| Abd paracentesis w/imaging (49083) |
$502 |
$502 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$324 |
$324 |
0.3× |
| Abdomen Surgery Procedure (22999) |
$1,124 |
$1,124 |
4.1× |
| Acne surgery (10040) |
$259 |
$259 |
1.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,606 |
$1,606 |
0.7× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,918 |
$1,918 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,928 |
$1,928 |
0.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,756 |
$1,756 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,258 |
$2,258 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,559 |
$1,559 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,164 |
$1,164 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$971 |
$971 |
0.3× |
| Amputation foot transmetarsal (28805) |
$2,110 |
$2,110 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$1,572 |
$1,572 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$1,474 |
$1,474 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,718 |
$1,718 |
0.5× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$2,274 |
$2,274 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$1,086 |
$1,086 |
0.3× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$823 |
$823 |
0.2× |
| Anoscopy diagnostic (46600) |
$209 |
$209 |
1.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$195 |
$195 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) likely a partial charge, not the full procedure |
$1,615 |
$1,615 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,546 |
$1,546 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$219 |
$219 |
1.2× |
| Application cast elbow finger short arm (29075) |
$283 |
$283 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$340 |
$340 |
1.1× |
| Application finger splint static (29130) |
$129 |
$129 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$272 |
$272 |
1.5× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) likely a partial charge, not the full procedure |
$2,751 |
$2,751 |
0.2× |
| Application of long leg cast (29345) |
$456 |
$456 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$279.50 |
$279.50 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$186 |
$186 |
1.3× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$967 |
$967 |
0.1× |
| Apply Hand/Wrist Cast (29085) |
$155 |
$155 |
0.9× |
| Apply long leg splint (29505) |
$292 |
$292 |
1.6× |
| Apply short leg cast (29405) |
$349 |
$349 |
1.1× |
| Apply short leg cast (29425) |
$258 |
$258 |
0.8× |
| Apply short leg splint (29515) |
$225 |
$225 |
1.2× |
| Arterial puncture (36600) |
$409.50 |
$409.50 |
2.8× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$2,034 |
$2,034 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$206 |
$206 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$201 |
$201 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$242 |
$242 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$242 |
$242 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$199 |
$199 |
0.6× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$2,511 |
$2,511 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$929 |
$929 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,447 |
$1,447 |
0.2× |
Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$1,301 |
$1,301 |
0.1× |
Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$1,527 |
$1,527 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) likely a partial charge, not the full procedure |
$707 |
$707 |
0.0× |
Arthrodesis; subtalar (28725) likely a partial charge, not the full procedure |
$1,397 |
$1,397 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$3,538 |
$3,538 |
0.2× |
Arthroplasty patella w/prosthesis (27438) likely a partial charge, not the full procedure |
$1,436 |
$1,436 |
0.1× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) likely a partial charge, not the full procedure |
$2,618 |
$2,618 |
0.2× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) likely a partial charge, not the full procedure |
$1,137 |
$1,137 |
0.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$946 |
$946 |
0.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,436 |
$2,436 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,909 |
$1,909 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,085 |
$1,085 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,017 |
$1,017 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$846 |
$846 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$856 |
$856 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$856 |
$856 |
0.2× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,157 |
$1,157 |
0.3× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) likely a partial charge, not the full procedure |
$1,295 |
$1,295 |
0.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,232 |
$1,232 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$853 |
$853 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,634 |
$2,634 |
0.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,469 |
$2,469 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,239 |
$2,239 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,869 |
$1,869 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,568 |
$2,568 |
0.7× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,549 |
$2,549 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,645 |
$2,645 |
0.3× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,117 |
$2,117 |
0.6× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Facility (28050) |
$775 |
$775 |
0.2× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$924 |
$924 |
0.3× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) likely a partial charge, not the full procedure |
$2,357 |
$2,357 |
0.3× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$928 |
$928 |
0.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$1,377 |
$1,377 |
0.4× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$942 |
$942 |
0.3× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$1,056 |
$1,056 |
0.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,148 |
$4,148 |
0.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,304 |
$2,304 |
0.6× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,099 |
$1,099 |
0.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$631 |
$631 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,283 |
$1,283 |
0.4× |
| Artificial Insemination Intra-Uterine (58322) |
$209 |
$209 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$2,033 |
$2,033 |
2.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$199 |
$199 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$581 |
$581 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$265 |
$265 |
1.2× |
Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,506 |
$1,506 |
0.2× |
Axillary lymphadenectomy; superficial Facility (38740) likely a partial charge, not the full procedure |
$1,253 |
$1,253 |
0.2× |
| Biopsy bone open superficial (20240) |
$537 |
$537 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,716.50 |
$2,716.50 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$394 |
$394 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$299 |
$299 |
0.3× |
| Biopsy muscle deep (20205) |
$501 |
$501 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$3,536 |
$3,536 |
1.9× |
| Biopsy Nail Unit Separate Procedure (11755) |
$239 |
$239 |
0.3× |
| Biopsy of lip (40490) |
$234 |
$234 |
0.9× |
| Biopsy of penis (54105) |
$664 |
$664 |
0.2× |
| Biopsy of penis (54100) |
$486 |
$486 |
0.3× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$759 |
$759 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$608 |
$608 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$1,391 |
$1,391 |
1.8× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$622 |
$622 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$258 |
$258 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$1,646 |
$1,646 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$205 |
$205 |
0.3× |
| Bladder Irrigation Simple (51700) |
$198 |
$198 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$1,107 |
$1,107 |
3.1× |
| Blood patch (62273) |
$2,679 |
$2,679 |
3.4× |
| Blood transfusion service (36430) |
$614 |
$614 |
1.2× |
Breast Reduction (19318) likely a partial charge, not the full procedure |
$1,989 |
$1,989 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$399 |
$399 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$430 |
$430 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$558 |
$558 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,950.50 |
$1,950.50 |
1.1× |
| Bx anorectal wall anal approach (45100) |
$489 |
$489 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$4,900 |
$4,900 |
2.7× |
| Bx breast 1st lesion us imag (19083) |
$1,077 |
$1,077 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$3,747 |
$3,747 |
2.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$898 |
$898 |
0.2× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) likely a partial charge, not the full procedure |
$1,725 |
$1,725 |
0.2× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450) likely a partial charge, not the full procedure |
$1,537 |
$1,537 |
0.2× |
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) likely a partial charge, not the full procedure |
$2,421 |
$2,421 |
0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$712 |
$712 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$720 |
$720 |
3.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$276 |
$276 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,230 |
$1,230 |
1.6× |
| Change of cystostomy tube simple (51705) |
$234 |
$234 |
0.8× |
| Chemical cautery tissue (17250) |
$209 |
$209 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$265 |
$265 |
0.3× |
| Chemodenerv musc migraine (64615) |
$371 |
$371 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$328 |
$328 |
1.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$192 |
$192 |
0.6× |
| Chemodenerv trunk musc 6/> (64647) |
$282 |
$282 |
0.4× |
| Chemodenervation internal anal sphincter (46505) |
$525 |
$525 |
0.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$229 |
$229 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$214 |
$214 |
0.6× |
| Circum 28 days or older (54161) |
$488 |
$488 |
0.2× |
| Circumcision (54150) |
$389 |
$389 |
0.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$318 |
$318 |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,193 |
$2,193 |
1.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,187 |
$1,187 |
4.3× |
| Closed Rx Radial Shaft Fx (25500) |
$440 |
$440 |
1.6× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$903 |
$903 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$558 |
$558 |
2.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$538 |
$538 |
2.0× |
| Closed treat wrist dislocation (25660) |
$811.50 |
$811.50 |
3.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$403 |
$403 |
1.5× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$2,988 |
$2,988 |
1.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,104.50 |
$3,104.50 |
1.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$515 |
$515 |
1.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$765 |
$765 |
0.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$520 |
$520 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$446 |
$446 |
1.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,965 |
$1,965 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,346 |
$1,346 |
4.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,936 |
$1,936 |
1.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,828 |
$2,828 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,550.50 |
$1,550.50 |
5.6× |
| Closed tx lunate dislocation w/manipulation (25690) |
$770 |
$770 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$869 |
$869 |
3.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,659 |
$3,659 |
2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$966 |
$966 |
3.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$818.50 |
$818.50 |
3.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$420 |
$420 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$866 |
$866 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,128 |
$2,128 |
1.2× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$677 |
$677 |
0.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$555 |
$555 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$607 |
$607 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,449.50 |
$3,449.50 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$468 |
$468 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$422 |
$422 |
1.5× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$801 |
$801 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$358 |
$358 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,258 |
$3,258 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,685.50 |
$1,685.50 |
6.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,854 |
$2,854 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,886.50 |
$3,886.50 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$787 |
$787 |
2.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,920 |
$2,920 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,391.50 |
$1,391.50 |
5.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,298 |
$1,298 |
4.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$2,258 |
$2,258 |
8.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$296 |
$296 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$554 |
$554 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,330 |
$2,330 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,126 |
$3,126 |
1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,383 |
$3,383 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$289 |
$289 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$643 |
$643 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$197 |
$197 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,228 |
$2,228 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$506 |
$506 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$923 |
$923 |
3.4× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$546 |
$546 |
2.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,039 |
$2,039 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$277 |
$277 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$199 |
$199 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,861 |
$2,861 |
9.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$2,086 |
$2,086 |
7.6× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$620 |
$620 |
2.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,342.50 |
$1,342.50 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$802.50 |
$802.50 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$472 |
$472 |
1.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$572 |
$572 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$764.50 |
$764.50 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$598 |
$598 |
2.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,608 |
$2,608 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,416.50 |
$1,416.50 |
5.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,863 |
$2,863 |
1.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,039.50 |
$4,039.50 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$424 |
$424 |
1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$4,125.50 |
$4,125.50 |
2.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$4,552 |
$4,552 |
2.5× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,371 |
$1,371 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,241 |
$2,241 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,295 |
$1,295 |
4.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$402 |
$402 |
2.7× |
| Colonoscopy flex w/inj submuc (45381) |
$987 |
$987 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,124 |
$1,124 |
0.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$672 |
$672 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$789 |
$789 |
0.6× |
| Colonoscopy thru stoma (44388) |
$722 |
$722 |
0.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$834 |
$834 |
0.6× |
| Colonoscopy w/ablation (45388) |
$7,430 |
$7,430 |
5.6× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,404 |
$1,404 |
1.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$834 |
$834 |
0.3× |
| Colpoperineorrhaphy non ob (57210) |
$619 |
$619 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$684 |
$684 |
2.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$366 |
$366 |
1.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$470 |
$470 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$350 |
$350 |
1.0× |
| Colpotomy; with exploration (57000) |
$459 |
$459 |
0.1× |
Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$2,032 |
$2,032 |
0.4× |
| Conization of cervix (57520) |
$1,000 |
$1,000 |
0.3× |
| Conization of cervix (57522) |
$966 |
$966 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,561 |
$1,561 |
6.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$483 |
$483 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$335.50 |
$335.50 |
2.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,106.50 |
$1,106.50 |
1.8× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) likely a partial charge, not the full procedure |
$3,012 |
$3,012 |
0.2× |
| Cordocentesis (59012) |
$1,111 |
$1,111 |
3.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,384 |
$4,384 |
2.4× |
| Correction hammertoe (28285) |
$1,388 |
$1,388 |
0.4× |
| Correction of bunion (28292) |
$1,442 |
$1,442 |
0.4× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$3,223 |
$3,223 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,082 |
$3,082 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,325 |
$2,325 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$600 |
$600 |
4.0× |
| Curettage postpartum (59160) |
$726 |
$726 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$717 |
$717 |
0.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$786 |
$786 |
0.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,862 |
$1,862 |
0.5× |
| Cysto w/destruction of lesions (52214) |
$1,781 |
$1,781 |
0.5× |
| Cysto w/insert ureteral stent (52332) |
$1,109 |
$1,109 |
0.3× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,019 |
$1,019 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$607 |
$607 |
0.2× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$691 |
$691 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$708 |
$708 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$702 |
$702 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$876 |
$876 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$452 |
$452 |
0.1× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$714 |
$714 |
0.1× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,026 |
$1,026 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$969 |
$969 |
0.2× |
| Cystometrogram w/vp (51728) |
$857 |
$857 |
1.1× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,844 |
$1,844 |
0.2× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$432 |
$432 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$714 |
$714 |
0.3× |
| Cystouretero & or pyeloscope (52351) |
$746 |
$746 |
0.2× |
| Cystourethroscopy (52000) |
$514 |
$514 |
0.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$879 |
$879 |
0.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$712 |
$712 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$609 |
$609 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$939 |
$939 |
0.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$931 |
$931 |
0.4× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) likely a partial charge, not the full procedure |
$969 |
$969 |
0.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$837 |
$837 |
0.4× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,137 |
$1,137 |
0.5× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) likely a partial charge, not the full procedure |
$1,154 |
$1,154 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,052 |
$1,052 |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,821 |
$1,821 |
0.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,206 |
$1,206 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,161 |
$1,161 |
1.5× |
| Debride nail 1-5 (11720) |
$83 |
$83 |
1.3× |
| Debride nail 6 or more (11721) |
$115 |
$115 |
1.7× |
| Debride skin musc at fx site (11011) |
$948 |
$948 |
1.2× |
| Debride tissue/muscle (11043) |
$587 |
$587 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$304 |
$304 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$807 |
$807 |
0.4× |
| Declot vascular device (36593) |
$1,034 |
$1,034 |
2.8× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,035 |
$1,035 |
0.6× |
| Decompression Of Tibia Nerve (28035) |
$2,213 |
$2,213 |
1.0× |
| Decompressive fasciotomy hand (26037) |
$964 |
$964 |
0.3× |
| Delivery placenta separate procedure (59414) |
$4,654 |
$4,654 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,019 |
$1,019 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,005 |
$1,005 |
0.5× |
| Destruction anal lesion(s) (46924) |
$1,024 |
$1,024 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$343 |
$343 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$290 |
$290 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$331 |
$331 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$338 |
$338 |
0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$677 |
$677 |
0.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$405 |
$405 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$212 |
$212 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,980 |
$1,980 |
2.5× |
| Diagnostic sigmoidoscopy (45330) |
$418 |
$418 |
0.4× |
| Dilat female urethra general/cndj spinal anes (53665) |
$102 |
$102 |
0.0× |
| Dilate urethra stricture (53600) |
$209 |
$209 |
0.8× |
| Dilation and curettage (58120) |
$470 |
$470 |
0.1× |
| Dilation of cervical canal (57800) |
$123 |
$123 |
0.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$149 |
$149 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$643 |
$643 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,123 |
$1,123 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$176 |
$176 |
0.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$479 |
$479 |
1.8× |
| Drainage external auditory canal abscess (69020) |
$377 |
$377 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$492 |
$492 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$837 |
$837 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$836 |
$836 |
3.7× |
| Drainage Mouth Roof Lesion (42000) |
$664.50 |
$664.50 |
2.5× |
| Drainage of gum lesion (41800) |
$682 |
$682 |
4.6× |
| Drainage of hematoma/fluid (10140) |
$467 |
$467 |
0.3× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$1,173 |
$1,173 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$742 |
$742 |
0.4× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$646 |
$646 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,035 |
$1,035 |
0.3× |
| Draw blood off venous device (36591) |
$402 |
$402 |
2.7× |
| Dressing change under anesthesia (15852) |
$81 |
$81 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$646 |
$646 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$403 |
$403 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$275 |
$275 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$483 |
$483 |
0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$228 |
$228 |
0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$343 |
$343 |
1.5× |
| Dstrj lesion penis simple surg excision (54060) |
$415 |
$415 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,823 |
$1,823 |
0.9× |
| Egd band ligation esophgeal/gastric varices (43244) |
$438 |
$438 |
0.2× |
| Egd control bleeding any (43255) |
$1,606 |
$1,606 |
0.8× |
| Egd dilate stricture (43245) |
$992 |
$992 |
0.5× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$801 |
$801 |
0.4× |
| Egd flexible foreign body removal (43247) |
$1,089 |
$1,089 |
1.1× |
| Egd place gastrostomy tube (43246) |
$1,596 |
$1,596 |
0.7× |
| Egd remove lesion snare (43251) |
$885 |
$885 |
0.4× |
| Egd tube/cath insertion (43241) |
$246 |
$246 |
0.1× |
| Elbow arthroscopy (29830) |
$773 |
$773 |
0.2× |
| Endocervical Curettage (57505) |
$220 |
$220 |
0.2× |
| Endometrial Biopsy (58100) |
$305 |
$305 |
1.4× |
| Endoscopy bowel pouch/biop (44386) |
$606 |
$606 |
0.6× |
| Enterorrhaphy single perforation (44602) |
$3,405 |
$3,405 |
0.8× |
| Episiotomy or vaginal repair (59300) |
$2,262 |
$2,262 |
0.6× |
Ercp Duct Stent Placement (43274) likely a partial charge, not the full procedure |
$778 |
$778 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$545 |
$545 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$639 |
$639 |
0.1× |
Ercp lithotripsy calculi (43265) likely a partial charge, not the full procedure |
$729 |
$729 |
0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$614 |
$614 |
0.1× |
| Ercp remove forgn body duct (43275) |
$635 |
$635 |
0.3× |
| Ercp sphincter pressure meas (43263) |
$604 |
$604 |
0.3× |
Ercp Stent Exchange W/Dilate (43276) likely a partial charge, not the full procedure |
$810 |
$810 |
0.1× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$728 |
$728 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$572 |
$572 |
0.1× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$602.48 |
$602.48 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$857 |
$857 |
0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$558 |
$558 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$128 |
$128 |
0.9× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$888 |
$888 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,140 |
$1,140 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,146 |
$1,146 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$321 |
$321 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$319 |
$319 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$618 |
$618 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$543 |
$543 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$429 |
$429 |
0.5× |
| Exc back les sc < 3 cm (21930) |
$867 |
$867 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$351 |
$351 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$527 |
$527 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,047 |
$1,047 |
0.6× |
| Exc ganglion wrist recurrent (25112) |
$657 |
$657 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,417 |
$1,417 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$808 |
$808 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,292 |
$1,292 |
0.4× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$811 |
$811 |
0.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,791 |
$1,791 |
0.8× |
Exc skin abd (15830) unusually low: confirm this is the full procedure |
$2,844 |
$2,844 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$407 |
$407 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$386 |
$386 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$508 |
$508 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$590 |
$590 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$659 |
$659 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$989 |
$989 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$891 |
$891 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$771 |
$771 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,056 |
$1,056 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$968 |
$968 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$717 |
$717 |
0.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,081 |
$1,081 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,868 |
$1,868 |
0.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,317 |
$1,317 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,232 |
$1,232 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,286 |
$1,286 |
0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,165 |
$1,165 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$883 |
$883 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,341 |
$1,341 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$794 |
$794 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,125 |
$1,125 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$852 |
$852 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$864 |
$864 |
0.5× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,175 |
$1,175 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,157 |
$1,157 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,168 |
$2,168 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$735 |
$735 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$793 |
$793 |
0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$738 |
$738 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$962 |
$962 |
0.3× |
| Exc/fulguration urethral caruncle (53265) |
$534 |
$534 |
0.2× |
| Excise cutaneous neurofibroma (64788) |
$650 |
$650 |
0.3× |
| Excise/repair mouth lesion (40812) |
$486 |
$486 |
0.3× |
| Excision Breast Lesion (19125) |
$1,636 |
$1,636 |
0.4× |
| Excision H/P/P/U Complex Repair (11471) |
$861 |
$861 |
0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$777 |
$777 |
0.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,113 |
$1,113 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,417 |
$1,417 |
0.8× |
| Excision Lingual Frenum Frenectomy (41115) |
$449 |
$449 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$324 |
$324 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$534 |
$534 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$639 |
$639 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$665 |
$665 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$822 |
$822 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$450 |
$450 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$588.50 |
$588.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$800 |
$800 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$544 |
$544 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$418 |
$418 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$317 |
$317 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$759 |
$759 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$833 |
$833 |
0.2× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,130 |
$1,130 |
0.3× |
| Excision of lesion of tongue without closure (41110) |
$384 |
$384 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$452 |
$452 |
0.2× |
| Excision of neuroma; sciatic nerve Facility (64786) |
$1,837 |
$1,837 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$636 |
$636 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$481 |
$481 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$1,100 |
$1,100 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$794 |
$794 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$501 |
$501 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$415 |
$415 |
0.1× |
| Excision olecranon bursa (24105) |
$1,729 |
$1,729 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,094 |
$1,094 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,577 |
$1,577 |
0.5× |
| Excision prepatellar bursa (27340) |
$634 |
$634 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,842 |
$1,842 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,461 |
$1,461 |
0.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$970 |
$970 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$991 |
$991 |
0.5× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$864 |
$864 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$828 |
$828 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,053 |
$1,053 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$822 |
$822 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$562 |
$562 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$864 |
$864 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,000 |
$1,000 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$847 |
$847 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,628 |
$1,628 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$982 |
$982 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$1,213 |
$1,213 |
0.7× |
| Exploration of knee joint (27310) |
$1,227 |
$1,227 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$135 |
$135 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,035 |
$1,035 |
0.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$768 |
$768 |
0.2× |
| External cephalic version (59412) |
$4,373.50 |
$4,373.50 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,550 |
$1,550 |
0.4× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$991 |
$991 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$786 |
$786 |
0.2× |
| Fasciotomy palmar percutaneous (26040) |
$741 |
$741 |
0.4× |
| Fetal non-stress test (59025) |
$141 |
$141 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,961 |
$1,961 |
2.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$227 |
$227 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$389 |
$389 |
0.9× |
| Fit/Insert Intravag Support Device (57160) |
$198 |
$198 |
0.9× |
| Fixation contralateral testis separate procedure (54620) |
$741 |
$741 |
0.2× |
| Fixation of shoulder (23700) |
$483 |
$483 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$991 |
$991 |
3.7× |
| Foreskin manipulation (54450) |
$120 |
$120 |
0.4× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$2,356 |
$2,356 |
0.3× |
| Gastrocnemius recession (27687) |
$1,452 |
$1,452 |
0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,270 |
$3,270 |
0.8× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,204 |
$1,204 |
0.6× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$945 |
$945 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$2,782 |
$2,782 |
3.5× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,318 |
$1,318 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,321 |
$1,321 |
0.4× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$1,847 |
$1,847 |
0.1× |
| Hemorrhoidectomy (46255) |
$905 |
$905 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,130 |
$1,130 |
0.4× |
| Hysteroscopy biopsy (58558) |
$2,351 |
$2,351 |
0.7× |
Hysteroscopy removal leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,213 |
$2,213 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$4,564 |
$4,564 |
0.8× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$808 |
$808 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$711 |
$711 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$1,013 |
$1,013 |
3.8× |
| I&d abscess simple (10060) |
$342 |
$342 |
1.5× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,158 |
$1,158 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,728 |
$1,728 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$811 |
$811 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$386 |
$386 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,108 |
$1,108 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,489 |
$1,489 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$469 |
$469 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$712 |
$712 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$521 |
$521 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$496 |
$496 |
1.5× |
| Image Cath Fluid Colxn Visc (49405) |
$1,763 |
$1,763 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$4,000.50 |
$4,000.50 |
2.2× |
| Implant neuroelectrodes (63650) |
$4,636 |
$4,636 |
0.7× |
| Incise external hemorrhoid (46083) |
$483 |
$483 |
1.7× |
| Incise finger tendon sheath (26055) |
$1,461 |
$1,461 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$633 |
$633 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,392 |
$1,392 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$797 |
$797 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$662 |
$662 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$395 |
$395 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$415 |
$415 |
1.8× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,360 |
$1,360 |
0.4× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$777 |
$777 |
0.3× |
| Incision and drainage perianal abscess superficial (46050) |
$733 |
$733 |
0.7× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$611 |
$611 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,855 |
$1,855 |
0.6× |
| Incision bone cortex foot (28005) |
$1,419 |
$1,419 |
0.4× |
| Incision bone cortex hand/finger (26034) |
$869 |
$869 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$572 |
$572 |
0.3× |
| Incision of fibula (27707) |
$689 |
$689 |
0.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$557 |
$557 |
0.3× |
| Incision of rectal abscess (46040) |
$1,864 |
$1,864 |
1.4× |
Incision of tibia (27705) likely a partial charge, not the full procedure |
$1,297 |
$1,297 |
0.2× |
| Incision of urethra (53000) |
$470 |
$470 |
0.2× |
| Incision&drainage bursa foot (28001) |
$530 |
$530 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$270 |
$270 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$179 |
$179 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$462 |
$462 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$129 |
$129 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$256 |
$256 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$680 |
$680 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,969.50 |
$1,969.50 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$440 |
$440 |
0.4× |
| Inject Intravitreal Pharmcologic (67028) |
$910 |
$910 |
2.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,498 |
$1,498 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$422.50 |
$422.50 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$314 |
$314 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$494 |
$494 |
0.5× |
| Inject Sinus Tract Theraputic (20500) |
$192 |
$192 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$199 |
$199 |
0.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$196 |
$196 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$519 |
$519 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$364 |
$364 |
0.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$313 |
$313 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$313 |
$313 |
0.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$298 |
$298 |
0.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$259 |
$259 |
0.3× |
| Injection for identification of sentinel node (38792) |
$3,729 |
$3,729 |
8.4× |
| Injection into skin lesions (11900) |
$144 |
$144 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$219 |
$219 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$147 |
$147 |
0.4× |
| Insert and remove bone pin (20650) |
$3,112.50 |
$3,112.50 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$362 |
$362 |
2.5× |
| Insert cath pleura w/ image (32557) |
$1,393.50 |
$1,393.50 |
0.8× |
| Insert cath pleura w/o image (32556) |
$3,264 |
$3,264 |
1.5× |
| Insert cervical dilator (59200) |
$1,111 |
$1,111 |
3.3× |
| Insert Drug Implant Device (11981) |
$348 |
$348 |
2.3× |
| Insert gastrostomy tube percutaneous (49440) |
$1,847 |
$1,847 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$549 |
$549 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$458 |
$458 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$150 |
$150 |
1.0× |
| Insert Tissue Expander(S) (11960) |
$1,592 |
$1,592 |
0.4× |
| Insert tunneled cv cath (36561) |
$2,091 |
$2,091 |
0.6× |
Insert Tunneled Cv Cath With Pump (36563) unusually low: confirm this is the full procedure |
$2,364 |
$2,364 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159 |
$159 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,500 |
$1,500 |
0.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,256 |
$8,256 |
0.9× |
Insertion/rplcmt peripheral/gastric npgr (64590) likely a partial charge, not the full procedure |
$471 |
$471 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$3,196 |
$3,196 |
1.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,481 |
$3,481 |
1.0× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) likely a partial charge, not the full procedure |
$932 |
$932 |
0.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,693 |
$3,693 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,069 |
$2,069 |
0.6× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$889 |
$889 |
0.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$537 |
$537 |
0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,067.50 |
$4,067.50 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$635 |
$635 |
2.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$615 |
$615 |
2.2× |
Knee Arthroscopy/Surgery (29885) likely a partial charge, not the full procedure |
$1,286 |
$1,286 |
0.2× |
| Knee Arthroscopy/Surgery (29874) |
$1,295 |
$1,295 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$1,596 |
$1,596 |
0.4× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$1,023 |
$1,023 |
0.2× |
Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$3,738 |
$3,738 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) likely a partial charge, not the full procedure |
$1,841 |
$1,841 |
0.3× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,497 |
$1,497 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$594 |
$594 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,054 |
$2,054 |
0.2× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$1,519 |
$1,519 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661) unusually low: confirm this is the full procedure |
$2,202 |
$2,202 |
0.3× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$2,214 |
$2,214 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,609 |
$2,609 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$2,306 |
$2,306 |
0.5× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) likely a partial charge, not the full procedure |
$1,523 |
$1,523 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$1,311 |
$1,311 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) likely a partial charge, not the full procedure |
$1,719 |
$1,719 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$2,242 |
$2,242 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,816 |
$1,816 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,882 |
$1,882 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$956 |
$956 |
0.1× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$1,417 |
$1,417 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) unusually low: confirm this is the full procedure |
$2,298 |
$2,298 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$786 |
$786 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,518 |
$2,518 |
0.4× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$892 |
$892 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,888 |
$1,888 |
0.3× |
| Laryngoscopy Direct Aspiration (31515) |
$508 |
$508 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$351 |
$351 |
1.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,718 |
$1,718 |
3.9× |
| Late closure of wound (13160) |
$2,874 |
$2,874 |
0.7× |
| Lateral retinacular release open (27425) |
$2,036 |
$2,036 |
0.6× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,214 |
$1,214 |
0.2× |
Ligation major artery abdomen (37617) unusually low: confirm this is the full procedure |
$2,289 |
$2,289 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$871 |
$871 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$537 |
$537 |
0.3× |
| Lip Surgery Procedure (40799) |
$342 |
$342 |
1.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,169 |
$1,169 |
0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,137 |
$2,137 |
0.5× |
| Lithotripsy (50590) |
$1,813 |
$1,813 |
0.5× |
| Liver Biopsy (47000) |
$4,223 |
$4,223 |
2.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$634 |
$634 |
0.3× |
| Manipulation knee joint under general anesthesia (27570) |
$760 |
$760 |
0.4× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$594 |
$594 |
0.3× |
| Marsupialization Bartholins Gland Cyst (56440) |
$308 |
$308 |
0.1× |
Mast mod rad (19307) likely a partial charge, not the full procedure |
$2,048 |
$2,048 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$876 |
$876 |
0.2× |
| Mastectomy partial (19301) |
$1,543 |
$1,543 |
0.4× |
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,718 |
$2,718 |
0.4× |
| Metatarsectomy (28140) |
$1,481 |
$1,481 |
0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$2,380 |
$2,380 |
0.6× |
| Muscle-skin graft trunk (15734) |
$2,735 |
$2,735 |
0.7× |
| Myelography Lumbar Injection (62305) |
$216 |
$216 |
0.2× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$924 |
$924 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$339 |
$339 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$118 |
$118 |
0.3× |
| Nasal endoscopy dx (31231) |
$375 |
$375 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$283 |
$283 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$41 |
$41 |
1.3× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$982 |
$982 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,983 |
$1,983 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$675 |
$675 |
1.6× |
| Njx aa&/strd sciatic nerve (64445) |
$1,996.50 |
$1,996.50 |
2.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$340 |
$340 |
0.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$218 |
$218 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$422 |
$422 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$615 |
$615 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$300 |
$300 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$609 |
$609 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,569 |
$1,569 |
2.0× |
| Occipital Nerve Block (64405) |
$992 |
$992 |
2.9× |
Omntc epiploectomy rescj omentum spx (49255) likely a partial charge, not the full procedure |
$1,892 |
$1,892 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$814 |
$814 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,952 |
$2,952 |
0.4× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,743 |
$2,743 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,052 |
$1,052 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$2,144 |
$2,144 |
0.3× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,474 |
$1,474 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$1,364 |
$1,364 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,601 |
$2,601 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) likely a partial charge, not the full procedure |
$1,665 |
$1,665 |
0.2× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$4,774 |
$4,774 |
0.6× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low: confirm this is the full procedure |
$4,981 |
$4,981 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) unusually low: confirm this is the full procedure |
$4,359 |
$4,359 |
0.3× |
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 |
$1,313 |
$1,313 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,599 |
$1,599 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$1,705 |
$1,705 |
0.2× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) likely a partial charge, not the full procedure |
$2,090 |
$2,090 |
0.3× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) likely a partial charge, not the full procedure |
$2,126 |
$2,126 |
0.3× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$1,449 |
$1,449 |
0.1× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$4,094 |
$4,094 |
0.5× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$1,487 |
$1,487 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,062 |
$1,062 |
0.1× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,438 |
$1,438 |
0.1× |
Open treatment talus fracture (28445) likely a partial charge, not the full procedure |
$1,439 |
$1,439 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$2,006 |
$2,006 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure |
$2,429 |
$2,429 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$831 |
$831 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$2,262 |
$2,262 |
0.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$924 |
$924 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,501 |
$2,501 |
0.7× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,186 |
$1,186 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,065 |
$1,065 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,461 |
$1,461 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$3,476 |
$3,476 |
0.4× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,115 |
$1,115 |
0.1× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,305 |
$1,305 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$2,571 |
$2,571 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607) likely a partial charge, not the full procedure |
$1,802 |
$1,802 |
0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,991 |
$4,991 |
0.6× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) likely a partial charge, not the full procedure |
$2,036 |
$2,036 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,253 |
$1,253 |
0.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$1,932 |
$1,932 |
0.5× |
| Ostectomy calcaneus (28118) |
$969 |
$969 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,451 |
$1,451 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$799 |
$799 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$846 |
$846 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,579 |
$1,579 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,496 |
$1,496 |
0.4× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,594 |
$1,594 |
0.2× |
Ovarian cystectomy (58925) unusually low: confirm this is the full procedure |
$1,797 |
$1,797 |
0.3× |
P-mastectomy w/ln removal (19302) likely a partial charge, not the full procedure |
$1,465 |
$1,465 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$1,194 |
$1,194 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$1,612 |
$1,612 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,320 |
$1,320 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,992 |
$1,992 |
0.5× |
| Partial excision bone tibia (27640) |
$1,409 |
$1,409 |
0.4× |
| Partial hymenectomy or revision (56700) |
$453 |
$453 |
0.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$869 |
$869 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$183 |
$183 |
0.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,490 |
$4,490 |
0.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$632 |
$632 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$2,835 |
$2,835 |
3.6× |
| Perq dev breast 1st us imag (19285) |
$2,200 |
$2,200 |
2.8× |
| Perq device breast 1st imag (19281) |
$2,199 |
$2,199 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$552 |
$552 |
2.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,636 |
$1,636 |
0.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,179 |
$16,179 |
2.0× |
| Phalangectomy toe each toe (28150) |
$771 |
$771 |
0.2× |
| Picc line placement (36569) |
$3,053 |
$3,053 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$467 |
$467 |
0.9× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,381 |
$1,381 |
0.6× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,647 |
$1,647 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$227 |
$227 |
0.2× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) unusually low: confirm this is the full procedure |
$3,357 |
$3,357 |
0.5× |
| Prq skel fixj metar fx w/manj (28476) |
$580 |
$580 |
0.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$835 |
$835 |
0.2× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) unusually low: confirm this is the full procedure |
$2,916 |
$2,916 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$303 |
$303 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,695.50 |
$1,695.50 |
2.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$342 |
$342 |
0.8× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$273 |
$273 |
0.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,467 |
$1,467 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$2,583 |
$2,583 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$1,746 |
$1,746 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,211 |
$1,211 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$929 |
$929 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$2,041 |
$2,041 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,266 |
$1,266 |
0.2× |
| Reduce testis torsion (54600) |
$1,120 |
$1,120 |
0.3× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) likely a partial charge, not the full procedure |
$1,904 |
$1,904 |
0.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$978 |
$978 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,423 |
$1,423 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$677 |
$677 |
0.9× |
| Removal foreign body intranasal (30300) |
$626 |
$626 |
4.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$328 |
$328 |
0.2× |
| Removal foreign body pharynx (42809) |
$419.50 |
$419.50 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,353 |
$1,353 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$62 |
$62 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$133 |
$133 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$285 |
$285 |
0.1× |
| Removal implant deep (20680) |
$1,606 |
$1,606 |
0.5× |
| Removal of arm foreign body (24200) |
$372 |
$372 |
0.2× |
| Removal of breast capsule (19371) |
$1,271 |
$1,271 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$604 |
$604 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$193 |
$193 |
0.4× |
| Removal of iud (58301) |
$311 |
$311 |
0.9× |
Removal of kidney stone (50081) likely a partial charge, not the full procedure |
$3,158 |
$3,158 |
0.3× |
| Removal of nail bed (11750) |
$615 |
$615 |
1.4× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) likely a partial charge, not the full procedure |
$2,085 |
$2,085 |
0.3× |
| Removal of sesamoid bone (28315) |
$1,255 |
$1,255 |
0.3× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$1,377 |
$1,377 |
0.4× |
| Removal Of Tendon Lesion (27630) |
$1,010 |
$1,010 |
0.3× |
| Removal of testis (54520) |
$806 |
$806 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$226 |
$226 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$215 |
$215 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$155 |
$155 |
0.5× |
| Remove anal fist subq (46270) |
$908 |
$908 |
0.3× |
| Remove drug implant device (11982) |
$440 |
$440 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$1,073 |
$1,073 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$1,425 |
$1,425 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,878 |
$1,878 |
0.6× |
Remove Prostate Regrowth (52630) likely a partial charge, not the full procedure |
$638 |
$638 |
0.1× |
| Remove renal tube w/fluoro (50389) |
$1,658.50 |
$1,658.50 |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$1,018 |
$1,018 |
0.6× |
| Remove vagina gland lesion (56740) |
$484 |
$484 |
0.1× |
| Remove/Insert Drug Implant (11983) |
$535 |
$535 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$298 |
$298 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$201 |
$201 |
1.4× |
Repair achilles tendon (27650) unusually low: confirm this is the full procedure |
$2,491 |
$2,491 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,347 |
$1,347 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,734 |
$1,734 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$984 |
$984 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$843 |
$843 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,963 |
$1,963 |
4.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$755 |
$755 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$3,646.50 |
$3,646.50 |
4.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,033 |
$1,033 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$946 |
$946 |
0.5× |
| Repair eyelid wound (67930) |
$6,195 |
$6,195 |
2.3× |
Repair Fibula Nonunion (27726) likely a partial charge, not the full procedure |
$1,576 |
$1,576 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,071 |
$1,071 |
0.3× |
| Repair hand tendon (26410) |
$912 |
$912 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,529 |
$1,529 |
0.4× |
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 |
$749 |
$749 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$782 |
$782 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$927 |
$927 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$962.50 |
$962.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,006 |
$1,006 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$679 |
$679 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$711 |
$711 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$910 |
$910 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$970 |
$970 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,084 |
$1,084 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$697 |
$697 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$889 |
$889 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,616 |
$1,616 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$934 |
$934 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,475 |
$1,475 |
0.6× |
| Repair Lower Leg Tendons (27675) |
$831 |
$831 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,257 |
$1,257 |
0.2× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$994 |
$994 |
0.1× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$648 |
$648 |
0.1× |
| Repair of nail bed (11760) |
$481 |
$481 |
0.6× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$1,304 |
$1,304 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) likely a partial charge, not the full procedure |
$1,386 |
$1,386 |
0.2× |
| Repair of traumatic corporeal tear(s) (54437) |
$1,667 |
$1,667 |
0.4× |
| Repair of urethra injury (53502) |
$1,200 |
$1,200 |
0.3× |
Repair paravag defect vag (57285) likely a partial charge, not the full procedure |
$1,120 |
$1,120 |
0.1× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$1,836 |
$1,836 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,514 |
$1,514 |
0.4× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$1,336 |
$1,336 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,710 |
$1,710 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,384 |
$1,384 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,835 |
$1,835 |
0.2× |
| Repair tongue laceration (41252) |
$554 |
$554 |
2.1× |
| Repair Tongue Laceration (41250) |
$561.50 |
$561.50 |
1.1× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$1,023 |
$1,023 |
0.1× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,152 |
$1,152 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) likely a partial charge, not the full procedure |
$1,151 |
$1,151 |
0.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$895 |
$895 |
0.2× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,685 |
$1,685 |
0.2× |
| Repeat control of nosebleed (30906) |
$602 |
$602 |
2.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,792.50 |
$1,792.50 |
1.8× |
Replace elbow joint (24363) likely a partial charge, not the full procedure |
$2,370 |
$2,370 |
0.1× |
| Resect shoulder tumor < 5 cm (23077) |
$1,927 |
$1,927 |
0.6× |
| Resection of scrotum (55150) |
$799 |
$799 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$436 |
$436 |
0.1× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,865 |
$2,865 |
0.2× |
Revise Lower Leg Tendon (27691) unusually low: confirm this is the full procedure |
$2,699 |
$2,699 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$1,008 |
$1,008 |
0.5× |
| Revision of colostomy simple (44340) |
$1,024 |
$1,024 |
0.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,853 |
$2,853 |
0.7× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,706 |
$1,706 |
0.4× |
| Revision of lower leg tendon (27685) |
$1,131 |
$1,131 |
0.3× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,014 |
$1,014 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$435 |
$435 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$850.50 |
$850.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$341 |
$341 |
2.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$110 |
$110 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$811 |
$811 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$837 |
$837 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,258 |
$2,258 |
3.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$384 |
$384 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,217 |
$1,217 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$560 |
$560 |
0.1× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,538 |
$1,538 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$938 |
$938 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$754 |
$754 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,062 |
$1,062 |
0.1× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$849 |
$849 |
0.1× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$865 |
$865 |
0.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,469.50 |
$2,469.50 |
1.4× |
Rpr non-union mtcrpl/phalanx (26546) likely a partial charge, not the full procedure |
$2,325 |
$2,325 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$831 |
$831 |
0.2× |
| Scrotal exploration (55110) |
$959 |
$959 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$537 |
$537 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$255 |
$255 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$255 |
$255 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$314 |
$314 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$273 |
$273 |
0.6× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,486 |
$1,486 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$220 |
$220 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$334 |
$334 |
1.5× |
| Sigmoidoscopy & decompress (45337) |
$200 |
$200 |
0.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$896 |
$896 |
0.7× |
| Sigmoidoscopy w/biopsy (45331) |
$651 |
$651 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$818 |
$818 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$456 |
$456 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$536 |
$536 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$353 |
$353 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$440 |
$440 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$378 |
$378 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$677.50 |
$677.50 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$567 |
$567 |
2.5× |
| Skin splt grft trnk/arm/leg (15100) |
$1,728 |
$1,728 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,831 |
$2,831 |
3.4× |
| Skin sub graft trnk/arm/leg (15271) |
$492 |
$492 |
0.6× |
| Skin sub grft t/arm/lg child (15273) |
$3,549 |
$3,549 |
1.5× |
| Skin tissue rearrangement (14040) |
$1,979 |
$1,979 |
0.9× |
| Skn sub grft f/n/hf/g child (15277) |
$3,549 |
$3,549 |
1.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$1,685 |
$1,685 |
0.3× |
| Slitting of prepuce (54001) |
$476 |
$476 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$456 |
$456 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$816.50 |
$816.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,042.50 |
$1,042.50 |
2.3× |
| Spinal puncture lumbar diagnostic (62270) |
$348 |
$348 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$2,679 |
$2,679 |
3.4× |
| Strapping ankle (29540) |
$63 |
$63 |
0.3× |
| Strapping elbow or wrist (29260) |
$171 |
$171 |
2.6× |
| Strapping hand/finger (29280) |
$166 |
$166 |
2.5× |
| Strapping shoulder (29240) |
$274 |
$274 |
1.8× |
| Strapping toes (29550) |
$88 |
$88 |
1.3× |
| Strapping unna boot (29580) |
$162 |
$162 |
0.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,768 |
$5,768 |
0.9× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$5,410 |
$5,410 |
0.8× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$922 |
$922 |
0.3× |
| Suspension of testis (54640) |
$1,075 |
$1,075 |
0.3× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,861 |
$1,861 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,510 |
$1,510 |
0.2× |
| Suture/repair testicular injury (54670) |
$657 |
$657 |
0.2× |
| Synovectomy tendon sheath foot extensor (28088) |
$768 |
$768 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$241 |
$241 |
0.5× |
Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$3,093 |
$3,093 |
0.4× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$709 |
$709 |
0.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$1,025 |
$1,025 |
0.3× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$741 |
$741 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$416 |
$416 |
0.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$611 |
$611 |
0.3× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$847 |
$847 |
0.2× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$1,185 |
$1,185 |
0.3× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,529 |
$1,529 |
0.2× |
Tenotomy Shoulder Multiple Thru Same Incision (23406) likely a partial charge, not the full procedure |
$1,901 |
$1,901 |
0.2× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$1,780 |
$1,780 |
0.5× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$919 |
$919 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$703 |
$703 |
0.4× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$485 |
$485 |
0.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$835 |
$835 |
0.5× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) likely a partial charge, not the full procedure |
$711 |
$711 |
0.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,033 |
$2,033 |
2.9× |
| Throat Surgery Procedure (42999) |
$1,384 |
$1,384 |
5.2× |
| Thyroid biopsy (60100) |
$2,195 |
$2,195 |
2.8× |
Tibial Arthroscopy/Surgery (29855) likely a partial charge, not the full procedure |
$1,337 |
$1,337 |
0.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,069 |
$1,069 |
0.3× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$6,641 |
$6,641 |
0.5× |
Total Knee Arthroplasty (27447) unusually low: confirm this is the full procedure |
$6,000 |
$6,000 |
0.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$742 |
$742 |
0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,005 |
$1,005 |
0.6× |
| Tracheotomy tube change (31502) |
$336 |
$336 |
1.3× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) likely a partial charge, not the full procedure |
$1,577 |
$1,577 |
0.2× |
Transur electr resection of prostate (52601) unusually low: confirm this is the full procedure |
$1,802 |
$1,802 |
0.3× |
| Treat Big Toe Fracture (28505) |
$1,141 |
$1,141 |
0.3× |
| Treat clavicle fracture (23505) |
$570 |
$570 |
0.3× |
Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,205 |
$1,205 |
0.1× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$2,225 |
$2,225 |
0.3× |
| Treat humerus fracture (23600) |
$553 |
$553 |
2.0× |
| Treat knee fracture (27532) |
$1,506 |
$1,506 |
0.4× |
Treat Knee Fracture (27535) likely a partial charge, not the full procedure |
$1,536 |
$1,536 |
0.2× |
Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$2,844 |
$2,844 |
0.4× |
| Treat Lower Leg Bone Lesion (27607) |
$1,038 |
$1,038 |
0.3× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$3,059 |
$3,059 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$460 |
$460 |
1.7× |
| Treat shoulder blade fx (23575) |
$2,872 |
$2,872 |
1.6× |
| Treat Thigh Fracture (27245) |
$5,489 |
$5,489 |
0.7× |
| Treat thumb fracture (26665) |
$1,025 |
$1,025 |
0.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$746 |
$746 |
0.4× |
| Treat wrist bone fracture (25622) |
$489 |
$489 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$491 |
$491 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$2,110 |
$2,110 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,265.50 |
$1,265.50 |
4.6× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$2,238 |
$2,238 |
0.3× |
| Treatment of foot infection (28003) |
$1,882 |
$1,882 |
0.5× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) likely a partial charge, not the full procedure |
$2,108 |
$2,108 |
0.3× |
| Trim skin lesion (11055) |
$123 |
$123 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$150 |
$150 |
0.7× |
| Trim skin lesions over 4 (11057) |
$168 |
$168 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$24 |
$24 |
0.4× |
| Trurl drainage prostatic abscess (52700) |
$716 |
$716 |
0.2× |
| Tube thoracostomy includes water seal (32551) |
$695 |
$695 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$833 |
$833 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$961 |
$961 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$845 |
$845 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$642 |
$642 |
1.4× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,412 |
$2,412 |
0.2× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$857 |
$857 |
0.1× |
Unlisted laparoscopy procedure, appendix (44979) likely a partial charge, not the full procedure |
$1,497 |
$1,497 |
0.2× |
Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$1,930 |
$1,930 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,050 |
$1,050 |
0.2× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238) likely a partial charge, not the full procedure |
$587 |
$587 |
0.1× |
Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$739 |
$739 |
0.1× |
| Unlisted procedure anus (46999) |
$501 |
$501 |
0.5× |
| Unlisted procedure colon (45399) |
$2,994 |
$2,994 |
2.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$701 |
$701 |
2.7× |
| Unlisted procedure foot or toes (28899) |
$1,328 |
$1,328 |
4.8× |
| Unlisted Procedure Lungs & Pleura (32999) |
$279 |
$279 |
0.4× |
| Unlisted Procedure Male Genital System (55899) |
$594 |
$594 |
2.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$2,874 |
$2,874 |
10.5× |
| Unlisted procedure nervous system (64999) |
$1,571 |
$1,571 |
4.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,214.50 |
$1,214.50 |
1.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,006 |
$1,006 |
1.0× |
| Unlisted procedure, stomach (43999) |
$1,607 |
$1,607 |
1.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,371 |
$1,371 |
6.1× |
Urethrorrhaphy sutr urethral wound/inj penile (53505) likely a partial charge, not the full procedure |
$1,199 |
$1,199 |
0.2× |
| Us urine capacity measure (51798) |
$38 |
$38 |
0.6× |
Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$2,817 |
$2,817 |
0.3× |
| Vaginal delivery only (59409) |
$2,644 |
$2,644 |
0.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,027 |
$2,027 |
0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$3,175 |
$3,175 |
0.6× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$2,255 |
$2,255 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$886 |
$886 |
0.4× |
| Venipuncture (36415) |
$19 |
$19 |
2.0× |
| Vulvectomy Simple Partial (56620) |
$1,298 |
$1,298 |
0.4× |
| Wedge excision skin nail fold (11765) |
$331 |
$331 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$942 |
$942 |
2.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$626 |
$626 |
0.8× |