| Abd paracentesis w/imaging (49083) |
$604.40 |
$755.50 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$143.20 |
$179 |
0.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,407.20 |
$1,759 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,696.80 |
$2,121 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,984.80 |
$2,481 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,824.80 |
$2,281 |
0.9× |
| Amputate metacarpal bone (26910) |
$1,733.60 |
$2,167 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,485.60 |
$1,857 |
0.5× |
| Amputation Foot Midtarsal (28800) |
$839.20 |
$1,049 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$1,112.80 |
$1,391 |
0.4× |
| Amputation of finger/thumb (26952) |
$1,457.60 |
$1,822 |
0.5× |
| Amputation thigh through femur any level (27590) |
$1,933.60 |
$2,417 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,813.20 |
$2,266.50 |
0.6× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$611.20 |
$764 |
0.2× |
| Amputation, foot; transmetatarsal (28805) |
$1,174.40 |
$1,468 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,215.20 |
$2,769 |
0.3× |
| Analyze infusn pump+reprogram (62368) |
$367.20 |
$459 |
1.3× |
| Anoscopy diagnostic (46600) |
$66.40 |
$83 |
0.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$261.60 |
$327 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,598.40 |
$1,998 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$362.40 |
$453 |
2.4× |
| Application finger splint static (29130) |
$45.20 |
$56.50 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$65.20 |
$81.50 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$78.40 |
$98 |
0.5× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$441.60 |
$552 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$60.80 |
$76 |
0.5× |
| Application short leg splint calf foot (29515) |
$74.64 |
$93.30 |
0.5× |
| Apply multlay comprs arm/hand (29584) |
$241.60 |
$302 |
1.6× |
| Arterial puncture (36600) |
$43.20 |
$54 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$91.20 |
$114 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$194 |
$242.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$461.60 |
$577 |
1.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$60.80 |
$76 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$176.80 |
$221 |
0.9× |
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure |
$2,135.20 |
$2,669 |
0.4× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$207.20 |
$259 |
0.2× |
| Biopsy Bone Open Deep (20245) |
$536 |
$670 |
0.2× |
| Biopsy bone open superficial (20240) |
$220.80 |
$276 |
0.1× |
| Biopsy Breast Open Incisional (19101) |
$534.40 |
$668 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$536 |
$670 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$627.20 |
$784 |
0.2× |
| Biopsy Oropharynx (42800) |
$172 |
$215 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$978 |
$1,222.50 |
0.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$932.80 |
$1,166 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$1,039.20 |
$1,299 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,068.80 |
$1,336 |
0.3× |
| Bladder Irrigation Simple (51700) |
$376.80 |
$471 |
1.6× |
| Bladder Scan (51798) |
$92.80 |
$116 |
1.7× |
| Blood transfusion service (36430) |
$1,396.80 |
$1,746 |
3.4× |
| Bone marrow aspiration only (38220) |
$265.60 |
$332 |
0.2× |
| Bone Marrow Biopsy (38221) |
$265.60 |
$332 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$662.40 |
$828 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,293.20 |
$1,616.50 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,806.40 |
$2,258 |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$170.40 |
$213 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$87.20 |
$109 |
0.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$89.60 |
$112 |
0.4× |
| Chemical Cautery Tissue (17250) |
$250.40 |
$313 |
1.3× |
| Chest tube placement (32551) |
$445.60 |
$557 |
0.3× |
| Circum 28 days or older (54161) |
$521.60 |
$652 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$513.60 |
$642 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$633.60 |
$792 |
2.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$752.80 |
$941 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$795.20 |
$994 |
3.4× |
| Closed Rx Med Malleolus Fx (27760) |
$638.40 |
$798 |
2.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$709.60 |
$887 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$912 |
$1,140 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$552.80 |
$691 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$534.40 |
$668 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$558 |
$697.50 |
2.4× |
| Closed Rx Trimalleolar Fx (27816) |
$607.20 |
$759 |
2.6× |
| Closed Treat Vert Body Fract (22310) |
$954.40 |
$1,193 |
4.1× |
| Closed treat wrist dislocation (25660) |
$949.60 |
$1,187 |
4.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$284 |
$355 |
1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$929.60 |
$1,162 |
4.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$689.60 |
$862 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$579.20 |
$724 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$648 |
$810 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$465.60 |
$582 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$449.60 |
$562 |
1.9× |
| Closed tx femoral fracture prox head w manip (27268) |
$829.60 |
$1,037 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$996.80 |
$1,246 |
4.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,144.80 |
$1,431 |
2.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$360 |
$450 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,283.20 |
$1,604 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,188 |
$1,485 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$776 |
$970 |
3.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$408.80 |
$511 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$476 |
$595 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$691.20 |
$864 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$65.60 |
$82 |
0.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$276 |
$345 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$546.40 |
$683 |
2.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$301.60 |
$377 |
1.3× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$374.40 |
$468 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$654.40 |
$818 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$360.80 |
$451 |
1.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,272 |
$1,590 |
5.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$665.60 |
$832 |
2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$625.20 |
$781.50 |
2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$419.20 |
$524 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$504 |
$630 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,198.40 |
$1,498 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,040 |
$1,300 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$700.80 |
$876 |
3.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$832.80 |
$1,041 |
3.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,035.20 |
$1,294 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$226.40 |
$283 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$289.60 |
$362 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$261.60 |
$327 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$209.60 |
$262 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,164.80 |
$1,456 |
0.8× |
| Cltx greater trochanteric fx w/o manj (27246) |
$908.80 |
$1,136 |
3.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$692.80 |
$866 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$890.40 |
$1,113 |
3.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$778.40 |
$973 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$604.80 |
$756 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$504.80 |
$631 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$591.20 |
$739 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$145.60 |
$182 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$468.40 |
$585.50 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$344.80 |
$431 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$884.80 |
$1,106 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$636 |
$795 |
2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$640.80 |
$801 |
2.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$216 |
$270 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,169.60 |
$1,462 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,329.60 |
$1,662 |
0.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$779.20 |
$974 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$670.40 |
$838 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$697.60 |
$872 |
0.6× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$381.60 |
$477 |
0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$428 |
$535 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$458.40 |
$573 |
0.4× |
| Colonoscopy thru stoma (44388) |
$320.80 |
$401 |
0.4× |
| Colonoscopy w/ablation (45388) |
$677.60 |
$847 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$589.60 |
$737 |
0.5× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,023.20 |
$1,279 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$505.60 |
$632 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$220 |
$275 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$116 |
$145 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$138.40 |
$173 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$221.20 |
$276.50 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$724.80 |
$906 |
1.1× |
| Debride nail 1-5 (11720) |
$150.40 |
$188 |
2.7× |
| Debride nail 6 or more (11721) |
$150.40 |
$188 |
2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$188 |
$235 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$575.20 |
$719 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,167.60 |
$1,459.50 |
0.8× |
| Derm autograft trnk/arm/leg (15130) |
$1,917.60 |
$2,397 |
1.0× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$1,917.60 |
$2,397 |
0.6× |
| Destruction anal lesion(s) (46924) |
$254.40 |
$318 |
0.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$241.60 |
$302 |
1.3× |
| Destruction of multiple growths of penis (54065) |
$345.60 |
$432 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$140.80 |
$176 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$164 |
$205 |
0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$571.20 |
$714 |
0.2× |
| Dilation Esophagus Guide Wire (43453) |
$243.20 |
$304 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$207.20 |
$259 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$261.60 |
$327 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$473.60 |
$592 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$240.80 |
$301 |
1.3× |
| Drainage of eyelid abscess (67700) |
$288.80 |
$361 |
1.0× |
| Drainage of gum lesion (41800) |
$290.40 |
$363 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$256.80 |
$321 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$254.40 |
$318 |
0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$655.20 |
$819 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$365.60 |
$457 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$241.60 |
$302 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$156.80 |
$196 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$305.60 |
$382 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$317.60 |
$397 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$210.40 |
$263 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$444 |
$555 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$482.40 |
$603 |
0.3× |
| Egd flexible foreign body removal (43247) |
$512 |
$640 |
0.6× |
| Egd guide wire insertion (43248) |
$479.20 |
$599 |
0.6× |
| Egd place gastrostomy tube (43246) |
$643.20 |
$804 |
0.4× |
| Egd remove lesion snare (43251) |
$518.40 |
$648 |
0.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$414.40 |
$518 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$274.40 |
$343 |
0.3× |
| Esophagus Surg Procedure Unlisted (43499) |
$8,120.80 |
$10,151 |
9.5× |
| Evacuation of subungual hematoma (11740) |
$79.20 |
$99 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$1,071.20 |
$1,339 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$620.80 |
$776 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$476 |
$595 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$548 |
$685 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$929.60 |
$1,162 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,015.20 |
$1,269 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$512.80 |
$641 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$306.40 |
$383 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$432 |
$540 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$480 |
$600 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,432 |
$1,790 |
0.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$968 |
$1,210 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,033.60 |
$1,292 |
0.4× |
| Exc rect tum transanal part (45171) |
$932.40 |
$1,165.50 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,015.20 |
$1,269 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$272 |
$340 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$204.80 |
$256 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$272.80 |
$341 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$438.40 |
$548 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$560 |
$700 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$388.80 |
$486 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$795.20 |
$994 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$676 |
$845 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$582.40 |
$728 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$762.40 |
$953 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,250.40 |
$1,563 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$971.20 |
$1,214 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,033.60 |
$1,292 |
0.7× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$792 |
$990 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,037.60 |
$1,297 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$280.80 |
$351 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$274.40 |
$343 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,738.40 |
$2,173 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,408.80 |
$1,761 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$860.80 |
$1,076 |
0.3× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,889.60 |
$2,362 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$462.40 |
$578 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$826.40 |
$1,033 |
0.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,523.20 |
$1,904 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$773.60 |
$967 |
0.5× |
| Excise excess skin & tissue (15839) |
$1,142.80 |
$1,428.50 |
0.4× |
| Excision Breast Lesion (19125) |
$1,092.80 |
$1,366 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$429.60 |
$537 |
0.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$373.60 |
$467 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$280.80 |
$351 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$348.40 |
$435.50 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$396.80 |
$496 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$475.20 |
$594 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$520.80 |
$651 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$422.40 |
$528 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$559.20 |
$699 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$645.60 |
$807 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$944.80 |
$1,181 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$434.40 |
$543 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$434.40 |
$543 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$602.40 |
$753 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$704.80 |
$881 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$646.40 |
$808 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$418.40 |
$523 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$782.40 |
$978 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$392.80 |
$491 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$326.40 |
$408 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$593.60 |
$742 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$893.60 |
$1,117 |
0.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$599.44 |
$749.30 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$326.40 |
$408 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$280.80 |
$351 |
0.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$835.20 |
$1,044 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$284 |
$355 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$264 |
$330 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$1,068.80 |
$1,336 |
0.4× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$575.20 |
$719 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$900 |
$1,125 |
0.5× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$845.60 |
$1,057 |
0.3× |
| Excision of tongue lesion (41112) |
$615.20 |
$769 |
0.2× |
| Excision of Umbilicus (49250) |
$922.40 |
$1,153 |
0.3× |
| Excision olecranon bursa (24105) |
$680 |
$850 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,327.20 |
$1,659 |
0.5× |
| Excision Prepatellar Bursa (27340) |
$731.20 |
$914 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$720 |
$900 |
0.5× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$697.60 |
$872 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$631.20 |
$789 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$730.40 |
$913 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$472 |
$590 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$337.60 |
$422 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$834.40 |
$1,043 |
0.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$603.20 |
$754 |
0.4× |
| External Cephalic Version (59412) |
$299.20 |
$374 |
0.1× |
| Fetal non-stress test (59025) |
$112 |
$140 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,432.80 |
$1,791 |
2.2× |
| Fine needle aspiration without imaging guidance (10021) |
$168 |
$210 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$164.80 |
$206 |
0.7× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$2,174.40 |
$2,718 |
1.1× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$1,873.60 |
$2,342 |
1.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,958.40 |
$2,448 |
1.0× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,125.60 |
$2,657 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,533.60 |
$1,917 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$442.40 |
$553 |
2.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$3,264.80 |
$4,081 |
0.9× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,682.40 |
$2,103 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$1,427.20 |
$1,784 |
2.1× |
| Hemorrhoidectomy (46255) |
$830.40 |
$1,038 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$725.60 |
$907 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$812 |
$1,015 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$936 |
$1,170 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$898.40 |
$1,123 |
0.3× |
| I&d abscess simple (10060) |
$363.20 |
$454 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$772.80 |
$966 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$432.80 |
$541 |
0.2× |
| I&d perianal abscess superficial (46050) |
$191.20 |
$239 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$248.80 |
$311 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$238.40 |
$298 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$340 |
$425 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$522.40 |
$653 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$592.80 |
$741 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$390.40 |
$488 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$476.80 |
$596 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$364.80 |
$456 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$193.20 |
$241.50 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$278 |
$347.50 |
1.0× |
| Incision of rectal abscess (46040) |
$1,143.20 |
$1,429 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$252 |
$315 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$87.20 |
$109 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$97.60 |
$122 |
0.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$85.60 |
$107 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$208 |
$260 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$87.20 |
$109 |
0.1× |
| Injection for identification of sentinel node (38792) |
$379.60 |
$474.50 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$90.40 |
$113 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$217.60 |
$272 |
1.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$338.40 |
$423 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$318.80 |
$398.50 |
0.1× |
| Insert picc cath (36569) |
$2,249.60 |
$2,812 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$124.80 |
$156 |
1.0× |
| Insert tun ip cath perc (49418) |
$300 |
$375 |
0.1× |
| Insert tunneled cv cath (36561) |
$940 |
$1,175 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$928 |
$1,160 |
0.3× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$638.40 |
$798 |
0.4× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$363.44 |
$454.30 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$928.40 |
$1,160.50 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$627.20 |
$784 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,176 |
$3,970 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$41.60 |
$52 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$870.40 |
$1,088 |
3.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$198.40 |
$248 |
0.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,018.40 |
$1,273 |
0.2× |
Lap jejunostomy (44186)
likely a partial charge, not the full procedure |
$1,478.40 |
$1,848 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,448.80 |
$1,811 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$690.40 |
$863 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,554.40 |
$1,943 |
0.3× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,340.80 |
$1,676 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$651.20 |
$814 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,205.60 |
$2,757 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low: confirm this is the full procedure |
$3,519.20 |
$4,399 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$3,112.80 |
$3,891 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$1,871.20 |
$2,339 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,725.60 |
$2,157 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,108.80 |
$1,386 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,392 |
$1,740 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,468.80 |
$1,836 |
0.4× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,009.60 |
$1,262 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$596.80 |
$746 |
0.1× |
| Laryngoscopy Direct Aspiration (31515) |
$293.60 |
$367 |
0.8× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$96.80 |
$121 |
0.5× |
| Laryngoscopy w/biopsy (31535) |
$288 |
$360 |
0.1× |
| Ligate/strip long leg vein (37722) |
$1,375.20 |
$1,719 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$448.80 |
$561 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$526.40 |
$658 |
0.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$703.20 |
$879 |
0.2× |
| Liver Biopsy (47000) |
$264 |
$330 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,875.20 |
$3,594 |
0.5× |
| Mastectomy gynecomastia (19300) |
$949.60 |
$1,187 |
0.3× |
| Mastectomy partial (19301) |
$1,532 |
$1,915 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,136 |
$2,670 |
0.3× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,368.80 |
$2,961 |
0.4× |
| Myelography Lumbar Injection (62304) |
$1,504 |
$1,880 |
2.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$116 |
$145 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$284 |
$355 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$525.60 |
$657 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$847.20 |
$1,059 |
1.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$725.60 |
$907 |
0.2× |
| Ostectomy of sternum partial (21620) |
$776 |
$970 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$671.12 |
$838.90 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$517.12 |
$646.40 |
0.2× |
| Penile Plethysmography (54240) |
$152.80 |
$191 |
0.8× |
| Peritoneal Lavage (49084) |
$264.80 |
$331 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$253.60 |
$317 |
0.4× |
| Perq device breast 1st imag (19281) |
$203.60 |
$254.50 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$125.60 |
$157 |
0.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$132 |
$165 |
0.2× |
| Phleb Veins - Extrem 20+ (37766) |
$1,467.20 |
$1,834 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$144.80 |
$181 |
0.3× |
| Placement of seton (46020) |
$568.80 |
$711 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$2,064 |
$2,580 |
1.1× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$15,236 |
$19,045 |
1.5× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
likely a partial charge, not the full procedure |
$1,280 |
$1,600 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$185.60 |
$232 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$80.80 |
$101 |
0.2× |
| Puncture Aspiration (10160) |
$158 |
$197.50 |
0.4× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$1,531.20 |
$1,914 |
0.6× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$2,055.20 |
$2,569 |
0.8× |
| Removal fb intranasal (30300) |
$245.60 |
$307 |
2.0× |
| Removal foreign body foot deep (28192) |
$750.40 |
$938 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$336 |
$420 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$356.80 |
$446 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22 |
$27.50 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50.40 |
$63 |
0.9× |
| Removal Intact Mammary Implant (19328) |
$837.60 |
$1,047 |
0.2× |
| Removal of anal fissure (46200) |
$685.60 |
$857 |
0.3× |
| Removal of arm foreign body (24200) |
$351.20 |
$439 |
0.2× |
| Removal of nail bed (11750) |
$441.60 |
$552 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$189.60 |
$237 |
1.0× |
| Removal of sperm cord lesion (55520) |
$704 |
$880 |
0.2× |
| Remove anal fist subq (46270) |
$924.80 |
$1,156 |
0.4× |
| Remove by ligat int hem grp (46945) |
$511.20 |
$639 |
0.2× |
| Remove foreign body from eye (65210) |
$126.40 |
$158 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$1,073.60 |
$1,342 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$698.40 |
$873 |
0.3× |
| Remove shoulder foreign body (23330) |
$440.80 |
$551 |
0.3× |
| Remove wrist tendon lesion (25111) |
$766.40 |
$958 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$231.20 |
$289 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$93.60 |
$117 |
0.7× |
| Repair anorectal fistula w/plug (46707) |
$1,118.40 |
$1,398 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,167.20 |
$1,459 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$356 |
$445 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,067.20 |
$1,334 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$692 |
$865 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$964.40 |
$1,205.50 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$563.20 |
$704 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$790.80 |
$988.50 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$314.40 |
$393 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$309.60 |
$387 |
0.4× |
| Repair finger tendon (26432) |
$802.40 |
$1,003 |
0.5× |
| Repair forearm tendon/muscle (25270) |
$1,344 |
$1,680 |
0.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,396.80 |
$1,746 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,581.60 |
$1,977 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,312 |
$1,640 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,557.60 |
$1,947 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$443.20 |
$554 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$428 |
$535 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$526.40 |
$658 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$503.20 |
$629 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$547.20 |
$684 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$381.60 |
$477 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$485.20 |
$606.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$344 |
$430 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$480 |
$600 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$247.20 |
$309 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$469.60 |
$587 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$663.20 |
$829 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$605.20 |
$756.50 |
1.6× |
| Repair Of Foot Tendon (28208) |
$484 |
$605 |
0.2× |
| Repair of nail bed (11760) |
$350 |
$437.50 |
0.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$641.60 |
$802 |
0.2× |
| Replace duod/jej tube perc (49451) |
$672 |
$840 |
0.8× |
| Replace g/c tube perc (49450) |
$206.40 |
$258 |
0.2× |
| Rerepair fem hernia blocked (49557) |
$1,449.60 |
$1,812 |
0.4× |
| Rerepair fem hernia reduce (49555) |
$920 |
$1,150 |
0.3× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,434.40 |
$1,793 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,549.60 |
$1,937 |
0.5× |
| Resect leg/ankle tum < 5 cm (27615) |
$2,240 |
$2,800 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$949.60 |
$1,187 |
0.5× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$2,849.60 |
$3,562 |
0.9× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$956 |
$1,195 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$171.20 |
$214 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$101.60 |
$127 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$548 |
$685 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$486.80 |
$608.50 |
0.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$979.60 |
$1,224.50 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$541.60 |
$677 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$471.20 |
$589 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,145.60 |
$1,432 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$876 |
$1,095 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$729.60 |
$912 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$511.20 |
$639 |
0.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$859.20 |
$1,074 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$642.40 |
$803 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$282.40 |
$353 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$467.20 |
$584 |
0.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$314.40 |
$393 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$237.60 |
$297 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$358.40 |
$448 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$187.20 |
$234 |
0.2× |
| Simple destruction of growth of penis using electric current (54055) |
$148.80 |
$186 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$190.40 |
$238 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$279.20 |
$349 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$397.20 |
$496.50 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$463.20 |
$579 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$328.80 |
$411 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$300 |
$375 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$224.50 |
$280.62 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$215.20 |
$269 |
1.1× |
| Skin splt grft trnk/arm/leg (15100) |
$1,780.80 |
$2,226 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,977.60 |
$2,472 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,437.60 |
$1,797 |
2.1× |
| Skin Tissue Procedure (17999) |
$140 |
$175 |
0.7× |
| Skin tissue rearrangement (14040) |
$1,604.80 |
$2,006 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,654.40 |
$2,068 |
0.5× |
| Small Bowel Endoscopy (44373) |
$516.80 |
$646 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$257.60 |
$322 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$430.40 |
$538 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$238.40 |
$298 |
0.6× |
| Sphincterotomy (46080) |
$389.60 |
$487 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$868.80 |
$1,086 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$895.20 |
$1,119 |
1.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,272.80 |
$1,591 |
0.4× |
| Strapping ankle (29540) |
$228 |
$285 |
1.5× |
| Strapping elbow/wrist (29260) |
$242.40 |
$303 |
4.4× |
| Strapping hand/finger (29280) |
$242.40 |
$303 |
4.4× |
| Strapping knee (29530) |
$168 |
$210 |
1.3× |
| Strapping shoulder (29240) |
$194.80 |
$243.50 |
1.6× |
| Strapping toes (29550) |
$28.80 |
$36 |
0.5× |
| Strapping unna boot (29580) |
$148.80 |
$186 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$816.80 |
$1,021 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$696 |
$870 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$482.40 |
$603 |
0.8× |
| Thrombolytic Therapy, Stroke (37195) |
$313.60 |
$392 |
1.0× |
| Thyroid biopsy (60100) |
$704 |
$880 |
1.1× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,638.40 |
$2,048 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$578.40 |
$723 |
2.5× |
| Treat humerus fracture (24500) |
$442.40 |
$553 |
1.9× |
| Treat humerus fracture (23600) |
$492.80 |
$616 |
2.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$797.60 |
$997 |
0.5× |
| Treat wrist bone fracture (25622) |
$636.80 |
$796 |
2.8× |
| Treat Wrist Bone Fracture (25630) |
$668.80 |
$836 |
2.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$652.80 |
$816 |
2.8× |
| Trim skin lesion (11055) |
$98.40 |
$123 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$171.20 |
$214 |
0.9× |
| Trim skin lesions over 4 (11057) |
$250.40 |
$313 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$107.20 |
$134 |
1.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,114.40 |
$1,393 |
0.4× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$256 |
$320 |
0.0× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$1,484.80 |
$1,856 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,038.40 |
$1,298 |
0.2× |
Unlisted laparoscopy procedure, stomach (43659)
likely a partial charge, not the full procedure |
$1,380.80 |
$1,726 |
0.2× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$1,498.40 |
$1,873 |
0.3× |
| Unlisted procedure anus (46999) |
$464 |
$580 |
0.5× |
| Unlisted procedure neck or thorax (21899) |
$702.40 |
$878 |
3.2× |
| Unlisted Procedure Rectum (45999) |
$185.60 |
$232 |
0.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$624 |
$780 |
1.1× |
| Unlisted procedure, stomach (43999) |
$1,759.20 |
$2,199 |
2.1× |
| Vaginal delivery only (59409) |
$1,320.80 |
$1,651 |
0.4× |
| Vasectomy (55250) |
$539.20 |
$674 |
0.3× |
| Venipuncture (36415) |
$14.40 |
$18 |
1.5× |
| Wound Prep F/N/Hf/G (15004) |
$748.80 |
$936 |
2.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$585.60 |
$732 |
0.8× |