2,730 |
1.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,966.50 |
$2,185 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,323 |
$1,470 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,401.30 |
$1,557 |
0.8× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,002.50 |
$2,225 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,276.10 |
$2,529 |
0.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,962 |
$2,180 |
1.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,746 |
$1,940 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,201.50 |
$1,335 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,208.50 |
$3,565 |
1.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,064.70 |
$1,183 |
0.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,285.10 |
$2,539 |
0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,897.20 |
$2,108 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,952.10 |
$2,169 |
0.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,055.60 |
$2,284 |
0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,170.90 |
$1,301 |
0.4× |
Exc urethral diverticulum spx female (53230) unusually low: confirm this is the full procedure |
$1,814.40 |
$2,016 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,308.50 |
$2,565 |
0.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,927.80 |
$2,142 |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$1,101.60 |
$1,224 |
0.5× |
| Excise lesion testis (54512) |
$2,277.90 |
$2,531 |
0.6× |
| Excise Wrist Tendon Sheath (25118) |
$3,026.70 |
$3,363 |
1.8× |
| Excise/repair mouth lesion (40812) |
$774 |
$860 |
0.5× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$1,740.60 |
$1,934 |
0.5× |
| Excision Breast Lesion (19125) |
$1,459.80 |
$1,622 |
0.4× |
| Excision Chalazion Single (67800) |
$263.70 |
$293 |
0.8× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,674 |
$1,860 |
0.5× |
| Excision external ear partial simple repair (69110) |
$1,423.80 |
$1,582 |
0.5× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,017 |
$1,130 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,905.30 |
$2,117 |
1.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,406.70 |
$1,563 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$481.50 |
$535 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$673.20 |
$748 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$682.20 |
$758 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$843.30 |
$937 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$930.60 |
$1,034 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$605.70 |
$673 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$828 |
$920 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$904.50 |
$1,005 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,040.40 |
$1,156 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,096.20 |
$1,218 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$503.10 |
$559 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$700.65 |
$778.50 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$611.10 |
$679 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$814.50 |
$905 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,251 |
$1,390 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$778.50 |
$865 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$522.90 |
$581 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$632.70 |
$703 |
0.9× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$2,225.70 |
$2,473 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,740.60 |
$1,934 |
1.0× |
| Excision of hydrocele unilateral (55040) |
$1,013.40 |
$1,126 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$683.10 |
$759 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,170 |
$1,300 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$774 |
$860 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$1,571.40 |
$1,746 |
0.4× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,047.60 |
$1,164 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$900.45 |
$1,000.50 |
0.3× |
Excision of rib, partial Facility (21600) unusually low: confirm this is the full procedure |
$2,565.90 |
$2,851 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$620.10 |
$689 |
0.5× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$963.90 |
$1,071 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$525.60 |
$584 |
0.4× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) unusually low: confirm this is the full procedure |
$2,697.30 |
$2,997 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$607.50 |
$675 |
0.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$1,061.10 |
$1,179 |
0.3× |
| Excision olecranon bursa (24105) |
$1,604.70 |
$1,783 |
0.5× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) unusually low: confirm this is the full procedure |
$2,912.40 |
$3,236 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,522.80 |
$1,692 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$2,034.90 |
$2,261 |
0.6× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) unusually low: confirm this is the full procedure |
$2,822.40 |
$3,136 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$3,692.70 |
$4,103 |
1.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,485.90 |
$1,651 |
0.4× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) unusually low: confirm this is the full procedure |
$3,001.50 |
$3,335 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
$3,862.80 |
$4,292 |
0.5× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$1,101.60 |
$1,224 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,841.40 |
$2,046 |
0.6× |
| Excision prepatellar bursa (27340) |
$1,779.30 |
$1,977 |
0.5× |
| Excision radial head (24130) |
$2,111.40 |
$2,346 |
0.6× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,347.20 |
$2,608 |
0.7× |
| Excision tendon palm flexor/extensor single each (26170) |
$1,948.50 |
$2,165 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,371.60 |
$1,524 |
0.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,672.20 |
$1,858 |
0.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$923.40 |
$1,026 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,110.60 |
$1,234 |
0.7× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$798.30 |
$887 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,216.70 |
$2,463 |
1.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$2,113.20 |
$2,348 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,527.30 |
$1,697 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,415.70 |
$1,573 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$910.80 |
$1,012 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,103.40 |
$1,226 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,061 |
$2,290 |
0.7× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,878.30 |
$2,087 |
0.6× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,091.70 |
$1,213 |
0.7× |
| Excision; trochanteric bursa or calcification (27062) |
$2,146.50 |
$2,385 |
0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,532.70 |
$1,703 |
0.7× |
Expl retroperitoneum w/wo bx spx (49010) unusually low: confirm this is the full procedure |
$2,936.70 |
$3,263 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,875.60 |
$2,084 |
1.1× |
| Exploration for undescended testis with abdominal exploration (54560) |
$1,977.30 |
$2,197 |
0.9× |
| Exploration of knee joint (27310) |
$3,428.10 |
$3,809 |
1.0× |
Exploration of spinal fusion (22830) unusually low: confirm this is the full procedure |
$3,420 |
$3,800 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$1,469.70 |
$1,633 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,942.65 |
$2,158.50 |
1.1× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,421.90 |
$2,691 |
0.7× |
| Explore limb vessels (35860) |
$3,709.80 |
$4,122 |
1.1× |
| Explore/Treat Elbow Joint (24101) |
$1,648.80 |
$1,832 |
0.5× |
| Explore/treat hand joint (26070) |
$793.80 |
$882 |
0.5× |
| Explore/Treat Knee Joint (27331) |
$3,132.90 |
$3,481 |
0.9× |
| External cephalic version (59412) |
$1,520.55 |
$1,689.50 |
0.5× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,584 |
$1,760 |
0.7× |
| Fasciectomy Palm Only (26121) |
$2,015.10 |
$2,239 |
0.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,338.20 |
$2,598 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$2,034.90 |
$2,261 |
0.6× |
| Fasciotomy Iliotibial Open (27305) |
$2,751.30 |
$3,057 |
0.8× |
| Fasciotomy palmar open partial (26045) |
$1,557 |
$1,730 |
0.5× |
| Fasciotomy palmar percutaneous (26040) |
$1,410.30 |
$1,567 |
0.8× |
| Fasciotomy, hip or thigh, any type (27025) |
$4,013.10 |
$4,459 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,503.60 |
$5,004 |
1.3× |
| Fetal non-stress test (59025) |
$126.90 |
$141 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,878.30 |
$2,087 |
2.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,441.80 |
$1,602 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$470.70 |
$523 |
1.1× |
| Fit/Insert Intravag Support Device (57160) |
$323.10 |
$359 |
1.5× |
| Fitting of diaphragm/cap (57170) |
$328.50 |
$365 |
1.6× |
| Fixation contralateral testis separate procedure (54620) |
$929.70 |
$1,033 |
0.3× |
| Fixation of shoulder (23700) |
$974.70 |
$1,083 |
0.6× |
| Fluid pressure muscle (20950) |
$653.40 |
$726 |
0.9× |
| Fna bx w/fluor gdn 1st les (10007) |
$515.70 |
$573 |
0.7× |
| Foreskin manipulation (54450) |
$441 |
$490 |
1.7× |
| Frenulotomy of penis (54164) |
$549.90 |
$611 |
0.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,376 |
$2,640 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,708.20 |
$1,898 |
0.8× |
| Fusion of finger tendons (26471) |
$1,816.20 |
$2,018 |
0.5× |
Fusion of foot bones (28740) unusually low: confirm this is the full procedure |
$2,496.60 |
$2,774 |
0.3× |
Fusion of hand bones (25820) unusually low: confirm this is the full procedure |
$2,427.30 |
$2,697 |
0.3× |
Fusion of hand joint (26843) unusually low: confirm this is the full procedure |
$3,035.70 |
$3,373 |
0.4× |
| Fusion of knuckle (26850) |
$3,894.30 |
$4,327 |
0.5× |
Fusion of thumb (26841) unusually low: confirm this is the full procedure |
$3,141 |
$3,490 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$206.10 |
$229 |
0.9× |
| Gastrocnemius recession (27687) |
$1,281.60 |
$1,424 |
0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,550.50 |
$3,945 |
0.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,001.60 |
$2,224 |
1.0× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$2,216.70 |
$2,463 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,224.70 |
$3,583 |
1.0× |
Hemiarthroplasty hip partial (27125) unusually low: confirm this is the full procedure |
$5,148 |
$5,720 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,891.80 |
$2,102 |
0.6× |
| Hemorrhoidectomy (46255) |
$1,284.30 |
$1,427 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,175.40 |
$1,306 |
0.4× |
| Hysteroscopy biopsy (58558) |
$3,384.90 |
$3,761 |
1.0× |
Hysteroscopy div/rescj intrauterine septum (58560) likely a partial charge, not the full procedure |
$1,051.20 |
$1,168 |
0.2× |
Hysteroscopy removal leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,332.80 |
$2,592 |
0.5× |
| Hysteroscopy w endometrial ablation (58563) |
$5,403.60 |
$6,004 |
1.0× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$903.60 |
$1,004 |
0.3× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$7,431.30 |
$8,257 |
1.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,258.20 |
$1,398 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$548.10 |
$609 |
2.2× |
| I&d abscess simple (10060) |
$437.40 |
$486 |
2.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,753.90 |
$4,171 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,186.20 |
$1,318 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$644.40 |
$716 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,741.40 |
$3,046 |
0.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,036.50 |
$4,485 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$857.25 |
$952.50 |
1.2× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,305 |
$1,450 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,134 |
$1,260 |
0.7× |
| I&d vulva/perineal abscess (56405) |
$445.95 |
$495.50 |
1.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$752.40 |
$836 |
0.8× |
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) unusually low: confirm this is the full procedure |
$3,562.20 |
$3,958 |
0.4× |
| Implant neuroelectrodes (63650) |
$6,061.50 |
$6,735 |
0.9× |
| Incise external hemorrhoid (46083) |
$612.45 |
$680.50 |
2.4× |
| Incise finger tendon sheath (26055) |
$2,918.70 |
$3,243 |
1.8× |
| Incise wrist/forearm tendon (25290) |
$2,918.70 |
$3,243 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$740.70 |
$823 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,570.50 |
$1,745 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,247.85 |
$1,386.50 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$639 |
$710 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$569.25 |
$632.50 |
2.7× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$1,166.40 |
$1,296 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$817.65 |
$908.50 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,975.05 |
$2,194.50 |
0.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$4,101.30 |
$4,557 |
0.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$3,906 |
$4,340 |
0.5× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,332.90 |
$1,481 |
0.4× |
| Incision bone cortex hand/finger (26034) |
$3,627.90 |
$4,031 |
2.2× |
| Incision extensor tendon sheath wrist (25000) |
$2,056.50 |
$2,285 |
1.2× |
| Incision of fibula (27707) |
$2,336.40 |
$2,596 |
0.7× |
| Incision of rectal abscess (46040) |
$1,623.60 |
$1,804 |
1.3× |
Incision of tibia (27705) unusually low: confirm this is the full procedure |
$3,213 |
$3,570 |
0.4× |
| Incision of urethra (53020) |
$295.20 |
$328 |
0.1× |
| Incision&drainage bursa foot (28001) |
$1,395.90 |
$1,551 |
0.8× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
$3,470.40 |
$3,856 |
2.1× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$4,910.40 |
$5,456 |
1.5× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Facility (25035) likely a partial charge, not the full procedure |
$1,931.40 |
$2,146 |
0.3× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$3,974.40 |
$4,416 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$380.70 |
$423 |
0.5× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) unusually low: confirm this is the full procedure |
$2,406.60 |
$2,674 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$282.15 |
$313.50 |
1.4× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$471.15 |
$523.50 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,655.55 |
$1,839.50 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$609.30 |
$677 |
1.9× |
| Inj therapeutic carpal tunnel (20526) |
$378 |
$420 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,147.50 |
$1,275 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,517.40 |
$1,686 |
1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,447.10 |
$2,719 |
2.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,434.60 |
$1,594 |
1.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,545.30 |
$1,717 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,367.10 |
$1,519 |
1.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,660.95 |
$1,845.50 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$283.50 |
$315 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$960.75 |
$1,067.50 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,402.20 |
$1,558 |
1.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$519.30 |
$577 |
1.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$530.10 |
$589 |
1.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,187.10 |
$1,319 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$972 |
$1,080 |
1.3× |
| Injection for identification of sentinel node (38792) |
$199.80 |
$222 |
0.5× |
| Injection into skin lesions (11900) |
$85.50 |
$95 |
0.4× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$545.40 |
$606 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$342 |
$380 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$276.30 |
$307 |
0.9× |
| Injection(s) spider veins (36468) |
$531 |
$590 |
1.3× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$575.10 |
$639 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$309.60 |
$344 |
1.5× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$2,524.50 |
$2,805 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$374.40 |
$416 |
2.8× |
| Insert cervical dilator (59200) |
$313.20 |
$348 |
1.0× |
| Insert Drug Implant Device (11981) |
$351.45 |
$390.50 |
2.6× |
Insert heart pm atrial (33206) likely a partial charge, not the full procedure |
$2,181.60 |
$2,424 |
0.2× |
Insert heart pm ventricular (33207) likely a partial charge, not the full procedure |
$2,325.60 |
$2,584 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,267.20 |
$1,408 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$243.90 |
$271 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$324.90 |
$361 |
0.2× |
Insert pulse gen dual leads (33213) likely a partial charge, not the full procedure |
$1,620.90 |
$1,801 |
0.2× |
Insert pulse gen sngl lead (33212) likely a partial charge, not the full procedure |
$1,548 |
$1,720 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$197.10 |
$219 |
1.4× |
| Insert tunneled cv cath (36561) |
$2,495.70 |
$2,773 |
0.8× |
Insert Tunneled Cv Cath With Pump (36563) unusually low: confirm this is the full procedure |
$2,842.20 |
$3,158 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$193.50 |
$215 |
1.4× |
Insert/ replace infusn pump,programmable (62362) likely a partial charge, not the full procedure |
$924.30 |
$1,027 |
0.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,757.55 |
$8,619.50 |
0.9× |
Insertion/rplcmt peripheral/gastric npgr (64590) likely a partial charge, not the full procedure |
$685.80 |
$762 |
0.0× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) likely a partial charge, not the full procedure |
$1,586.70 |
$1,763 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$1,917.90 |
$2,131 |
1.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,079 |
$2,310 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,687.95 |
$1,875.50 |
0.5× |
Insj/rplcmt breast implant sep day mastectomy (19342) unusually low: confirm this is the full procedure |
$3,278.70 |
$3,643 |
0.4× |
Insj/rplcmt defib w/lead(s) (33249) likely a partial charge, not the full procedure |
$3,840.30 |
$4,267 |
0.1× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$1,002.60 |
$1,114 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$652.50 |
$725 |
2.7× |
Knee Arthroscopy/Surgery (29885) unusually low: confirm this is the full procedure |
$3,437.10 |
$3,819 |
0.5× |
| Knee Arthroscopy/Surgery (29874) |
$2,276.10 |
$2,529 |
0.7× |
| Knee Arthroscopy/Surgery (29879) |
$3,055.50 |
$3,395 |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$4,976.10 |
$5,529 |
0.7× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) likely a partial charge, not the full procedure |
$4,772.70 |
$5,303 |
0.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$5,355.90 |
$5,951 |
0.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$5,112.90 |
$5,681 |
0.7× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$6,000.30 |
$6,667 |
0.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,421.40 |
$8,246 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$5,517 |
$6,130 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$5,244.30 |
$5,827 |
0.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$5,552.10 |
$6,169 |
0.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,549.40 |
$6,166 |
0.7× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$1,577.70 |
$1,753 |
0.3× |
| Lap paraesoph her rpr w/mesh (43282) |
$5,574.60 |
$6,194 |
0.5× |
Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$5,040.90 |
$5,601 |
0.5× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) unusually low: confirm this is the full procedure |
$1,926 |
$2,140 |
0.3× |
Laparoscopy appendectomy (44970) unusually low: confirm this is the full procedure |
$1,944.90 |
$2,161 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661) unusually low: confirm this is the full procedure |
$2,105.10 |
$2,339 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$2,233.80 |
$2,482 |
0.4× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) likely a partial charge, not the full procedure |
$2,639.70 |
$2,933 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,880 |
$3,200 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$3,360.60 |
$3,734 |
0.8× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$4,061.70 |
$4,513 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$4,320 |
$4,800 |
0.7× |
Laparoscopy, surgical; ablation of renal cysts Facility (50541) likely a partial charge, not the full procedure |
$2,709 |
$3,010 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,039.40 |
$2,266 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,716.20 |
$3,018 |
0.2× |
Laparoscopy, surgical; partial nephrectomy (50543) unusually low: confirm this is the full procedure |
$4,318.20 |
$4,798 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) unusually low: confirm this is the full procedure |
$2,387.70 |
$2,653 |
0.4× |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) unusually low: confirm this is the full procedure |
$3,982.50 |
$4,425 |
0.4× |
Laparoscopy, surgical; with fimbrioplasty Facility (58672) unusually low: confirm this is the full procedure |
$2,241.90 |
$2,491 |
0.4× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$1,292.40 |
$1,436 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) unusually low: confirm this is the full procedure |
$1,954.80 |
$2,172 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,163.70 |
$1,293 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,097 |
$2,330 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$1,170 |
$1,300 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$389.70 |
$433 |
1.9× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$3,995.10 |
$4,439 |
0.7× |
| Late closure of wound (13160) |
$3,573.90 |
$3,971 |
1.0× |
| Lateral retinacular release open (27425) |
$2,010.60 |
$2,234 |
0.6× |
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) unusually low: confirm this is the full procedure |
$3,233.70 |
$3,593 |
0.4× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$2,730.60 |
$3,034 |
0.8× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$3,592.80 |
$3,992 |
1.1× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) unusually low: confirm this is the full procedure |
$3,062.70 |
$3,403 |
0.4× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$3,744.90 |
$4,161 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$467.10 |
$519 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$767.70 |
$853 |
0.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,448.10 |
$1,609 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,062.90 |
$1,181 |
0.3× |
| Lithotripsy (50590) |
$4,365 |
$4,850 |
1.2× |
| Liver Biopsy (47000) |
$1,591.65 |
$1,768.50 |
0.9× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
$126 |
$140 |
4.2× |
| Lysis of labial adhesions (56441) |
$450 |
$500 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$621 |
$690 |
0.3× |
| Manipulat Palm Cord Post Inj (26341) |
$509.40 |
$566 |
2.0× |
| Manipulation knee joint under general anesthesia (27570) |
$862.20 |
$958 |
0.5× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$957.60 |
$1,064 |
0.3× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$988.20 |
$1,098 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$1,047.60 |
$1,164 |
0.6× |
| Marsupialization Bartholins Gland Cyst (56440) |
$662.40 |
$736 |
0.2× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$3,237.30 |
$3,597 |
0.5× |
| Mastectomy for gynecomastia (19300) |
$1,430.10 |
$1,589 |
0.4× |
| Mastectomy partial (19301) |
$1,607.40 |
$1,786 |
0.4× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,788.20 |
$3,098 |
0.4× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$5,279.40 |
$5,866 |
0.7× |
| Myelography Lumbar Injection (62305) |
$2,468.70 |
$2,743 |
3.1× |
| Myelography Lumbar Injection (62304) |
$2,468.70 |
$2,743 |
3.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,683.80 |
$2,982 |
3.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,498.40 |
$2,776 |
3.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$401.40 |
$446 |
0.6× |
| N Block Inj, Plantar Digit (64455) |
$143.10 |
$159 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$528.30 |
$587 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38.25 |
$42.50 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$78.30 |
$87 |
2.6× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,886.40 |
$2,096 |
0.9× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$2,330.10 |
$2,589 |
1.2× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,012.40 |
$2,236 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$3,035.70 |
$3,373 |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,899.90 |
$2,111 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,691.10 |
$1,879 |
4.1× |
| Nipple exploration (19110) |
$868.50 |
$965 |
0.2× |
| Njx aa&/strd sciatic nerve (64445) |
$2,543.40 |
$2,826 |
3.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$643.50 |
$715 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,340.55 |
$1,489.50 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,218.60 |
$1,354 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,077.30 |
$1,197 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,033.20 |
$1,148 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,202.85 |
$1,336.50 |
1.7× |
| Obstructive material removal from gi tube (49460) |
$1,692.90 |
$1,881 |
1.8× |
| Occipital Nerve Block (64405) |
$442.80 |
$492 |
1.4× |
Omntc epiploectomy rescj omentum spx (49255) unusually low: confirm this is the full procedure |
$2,331 |
$2,590 |
0.3× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) unusually low: confirm this is the full procedure |
$2,347.20 |
$2,608 |
0.4× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) unusually low: confirm this is the full procedure |
$3,440.70 |
$3,823 |
0.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$3,918.60 |
$4,354 |
0.5× |
| Open treatment calcaneal fracture (28415) |
$5,949 |
$6,610 |
0.8× |
Open treatment fracture distal tibia only (27827) unusually low: confirm this is the full procedure |
$4,280.40 |
$4,756 |
0.3× |
| Open treatment greater trochanteric fracture (27248) |
$3,799.80 |
$4,222 |
0.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,443.60 |
$1,604 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$3,159 |
$3,510 |
0.4× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,973.70 |
$2,193 |
0.6× |
Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$2,415.60 |
$2,684 |
0.3× |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
$9,163.80 |
$10,182 |
1.2× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$7,946.10 |
$8,829 |
1.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) unusually low: confirm this is the full procedure |
$2,759.40 |
$3,066 |
0.4× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) unusually low: confirm this is the full procedure |
$3,195.90 |
$3,551 |
0.4× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) unusually low: confirm this is the full procedure |
$2,788.20 |
$3,098 |
0.4× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) unusually low: confirm this is the full procedure |
$2,808 |
$3,120 |
0.4× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,830.50 |
$3,145 |
0.4× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) likely a partial charge, not the full procedure |
$1,531.80 |
$1,702 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) unusually low: confirm this is the full procedure |
$6,310.80 |
$7,012 |
0.5× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$4,878.90 |
$5,421 |
0.7× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$6,149.70 |
$6,833 |
0.8× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low: confirm this is the full procedure |
$5,614.20 |
$6,238 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) unusually low: confirm this is the full procedure |
$5,079.60 |
$5,644 |
0.4× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) unusually low: confirm this is the full procedure |
$2,402.10 |
$2,669 |
0.3× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) unusually low: confirm this is the full procedure |
$2,833.20 |
$3,148 |
0.4× |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
$5,465.70 |
$6,073 |
0.7× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) unusually low: confirm this is the full procedure |
$4,666.50 |
$5,185 |
0.4× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) unusually low: confirm this is the full procedure |
$5,517.90 |
$6,131 |
0.4× |
Open treatment of lunate dislocation Facility (25695) unusually low: confirm this is the full procedure |
$3,150.90 |
$3,501 |
0.4× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) unusually low: confirm this is the full procedure |
$7,250.40 |
$8,056 |
0.4× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) unusually low: confirm this is the full procedure |
$2,864.70 |
$3,183 |
0.4× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$3,576.60 |
$3,974 |
0.3× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) unusually low: confirm this is the full procedure |
$3,386.70 |
$3,763 |
0.5× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) unusually low: confirm this is the full procedure |
$2,601 |
$2,890 |
0.3× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) unusually low: confirm this is the full procedure |
$2,997 |
$3,330 |
0.4× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$4,575.60 |
$5,084 |
1.4× |
Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) unusually low: confirm this is the full procedure |
$2,702.70 |
$3,003 |
0.4× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) unusually low: confirm this is the full procedure |
$3,271.50 |
$3,635 |
0.4× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) unusually low: confirm this is the full procedure |
$4,242.60 |
$4,714 |
0.3× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) unusually low: confirm this is the full procedure |
$3,024 |
$3,360 |
0.4× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) unusually low: confirm this is the full procedure |
$3,017.70 |
$3,353 |
0.4× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$2,034.90 |
$2,261 |
0.3× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$3,663.90 |
$4,071 |
0.3× |
| Open treatment talus fracture (28445) |
$4,684.50 |
$5,205 |
0.6× |
Open treatment tarsometatarsal joint dislocation (28615) unusually low: confirm this is the full procedure |
$3,194.10 |
$3,549 |
0.4× |
Open tx acute shoulder dislocation (23660) unusually low: confirm this is the full procedure |
$2,816.10 |
$3,129 |
0.4× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,367.90 |
$2,631 |
0.7× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$2,416.50 |
$2,685 |
0.7× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$3,296.70 |
$3,663 |
0.4× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure |
$2,958.30 |
$3,287 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,047.50 |
$2,275 |
0.6× |
Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,472.30 |
$2,747 |
0.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,373.40 |
$1,526 |
0.4× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$3,861 |
$4,290 |
0.3× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$3,862.80 |
$4,292 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$2,225.70 |
$2,473 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,387.70 |
$2,653 |
0.7× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,988.10 |
$2,209 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,599.20 |
$2,888 |
0.8× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) unusually low: confirm this is the full procedure |
$2,559.60 |
$2,844 |
0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$4,366.80 |
$4,852 |
0.6× |
Open tx ulnar fx proximal end (24685) unusually low: confirm this is the full procedure |
$3,321 |
$3,690 |
0.4× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$1,708.20 |
$1,898 |
0.5× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$2,610 |
$2,900 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$2,864.70 |
$3,183 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607) likely a partial charge, not the full procedure |
$2,187.90 |
$2,431 |
0.3× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,427.90 |
$6,031 |
0.7× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) unusually low: confirm this is the full procedure |
$4,277.70 |
$4,753 |
0.3× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,725 |
$5,250 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,658.70 |
$1,843 |
0.4× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
$2,187.90 |
$2,431 |
0.6× |
| Ostectomy calcaneus (28118) |
$2,637.90 |
$2,931 |
0.8× |
| Ostectomy complete 1st metatarsal head (28111) |
$2,592.90 |
$2,881 |
0.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,331 |
$2,590 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$2,241.90 |
$2,491 |
0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,024.10 |
$2,249 |
0.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,800 |
$2,000 |
0.5× |
Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391) unusually low: confirm this is the full procedure |
$5,182.20 |
$5,758 |
0.4× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$5,231.70 |
$5,813 |
0.7× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure |
$2,512.80 |
$2,792 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,297.70 |
$2,553 |
0.7× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,873.80 |
$2,082 |
0.3× |
| Osteotomy Metacarpal Each (26565) |
$3,187.80 |
$3,542 |
0.9× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
$7,128 |
$7,920 |
1.0× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) unusually low: confirm this is the full procedure |
$3,532.50 |
$3,925 |
0.5× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$8,891.10 |
$9,879 |
1.2× |
| Osteotomy Phalanx Finger Each (26567) |
$3,195.90 |
$3,551 |
0.9× |
| Osteotomy radius distal third (25350) |
$4,877.10 |
$5,419 |
0.7× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$2,220.30 |
$2,467 |
0.3× |
Osteotomy, clavicle, with or without internal fixation; Facility (23480) unusually low: confirm this is the full procedure |
$2,788.20 |
$3,098 |
0.4× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) likely a partial charge, not the full procedure |
$2,816.10 |
$3,129 |
0.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$5,014.80 |
$5,572 |
0.7× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$6,056.10 |
$6,729 |
0.8× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$4,772.70 |
$5,303 |
0.6× |
Ovarian cystectomy (58925) unusually low: confirm this is the full procedure |
$1,952.10 |
$2,169 |
0.4× |
P-mastectomy w/ln removal (19302) unusually low: confirm this is the full procedure |
$2,331 |
$2,590 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,176.10 |
$3,529 |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$3,270.60 |
$3,634 |
1.0× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) likely a partial charge, not the full procedure |
$1,988.10 |
$2,209 |
0.3× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Facility (24145) unusually low: confirm this is the full procedure |
$2,691 |
$2,990 |
0.4× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) unusually low: confirm this is the full procedure |
$3,441.60 |
$3,824 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$3,428.10 |
$3,809 |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$1,518.30 |
$1,687 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,814.30 |
$3,127 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,225.70 |
$2,473 |
0.7× |
Partial excision bone clavicle (23180) unusually low: confirm this is the full procedure |
$3,630.60 |
$4,034 |
0.5× |
| Partial excision bone tibia (27640) |
$5,182.20 |
$5,758 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,259 |
$2,510 |
1.4× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) unusually low: confirm this is the full procedure |
$3,732.30 |
$4,147 |
0.5× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,189.70 |
$2,433 |
1.3× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$4,620.60 |
$5,134 |
1.4× |
| Partial hymenectomy or revision (56700) |
$509.40 |
$566 |
0.2× |
| Partial removal of hand bone (26230) |
$2,465.10 |
$2,739 |
0.7× |
| Partial removal of scapula (23190) |
$2,736.90 |
$3,041 |
0.8× |
Partial removal of thyroid (60220) unusually low: confirm this is the full procedure |
$2,166.30 |
$2,407 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) unusually low: confirm this is the full procedure |
$1,878.30 |
$2,087 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,192.40 |
$2,436 |
0.6× |
Patellectomy or hemipatellectomy (27350) unusually low: confirm this is the full procedure |
$3,433.50 |
$3,815 |
0.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$467.10 |
$519 |
0.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,400.10 |
$4,889 |
0.6× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) unusually low: confirm this is the full procedure |
$3,226.50 |
$3,585 |
0.4× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$2,463.30 |
$2,737 |
0.7× |
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) likely a partial charge, not the full procedure |
$2,136.60 |
$2,374 |
0.3× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$1,147.50 |
$1,275 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,251 |
$1,390 |
0.4× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$888.30 |
$987 |
0.3× |
| Peritoneal Lavage (49084) |
$363.60 |
$404 |
0.4× |
| Perq dev breast 1st us imag (19285) |
$1,570.50 |
$1,745 |
2.1× |
| Perq device breast 1st imag (19281) |
$1,446.30 |
$1,607 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$810 |
$900 |
3.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,187.90 |
$2,431 |
0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,914.40 |
$21,016 |
2.5× |
| Perq Vertebral Augmentation (22513) |
$17,966.70 |
$19,963 |
2.4× |
| Picc line placement (36569) |
$2,309.40 |
$2,566 |
1.4× |
| Pin hand dislocation (26676) |
$2,483.10 |
$2,759 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$541.80 |
$602 |
1.2× |
| Placement of seton (46020) |
$715.50 |
$795 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$2,467.80 |
$2,742 |
1.2× |
Plmt Expandable Cath Brst Following Prtl Mast (19296) likely a partial charge, not the full procedure |
$828 |
$920 |
0.1× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$439.20 |
$488 |
0.3× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$342 |
$380 |
1.1× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) unusually low: confirm this is the full procedure |
$1,840.50 |
$2,045 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$316.80 |
$352 |
0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$536.40 |
$596 |
0.2× |
| Proctosigmoid w/biopsy (45305) |
$450 |
$500 |
0.4× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$4,150.80 |
$4,612 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$5,248.80 |
$5,832 |
0.7× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) unusually low: confirm this is the full procedure |
$2,998.80 |
$3,332 |
0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,809.90 |
$2,011 |
0.5× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$1,584.90 |
$1,761 |
0.5× |
| Prq skel fixj metar fx w/manj (28476) |
$1,518.30 |
$1,687 |
0.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,445.30 |
$2,717 |
0.7× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) unusually low: confirm this is the full procedure |
$3,675.60 |
$4,084 |
0.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$2,558.70 |
$2,843 |
0.8× |
Prq Skeletal Fixj Femoral Fx Distal End (27509) unusually low: confirm this is the full procedure |
$2,702.70 |
$3,003 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$342 |
$380 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$941.85 |
$1,046.50 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$669.60 |
$744 |
1.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$224.10 |
$249 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) unusually low: confirm this is the full procedure |
$3,200.40 |
$3,556 |
0.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,118.40 |
$4,576 |
1.2× |
| Rad resect elbow caps/sr bone w rels (24149) |
$3,892.50 |
$4,325 |
0.5× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$4,647.60 |
$5,164 |
2.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$3,640.50 |
$4,045 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$3,284.10 |
$3,649 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$2,457 |
$2,730 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$2,306.70 |
$2,563 |
0.8× |
| Radical styloidectomy separate procedure (25230) |
$1,656.90 |
$1,841 |
0.5× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,225.70 |
$2,473 |
0.7× |
Rcnstj Dislocating Patella (27420) unusually low: confirm this is the full procedure |
$3,666.60 |
$4,074 |
0.5× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) unusually low: confirm this is the full procedure |
$3,293.10 |
$3,659 |
0.4× |
| Realignment extensor tendon hand each tendon (26437) |
$2,520 |
$2,800 |
0.7× |
| Reconstruct Finger Joint (26548) |
$3,602.70 |
$4,003 |
1.1× |
Reconstruct Shoulder Joint (23470) unusually low: confirm this is the full procedure |
$5,984.10 |
$6,649 |
0.5× |
| Reconstruct ulna/radioulnar (25337) |
$4,415.40 |
$4,906 |
0.6× |
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) unusually low: confirm this is the full procedure |
$3,016.80 |
$3,352 |
0.4× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346) unusually low: confirm this is the full procedure |
$4,212.90 |
$4,681 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) unusually low: confirm this is the full procedure |
$3,437.10 |
$3,819 |
0.5× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500) unusually low: confirm this is the full procedure |
$2,870.10 |
$3,189 |
0.4× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Facility (26545) |
$2,972.70 |
$3,303 |
0.9× |
Reinforce clavicle (23490) unusually low: confirm this is the full procedure |
$2,295.90 |
$2,551 |
0.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$3,887.10 |
$4,319 |
0.5× |
Reinsertion of spinal fixation device Facility (22849) unusually low: confirm this is the full procedure |
$6,239.70 |
$6,933 |
0.5× |
| Release elbow joint (24006) |
$2,957.40 |
$3,286 |
0.9× |
| Release finger contracture (26525) |
$2,068.20 |
$2,298 |
1.2× |
| Release muscles of hand (26593) |
$3,367.80 |
$3,742 |
1.0× |
| Release of thenar muscle(s) (eg, thumb contracture) Facility (26508) |
$2,436.30 |
$2,707 |
0.7× |
| Release wrist/forearm tendon (25295) |
$3,920.40 |
$4,356 |
1.2× |
| Relieve pressure on nerve(s) (64722) |
$1,552.50 |
$1,725 |
0.8× |
| Removal Anal Seton Other Marker (46030) |
$689.40 |
$766 |
0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,111.40 |
$2,346 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$922.50 |
$1,025 |
0.5× |
| Removal foreign body foot deep (28192) |
$2,210.40 |
$2,456 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$1,469.25 |
$1,632.50 |
2.0× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$1,337.40 |
$1,486 |
0.4× |
| Removal foreign body intranasal (30300) |
$439.65 |
$488.50 |
3.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,168.20 |
$1,298 |
0.7× |
| Removal foreign body pharynx (42809) |
$495.90 |
$551 |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,358.90 |
$2,621 |
0.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,623.50 |
$2,915 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64.80 |
$72 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$111.60 |
$124 |
1.8× |
| Removal implant deep (20680) |
$1,606.50 |
$1,785 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,558.25 |
$2,842.50 |
1.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$388.80 |
$432 |
0.5× |
| Removal of anal fissure (46200) |
$1,435.50 |
$1,595 |
0.5× |
Removal of anterior instrumentation (eg, dwyer device) (22855) unusually low: confirm this is the full procedure |
$2,592 |
$2,880 |
0.3× |
| Removal of arm foreign body (24200) |
$631.80 |
$702 |
0.4× |
Removal of bone for graft (20902) unusually low: confirm this is the full procedure |
$2,927.70 |
$3,253 |
0.4× |
| Removal of bone lesion (23140) |
$2,229.30 |
$2,477 |
0.7× |
Removal of cervix (57530) unusually low: confirm this is the full procedure |
$1,587.60 |
$1,764 |
0.3× |
| Removal of embedded foreign body, eyelid (67938) |
$620.10 |
$689 |
1.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$869.40 |
$966 |
0.7× |
| Removal of finger lesion (26210) |
$2,119.50 |
$2,355 |
1.3× |
| Removal of foreign body in scrotum (55120) |
$1,058.40 |
$1,176 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$381.15 |
$423.50 |
0.8× |
| Removal of heel spur (28119) |
$1,563.30 |
$1,737 |
0.5× |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
$4,301.10 |
$4,779 |
0.6× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$7,383.60 |
$8,204 |
0.6× |
| Removal of implant from finger or hand (26320) |
$1,208.70 |
$1,343 |
0.7× |
| Removal of iud (58301) |
$347.40 |
$386 |
1.1× |
Removal Of Knee Prosthesis (27488) unusually low: confirm this is the full procedure |
$5,574.60 |
$6,194 |
0.4× |
| Removal of nail bed (11750) |
$698.40 |
$776 |
1.7× |
Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) unusually low: confirm this is the full procedure |
$3,558.60 |
$3,954 |
0.5× |
Removal of posterior segmental instrumentation Facility (22852) unusually low: confirm this is the full procedure |
$3,006 |
$3,340 |
0.4× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$5,040.90 |
$5,601 |
0.7× |
| Removal of sesamoid bone (28315) |
$1,662.30 |
$1,847 |
0.5× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$2,002.50 |
$2,225 |
0.7× |
| Removal Of Tendon Lesion (27630) |
$2,748.60 |
$3,054 |
0.8× |
| Removal of testis (54520) |
$981.90 |
$1,091 |
0.3× |
| Removal of wrist bone (25210) |
$2,096.10 |
$2,329 |
0.6× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,995.30 |
$2,217 |
0.6× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,155.50 |
$2,395 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$285.30 |
$317 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$423.90 |
$471 |
0.6× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,040.40 |
$1,156 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$215.10 |
$239 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$284.40 |
$316 |
1.0× |
| Remove anal fist subq (46270) |
$1,317.60 |
$1,464 |
0.5× |
| Remove drug implant device (11982) |
$469.80 |
$522 |
1.0× |
| Remove elbow lesion (24120) |
$2,541.60 |
$2,824 |
0.8× |
| Remove ext hem groups 2+ (46250) |
$1,179.90 |
$1,311 |
0.4× |
| Remove humerus lesion (24110) |
$1,584.90 |
$1,761 |
0.5× |
| Remove Lower Leg Bone Lesion (27635) |
$1,632.60 |
$1,814 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,548 |
$1,720 |
0.5× |
Remove Prostate Regrowth (52630) likely a partial charge, not the full procedure |
$1,654.20 |
$1,838 |
0.3× |
| Remove pulse generator (33241) |
$950.40 |
$1,056 |
0.2× |
| Remove renal tube w/fluoro (50389) |
$1,294.20 |
$1,438 |
1.8× |
| Remove spine eltrd perq aray (63661) |
$1,677.60 |
$1,864 |
0.8× |
| Remove spine eltrd plate (63662) |
$4,078.80 |
$4,532 |
1.1× |
| Remove Tendon Sheath Lesion (26160) |
$3,116.70 |
$3,463 |
1.9× |
| Remove vagina gland lesion (56740) |
$806.40 |
$896 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$549 |
$610 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$255.60 |
$284 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$227.25 |
$252.50 |
1.7× |
Remv&replc cvd gen dual lead (33263) likely a partial charge, not the full procedure |
$1,918.80 |
$2,132 |
0.1× |
Remv&replc cvd gen mult lead (33264) likely a partial charge, not the full procedure |
$1,710 |
$1,900 |
0.1× |
Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$1,706.40 |
$1,896 |
0.2× |
Remv&replc pm gen mult leads (33229) likely a partial charge, not the full procedure |
$1,771.20 |
$1,968 |
0.1× |
Repair achilles tendon (27650) unusually low: confirm this is the full procedure |
$3,510.90 |
$3,901 |
0.5× |
| Repair arm/leg nerve (64857) |
$3,093.30 |
$3,437 |
0.9× |
| Repair blood vessel direct hand finger (35207) |
$3,576.60 |
$3,974 |
1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,730.60 |
$3,034 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,377.45 |
$1,530.50 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,568.70 |
$1,743 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$564.30 |
$627 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,415.25 |
$1,572.50 |
3.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,545.75 |
$1,717.50 |
3.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,457.10 |
$1,619 |
1.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,886.75 |
$3,207.50 |
1.7× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$4,054.50 |
$4,505 |
1.2× |
Repair Fibula Nonunion (27726) unusually low: confirm this is the full procedure |
$2,465.10 |
$2,739 |
0.3× |
| Repair Finger Tendon (26433) |
$3,185.10 |
$3,539 |
0.9× |
| Repair Forearm Tendon Sheath (25275) |
$3,241.80 |
$3,602 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$4,330.80 |
$4,812 |
1.3× |
| Repair hand joint with graft (26542) |
$3,075.30 |
$3,417 |
0.9× |
| Repair hand tendon (26410) |
$3,434.40 |
$3,816 |
2.1× |
| Repair incomplete circumcision (54163) |
$657.90 |
$731 |
0.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,806.30 |
$2,007 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,849.50 |
$2,055 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,600.20 |
$1,778 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,189.70 |
$2,433 |
0.6× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) likely a partial charge, not the full procedure |
$1,251 |
$1,390 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$900 |
$1,000 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$547.20 |
$608 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$691.65 |
$768.50 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$771.75 |
$857.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$831.15 |
$923.50 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,089.90 |
$1,211 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$784.35 |
$871.50 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$872.55 |
$969.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$821.25 |
$912.50 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,058.85 |
$1,176.50 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$657.90 |
$731 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$909 |
$1,010 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,145.70 |
$1,273 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$908.10 |
$1,009 |
2.2× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,702.70 |
$3,003 |
0.8× |
| Repair Leg Fascia Defect (27656) |
$1,593 |
$1,770 |
0.5× |
Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$2,063.70 |
$2,293 |
0.3× |
| Repair Lower Leg Tendons (27675) |
$1,739.70 |
$1,933 |
0.5× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345) unusually low: confirm this is the full procedure |
$3,343.50 |
$3,715 |
0.4× |
Repair of biceps tendon (24340) unusually low: confirm this is the full procedure |
$2,482.20 |
$2,758 |
0.3× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) likely a partial charge, not the full procedure |
$1,360.80 |
$1,512 |
0.3× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$3,757.50 |
$4,175 |
0.3× |
| Repair of hydrocele (55060) |
$1,129.50 |
$1,255 |
0.3× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,755 |
$1,950 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$1,741.50 |
$1,935 |
0.2× |
| Repair of leg tendon each (27658) |
$5,096.70 |
$5,663 |
1.5× |
| Repair of nail bed (11760) |
$746.10 |
$829 |
1.0× |
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary… (25431) unusually low: confirm this is the full procedure |
$3,187.80 |
$3,542 |
0.4× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) likely a partial charge, not the full procedure |
$2,633.40 |
$2,926 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$3,608.10 |
$4,009 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) unusually low: confirm this is the full procedure |
$2,510.10 |
$2,789 |
0.3× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$6,226.20 |
$6,918 |
0.8× |
| Repair of rectocele (45560) |
$3,015 |
$3,350 |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$5,040.90 |
$5,601 |
0.7× |
| Repair of shoulder (23420) |
$4,910.40 |
$5,456 |
0.7× |
| Repair of tibia (27720) |
$4,330.80 |
$4,812 |
0.6× |
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) unusually low: confirm this is the full procedure |
$2,886.30 |
$3,207 |
0.4× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$3,976.20 |
$4,418 |
1.2× |
| Repair Profundus Tendon,Primary (26370) |
$4,760.10 |
$5,289 |
1.4× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,712.60 |
$3,014 |
0.4× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,189.70 |
$2,433 |
0.6× |
| Repair rotator cuff acute (23410) |
$4,829.40 |
$5,366 |
0.6× |
Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$3,661.20 |
$4,068 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,314.90 |
$1,461 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) unusually low: confirm this is the full procedure |
$3,171.60 |
$3,524 |
0.4× |
| Repair tongue laceration (41252) |
$1,192.50 |
$1,325 |
4.9× |
| Repair Tongue Laceration (41250) |
$526.50 |
$585 |
1.1× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$4,734.90 |
$5,261 |
0.6× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$1,907.10 |
$2,119 |
0.3× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) likely a partial charge, not the full procedure |
$1,604.70 |
$1,783 |
0.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$3,813.30 |
$4,237 |
0.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$3,276.90 |
$3,641 |
0.4× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) unusually low: confirm this is the full procedure |
$3,217.50 |
$3,575 |
0.4× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) unusually low: confirm this is the full procedure |
$3,344.40 |
$3,716 |
0.4× |
| Repair/graft finger tendon (26420) |
$3,799.80 |
$4,222 |
1.1× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$2,133 |
$2,370 |
0.3× |
| Repair/revise wrist joint (25320) |
$4,434.30 |
$4,927 |
0.6× |
Replace elbow joint (24363) unusually low: confirm this is the full procedure |
$6,534.90 |
$7,261 |
0.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$491.40 |
$546 |
0.5× |
| Reposition gastric feeding tube thru duodenum (43761) |
$504 |
$560 |
2.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,361.50 |
$3,735 |
1.0× |
| Resect enlarged toe (28341) |
$1,876.50 |
$2,085 |
0.6× |
| Resection of scrotum (55150) |
$2,035.80 |
$2,262 |
0.6× |
| Resection or transplantation of long tendon of biceps (23440) |
$3,826.80 |
$4,252 |
0.5× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$1,824.30 |
$2,027 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,779.30 |
$1,977 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$566.10 |
$629 |
0.2× |
| Revis reconst shoulder joint (23473) |
$7,021.80 |
$7,802 |
0.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$7,583.40 |
$8,426 |
0.6× |
| Revise finger/toe nerve (64702) |
$1,230.30 |
$1,367 |
0.6× |
Revise knuckle joint (26530) unusually low: confirm this is the full procedure |
$2,574 |
$2,860 |
0.3× |
Revise knuckle with implant (26531) unusually low: confirm this is the full procedure |
$3,023.10 |
$3,359 |
0.4× |
Revise Lower Leg Tendon (27691) likely a partial charge, not the full procedure |
$2,071.80 |
$2,302 |
0.3× |
| Revise reconst elbow joint (24370) |
$6,635.70 |
$7,373 |
0.5× |
Revise spine eltrd perq aray (63663) unusually low: confirm this is the full procedure |
$2,164.50 |
$2,405 |
0.3× |
Revise Spine Eltrd Plate (63664) likely a partial charge, not the full procedure |
$3,445.20 |
$3,828 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$3,371.40 |
$3,746 |
1.7× |
| Revise vag graft via vagina (57295) |
$1,337.40 |
$1,486 |
0.4× |
| Revise wrist/forearm tendon (25280) |
$4,038.30 |
$4,487 |
1.2× |
Revise/Implant Finger Joint (26536) unusually low: confirm this is the full procedure |
$3,224.70 |
$3,583 |
0.4× |
| Revise/Remove Neuroreceiver (63688) |
$1,599.30 |
$1,777 |
0.4× |
Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) unusually low: confirm this is the full procedure |
$3,302.10 |
$3,669 |
0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$3,258 |
$3,620 |
0.9× |
| Revision of foot (28116) |
$1,750.50 |
$1,945 |
0.5× |
| Revision of lower leg tendon (27685) |
$2,947.50 |
$3,275 |
0.9× |
| Revision of penis (54300) |
$1,849.50 |
$2,055 |
0.5× |
| Revision of reconstructed breast (19380) |
$3,663.90 |
$4,071 |
0.5× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$7,167.60 |
$7,964 |
0.5× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$6,670.80 |
$7,412 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) unusually low: confirm this is the full procedure |
$8,540.10 |
$9,489 |
0.5× |
| Revision of ulna (25360) |
$4,527 |
$5,030 |
0.6× |
| Revision of urethra (53460) |
$1,316.70 |
$1,463 |
0.4× |
| Revision of urethra (53450) |
$1,228.50 |
$1,365 |
0.3× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,571.40 |
$1,746 |
0.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$9,473.40 |
$10,526 |
0.7× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$7,011.90 |
$7,791 |
0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$918 |
$1,020 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$289.80 |
$322 |
2.1× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$549 |
$610 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,395.90 |
$1,551 |
0.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,443.60 |
$1,604 |
0.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$6,959.70 |
$7,733 |
2.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,030.95 |
$1,145.50 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$531.90 |
$591 |
0.8× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,628.80 |
$4,032 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$887.40 |
$986 |
3.4× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$2,634.30 |
$2,927 |
0.8× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$2,852.10 |
$3,169 |
1.7× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,787.40 |
$1,986 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$766.35 |
$851.50 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,525.50 |
$1,695 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,006.20 |
$1,118 |
0.3× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,372.50 |
$1,525 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,139.40 |
$1,266 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,744 |
$4,160 |
1.1× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,691.10 |
$1,879 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$808.20 |
$898 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,090.80 |
$1,212 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$969.75 |
$1,077.50 |
1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,608.30 |
$1,787 |
1.0× |
Rpr non-union mtcrpl/phalanx (26546) unusually low: confirm this is the full procedure |
$2,739.60 |
$3,044 |
0.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,319.40 |
$1,466 |
0.4× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$3,700.80 |
$4,112 |
1.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,987 |
$4,430 |
1.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,815.90 |
$5,351 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,463 |
$6,070 |
1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$3,758.40 |
$4,176 |
1.1× |
| Scrotal exploration (55110) |
$1,150.20 |
$1,278 |
0.3× |
| Sesamoidectomy, thumb or finger (separate procedure) Facility (26185) |
$1,940.40 |
$2,156 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$746.10 |
$829 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$289.80 |
$322 |
0.7× |
| Shave skin lesion 0.5 cm/< (11305) |
$374.85 |
$416.50 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$450 |
$500 |
2.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$458.10 |
$509 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$298.80 |
$332 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$344.70 |
$383 |
1.7× |
Shoulder arthroscopy (29820) unusually low: confirm this is the full procedure |
$2,897.10 |
$3,219 |
0.4× |
| Shoulder arthroscopy (29805) |
$3,176.10 |
$3,529 |
0.9× |
| Shoulder Arthroscopy/Surgery (29819) |
$3,045.60 |
$3,384 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,040.20 |
$3,378 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$484.20 |
$538 |
2.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$708.30 |
$787 |
1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$353.70 |
$393 |
1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$390.60 |
$434 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$375.30 |
$417 |
1.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,165.50 |
$1,295 |
0.9× |
| Sigmoidoscopy w/biopsy (45331) |
$843.30 |
$937 |
0.9× |
| Simple Cystometrogram (51725) |
$556.20 |
$618 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$696.60 |
$774 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$410.85 |
$456.50 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$508.05 |
$564.50 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$564.30 |
$627 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$687.15 |
$763.50 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$333.90 |
$371 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$702.90 |
$781 |
3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$530.10 |
$589 |
2.6× |
| Skin pinch graft (15050) |
$2,057.40 |
$2,286 |
2.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,940.30 |
$3,267 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$913.95 |
$1,015.50 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,263.60 |
$1,404 |
1.7× |
| Skin Tissue Procedure (17999) |
$133.20 |
$148 |
0.6× |
| Skin tissue rearrangement (14040) |
$2,238.75 |
$2,487.50 |
1.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,436.30 |
$2,707 |
0.7× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,358 |
$2,620 |
0.5× |
| Slitting of prepuce (54001) |
$509.40 |
$566 |
0.2× |
| Small bowel endoscopy/biopsy (44377) |
$903.60 |
$1,004 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$459 |
$510 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$688.50 |
$765 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$672.30 |
$747 |
1.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$710.10 |
$789 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,090.80 |
$1,212 |
1.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,013.40 |
$1,126 |
0.3× |
| Strapping ankle (29540) |
$151.20 |
$168 |
0.9× |
| Strapping elbow or wrist (29260) |
$100.80 |
$112 |
1.7× |
| Strapping hand/finger (29280) |
$76.50 |
$85 |
1.3× |
| Strapping shoulder (29240) |
$312.30 |
$347 |
2.3× |
| Strapping toes (29550) |
$144.90 |
$161 |
2.4× |
| Strapping unna boot (29580) |
$221.40 |
$246 |
1.3× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,619 |
$2,910 |
0.8× |
| Suspension of testis (54640) |
$1,395 |
$1,550 |
0.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,348.90 |
$3,721 |
1.7× |
Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$2,942.10 |
$3,269 |
0.4× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$3,843.90 |
$4,271 |
1.1× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) unusually low: confirm this is the full procedure |
$3,070.80 |
$3,412 |
0.4× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) unusually low: confirm this is the full procedure |
$3,602.70 |
$4,003 |
0.5× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$2,703.60 |
$3,004 |
0.8× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$2,453.40 |
$2,726 |
1.5× |
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) likely a partial charge, not the full procedure |
$1,331.10 |
$1,479 |
0.2× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$1,181.70 |
$1,313 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,488.50 |
$2,765 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$248.40 |
$276 |
0.6× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924) likely a partial charge, not the full procedure |
$1,414.80 |
$1,572 |
0.2× |
| Tendon lengthening, upper arm or elbow, each tendon Facility (24305) |
$3,240 |
$3,600 |
1.0× |
| Tendon shortening (26477) |
$3,309.30 |
$3,677 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$4,313.70 |
$4,793 |
1.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$3,687.30 |
$4,097 |
1.1× |
| Tenodesis at wrist; extensors of fingers Facility (25301) |
$1,836 |
$2,040 |
0.5× |
Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$3,698.10 |
$4,109 |
0.5× |
| Tenolysis extensor tendon hand/finger each (26445) |
$2,016 |
$2,240 |
0.6× |
| Tenolysis flexor foot single tendon (28220) |
$2,330.10 |
$2,589 |
1.4× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,560.40 |
$3,956 |
2.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,216.70 |
$2,463 |
0.7× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$2,336.40 |
$2,596 |
1.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$1,232.10 |
$1,369 |
0.4× |
| Tenotomy flexor finger open each tendon (26455) |
$2,213.10 |
$2,459 |
1.3× |
| Tenotomy Hip Flexor Open (27005) |
$3,918.60 |
$4,354 |
1.2× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,957.50 |
$2,175 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$689.40 |
$766 |
0.4× |
Tenotomy shoulder area single tendon (23405) unusually low: confirm this is the full procedure |
$2,641.50 |
$2,935 |
0.4× |
| Tenotomy, adductor of hip, open Facility (27001) |
$2,920.50 |
$3,245 |
0.9× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$2,173.50 |
$2,415 |
1.3× |
| Tenotomy, flexor, palm, open, each tendon Facility (26450) |
$1,605.60 |
$1,784 |
0.5× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,991.70 |
$2,213 |
0.6× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$2,826.90 |
$3,141 |
0.8× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,643.85 |
$1,826.50 |
1.0× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$1,317.60 |
$1,464 |
0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,251 |
$1,390 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,433.70 |
$1,593 |
2.2× |
| Thrombolytic Therapy Stroke (37195) |
$839.70 |
$933 |
2.5× |
| Thyroid biopsy (60100) |
$1,179.90 |
$1,311 |
1.6× |
| Tibial Arthroscopy/Surgery (29855) |
$3,916.80 |
$4,352 |
0.5× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) unusually low: confirm this is the full procedure |
$5,242.50 |
$5,825 |
0.4× |
| Tnot elbow lateral/medial debride open (24358) |
$1,540.80 |
$1,712 |
0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,009.70 |
$2,233 |
0.6× |
| Total hip arthroplasty (27130) |
$7,919.10 |
$8,799 |
0.6× |
| Total Knee Arthroplasty (27447) |
$7,919.10 |
$8,799 |
0.6× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) unusually low: confirm this is the full procedure |
$2,347.20 |
$2,608 |
0.4× |
| Tracheotomy tube change (31502) |
$193.05 |
$214.50 |
0.8× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
$1,850.40 |
$2,056 |
0.9× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) unusually low: confirm this is the full procedure |
$3,206.70 |
$3,563 |
0.4× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$5,853.60 |
$6,504 |
0.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$6,339.60 |
$7,044 |
0.8× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) unusually low: confirm this is the full procedure |
$2,306.70 |
$2,563 |
0.4× |
| Transplant hand tendon (26480) |
$4,520.70 |
$5,023 |
1.3× |
| Transplant palm tendon (26485) |
$3,947.40 |
$4,386 |
1.2× |
| Transplant/graft hand tendon (26483) |
$4,905 |
$5,450 |
1.5× |
| Transur electr resection of prostate (52601) |
$3,485.70 |
$3,873 |
0.6× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Facility (53852) |
$9,409.50 |
$10,455 |
2.6× |
| Transurethral incision of prostate (52450) |
$1,401.30 |
$1,557 |
0.4× |
| Transurethral resection bladder neck (52500) |
$1,650.60 |
$1,834 |
0.5× |
| Treat Big Toe Fracture (28505) |
$1,626.30 |
$1,807 |
0.5× |
| Treat clavicle dislocation (23540) |
$1,286.10 |
$1,429 |
5.1× |
| Treat clavicle fracture (23505) |
$1,395 |
$1,550 |
0.8× |
Treat elbow dislocation (24615) unusually low: confirm this is the full procedure |
$3,510.90 |
$3,901 |
0.5× |
Treat elbow fracture (24586) unusually low: confirm this is the full procedure |
$4,428 |
$4,920 |
0.3× |
Treat Elbow Fracture (24635) unusually low: confirm this is the full procedure |
$2,475.90 |
$2,751 |
0.3× |
Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$3,097.80 |
$3,442 |
0.2× |
| Treat fracture radius/ulna (25575) |
$4,030.20 |
$4,478 |
0.5× |
| Treat Hand Dislocation (26685) |
$1,480.50 |
$1,645 |
0.4× |
| Treat humerus fracture (24500) |
$1,720.80 |
$1,912 |
6.8× |
| Treat humerus fracture (23600) |
$1,726.20 |
$1,918 |
6.8× |
| Treat knee fracture (27532) |
$3,650.40 |
$4,056 |
1.1× |
| Treat Knee Fracture (27535) |
$4,390.20 |
$4,878 |
0.6× |
| Treat Knee Fracture(S) (27538) |
$1,771.20 |
$1,968 |
7.0× |
Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$3,698.10 |
$4,109 |
0.5× |
| Treat Lower Leg Bone Lesion (27607) |
$3,603.60 |
$4,004 |
1.1× |
Treat Lower Leg Fracture (27828) unusually low: confirm this is the full procedure |
$4,807.80 |
$5,342 |
0.4× |
Treat radius fracture (24665) unusually low: confirm this is the full procedure |
$3,172.50 |
$3,525 |
0.4× |
Treat scapula fracture (23585) unusually low: confirm this is the full procedure |
$2,871 |
$3,190 |
0.4× |
| Treat Thigh Fracture (27246) |
$1,089 |
$1,210 |
4.3× |
| Treat Thigh Fracture (27245) |
$6,961.50 |
$7,735 |
0.9× |
| Treat thumb fracture (26665) |
$1,846.80 |
$2,052 |
0.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,638 |
$1,820 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$351.90 |
$391 |
1.7× |
| Treat wrist bone fracture (25622) |
$1,448.10 |
$1,609 |
5.7× |
| Treat Wrist Bone Fracture (25630) |
$774 |
$860 |
3.0× |
| Treatment closed elbow dislocation req anes (24605) |
$2,268.45 |
$2,520.50 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$718.20 |
$798 |
2.8× |
Treatment of fibula fracture (27784) unusually low: confirm this is the full procedure |
$2,755.80 |
$3,062 |
0.4× |
| Treatment of foot infection (28003) |
$1,860.30 |
$2,067 |
0.6× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,562 |
$6,180 |
0.7× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,096.20 |
$1,218 |
0.3× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$2,857.50 |
$3,175 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,235.70 |
$1,373 |
4.9× |
| Trim skin lesion (11055) |
$112.50 |
$125 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$238.95 |
$265.50 |
1.2× |
| Trim skin lesions over 4 (11057) |
$206.10 |
$229 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$68.40 |
$76 |
1.1× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,209.60 |
$1,344 |
0.3× |
| Tubal ligation (58600) |
$1,069.20 |
$1,188 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$1,314 |
$1,460 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,696.50 |
$1,885 |
0.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) unusually low: confirm this is the full procedure |
$4,234.50 |
$4,705 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,112.40 |
$1,236 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,163.60 |
$2,404 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,646.10 |
$1,829 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,158.30 |
$1,287 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$594.90 |
$661 |
1.4× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) unusually low: confirm this is the full procedure |
$4,917.60 |
$5,464 |
0.4× |
Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$1,374.30 |
$1,527 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) unusually low: confirm this is the full procedure |
$2,313 |
$2,570 |
0.4× |
Unlisted laparoscopy procedure, uterus (58578) unusually low: confirm this is the full procedure |
$2,009.70 |
$2,233 |
0.3× |
| Unlisted procedure arthroscopy (29999) |
$3,075.30 |
$3,417 |
12.1× |
| Unlisted procedure femur or knee (27599) |
$3,958.20 |
$4,398 |
15.5× |
| Unlisted procedure humerus/elbow (24999) |
$531.90 |
$591 |
2.1× |
| Unlisted procedure nervous system (64999) |
$800.10 |
$889 |
2.5× |
| Unlisted procedure, hands or fingers (26989) |
$3,187.80 |
$3,542 |
12.5× |
Upgrade of pacemaker system (33214) likely a partial charge, not the full procedure |
$2,309.40 |
$2,566 |
0.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$1,546.20 |
$1,718 |
0.4× |
Urethrectomy, total, including cystostomy; male Facility (53215) unusually low: confirm this is the full procedure |
$2,673 |
$2,970 |
0.5× |
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) unusually low: confirm this is the full procedure |
$2,412.90 |
$2,681 |
0.4× |
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) unusually low: confirm this is the full procedure |
$1,929.60 |
$2,144 |
0.3× |
| Urine flow measurement (51736) |
$64.80 |
$72 |
0.5× |
| Us urine capacity measure (51798) |
$91.80 |
$102 |
1.5× |
| Vag hyst complex (58290) |
$4,860 |
$5,400 |
0.6× |
| Vaginal delivery only (59409) |
$2,491.65 |
$2,768.50 |
0.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,413.80 |
$2,682 |
0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,017.60 |
$4,464 |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$2,593.80 |
$2,882 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) unusually low: confirm this is the full procedure |
$2,528.10 |
$2,809 |
0.5× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$3,462.30 |
$3,847 |
0.7× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$2,528.10 |
$2,809 |
0.5× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$2,111.40 |
$2,346 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,800 |
$2,000 |
0.8× |
| Venipuncture (36415) |
$24.30 |
$27 |
2.6× |
| Venipuncture cutdown under age 1 yr (36420) |
$157.50 |
$175 |
1.1× |
| Vulvectomy Simple Partial (56620) |
$1,448.10 |
$1,609 |
0.4× |
| Wedge excision skin nail fold (11765) |
$362.25 |
$402.50 |
0.9× |
| Wedging of cast (29740) |
$454.50 |
$505 |
1.6× |
| Windowing of cast (29730) |
$307.80 |
$342 |
1.8× |
| Wrist arthroscopy (29840) |
$1,872 |
$2,080 |
0.6× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) unusually low: confirm this is the full procedure |
$2,450.70 |
$2,723 |
0.4× |
Xcpsl ctrc rmvl cplx insj 1+ (66989) unusually low: confirm this is the full procedure |
$2,450.70 |
$2,723 |
0.4× |