| Abd paracentesis w/imaging (49083) |
$923.70 |
$3,079 |
1.0× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$10,160.40 |
$33,868 |
0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$12,673.50 |
$42,245 |
0.7× |
| Adding Walker Previously Applied Cast (29440) |
$155.40 |
$518 |
0.9× |
| Amniocentesis diagnostic (59000) |
$858 |
$2,860 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$3,196.20 |
$10,654 |
0.9× |
| Anoscopy Ablation Lesion (46615) |
$2,701.20 |
$9,004 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$898.20 |
$2,994 |
0.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,862.40 |
$16,208 |
0.9× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$155.40 |
$518 |
0.9× |
| Application cast elbow finger short arm (29075) |
$261.60 |
$872 |
0.9× |
| Application Cast Finger (29086) |
$155.40 |
$518 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$86.70 |
$289 |
1.4× |
| Application finger splint static (29130) |
$127.20 |
$424 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$159.30 |
$531 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$261.60 |
$872 |
0.9× |
| Application Long Leg Splint (29505) |
$155.10 |
$517 |
0.9× |
| Application of cylinder cast (thigh to ankle) (29365) |
$261.60 |
$872 |
0.9× |
| Application of long leg cast (29345) |
$261.60 |
$872 |
0.9× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$261.60 |
$872 |
0.9× |
| Application Patellar Tendon Bearing Cast (29435) |
$261.60 |
$872 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$127.20 |
$424 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$127.20 |
$424 |
0.9× |
| Application short leg splint calf foot (29515) |
$155.40 |
$518 |
0.9× |
| Apply hand/wrist cast (29085) |
$155.40 |
$518 |
0.9× |
| Apply long arm cast (29065) |
$261.60 |
$872 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$155.40 |
$518 |
0.9× |
| Apply Short Leg Cast (29405) |
$261.60 |
$872 |
0.9× |
| Apply short leg cast (29425) |
$261.60 |
$872 |
0.9× |
| Apply shoulder cast,plastr velpeau (29058) |
$261.60 |
$872 |
0.9× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$3,853.50 |
$12,845 |
0.7× |
| Arterial puncture (36600) |
$127.20 |
$424 |
0.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,100.50 |
$10,335 |
0.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,324.70 |
$17,749 |
0.9× |
| Artery-vein autograft (36825) |
$5,324.70 |
$17,749 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$291 |
$970 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$291 |
$970 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$291 |
$970 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$291 |
$970 |
0.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,036.50 |
$23,455 |
0.9× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$3,196.20 |
$10,654 |
0.9× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,196.20 |
$10,654 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,033.20 |
$3,444 |
1.5× |
| Aspirate Pleura W/O Imaging (32554) |
$597.30 |
$1,991 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$291 |
$970 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,017.80 |
$6,726 |
0.9× |
| Av fusion/forearm vein (36820) |
$5,324.70 |
$17,749 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$195.90 |
$653 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,596 |
$5,320 |
0.9× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$3,399.90 |
$11,333 |
0.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,399.90 |
$11,333 |
0.9× |
| Biopsy Salivary Gland Needle (42400) |
$693 |
$2,310 |
0.9× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,596 |
$5,320 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$858 |
$2,860 |
0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$858 |
$2,860 |
0.9× |
| Biopsy/removal lymph nodes (38510) |
$3,771.90 |
$12,573 |
0.9× |
| Bladder Irrigation (51700) |
$224.40 |
$748 |
0.8× |
| Bladder Scan (51798) |
$58.80 |
$196 |
0.9× |
| Blepharoplasty Lower Eyelid (15820) |
$1,655.10 |
$5,517 |
0.7× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$1,655.10 |
$5,517 |
0.7× |
| Blepharoplasty upper eyelid (15822) |
$1,655.10 |
$5,517 |
0.7× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,655.10 |
$5,517 |
0.7× |
| Blepharotomy drainage abscess eyelid (67700) |
$310.80 |
$1,036 |
0.9× |
| Blood Transfusion Service (36430) |
$430.80 |
$1,436 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,596 |
$5,320 |
0.9× |
| Bone Marrow Harvest Autolog (38232) |
$4,614.90 |
$15,383 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,596 |
$5,320 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,478.40 |
$4,928 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,596 |
$5,320 |
0.9× |
| Bx Cervix (57500) |
$858 |
$2,860 |
0.9× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$5,171.40 |
$17,238 |
0.9× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,397.50 |
$11,325 |
0.9× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$3,399.90 |
$11,333 |
0.9× |
| Bx prostate transperineal ultrasound-guided (55709) |
$3,399.90 |
$11,333 |
0.9× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$3,399.90 |
$11,333 |
0.9× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$3,399.90 |
$11,333 |
0.9× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$3,399.90 |
$11,333 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$2,188.80 |
$7,296 |
0.9× |
| Cataract surgery complex (66982) |
$2,246.70 |
$7,489 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$224.40 |
$748 |
0.8× |
| Change of Windpipe Airway (31502) |
$228.90 |
$763 |
0.9× |
| Change ureter stent percut (50382) |
$2,017.80 |
$6,726 |
0.9× |
| Chemical Cautery Tissue (17250) |
$195.90 |
$653 |
0.9× |
| Chest tube placement (32551) |
$1,530 |
$5,100 |
0.9× |
| Chorionic Villus Sampling (59015) |
$858 |
$2,860 |
0.9× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,298 |
$7,660 |
0.9× |
| Circumcision Neonate (54160) |
$657.60 |
$2,192 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,017.80 |
$6,726 |
0.9× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,576.50 |
$5,255 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,576.50 |
$5,255 |
0.9× |
| Clear outer ear canal (69200) |
$127.20 |
$424 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$236.40 |
$788 |
0.9× |
| Closed Treatment Sternum Fracture (21820) |
$218.40 |
$728 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$236.40 |
$788 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,576.50 |
$5,255 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$218.40 |
$728 |
0.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$218.40 |
$728 |
0.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$218.40 |
$728 |
0.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,576.50 |
$5,255 |
0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$218.40 |
$728 |
0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$244.50 |
$815 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$236.40 |
$788 |
0.9× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,459.20 |
$4,864 |
0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$437.70 |
$1,459 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$218.40 |
$728 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,510.80 |
$5,036 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,459.20 |
$4,864 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,194.70 |
$10,649 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$236.40 |
$788 |
0.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$218.40 |
$728 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,576.50 |
$5,255 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$218.40 |
$728 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,576.50 |
$5,255 |
0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$218.40 |
$728 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,576.50 |
$5,255 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$218.40 |
$728 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$236.40 |
$788 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,576.50 |
$5,255 |
0.9× |
| Closed tx talus fracture w/o manipulation (28430) |
$218.40 |
$728 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$236.40 |
$788 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,576.50 |
$5,255 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$218.40 |
$728 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$218.40 |
$728 |
0.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$228.90 |
$763 |
0.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$501.60 |
$1,672 |
0.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,576.50 |
$5,255 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$218.40 |
$728 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$236.40 |
$788 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$236.40 |
$788 |
0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$218.40 |
$728 |
0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$236.40 |
$788 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$236.40 |
$788 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$218.40 |
$728 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$236.40 |
$788 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$218.40 |
$728 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$218.40 |
$728 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$236.40 |
$788 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$218.40 |
$728 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$218.40 |
$728 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$236.40 |
$788 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$218.40 |
$728 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$218.40 |
$728 |
0.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$236.40 |
$788 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$236.40 |
$788 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$236.40 |
$788 |
0.9× |
| Cltx Medial Ankle Fx (27760) |
$218.40 |
$728 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$236.40 |
$788 |
0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$218.40 |
$728 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$218.40 |
$728 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$218.40 |
$728 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$218.40 |
$728 |
0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$236.40 |
$788 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$236.40 |
$788 |
0.9× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$218.40 |
$728 |
0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$236.40 |
$788 |
0.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$218.40 |
$728 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$218.40 |
$728 |
0.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$236.40 |
$788 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,576.50 |
$5,255 |
0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$310.80 |
$1,036 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$127.20 |
$424 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$8.40 |
$28 |
0.9× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,161.60 |
$3,872 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,161.60 |
$3,872 |
0.9× |
| Colonoscopy w/ablation (45388) |
$1,161.60 |
$3,872 |
0.9× |
| Colonoscopy W/Band Ligation (45398) |
$1,161.60 |
$3,872 |
0.9× |
| Colpocentesis (57020) |
$4,862.40 |
$16,208 |
0.9× |
| Colporrhaphy (57200) |
$3,132 |
$10,440 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$299.70 |
$999 |
0.9× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$299.70 |
$999 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$198.30 |
$661 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$299.70 |
$999 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$299.70 |
$999 |
0.9× |
| Colposcopy of vulva (56820) |
$198.30 |
$661 |
0.9× |
| Colposcopy Vulva W/Biopsy (56821) |
$299.70 |
$999 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$858 |
$2,860 |
0.9× |
| Complex drainage wound (10180) |
$2,819.10 |
$9,397 |
0.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,132 |
$10,440 |
0.9× |
| Conization of cervix (57520) |
$3,132 |
$10,440 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$118.80 |
$396 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$127.20 |
$424 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,596 |
$5,320 |
0.9× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$116.70 |
$389 |
0.8× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$58.80 |
$196 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$310.80 |
$1,036 |
2.2× |
| Curettage postpartum (59160) |
$3,132 |
$10,440 |
0.9× |
| Cysto w/destruction of lesions (52214) |
$3,397.50 |
$11,325 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$3,397.50 |
$11,325 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,017.80 |
$6,726 |
0.9× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$9,108.30 |
$30,361 |
0.9× |
| Cystourethroscopy (52000) |
$657.60 |
$2,192 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$603 |
$2,010 |
1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$603 |
$2,010 |
0.8× |
| Debride nail 1-5 (11720) |
$66.90 |
$223 |
1.1× |
| Debride nail 6 or more (11721) |
$66.90 |
$223 |
1.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,596 |
$5,320 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$195.90 |
$653 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$393.60 |
$1,312 |
0.9× |
| Decompression of tibia nerve (28035) |
$1,923.60 |
$6,412 |
0.9× |
| Delivery of placenta (59414) |
$3,132 |
$10,440 |
0.9× |
| Derma-fat-fascia graft (15770) |
$3,606 |
$12,020 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$1,923.60 |
$6,412 |
0.9× |
| Destroy lumb/sac facet jnt (64635) |
$1,923.60 |
$6,412 |
0.9× |
| Destruct B9 Lesion 1-14 (17110) |
$195.90 |
$653 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$195.90 |
$653 |
0.9× |
| Destruction of rectal tumor transanal approach (45190) |
$2,701.20 |
$9,004 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$393.60 |
$1,312 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$195.90 |
$653 |
0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,132 |
$10,440 |
0.9× |
| Drain ant chmbr,remv vitreous (65810) |
$2,124.90 |
$7,083 |
0.9× |
| Drain Hand Tendon Sheath (26020) |
$3,196.20 |
$10,654 |
0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,596 |
$5,320 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$693 |
$2,310 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,596 |
$5,320 |
0.9× |
| Drainage of finger abscess simple (26010) |
$195.90 |
$653 |
0.9× |
| Drainage of gum lesion (41800) |
$127.20 |
$424 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$1,596 |
$5,320 |
0.9× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$2,017.80 |
$6,726 |
0.9× |
| Drainage of rectal abscess (45005) |
$1,161.60 |
$3,872 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,596 |
$5,320 |
0.9× |
| Drainage of scrotum (54700) |
$2,017.80 |
$6,726 |
0.9× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,017.80 |
$6,726 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$127.20 |
$424 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$393.60 |
$1,312 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$195.90 |
$653 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.90 |
$653 |
0.9× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$1,801.80 |
$6,006 |
0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,868.70 |
$6,229 |
0.9× |
| Embedded ip cath exit-site (49436) |
$1,868.70 |
$6,229 |
0.9× |
| Endocervical curettage (57505) |
$858 |
$2,860 |
0.9× |
| Endometrial Biopsy (58100) |
$198.30 |
$661 |
0.9× |
| Endoscopic plantar fasciotomy (29893) |
$3,196.20 |
$10,654 |
0.9× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,868.70 |
$6,229 |
0.9× |
| Epidural Blood Patch (62273) |
$682.20 |
$2,274 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$3,132 |
$10,440 |
0.9× |
| Escharotomy; initial incision (16035) |
$422.70 |
$1,409 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$1,868.70 |
$6,229 |
0.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,868.70 |
$6,229 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$127.20 |
$424 |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,596 |
$5,320 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$693 |
$2,310 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,596 |
$5,320 |
0.9× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
$5,826.90 |
$19,423 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$693 |
$2,310 |
0.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$693 |
$2,310 |
0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$693 |
$2,310 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,596 |
$5,320 |
0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,596 |
$5,320 |
0.9× |
| Exc Frenum Labial/Buccal (40819) |
$1,390.50 |
$4,635 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,596 |
$5,320 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$693 |
$2,310 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,596 |
$5,320 |
0.9× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$1,923.60 |
$6,412 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$693 |
$2,310 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,596 |
$5,320 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,819.10 |
$9,397 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,596 |
$5,320 |
0.9× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,819.10 |
$9,397 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,819.10 |
$9,397 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,161.60 |
$3,872 |
0.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$393.60 |
$1,312 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$693 |
$2,310 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,596 |
$5,320 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,819.10 |
$9,397 |
0.9× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,596 |
$5,320 |
0.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$2,819.10 |
$9,397 |
0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,596 |
$5,320 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,819.10 |
$9,397 |
0.9× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$3,397.50 |
$11,325 |
0.9× |
| Excision Bone Mandible (21025) |
$5,826.90 |
$19,423 |
0.9× |
| Excision Chalazion Single (67800) |
$294.60 |
$982 |
0.9× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,819.10 |
$9,397 |
0.9× |
| Excision Facial Bone (21026) |
$5,826.90 |
$19,423 |
0.9× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$2,298 |
$7,660 |
0.9× |
| Excision Nasal Polyp Extensive (30115) |
$3,194.70 |
$10,649 |
0.9× |
| Excision nasal polyp(s) simple (30110) |
$1,459.20 |
$4,864 |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$3,132 |
$10,440 |
0.9× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
$4,862.40 |
$16,208 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,576.50 |
$5,255 |
0.9× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,923.60 |
$6,412 |
0.9× |
| Excision of sublingual gland (42450) |
$5,826.90 |
$19,423 |
0.9× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,826.90 |
$19,423 |
0.9× |
| Excision of vaginal cyst or tumor (57135) |
$3,132 |
$10,440 |
0.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
$6,146.10 |
$20,487 |
0.9× |
| Excision olecranon bursa (24105) |
$3,196.20 |
$10,654 |
0.9× |
| Excision or fulguration; Skene's glands Facility (53270) |
$3,397.50 |
$11,325 |
0.9× |
| Excision Radial Head (24130) |
$3,196.20 |
$10,654 |
0.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,819.10 |
$9,397 |
0.9× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$5,746.80 |
$19,156 |
0.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,819.10 |
$9,397 |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,596 |
$5,320 |
0.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,596 |
$5,320 |
0.9× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,576.50 |
$5,255 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,819.10 |
$9,397 |
0.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,194.70 |
$10,649 |
0.9× |
| Excision/destruction lesion pharynx any method (42808) |
$3,194.70 |
$10,649 |
0.9× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$2,298 |
$7,660 |
0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,801.80 |
$6,006 |
0.8× |
| Exploration penetrating wound spx chest (20101) |
$1,801.80 |
$6,006 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,596 |
$5,320 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$501.60 |
$1,672 |
0.9× |
| External cephalic version (59412) |
$3,132 |
$10,440 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$198.30 |
$661 |
0.9× |
| Fetal non-stress test (59025) |
$198.30 |
$661 |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$693 |
$2,310 |
0.9× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$693 |
$2,310 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$393.60 |
$1,312 |
0.9× |
| Fixation contralateral testis separate procedure (54620) |
$3,397.50 |
$11,325 |
0.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$693 |
$2,310 |
0.9× |
| Fna bx w/us gdn 1st les (10005) |
$693 |
$2,310 |
0.9× |
| Foreskin manipulation (54450) |
$262.20 |
$874 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$3,194.70 |
$10,649 |
0.9× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$2,246.70 |
$7,489 |
0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,801.80 |
$6,006 |
0.8× |
| Gastrocnemius recession (27687) |
$3,196.20 |
$10,654 |
0.9× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$4,864.80 |
$16,216 |
1.2× |
| Goniotomy (65820) |
$3,853.50 |
$12,845 |
0.9× |
| Grafting of autologous soft tiss by direct exc (15769) |
$3,606 |
$12,020 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$693 |
$2,310 |
0.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,701.20 |
$9,004 |
0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,701.20 |
$9,004 |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,701.20 |
$9,004 |
0.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$898.20 |
$2,994 |
0.9× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,132 |
$10,440 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,132 |
$10,440 |
0.9× |
| I&d abscess peritonsillar (42700) |
$228.90 |
$763 |
0.9× |
| I&d abscess simple (10060) |
$195.90 |
$653 |
0.9× |
| I&d perianal abscess superficial (46050) |
$898.20 |
$2,994 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$693 |
$2,310 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$693 |
$2,310 |
0.9× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,819.10 |
$9,397 |
0.9× |
| Implant neuroelectrodes (63650) |
$6,464.70 |
$21,549 |
0.9× |
| Incise external hemorrhoid (46083) |
$224.40 |
$748 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$393.60 |
$1,312 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,596 |
$5,320 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$393.60 |
$1,312 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$198.30 |
$661 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$299.70 |
$999 |
0.9× |
| Incision of Foot Tendon (28234) |
$1,576.50 |
$5,255 |
0.9× |
| Incision of labial frenum (frenotomy) (40806) |
$501.60 |
$1,672 |
0.9× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,459.20 |
$4,864 |
0.9× |
| Incision of rectal abscess (46040) |
$1,161.60 |
$3,872 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$603 |
$2,010 |
0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$195.90 |
$653 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$840.60 |
$2,802 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$291 |
$970 |
0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$840.60 |
$2,802 |
0.9× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$898.20 |
$2,994 |
0.9× |
| Injection single tendon origin/insertion (20551) |
$291 |
$970 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$291 |
$970 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$291 |
$970 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$291 |
$970 |
0.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$840.60 |
$2,802 |
0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$654 |
$2,180 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$682.20 |
$2,274 |
0.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$195.90 |
$653 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$195.90 |
$653 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$154.20 |
$514 |
1.1× |
| Insert cath pleura w/o image (32556) |
$1,868.70 |
$6,229 |
0.9× |
| Insert cervical dilator (59200) |
$299.70 |
$999 |
0.9× |
| Insert Drug Implant Device (11981) |
$116.70 |
$389 |
0.8× |
| Insert multi-comp penis pros (54405) |
$19,826.10 |
$66,087 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$3,100.50 |
$10,335 |
0.9× |
| Insert pessary/other device (57160) |
$198.30 |
$661 |
0.9× |
| Insert semi-rigid prosthesis (54400) |
$12,797.40 |
$42,658 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$127.20 |
$424 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.20 |
$424 |
0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,100.50 |
$10,335 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,530 |
$5,100 |
0.9× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$30,015.90 |
$100,053 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,886.70 |
$26,289 |
0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,701.20 |
$9,004 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$393.60 |
$1,312 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$393.60 |
$1,312 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$391.20 |
$1,304 |
1.5× |
| Iridoplasty photocoagulation 1/> sessions (66762) |
$530.10 |
$1,767 |
0.9× |
| Iridotomy/irridectomy laser surg per session (66761) |
$540.30 |
$1,801 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$256.80 |
$856 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$5,746.80 |
$19,156 |
0.9× |
| Laparoscopic myomectomy (58545) |
$5,746.80 |
$19,156 |
0.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,254.90 |
$34,183 |
0.9× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,254.90 |
$34,183 |
0.9× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$5,746.80 |
$19,156 |
0.9× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$5,746.80 |
$19,156 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$180.60 |
$602 |
0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$382.50 |
$1,275 |
0.9× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$310.80 |
$1,036 |
1.5× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$530.10 |
$1,767 |
0.9× |
| Late closure of wound (13160) |
$1,801.80 |
$6,006 |
0.5× |
| Ligation of hemorrhoids (46946) |
$2,701.20 |
$9,004 |
0.9× |
| Lyse chest fibrin init day (32561) |
$609 |
$2,030 |
0.9× |
| Lysis of labial adhesions (56441) |
$3,132 |
$10,440 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,017.80 |
$6,726 |
0.9× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,196.20 |
$10,654 |
0.9× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,132 |
$10,440 |
0.9× |
| Maternity Care Procedure (59899) |
$198.30 |
$661 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$3,100.50 |
$10,335 |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$3,606 |
$12,020 |
0.9× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,132 |
$10,440 |
0.9× |
| N block inj intercost sng (64420) |
$654 |
$2,180 |
0.9× |
| N Block Inj Plantar Digit (64455) |
$291 |
$970 |
0.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,631.80 |
$12,106 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,698.60 |
$5,662 |
0.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$6,818.70 |
$22,729 |
0.9× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$6,818.70 |
$22,729 |
0.9× |
| Needle Biopsy Pancreas (48102) |
$1,596 |
$5,320 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24.30 |
$81 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$24.30 |
$81 |
0.8× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$6,308.10 |
$21,027 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$393.90 |
$1,313 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$291 |
$970 |
0.9× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$278.70–$291 |
$929–$970 |
varies |
| Open treatment metatarsal fracture each (28485) |
$7,036.50 |
$23,455 |
0.9× |
| Open treatment of mandibular condylar fracture Facility (21465) |
$5,826.90 |
$19,423 |
0.9× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,036.50 |
$23,455 |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,036.50 |
$23,455 |
0.9× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$3,714.60 |
$12,382 |
0.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,476.10 |
$11,587 |
0.9× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,132 |
$10,440 |
0.9× |
| Partial removal of thyroid (60220) |
$5,746.80 |
$19,156 |
0.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,746.80 |
$19,156 |
0.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,132 |
$10,440 |
0.9× |
| Penile Injection (54235) |
$261.90 |
$873 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$693 |
$2,310 |
0.9× |
| Peritoneal Lavage (49084) |
$923.70 |
$3,079 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$693 |
$2,310 |
0.9× |
| Perq device breast 1st imag (19281) |
$1,596 |
$5,320 |
0.9× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,746.80 |
$19,156 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$393.30 |
$1,311 |
0.8× |
| Placement of seton (46020) |
$2,701.20 |
$9,004 |
0.9× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,862.40 |
$16,208 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$898.20 |
$2,994 |
0.9× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,701.20 |
$9,004 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$393.60 |
$1,312 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$393.60 |
$1,312 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$693 |
$2,310 |
0.9× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$2,819.10 |
$9,397 |
0.9× |
| Reconstruct Finger Joint (26548) |
$3,196.20 |
$10,654 |
0.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$294.60 |
$982 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$1,333.20 |
$4,444 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,529.70 |
$5,099 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$693 |
$2,310 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,596 |
$5,320 |
0.9× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,196.20 |
$10,654 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,819.10 |
$9,397 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58.80 |
$196 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58.80 |
$196 |
0.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,132 |
$10,440 |
0.9× |
| Removal Implant Deep (20680) |
$2,819.10 |
$9,397 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,596 |
$5,320 |
0.9× |
| Removal implantable contraceptive capsules (11976) |
$693 |
$2,310 |
0.9× |
| Removal of ankle implant (27704) |
$3,196.20 |
$10,654 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$393.30 |
$1,311 |
0.8× |
| Removal of nail bed (11750) |
$393.60 |
$1,312 |
0.9× |
| Removal of sperm cord lesion (55520) |
$3,397.50 |
$11,325 |
0.9× |
| Removal or bivalving full arm or full leg cast (29705) |
$261.60 |
$872 |
0.9× |
| Removal peritoneal-venous shunt (49429) |
$3,100.50 |
$10,335 |
0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$195.90 |
$653 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$261.60 |
$872 |
0.9× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,017.80 |
$6,726 |
0.9× |
| Remove drug implant device (11982) |
$393.30 |
$1,311 |
0.8× |
| Remove foreign body from eye (65235) |
$2,153.10 |
$7,177 |
0.9× |
| Remove foreign body from eye (65205) |
$127.20 |
$424 |
0.9× |
| Remove Intrauterine Device (58301) |
$299.70 |
$999 |
0.9× |
| Remove intrvas foreign body (37197) |
$3,100.50 |
$10,335 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$127.20 |
$424 |
0.9× |
| Remove prostate regrowth (52630) |
$5,007.30 |
$16,691 |
0.9× |
| Remove renal tube w/fluoro (50389) |
$657.60 |
$2,192 |
0.9× |
| Remove Shoulder Foreign Body (23330) |
$1,596 |
$5,320 |
0.9× |
| Remove/Insert Drug Implant (11983) |
$363.30 |
$1,211 |
0.8× |
| Remove/replace penis prosth (54410) |
$19,826.10 |
$66,087 |
0.9× |
| Renal Biopsy Perq (50200) |
$1,596 |
$5,320 |
0.9× |
| Reopen fallopian tube (58350) |
$4,862.40 |
$16,208 |
0.9× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,906.40 |
$9,688 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$603 |
$2,010 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$603 |
$2,010 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$393.60 |
$1,312 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$603 |
$2,010 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$603 |
$2,010 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$507.30 |
$1,691 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$603 |
$2,010 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,576.50 |
$5,255 |
0.9× |
| Repair Finger/Hand Tendon (26350) |
$3,196.20 |
$10,654 |
0.9× |
| Repair Fistula Oromaxillary (30580) |
$5,826.90 |
$19,423 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$603 |
$2,010 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$603 |
$2,010 |
0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,659.60 |
$5,532 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$603 |
$2,010 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$393.60 |
$1,312 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,659.60 |
$5,532 |
0.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$5,826.90 |
$19,423 |
0.9× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$7,036.50 |
$23,455 |
0.9× |
| Repair of nail bed (11760) |
$603 |
$2,010 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,036.50 |
$23,455 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,036.50 |
$23,455 |
0.9× |
| Repair paravag defect vag (57285) |
$7,284 |
$24,280 |
0.9× |
| Repair tongue laceration (41252) |
$436.50 |
$1,455 |
1.7× |
| Repair tongue laceration (41250) |
$393.30 |
$1,311 |
0.8× |
| Repair/Graft Wrist Bone (25440) |
$7,036.50 |
$23,455 |
0.9× |
| Revise hernia & sperm veins (55540) |
$3,476.10 |
$11,587 |
0.9× |
| Revise Lower Leg Tendons (27686) |
$3,196.20 |
$10,654 |
0.9× |
| Revision of lower leg tendon (27685) |
$3,196.20 |
$10,654 |
0.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$501.60 |
$1,672 |
0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$923.70 |
$3,079 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$393.30 |
$1,311 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$127.20 |
$424 |
0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$393.30 |
$1,311 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,161.60 |
$3,872 |
0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,819.10 |
$9,397 |
0.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,819.10 |
$9,397 |
0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,596 |
$5,320 |
0.9× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,246.70 |
$7,489 |
0.9× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$261.60 |
$872 |
0.9× |
| Rmvl/revj sling stress incontinence (57287) |
$3,132 |
$10,440 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$224.40 |
$748 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$224.40 |
$748 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,530 |
$5,100 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$195.90 |
$653 |
0.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$603 |
$2,010 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$228.90 |
$763 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$501.60 |
$1,672 |
0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$501.60 |
$1,672 |
0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,459.20 |
$4,864 |
0.9× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$3,196.20 |
$10,654 |
0.9× |
| Scrotal exploration (55110) |
$3,397.50 |
$11,325 |
0.9× |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
$530.10 |
$1,767 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$195.90 |
$653 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$195.90 |
$653 |
0.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,161.60 |
$3,872 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$393.60 |
$1,312 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$195.90 |
$653 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$195.90 |
$653 |
0.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$393.60 |
$1,312 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$195.90 |
$653 |
0.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$310.80 |
$1,036 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$195.90 |
$653 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$195.90 |
$653 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$195.90 |
$653 |
0.9× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$5,826.90 |
$19,423 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,801.80 |
$6,006 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,801.80 |
$6,006 |
2.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,868.70 |
$6,229 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$195.90 |
$653 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$393.60 |
$1,312 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$393.60 |
$1,312 |
0.9× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,701.20 |
$9,004 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$682.20 |
$2,274 |
0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,606 |
$12,020 |
0.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,801.80 |
$6,006 |
0.8× |
| Strapping ankle (29540) |
$155.40 |
$518 |
0.9× |
| Strapping elbow or wrist (29260) |
$54.90 |
$183 |
0.9× |
| Strapping hand/finger (29280) |
$54.90 |
$183 |
0.9× |
| Strapping Hip (29520) |
$127.20 |
$424 |
0.9× |
| Strapping knee (29530) |
$127.20 |
$424 |
0.9× |
| Strapping shoulder (29240) |
$127.20 |
$424 |
0.9× |
| Strapping thorax (29200) |
$155.40 |
$518 |
0.9× |
| Strapping toes (29550) |
$86.70 |
$289 |
1.4× |
| Strapping Unna Boot (29580) |
$155.40 |
$518 |
0.9× |
| Suture pharynx for wound or injury (42900) |
$1,459.20 |
$4,864 |
0.9× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$603 |
$2,010 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$7,036.50 |
$23,455 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,465.50 |
$4,885 |
0.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,196.20 |
$10,654 |
0.9× |
| Therapeutic plasma exchange (36514) |
$1,614.90 |
$5,383 |
1.0× |
| Thyroid biopsy (60100) |
$693 |
$2,310 |
0.9× |
| Tooth extraction (41899) |
$228.90 |
$763 |
0.9× |
| Trabeculoplasty by laser surgery (65855) |
$540.30 |
$1,801 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$531.30 |
$1,771 |
2.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,459.20 |
$4,864 |
0.9× |
| Translum Dil Eye Canal (66174) |
$3,962.40 |
$13,208 |
0.9× |
| Treat humerus fracture (24500) |
$218.40 |
$728 |
0.8× |
| Treat Humerus Fracture (24505) |
$1,576.50 |
$5,255 |
0.9× |
| Treat humerus fracture (23600) |
$218.40 |
$728 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$236.40 |
$788 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$218.40 |
$728 |
0.8× |
| Treat Thumb Dislocation (26641) |
$236.40 |
$788 |
0.9× |
| Treat Thumb Fracture (26645) |
$1,576.50 |
$5,255 |
0.9× |
| Treat toe dislocation (28630) |
$236.40 |
$788 |
0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,576.50 |
$5,255 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$236.40 |
$788 |
0.9× |
| Trim skin lesion (11055) |
$195.90 |
$653 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$195.90 |
$653 |
0.9× |
| Trim skin lesions over 4 (11057) |
$195.90 |
$653 |
0.9× |
| Trimming Nondystrophic Nails Any Number (11719) |
$58.80 |
$196 |
0.9× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,614.90 |
$5,383 |
1.0× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,698.60 |
$5,662 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$283.50 |
$945 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,132 |
$10,440 |
0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,132 |
$10,440 |
0.9× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,132 |
$10,440 |
0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,596 |
$5,320 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$603 |
$2,010 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$393.60 |
$1,312 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,576.50 |
$5,255 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$218.40 |
$728 |
0.8× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$228.90 |
$763 |
0.9× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$198.30 |
$661 |
0.9× |
| Unlisted laparoscopic procedure liver (47379) |
$5,746.80 |
$19,156 |
0.9× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$5,746.80 |
$19,156 |
0.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,746.80 |
$19,156 |
0.9× |
| Unlisted laparoscopy procedure, uterus (58578) |
$5,746.80 |
$19,156 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$155.40 |
$518 |
0.9× |
| Unlisted procedure femur or knee (27599) |
$236.40 |
$788 |
0.9× |
| Unlisted Procedure Leg/Ankle (27899) |
$236.40 |
$788 |
0.9× |
| Unlisted Procedure Male Genital System (55899) |
$239.40 |
$798 |
0.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$236.40 |
$788 |
0.9× |
| Unlisted Procedure Rectum (45999) |
$898.20 |
$2,994 |
0.9× |
| Unlisted Procedure Trachea Bronchi (31899) |
$371.70 |
$1,239 |
1.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$923.70 |
$3,079 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$239.40 |
$798 |
0.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$198.30 |
$661 |
0.9× |
| Uvulectomy excision of uvula (42140) |
$3,194.70 |
$10,649 |
0.9× |
| Vag hyst w/t/o & vag repair (58263) |
$4,862.40 |
$16,208 |
0.9× |
| Vaginal delivery only (59409) |
$3,132 |
$10,440 |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,862.40 |
$16,208 |
0.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$4,862.40 |
$16,208 |
0.9× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$3,132 |
$10,440 |
0.9× |
| Vein Access Cutdown < 1 Yr (36420) |
$239.10 |
$797 |
1.7× |
| Venous Cutdown >1 Y/O (36425) |
$393.30 |
$1,311 |
0.8× |
| Vulvectomy simple partial (56620) |
$3,132 |
$10,440 |
0.9× |
| Wedge excision skin nail fold (11765) |
$393.60 |
$1,312 |
0.9× |
| Wedging of cast (29740) |
$261.60 |
$872 |
0.9× |
| Windowing of cast (29730) |
$155.40 |
$518 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$603 |
$2,010 |
1.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,801.80 |
$6,006 |
2.3× |