| Abd paracentesis w/imaging (49083) |
$827.07 |
$827.07 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$592.14 |
$592.14 |
0.7× |
| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845) |
$8,629.68 |
$8,629.68 |
1.9× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$615.99 |
$615.99 |
0.4× |
| Abortion (59841) |
$1,140 |
$1,140 |
0.4× |
Acetabuloplasty Resection Femoral Head (27122) likely a partial charge, not the full procedure |
$1,800 |
$1,800 |
0.3× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$9,733.83 |
$9,733.83 |
3.2× |
| Adding Walker Previously Applied Cast (29440) |
$120.84 |
$120.84 |
0.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$6,562.98 |
$6,562.98 |
3.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,942.08 |
$3,942.08 |
2.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,590.20 |
$2,590.20 |
1.4× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$11,329.54 |
$11,329.54 |
1.7× |
| Amniocentesis diagnostic (59000) |
$2,104.21 |
$2,104.21 |
2.5× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,320 |
$1,320 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,894.47 |
$1,894.47 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$7,786.38 |
$7,786.38 |
2.6× |
| Amputation of finger/thumb (26952) |
$1,842.36 |
$1,842.36 |
0.6× |
| Amputation thigh through femur any level (27590) |
$1,625 |
$1,625 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$6,354.20 |
$6,354.20 |
2.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,865.59 |
$6,865.59 |
2.3× |
| Amputation, foot; transmetatarsal (28805) |
$14,607 |
$14,607 |
4.9× |
Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$2,400 |
$2,400 |
0.4× |
| Ankle arthroscopy/surgery (29894) |
$12,944.16 |
$12,944.16 |
4.3× |
| Ankle scope,part synovectomy (29895) |
$12,556.32 |
$12,556.32 |
4.2× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$931.98 |
$931.98 |
0.4× |
| Anoscopy Ablation Lesion (46615) |
$499.62 |
$499.62 |
0.2× |
| Anoscopy diagnostic (46600) |
$333 |
$333 |
2.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,161.10 |
$2,161.10 |
2.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,276.08 |
$4,276.08 |
1.7× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$2,300 |
$2,300 |
0.5× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$8,149.68 |
$8,149.68 |
1.8× |
| Appendectomy (44950) |
$9,934.62 |
$9,934.62 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$695 |
$695 |
4.7× |
| Application cast elbow finger short arm (29075) |
$207.81 |
$207.81 |
0.8× |
| Application Cast Finger (29086) |
$215.04 |
$215.04 |
1.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$782.72 |
$782.72 |
5.2× |
| Application cast shoulder hand long arm (29065) |
$783.42 |
$783.42 |
3.0× |
| Application Finger Splint Dynamic (29131) |
$94.50 |
$94.50 |
1.7× |
| Application finger splint static (29130) |
$97.48 |
$97.48 |
0.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$575 |
$575 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$267.66 |
$267.66 |
1.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$397.08 |
$397.08 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$246.81 |
$246.81 |
1.7× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$19,813.68 |
$19,813.68 |
1.7× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) unusually low: confirm this is the full procedure |
$3,299.14 |
$3,299.14 |
0.5× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$796.74 |
$796.74 |
3.1× |
| Application of long leg cast (29345) |
$605.74 |
$605.74 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$185.01 |
$185.01 |
1.5× |
| Application short leg splint calf foot (29515) |
$168.30 |
$168.30 |
1.1× |
| Apply long leg cast brace (29358) |
$447.78 |
$447.78 |
1.7× |
| Apply short leg cast (29405) |
$191.97 |
$191.97 |
0.7× |
| Apply short leg cast (29425) |
$179.84 |
$179.84 |
0.7× |
| Arterial puncture (36600) |
$272.60 |
$272.60 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$573 |
$573 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,077.56 |
$2,077.56 |
3.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$614.04 |
$614.04 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$279.06 |
$279.06 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$148.62 |
$148.62 |
0.5× |
| Arthrodesis great toe interphalangeal joint (28755) |
$11,420.19 |
$11,420.19 |
1.7× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$13,888.72 |
$13,888.72 |
2.1× |
| Arthrodesis; subtalar (28725) |
$38,600.46 |
$38,600.46 |
3.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$29,541.12 |
$29,541.12 |
1.8× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$47,288.82 |
$47,288.82 |
4.0× |
| Arthroplasty radial head w/implant (24366) |
$38,600.46 |
$38,600.46 |
3.3× |
| Arthroplasty, patella; with prosthesis (27438) |
$38,600.46 |
$38,600.46 |
3.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$13,940.80 |
$13,940.80 |
2.1× |
| Arthroscopy ankle; ext debridem (29898) |
$14,950.50 |
$14,950.50 |
5.0× |
| Arthroscopy of joint (29999) |
$10,368.66 |
$10,368.66 |
45.7× |
| Arthroscopy Subtalar Joint Subtalar Arth (29907) |
$38,600.46 |
$38,600.46 |
3.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$12,880.53 |
$12,880.53 |
4.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$9,733.83 |
$9,733.83 |
3.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$5,703.38 |
$5,703.38 |
1.9× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$6,677.82 |
$6,677.82 |
2.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$11,517.03 |
$11,517.03 |
3.8× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$9,733.83 |
$9,733.83 |
3.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$5,241.92 |
$5,241.92 |
1.7× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$21,035.56 |
$21,035.56 |
1.8× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$9,733.83 |
$9,733.83 |
3.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$9,733.83 |
$9,733.83 |
3.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$6,540.63 |
$6,540.63 |
2.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,854.33 |
$7,854.33 |
2.6× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$23,849.10 |
$23,849.10 |
3.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$21,734.19 |
$21,734.19 |
3.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,298.72 |
$6,298.72 |
2.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,992.42 |
$6,992.42 |
2.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$6,085.98 |
$6,085.98 |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$15,403.64 |
$15,403.64 |
2.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$9,733.83 |
$9,733.83 |
3.2× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$11,446.12 |
$11,446.12 |
1.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$13,376.90 |
$13,376.90 |
2.0× |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
$900 |
$900 |
0.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$5,341.92 |
$5,341.92 |
1.8× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$5,366.92 |
$5,366.92 |
1.8× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$1,200 |
$1,200 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,349.07 |
$1,349.07 |
0.4× |
| Artificial insemination (58322) |
$100 |
$100 |
0.5× |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
$350 |
$350 |
0.1× |
| Aspir/inj thyroid cyst (60300) |
$2,110.77 |
$2,110.77 |
3.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$179.52 |
$179.52 |
0.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$676.98 |
$676.98 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$323.91 |
$323.91 |
1.8× |
Axillary lymphadenectomy superficial 38740 (38740) likely a partial charge, not the full procedure |
$825 |
$825 |
0.1× |
| Axillary lymphadenectomy; complete (38745) |
$9,426.54 |
$9,426.54 |
1.7× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$18,719.25 |
$18,719.25 |
3.1× |
| Biopsy Bone Open Deep (20245) |
$4,543.08 |
$4,543.08 |
1.7× |
| Biopsy bone open superficial (20240) |
$4,418.08 |
$4,418.08 |
1.7× |
| Biopsy bone trocar/needle deep (20225) |
$2,972.02 |
$2,972.02 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,761.52 |
$2,761.52 |
1.8× |
| Biopsy Breast Open Incisional (19101) |
$6,201.03 |
$6,201.03 |
1.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,871.19 |
$1,871.19 |
2.2× |
| Biopsy external ear (69100) |
$696.66 |
$696.66 |
3.2× |
| Biopsy finger joint lining (26110) |
$790 |
$790 |
0.5× |
| Biopsy muscle deep (20205) |
$7,510.14 |
$7,510.14 |
2.8× |
| Biopsy of bowel (44100) |
$1,200 |
$1,200 |
1.4× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$8,586.15 |
$8,586.15 |
3.2× |
| Biopsy of mouth lesion (40808) |
$475.20 |
$475.20 |
1.0× |
| Biopsy of ovary(s) (58900) |
$5,619.30 |
$5,619.30 |
1.9× |
| Biopsy of penis (54100) |
$150 |
$150 |
0.1× |
| Biopsy of tongue (41100) |
$1,027.59 |
$1,027.59 |
2.1× |
| Biopsy of urethra (53200) |
$444.69 |
$444.69 |
0.2× |
| Biopsy of uterus lining (58100) |
$421.48 |
$421.48 |
2.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,210.87 |
$6,210.87 |
1.7× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$250 |
$250 |
0.2× |
| Biopsy Salivary Gland Incisional (42405) |
$858.96 |
$858.96 |
0.6× |
| Biopsy Salivary Gland,Needle (42400) |
$2,110.77 |
$2,110.77 |
3.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$705.63 |
$705.63 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$2,804.79 |
$2,804.79 |
1.8× |
| Biopsy soft tissue of back (21920) |
$4,860.72 |
$4,860.72 |
3.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$1,577.13 |
$1,577.13 |
0.6× |
| Biopsy testis incisional separate procedure (54505) |
$370 |
$370 |
0.1× |
| Biopsy tongue posterior one-third (41105) |
$527.91 |
$527.91 |
0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$450 |
$450 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,386.11 |
$1,386.11 |
1.6× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$717.24 |
$717.24 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$6,258.92 |
$6,258.92 |
1.7× |
| Biopsy/removal lymph nodes (38510) |
$6,677.16 |
$6,677.16 |
1.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$245.25 |
$245.25 |
0.4× |
| Bladder Irrigation Simple (51700) |
$212.58 |
$212.58 |
0.9× |
| Bladder Scan (51798) |
$116.06 |
$116.06 |
2.1× |
| Blepharoplasty lower eyelid (15820) |
$1,629.45 |
$1,629.45 |
0.9× |
| Blepharoplasty upper eyelid (15822) |
$1,296.84 |
$1,296.84 |
0.7× |
| Blood patch (62273) |
$936.40 |
$936.40 |
1.4× |
| Blood transfusion service (36430) |
$643.32 |
$643.32 |
1.6× |
| Blood/Lymph System Procedure (38999) |
$1,311.54 |
$1,311.54 |
3.2× |
Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) unusually low: confirm this is the full procedure |
$3,166.44 |
$3,166.44 |
0.5× |
| Bone marrow aspiration only (38220) |
$3,431.50 |
$3,431.50 |
2.3× |
| Bone Marrow Biopsy (38221) |
$1,941.95 |
$1,941.95 |
1.3× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$2,077.56 |
$2,077.56 |
3.2× |
Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$2,000 |
$2,000 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,971.71 |
$2,971.71 |
1.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,933.36 |
$2,933.36 |
1.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$3,082.30 |
$3,082.30 |
1.9× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$5,699.43 |
$5,699.43 |
3.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$5,173.41 |
$5,173.41 |
3.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$6,052.74 |
$6,052.74 |
1.8× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,944.34 |
$2,944.34 |
1.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,676.86 |
$2,676.86 |
1.8× |
| Bx anorectal wall anal approach (45100) |
$4,443.58 |
$4,443.58 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$4,920.72 |
$4,920.72 |
3.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,639.46 |
$2,639.46 |
1.7× |
| Bx vulva/perineum 1 lesion (56605) |
$1,389.11 |
$1,389.11 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$2,678.76 |
$2,678.76 |
1.8× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$500 |
$500 |
0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$24,949.02 |
$24,949.02 |
8.3× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$11,465.60 |
$11,465.60 |
1.7× |
| Cataract surgery complex (66982) |
$7,893.15 |
$7,893.15 |
3.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$2,078.58 |
$2,078.58 |
10.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$330 |
$330 |
1.2× |
| Cautery Cervix Electro/Thermal (57510) |
$5,755.65 |
$5,755.65 |
1.9× |
| Cautery cervix laser ablation (57513) |
$895 |
$895 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$271.35 |
$271.35 |
1.2× |
| Change Ureter Stent, Percut (50382) |
$6,145.53 |
$6,145.53 |
3.2× |
| Chemical Cautery Tissue (17250) |
$603.22 |
$603.22 |
3.3× |
| Chemodenervation internal anal sphincter (46505) |
$2,209.77 |
$2,209.77 |
2.0× |
| Chest tube placement (32551) |
$600 |
$600 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$434.67 |
$434.67 |
3.6× |
| Chromotubation of oviduct, including materials (58350) |
$14,809.35 |
$14,809.35 |
3.2× |
| Circum 28 days or older (54161) |
$4,416.86 |
$4,416.86 |
2.3× |
| Circumcision (54150) |
$3,513.92 |
$3,513.92 |
1.8× |
| Circumcision Neonate (54160) |
$511.52 |
$511.52 |
0.8× |
| Claviculectomy; partial (23120) |
$6,628.59 |
$6,628.59 |
2.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,068 |
$1,068 |
0.7× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,550 |
$1,550 |
6.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$4,363.20 |
$4,363.20 |
19.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,093.08 |
$1,093.08 |
4.8× |
| Closed Rx Med Malleolus Fx (27760) |
$2,655.63 |
$2,655.63 |
11.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$4,801.23 |
$4,801.23 |
3.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$3,115.48 |
$3,115.48 |
2.1× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,290 |
$1,290 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,478.91 |
$1,478.91 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$771.24 |
$771.24 |
3.4× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,217.65 |
$3,217.65 |
2.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,233.60 |
$1,233.60 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$990.60 |
$990.60 |
4.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$878.04 |
$878.04 |
3.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,050.62 |
$3,050.62 |
2.1× |
| Closed Rx Trimalleolar Fx (27816) |
$941.79 |
$941.79 |
4.2× |
| Closed Treat Vert Body Fract (22310) |
$719.64 |
$719.64 |
3.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$533.78 |
$533.78 |
2.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,298.34 |
$1,298.34 |
5.7× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$2,683.12 |
$2,683.12 |
11.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$827.01 |
$827.01 |
3.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$900 |
$900 |
0.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$832.35 |
$832.35 |
3.7× |
| Closed Treatment Sternum Fracture (21820) |
$424.89 |
$424.89 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$2,654.31 |
$2,654.31 |
11.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,071.99 |
$1,071.99 |
4.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,993.18 |
$2,993.18 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$956.07 |
$956.07 |
4.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,276.02 |
$1,276.02 |
5.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$703.08 |
$703.08 |
3.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,476.15 |
$1,476.15 |
6.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,269.34 |
$3,269.34 |
2.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,862.50 |
$1,862.50 |
8.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$619.32 |
$619.32 |
2.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$292.35 |
$292.35 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$725 |
$725 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,007.10 |
$1,007.10 |
4.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$929.10 |
$929.10 |
4.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,273.77 |
$1,273.77 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$725.50 |
$725.50 |
3.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,121.77 |
$3,121.77 |
2.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$677.66 |
$677.66 |
3.0× |
| Closed tx septal&nose fx (21337) |
$1,174.56 |
$1,174.56 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,127.82 |
$1,127.82 |
5.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$239.96 |
$239.96 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$4,801.23 |
$4,801.23 |
3.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$836.07 |
$836.07 |
3.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$2,559.48 |
$2,559.48 |
11.3× |
| Closure of gastrostomy surgical (43870) |
$1,420 |
$1,420 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$400.38 |
$400.38 |
1.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$835.68 |
$835.68 |
1.7× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$5,469.30 |
$5,469.30 |
1.8× |
| Closure of vagina (57120) |
$7,905.68 |
$7,905.68 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,725.63 |
$1,725.63 |
7.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$662.64 |
$662.64 |
2.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,022.16 |
$1,022.16 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$645.27 |
$645.27 |
2.8× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$250 |
$250 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,124.64 |
$1,124.64 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$893.84 |
$893.84 |
3.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,176.06 |
$1,176.06 |
5.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,077.37 |
$3,077.37 |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$666.27 |
$666.27 |
2.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,129.50 |
$1,129.50 |
5.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,786.73 |
$2,786.73 |
12.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$895.02 |
$895.02 |
3.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$915 |
$915 |
4.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$917.54 |
$917.54 |
4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$914.37 |
$914.37 |
4.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,533.27 |
$1,533.27 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,482.81 |
$1,482.81 |
6.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,372.83 |
$1,372.83 |
6.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,045.61 |
$2,045.61 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$464.04 |
$464.04 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$401.43 |
$401.43 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$465.54 |
$465.54 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$343.65 |
$343.65 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,536.36 |
$1,536.36 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$617.65 |
$617.65 |
2.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,044.08 |
$3,044.08 |
2.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$349.53 |
$349.53 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$303.63 |
$303.63 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$782.07 |
$782.07 |
3.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,685.14 |
$1,685.14 |
7.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$835.64 |
$835.64 |
3.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,222.56 |
$1,222.56 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$880.08 |
$880.08 |
3.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$4,801.23 |
$4,801.23 |
3.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$305.28 |
$305.28 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$976.98 |
$976.98 |
4.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$555.33 |
$555.33 |
2.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,586.31 |
$1,586.31 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$888.77 |
$888.77 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$4,801.23 |
$4,801.23 |
3.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$883.08 |
$883.08 |
3.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,839.63 |
$4,839.63 |
3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$296.28 |
$296.28 |
1.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$4,801.23 |
$4,801.23 |
3.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,539.99 |
$1,539.99 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,278.14 |
$3,278.14 |
2.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$4,801.23 |
$4,801.23 |
3.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,515.54 |
$1,515.54 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,396.50 |
$1,396.50 |
0.9× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$8,587.18 |
$8,587.18 |
1.9× |
| Coccygectomy Primary (27080) |
$1,345 |
$1,345 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$2,431.62 |
$2,431.62 |
2.2× |
| Colonoscopy stoma w/biopsy (44389) |
$2,433.33 |
$2,433.33 |
2.2× |
| Colonoscopy stoma w/snare (44394) |
$1,230.06 |
$1,230.06 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,952.32 |
$1,952.32 |
2.3× |
| Colonoscopy w/ablation (45388) |
$3,636 |
$3,636 |
3.3× |
| Colonoscopy w/band ligation (45398) |
$4,366.23 |
$4,366.23 |
4.0× |
| Colonoscopy w/fb removal (45379) |
$2,381.62 |
$2,381.62 |
2.2× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$12,492.22 |
$12,492.22 |
1.8× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) unusually low: confirm this is the full procedure |
$2,500 |
$2,500 |
0.4× |
| Colporrhaphy suture injury vagina (57200) |
$5,209.30 |
$5,209.30 |
1.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$775.06 |
$775.06 |
2.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$2,485.36 |
$2,485.36 |
13.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$5,263.05 |
$5,263.05 |
1.8× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$5,194.30 |
$5,194.30 |
1.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$2,493.21 |
$2,493.21 |
8.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$764.06 |
$764.06 |
2.7× |
| Colposcopy vulva (56820) |
$250 |
$250 |
1.3× |
| Colposcopy vulva w/biopsy (56821) |
$315 |
$315 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$427.35 |
$427.35 |
1.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$498.27 |
$498.27 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,481.62 |
$2,481.62 |
2.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,200 |
$1,200 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,286.44 |
$2,286.44 |
2.1× |
| Complete replacement picc rs&i (36584) |
$4,660.32 |
$4,660.32 |
3.2× |
| Complex Cystometrogram (51726) |
$841.83 |
$841.83 |
3.7× |
| Complex Drainage, Wound (10180) |
$6,041.68 |
$6,041.68 |
2.3× |
| Complex Uroflowmetry (51741) |
$39.09 |
$39.09 |
0.2× |
| Composite skin graft (15760) |
$3,931.84 |
$3,931.84 |
2.1× |
| Conization of cervix (57520) |
$6,108.15 |
$6,108.15 |
2.1× |
| Conization of cervix (57522) |
$550 |
$550 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$449.12 |
$449.12 |
3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$440.49 |
$440.49 |
3.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$130 |
$130 |
0.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$5,039.60 |
$5,039.60 |
1.7× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) likely a partial charge, not the full procedure |
$3,200 |
$3,200 |
0.3× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$26,482.20 |
$26,482.20 |
4.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,542.86 |
$2,542.86 |
1.7× |
| Correction hammertoe (28285) |
$6,144 |
$6,144 |
2.0× |
| Correction of bunion (28298) |
$11,877.86 |
$11,877.86 |
1.8× |
| Correction of bunion (28292) |
$1,948.23 |
$1,948.23 |
0.6× |
| Correction of bunion (28299) |
$23,944.41 |
$23,944.41 |
3.6× |
| Correction of bunion (28297) |
$38,600.46 |
$38,600.46 |
3.3× |
| Correction of inverted nipples (19355) |
$1,270 |
$1,270 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$6,226.11 |
$6,226.11 |
2.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$6,597.81 |
$6,597.81 |
2.2× |
| Create eardrum opening (69436) |
$4,443.84 |
$4,443.84 |
3.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$285.63 |
$285.63 |
2.3× |
| Cult skin graft f/n/hf/g (15155) |
$2,004.99 |
$2,004.99 |
0.6× |
| Curettage postpartum (59160) |
$5,094.30 |
$5,094.30 |
1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,065.86 |
$4,065.86 |
2.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,186.67 |
$2,186.67 |
0.7× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$15,250.86 |
$15,250.86 |
3.1× |
| Cysto w/destruction of lesions (52214) |
$6,219.54 |
$6,219.54 |
1.9× |
| Cysto w/removal of tumors small (52234) |
$5,665.96 |
$5,665.96 |
1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,812.73 |
$3,812.73 |
2.0× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$10,346.91 |
$10,346.91 |
3.2× |
| Cysto w/ureter stricture tx (52341) |
$10,346.91 |
$10,346.91 |
3.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$11,835.18 |
$11,835.18 |
3.7× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$1,264.47 |
$1,264.47 |
0.4× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$10,346.91 |
$10,346.91 |
3.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$15,250.86 |
$15,250.86 |
3.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$15,250.86 |
$15,250.86 |
3.1× |
| Cystolithotomy w rem stone wo vn res (51050) |
$1,830 |
$1,830 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$1,079.88 |
$1,079.88 |
1.7× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$14,860.72 |
$14,860.72 |
1.7× |
| Cystoscopy and treatment (52330) |
$6,019 |
$6,019 |
1.9× |
| Cystoscopy stone removal (52325) |
$15,250.86 |
$15,250.86 |
3.1× |
| Cystoscopy w/biopsy (52204) |
$3,854.73 |
$3,854.73 |
2.0× |
| Cystoscopy w/complex removal stone & stent (52315) |
$6,145.53 |
$6,145.53 |
3.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,530.07 |
$3,530.07 |
1.8× |
| Cystoscopy,insert ureteral stent (52332) |
$6,368.70 |
$6,368.70 |
2.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,832.76 |
$3,832.76 |
2.0× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$6,145.53 |
$6,145.53 |
3.2× |
| Cystourethroscopy (52000) |
$1,471.74 |
$1,471.74 |
2.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,688.96 |
$4,688.96 |
2.4× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$5,788.46 |
$5,788.46 |
1.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$5,473.46 |
$5,473.46 |
1.7× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,048.44 |
$1,048.44 |
0.5× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$6,145.53 |
$6,145.53 |
3.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$10,892.85 |
$10,892.85 |
3.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$5,943.46 |
$5,943.46 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$163.53 |
$163.53 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,813.26 |
$1,813.26 |
0.7× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$5,326.92 |
$5,326.92 |
1.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,806.84 |
$1,806.84 |
2.8× |
| Debride nail 1-5 (11720) |
$150.06 |
$150.06 |
2.8× |
| Debride nail 6 or more (11721) |
$166.86 |
$166.86 |
3.1× |
| Debride skin musc at fx site (11011) |
$2,350.74 |
$2,350.74 |
3.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$360.48 |
$360.48 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$647.94 |
$647.94 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$865.65 |
$865.65 |
0.6× |
| Declot vascular device (36593) |
$995.07 |
$995.07 |
3.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$3,404.61 |
$3,404.61 |
2.3× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$1,460 |
$1,460 |
0.5× |
| Decompression of tibia nerve (28035) |
$8,941.53 |
$8,941.53 |
5.0× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,500 |
$1,500 |
0.8× |
| Delivery placenta separate procedure (59414) |
$400 |
$400 |
0.1× |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
$2,058 |
$2,058 |
0.6× |
| Destr penis lesn,simpl,laser surg (54057) |
$250 |
$250 |
0.1× |
| Destroy internal hemorrhoids (46930) |
$605.43 |
$605.43 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,192.80 |
$3,192.80 |
1.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$473.40 |
$473.40 |
1.3× |
| Destruction anal lesion(s) (46924) |
$1,535.67 |
$1,535.67 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$372 |
$372 |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$318.15 |
$318.15 |
1.7× |
| Destruction Lesions Vulva Extensive (56515) |
$2,993.84 |
$2,993.84 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$250 |
$250 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$506.76 |
$506.76 |
2.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$579.54 |
$579.54 |
3.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$779.64 |
$779.64 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$415.95 |
$415.95 |
2.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$582.21 |
$582.21 |
1.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$664.14 |
$664.14 |
1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$393.84 |
$393.84 |
2.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$420.84 |
$420.84 |
2.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$468.54 |
$468.54 |
2.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$281.55 |
$281.55 |
1.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$1,252.02 |
$1,252.02 |
1.8× |
| Destruction of growth of rectum (45190) |
$8,227.17 |
$8,227.17 |
3.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$523.05 |
$523.05 |
2.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$99 |
$99 |
0.3× |
| Destruction of multiple growths of penis (54065) |
$150 |
$150 |
0.1× |
| Destruction of skin lesions (17106) |
$965.37 |
$965.37 |
2.6× |
| Destruction premalignant lesion 1st (17000) |
$188.61 |
$188.61 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$5,164.30 |
$5,164.30 |
1.7× |
| Destruction vaginal lesions simple (57061) |
$4,906.80 |
$4,906.80 |
1.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,077.56 |
$2,077.56 |
3.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,487.56 |
$1,487.56 |
1.7× |
| Dil urethra,female,subsequent (53661) |
$221 |
$221 |
1.8× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$335 |
$335 |
0.3× |
| Dilate Urethra Stricture (53600) |
$3,095.28 |
$3,095.28 |
13.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,144.30 |
$5,144.30 |
1.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,493.84 |
$1,493.84 |
1.8× |
| Dilation Esophagus Guide Wire (43453) |
$360 |
$360 |
0.2× |
| Dilation of anal sphincter (45905) |
$1,913.62 |
$1,913.62 |
1.7× |
| Dilation of cervical canal (57800) |
$125 |
$125 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$218 |
$218 |
1.8× |
| Dilation of urethra (53665) |
$6,145.53 |
$6,145.53 |
3.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$244 |
$244 |
2.0× |
| Dissection, deep jugular node(s) (38542) |
$9,029.54 |
$9,029.54 |
1.6× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$9,373.49 |
$9,373.49 |
1.7× |
| Division of fallopian tube (58600) |
$5,561.46 |
$5,561.46 |
1.9× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$617.46 |
$617.46 |
0.4× |
| Drain hand tendon sheath (26020) |
$890 |
$890 |
0.3× |
| Drain lower leg bursa (27604) |
$9,733.83 |
$9,733.83 |
3.2× |
| Drain shoulder lesion (23030) |
$1,228.71 |
$1,228.71 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$432.08 |
$432.08 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,349.46 |
$1,349.46 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$960.51 |
$960.51 |
5.2× |
| Drainage mouth roof lesion (42000) |
$297.18 |
$297.18 |
1.4× |
| Drainage of deep rectal abscess (45020) |
$790 |
$790 |
0.3× |
| Drainage of eye (65810) |
$6,842.19 |
$6,842.19 |
3.2× |
| Drainage of eyelid abscess (67700) |
$846 |
$846 |
2.9× |
| Drainage of gum lesion (41800) |
$406.68 |
$406.68 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$474.12 |
$474.12 |
0.3× |
| Drainage of hydrocele (55000) |
$240 |
$240 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$8,586.15 |
$8,586.15 |
3.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$939.27 |
$939.27 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$458.82 |
$458.82 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,570 |
$1,570 |
0.5× |
| Draw blood off venous device (36591) |
$386.70 |
$386.70 |
3.2× |
| Dressing change under anesthesia (15852) |
$960.70 |
$960.70 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$546.18 |
$546.18 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$436.77 |
$436.77 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$237.78 |
$237.78 |
1.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$725.16 |
$725.16 |
0.2× |
| Dstrj lesion anus simple chemical (46900) |
$523.66 |
$523.66 |
1.4× |
| Dstrj lesion anus simple cryosurgery (46916) |
$732.66 |
$732.66 |
4.0× |
| Dstrj lesion anus simple surg excision (46922) |
$4,552.88 |
$4,552.88 |
1.8× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$3,261.60 |
$3,261.60 |
1.7× |
| Dstrj lesion penis simple surg excision (54060) |
$2,840.34 |
$2,840.34 |
1.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,170.48 |
$3,170.48 |
1.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,358.64 |
$4,358.64 |
2.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,678.22 |
$3,678.22 |
2.1× |
| Egd flexible foreign body removal (43247) |
$2,501.42 |
$2,501.42 |
3.0× |
| Egd guide wire insertion (43248) |
$2,215.77 |
$2,215.77 |
2.7× |
| Egd injection varices (43243) |
$5,690.97 |
$5,690.97 |
3.2× |
| Egd place gastrostomy tube (43246) |
$3,501.20 |
$3,501.20 |
2.0× |
| Egd rem tumr/polyp forcep (43250) |
$3,477.15 |
$3,477.15 |
2.0× |
| Egd remove lesion snare (43251) |
$3,541.05 |
$3,541.05 |
2.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$6,300.36 |
$6,300.36 |
3.6× |
| Egd us exam duodenum/jejunum (43259) |
$475 |
$475 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$5,690.97 |
$5,690.97 |
3.2× |
| Elbow arthroscopy/surgery (29837) |
$9,733.83 |
$9,733.83 |
3.2× |
Emblc/thrmbc ax brach innominate subcla art (34101) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.2× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$8,758.55 |
$8,758.55 |
1.7× |
| Endocervical Curettage (57505) |
$1,426.11 |
$1,426.11 |
1.7× |
| Endoscopic Injection/Implant (51715) |
$10,346.91 |
$10,346.91 |
3.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$9,733.83 |
$9,733.83 |
3.2× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$4,080 |
$4,080 |
2.3× |
| Enterorrhaphy single perforation (44602) |
$2,050 |
$2,050 |
0.6× |
| Epididymectomy bilateral (54861) |
$10,346.91 |
$10,346.91 |
3.2× |
| Epididymectomy unilateral (54860) |
$700 |
$700 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$5,006.80 |
$5,006.80 |
1.7× |
| Esoph endoscopy dilation (43226) |
$1,080.87 |
$1,080.87 |
0.6× |
| Esoph scope w/submucous inj (43201) |
$5,690.97 |
$5,690.97 |
3.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,060.78 |
$2,060.78 |
2.5× |
| Esophagosc dilate balloon 30 (43214) |
$5,690.97 |
$5,690.97 |
3.2× |
| Esophagoscopy flex biopsy (43202) |
$1,000.71 |
$1,000.71 |
0.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,180.05 |
$1,180.05 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$3,395.67 |
$3,395.67 |
1.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,434.08 |
$2,434.08 |
2.9× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,523.12 |
$2,523.12 |
1.4× |
| Evacuate mole of uterus (59870) |
$28,957.71 |
$28,957.71 |
9.7× |
| Evacuation of subungual hematoma (11740) |
$159.51 |
$159.51 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$4,893.08 |
$4,893.08 |
1.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,000 |
$1,000 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,175.14 |
$3,175.14 |
2.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,747.58 |
$2,747.58 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,033.18 |
$3,033.18 |
2.0× |
| Exc back les sc < 3 cm (21930) |
$3,130.66 |
$3,130.66 |
2.1× |
| Exc back tum deep < 5 cm (21932) |
$8,926.38 |
$8,926.38 |
3.3× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$9,273.49 |
$9,273.49 |
1.7× |
| Exc face les sbq 2 cm/> (21012) |
$2,790.36 |
$2,790.36 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,376.74 |
$1,376.74 |
2.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,750.80 |
$2,750.80 |
1.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$2,968.36 |
$2,968.36 |
2.0× |
| Exc forearm les sc 3 cm/> (25071) |
$5,372.19 |
$5,372.19 |
3.5× |
| Exc forearm les sc < 3 cm (25075) |
$3,156.99 |
$3,156.99 |
2.1× |
| Exc frenum labial/buccal (40819) |
$4,443.84 |
$4,443.84 |
3.1× |
| Exc hand les sc < 1.5 cm (26115) |
$3,202.02 |
$3,202.02 |
2.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$6,570.15 |
$6,570.15 |
2.0× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$4,993.08 |
$4,993.08 |
1.9× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$2,270 |
$2,270 |
0.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$609.36 |
$609.36 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,886.38 |
$4,886.38 |
3.3× |
| Exc neck tum deep < 5 cm (21556) |
$4,825.58 |
$4,825.58 |
1.8× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$11,369.14 |
$11,369.14 |
2.1× |
| Exc rect tum transanal part (45171) |
$6,013.58 |
$6,013.58 |
2.4× |
| Exc Sacr Press Ulc Bone & Suture (15933) |
$1,910 |
$1,910 |
0.7× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,579.55 |
$2,579.55 |
1.7× |
| Exc shoulder tum deep 5 cm/> (23073) |
$6,537.25 |
$6,537.25 |
2.4× |
| Exc skin abd (15830) |
$10,902.19 |
$10,902.19 |
1.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,400.32 |
$1,400.32 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$895.76 |
$895.76 |
2.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,416.16 |
$1,416.16 |
2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,452.32 |
$1,452.32 |
2.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$3,275.88 |
$3,275.88 |
2.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,743.82 |
$2,743.82 |
1.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,075.11 |
$1,075.11 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,755.36 |
$4,755.36 |
1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,559.80 |
$3,559.80 |
2.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,872.62 |
$2,872.62 |
1.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$5,000.31 |
$5,000.31 |
1.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$5,195.07 |
$5,195.07 |
1.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,622.48 |
$3,622.48 |
2.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,743.08 |
$4,743.08 |
1.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$8,586.15 |
$8,586.15 |
3.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$597.21 |
$597.21 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,354.62 |
$1,354.62 |
2.1× |
| Exc troc pres ulc & bone prim clo (15951) |
$1,870 |
$1,870 |
0.7× |
| Exc trochanteric pr ulcer w/skin flap closure (15952) |
$1,860 |
$1,860 |
1.0× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$1,380 |
$1,380 |
0.9× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,025 |
$1,025 |
0.7× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,950.36 |
$2,950.36 |
1.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,783.08 |
$4,783.08 |
1.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,823.08 |
$4,823.08 |
1.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,893.08 |
$4,893.08 |
1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,134.50 |
$4,134.50 |
2.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$8,586.15 |
$8,586.15 |
3.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,350.87 |
$1,350.87 |
0.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$4,998.08 |
$4,998.08 |
1.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,111.45 |
$3,111.45 |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$8,631.60 |
$8,631.60 |
3.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$5,019.24 |
$5,019.24 |
1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,763.56 |
$3,763.56 |
2.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$4,925.58 |
$4,925.58 |
1.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,981.44 |
$4,981.44 |
1.9× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,855.58 |
$4,855.58 |
1.8× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$600 |
$600 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$5,598.30 |
$5,598.30 |
1.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,281.60 |
$1,281.60 |
0.9× |
| Exchange intraocular lens (66986) |
$6,764.48 |
$6,764.48 |
3.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,976.22 |
$3,976.22 |
2.7× |
| Excise cutaneous neurofibroma (64788) |
$5,858.31 |
$5,858.31 |
3.3× |
| Excise excess skin & tissue (15839) |
$2,488.02 |
$2,488.02 |
0.9× |
| Excise excess skin tissue,thigh (15832) |
$8,586.15 |
$8,586.15 |
3.2× |
| Excise parotid gland/lesion (42410) |
$3,400 |
$3,400 |
0.6× |
Excise parotid gland/lesion (42420) unusually low: confirm this is the full procedure |
$2,500 |
$2,500 |
0.5× |
| Excise pharynx lesion (42808) |
$655.41 |
$655.41 |
0.2× |
| Excise/repair mouth lesion (40812) |
$2,618.24 |
$2,618.24 |
1.8× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$5,520.80 |
$5,520.80 |
1.8× |
Excision bone cyst/bnign tumor superficial (27065) likely a partial charge, not the full procedure |
$1,125 |
$1,125 |
0.2× |
| Excision Breast Lesion (19125) |
$7,004.67 |
$7,004.67 |
1.9× |
| Excision Chalazion Single (67800) |
$361.92 |
$361.92 |
1.2× |
| Excision Distal Ulna Partial/Complete (25240) |
$5,461.82 |
$5,461.82 |
1.8× |
| Excision external ear partial simple repair (69110) |
$4,954.78 |
$4,954.78 |
1.9× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,275.78 |
$1,275.78 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$5,207.97 |
$5,207.97 |
1.9× |
| Excision hydrocele bilateral (55041) |
$1,775 |
$1,775 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,590.34 |
$2,590.34 |
1.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,452.36 |
$1,452.36 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,496.22 |
$1,496.22 |
2.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,020.70 |
$1,020.70 |
2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,567.32 |
$1,567.32 |
2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,611.32 |
$1,611.32 |
2.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,340.37 |
$1,340.37 |
2.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,388.30 |
$1,388.30 |
2.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,566.96 |
$1,566.96 |
2.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,975.08 |
$2,975.08 |
2.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$556.86 |
$556.86 |
0.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,497.92 |
$1,497.92 |
2.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,530.62 |
$1,530.62 |
2.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,123.94 |
$3,123.94 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,180.80 |
$3,180.80 |
2.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$874.20 |
$874.20 |
0.3× |
| Excision of bartholin's gland or cyst (56740) |
$500 |
$500 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,419.76 |
$1,419.76 |
2.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,110.66 |
$2,110.66 |
3.2× |
Excision of facial bone(s) (21026) likely a partial charge, not the full procedure |
$1,200.51 |
$1,200.51 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$6,559.95 |
$6,559.95 |
4.4× |
| Excision of hydrocele; unilateral (55040) |
$5,858.59 |
$5,858.59 |
1.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$2,905.62 |
$2,905.62 |
3.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$5,617.26 |
$5,617.26 |
1.9× |
| Excision of lesion of tongue without closure (41110) |
$647.40 |
$647.40 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$503.76 |
$503.76 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,887.30 |
$2,887.30 |
1.9× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$4,948.56 |
$4,948.56 |
3.3× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$5,553.02 |
$5,553.02 |
1.8× |
| Excision of local lesion of epididymis (54830) |
$5,523.46 |
$5,523.46 |
1.7× |
| Excision of mouth lesion (41116) |
$941.94 |
$941.94 |
0.3× |
| Excision of nail fold toe (11765) |
$359.66 |
$359.66 |
1.0× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$350 |
$350 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,787.64 |
$4,787.64 |
1.8× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) |
$2,500 |
$2,500 |
1.0× |
| Excision of rib partial (21600) |
$11,303.10 |
$11,303.10 |
1.7× |
| Excision of single external papilla or tag, anus (46220) |
$2,570.54 |
$2,570.54 |
2.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$9,253.65 |
$9,253.65 |
3.5× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$3,347.76 |
$3,347.76 |
1.7× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$1,537.17 |
$1,537.17 |
0.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$9,923.49 |
$9,923.49 |
1.8× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$680 |
$680 |
0.5× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281) unusually low: confirm this is the full procedure |
$1,820 |
$1,820 |
0.3× |
| Excision of tongue lesion (41112) |
$955.53 |
$955.53 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) unusually low: confirm this is the full procedure |
$1,930 |
$1,930 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$10,310.29 |
$10,310.29 |
3.5× |
| Excision of vaginal septum (57130) |
$390 |
$390 |
0.1× |
| Excision olecranon bursa (24105) |
$5,201.92 |
$5,201.92 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$5,379.42 |
$5,379.42 |
1.8× |
| Excision or fulguration; urethral caruncle (53265) |
$642.42 |
$642.42 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$7,399.30 |
$7,399.30 |
2.8× |
| Excision Prepatellar Bursa (27340) |
$5,241.92 |
$5,241.92 |
1.7× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$2,500 |
$2,500 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,159.59 |
$1,159.59 |
0.4× |
| Excision Synovial Cyst Popliteal Space (27345) |
$5,611.25 |
$5,611.25 |
1.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,881.96 |
$3,881.96 |
2.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,130.34 |
$3,130.34 |
2.1× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$3,790.26 |
$3,790.26 |
2.6× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$730 |
$730 |
0.5× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$4,928.08 |
$4,928.08 |
1.8× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$5,395 |
$5,395 |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$8,586.15 |
$8,586.15 |
3.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$8,586.15 |
$8,586.15 |
3.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,149.38 |
$3,149.38 |
2.1× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$5,204.08 |
$5,204.08 |
1.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$608 |
$608 |
0.2× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$900 |
$900 |
0.3× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$5,721.93 |
$5,721.93 |
1.9× |
| Excision/fulguration urethral prolapse (53275) |
$350 |
$350 |
0.1× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$1,430.31 |
$1,430.31 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,186.47 |
$1,186.47 |
0.6× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.2× |
Expl retroperitoneum w/wo bx spx (49010) unusually low: confirm this is the full procedure |
$2,000 |
$2,000 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$705 |
$705 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$3,302.67 |
$3,302.67 |
2.2× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$1,200 |
$1,200 |
0.4× |
| Exploration maxillary sinus (31020) |
$9,729.21 |
$9,729.21 |
3.2× |
| Exploration Of Foot Joint (28020) |
$5,631.66 |
$5,631.66 |
1.9× |
| Exploration of knee joint (27310) |
$5,868.30 |
$5,868.30 |
2.0× |
| Exploration penetrating wound spx chest (20101) |
$556.86 |
$556.86 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,572.75 |
$1,572.75 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,050 |
$1,050 |
2.1× |
| Exploratory shoulder surgery (23044) |
$9,733.83 |
$9,733.83 |
3.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$9,733.83 |
$9,733.83 |
3.2× |
| Explore limb vessels (35860) |
$5,171.25 |
$5,171.25 |
1.8× |
| Explore parathyroid glands (60500) |
$11,089.14 |
$11,089.14 |
2.0× |
| Explore/irrigate tear ducts (68840) |
$896.79 |
$896.79 |
3.1× |
| Explore/treat ankle joint (27620) |
$1,000 |
$1,000 |
0.3× |
| Explore/treat ankle joint (27610) |
$9,733.83 |
$9,733.83 |
3.2× |
| Explore/treat elbow joint (24101) |
$960 |
$960 |
0.3× |
Extensive ear canal surgery (69150) unusually low: confirm this is the full procedure |
$1,700 |
$1,700 |
0.3× |
| Extern drain prostate absc,simple (55720) |
$10,346.91 |
$10,346.91 |
3.2× |
| External Cephalic Version (59412) |
$170 |
$170 |
0.1× |
| Extraction of lens (66940) |
$7,068.99 |
$7,068.99 |
3.3× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$9,733.83 |
$9,733.83 |
3.2× |
| Fasciotomy foot and/or toe (28008) |
$5,977.24 |
$5,977.24 |
2.0× |
| Fasciotomy palmar open partial (26045) |
$5,496.92 |
$5,496.92 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$730 |
$730 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$9,733.83 |
$9,733.83 |
3.2× |
| Fetal Contraction Stress Test (59020) |
$495.25 |
$495.25 |
2.7× |
| Fetal non-stress test (59025) |
$282.20 |
$282.20 |
1.5× |
| Filleted finger/toe flap (14350) |
$1,060 |
$1,060 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$500 |
$500 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,110.77 |
$2,110.77 |
3.2× |
| Fine needle aspiration without imaging guidance (10021) |
$285.15 |
$285.15 |
0.8× |
| Fitting of diaphragm/cap (57170) |
$90 |
$90 |
0.5× |
| Fix ectropion,entensv lid repair (67917) |
$6,998.88 |
$6,998.88 |
3.2× |
| Fixation of knee joint (27570) |
$2,650.62 |
$2,650.62 |
1.8× |
| Fixation of shoulder (23700) |
$620 |
$620 |
0.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$9,729.21 |
$9,729.21 |
3.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$5,794.20 |
$5,794.20 |
3.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,668.84 |
$3,668.84 |
1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,325 |
$1,325 |
0.7× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$3,318.84 |
$3,318.84 |
1.7× |
| Fusion Finger Joint (26860) |
$9,733.83 |
$9,733.83 |
3.2× |
| Fusion of foot bones (28730) |
$20,313.27 |
$20,313.27 |
1.7× |
| Fusion of thumb (26841) |
$21,431.19 |
$21,431.19 |
3.2× |
Fusion/graft of elbow joint (24802) likely a partial charge, not the full procedure |
$1,665 |
$1,665 |
0.1× |
| Fusion/graft of finger joint (26862) |
$9,733.83 |
$9,733.83 |
3.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$496.05 |
$496.05 |
2.5× |
| Gastrocnemius Recession (27687) |
$9,733.83 |
$9,733.83 |
3.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,030 |
$2,030 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$3,695.48 |
$3,695.48 |
2.1× |
Graft ear crtlg autogenous nose/ear (21235) unusually low: confirm this is the full procedure |
$2,064.54 |
$2,064.54 |
0.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$21,431.19 |
$21,431.19 |
3.2× |
Hemiarthroplasty Hip Partial (27125) likely a partial charge, not the full procedure |
$2,000 |
$2,000 |
0.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$9,733.83 |
$9,733.83 |
3.2× |
| Hemorrhoidectomy (46255) |
$4,841.52 |
$4,841.52 |
1.9× |
| Hemorrhoidectomy external complete (46250) |
$5,497.88 |
$5,497.88 |
2.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,440 |
$1,440 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$4,713.58 |
$4,713.58 |
1.8× |
| Hysteroscopy ablation (58563) |
$9,304.68 |
$9,304.68 |
2.0× |
| Hysteroscopy biopsy (58558) |
$5,532.10 |
$5,532.10 |
1.9× |
| Hysteroscopy dx sep proc (58555) |
$5,069.30 |
$5,069.30 |
1.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$1,375 |
$1,375 |
0.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,219.30 |
$5,219.30 |
1.8× |
| Hysteroscopy resect septum (58560) |
$1,000 |
$1,000 |
0.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$8,489.86 |
$8,489.86 |
1.8× |
| I&D Abscess Peritonsillar (42700) |
$619.83 |
$619.83 |
2.8× |
| I&d abscess simple (10060) |
$353.25 |
$353.25 |
1.9× |
| I&d below fascia foot 1 bursal space (28002) |
$693.72 |
$693.72 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,880.10 |
$1,880.10 |
0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,973.68 |
$4,973.68 |
1.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,280.26 |
$3,280.26 |
1.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,806.70 |
$5,806.70 |
1.9× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$5,286.92 |
$5,286.92 |
1.8× |
| I&d perianal abscess superficial (46050) |
$467.98 |
$467.98 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$702.57 |
$702.57 |
1.1× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$4,838.58 |
$4,838.58 |
1.9× |
| I&d submucosal abscess rectum (45005) |
$2,209.26 |
$2,209.26 |
2.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,840.18 |
$2,840.18 |
1.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,004.94 |
$1,004.94 |
0.4× |
Immediate breast prosthesis (19340) unusually low: confirm this is the full procedure |
$2,300 |
$2,300 |
0.3× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$4,946.62 |
$4,946.62 |
0.6× |
| Incise finger tendon sheath (26055) |
$3,229.47 |
$3,229.47 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$500.52 |
$500.52 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,031.64 |
$5,031.64 |
1.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$710.10 |
$710.10 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$741.36 |
$741.36 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$423.09 |
$423.09 |
1.1× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$1,000 |
$1,000 |
0.3× |
| Incision and drainage of abscess of pelvis (57010) |
$4,944.30 |
$4,944.30 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$268.24 |
$268.24 |
1.4× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$5,797.20 |
$5,797.20 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$509.64 |
$509.64 |
1.8× |
| Incision bone cortex foot (28005) |
$9,733.83 |
$9,733.83 |
3.2× |
| Incision bone cortex hand/finger (26034) |
$1,250 |
$1,250 |
0.8× |
| Incision deep opening bone cortex thorax (21510) |
$940 |
$940 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$4,010.90 |
$4,010.90 |
2.7× |
| Incision labial frenum frenotomy (40806) |
$854 |
$854 |
1.7× |
| Incision of eardrum (69421) |
$9,729.21 |
$9,729.21 |
3.2× |
| Incision of heel bone (28300) |
$45,553.02 |
$45,553.02 |
6.8× |
| Incision of lingual frenum (41010) |
$3,453.85 |
$3,453.85 |
2.4× |
| Incision of lymph channels (38308) |
$700 |
$700 |
0.2× |
| Incision of metatarsal (28308) |
$5,662.17 |
$5,662.17 |
1.9× |
| Incision of metatarsals (28309) |
$21,431.19 |
$21,431.19 |
3.2× |
| Incision of rectal abscess (46040) |
$1,544.67 |
$1,544.67 |
1.4× |
| Incision of urethra (53025) |
$100 |
$100 |
0.1× |
| Incision of urethra (53020) |
$6,145.53 |
$6,145.53 |
3.2× |
| Incision thrombosed hemorrhoid external (46083) |
$580.65 |
$580.65 |
2.5× |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
$5,216.92 |
$5,216.92 |
1.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$518.34 |
$518.34 |
1.8× |
| Incisional biopsy skin single lesion (11106) |
$1,177.05 |
$1,177.05 |
1.7× |
| Induced abortion by d&c (59840) |
$850 |
$850 |
0.3× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$10,432.19 |
$10,432.19 |
1.7× |
| Initial tx 1st degree burn local tx (16000) |
$171.27 |
$171.27 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,479.63 |
$1,479.63 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$524.01 |
$524.01 |
1.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,431.40 |
$1,431.40 |
1.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$199.02 |
$199.02 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$251.82 |
$251.82 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,514.48 |
$1,514.48 |
1.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$141.06 |
$141.06 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$148.89 |
$148.89 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$67.32 |
$67.32 |
0.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$274.38 |
$274.38 |
0.4× |
| Inject Nerv Blck,Pudendal (64430) |
$2,009.29 |
$2,009.29 |
2.5× |
| Inject Tendon Origin/Insert (20551) |
$555.28 |
$555.28 |
2.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,441.90 |
$1,441.90 |
1.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,151.19 |
$1,151.19 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,137.22 |
$1,137.22 |
1.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,439.49 |
$1,439.49 |
1.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$223.22 |
$223.22 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$114.93 |
$114.93 |
0.2× |
| Injection for identification of sentinel node (38792) |
$7,241.85 |
$7,241.85 |
19.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$148.62 |
$148.62 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$171.69 |
$171.69 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$556.90 |
$556.90 |
2.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$133.53 |
$133.53 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$160.11 |
$160.11 |
0.9× |
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.1× |
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) likely a partial charge, not the full procedure |
$1,500 |
$1,500 |
0.2× |
Ins Pm Pls Gen W/Exist Single Lead (33212) likely a partial charge, not the full procedure |
$700 |
$700 |
0.1× |
Insert 1 electrode pm-defib (33216) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$379.26 |
$379.26 |
3.2× |
| Insert cervical dilator (59200) |
$445.90 |
$445.90 |
1.6× |
| Insert Drug Implant Device (11981) |
$280.02 |
$280.02 |
2.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,344.68 |
$2,344.68 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$598.47 |
$598.47 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$230.85 |
$230.85 |
0.1× |
| Insert pessary/other device (57160) |
$110 |
$110 |
0.6× |
| Insert picc cath (36569) |
$1,483.55 |
$1,483.55 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$171.90 |
$171.90 |
1.4× |
| Insert tun ip cath perc (49418) |
$11,344.32 |
$11,344.32 |
3.4× |
| Insert tunneled cv cath (36561) |
$2,750.61 |
$2,750.61 |
0.9× |
| Insert Tunneled Cv Cath With Pump (36563) |
$16,217.10 |
$16,217.10 |
3.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$279.57 |
$279.57 |
2.3× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$920 |
$920 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,660.32 |
$4,660.32 |
3.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,854.78 |
$1,854.78 |
3.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$24,827.94 |
$24,827.94 |
3.3× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$8,117.37 |
$8,117.37 |
3.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,504.92 |
$7,504.92 |
2.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,327.16 |
$2,327.16 |
0.8× |
Insj/rplcmt breast implant sep day mastectomy (19342) unusually low: confirm this is the full procedure |
$2,600 |
$2,600 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.1× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$9,729.21 |
$9,729.21 |
3.2× |
| Intro Gastrointestinal Tube (44500) |
$1,461.34 |
$1,461.34 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$539.61 |
$539.61 |
2.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$85 |
$85 |
0.4× |
| Irrigate vagina w meds (57150) |
$90 |
$90 |
1.7× |
| Island pedicle flap graft (15740) |
$2,829.15 |
$2,829.15 |
1.5× |
| Knee arthroscopy/surgery (29883) |
$11,517.03 |
$11,517.03 |
3.8× |
| Knee arthroscopy/surgery (29876) |
$6,650.96 |
$6,650.96 |
2.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) unusually low: confirm this is the full procedure |
$3,000 |
$3,000 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) unusually low: confirm this is the full procedure |
$2,650 |
$2,650 |
0.4× |
| Lap ing hernia repair init (49650) |
$11,205.36 |
$11,205.36 |
2.0× |
| Lap insert tunnel ip cath (49324) |
$17,503.08 |
$17,503.08 |
3.1× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$17,304.33 |
$17,304.33 |
1.8× |
| Laparoscopy appendectomy (44970) |
$9,681.54 |
$9,681.54 |
1.7× |
| Laparoscopy biopsy (49321) |
$9,576.54 |
$9,576.54 |
1.7× |
| Laparoscopy lymphadenectomy (38572) |
$31,233.66 |
$31,233.66 |
3.2× |
| Laparoscopy orchiopexy (54692) |
$9,201.54 |
$9,201.54 |
1.7× |
Laparoscopy Remove Adnexa (58661) unusually low: confirm this is the full procedure |
$2,180 |
$2,180 |
0.4× |
| Laparoscopy salpingostomy (58673) |
$16,871.83 |
$16,871.83 |
1.7× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$18,414 |
$18,414 |
1.9× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$3,500 |
$3,500 |
0.4× |
| Laparoscopy tubal block (58671) |
$9,476.54 |
$9,476.54 |
1.7× |
| Laparoscopy Tubal Cautery (58670) |
$9,491.54 |
$9,491.54 |
1.7× |
| Laparoscopy w/lysis of adhesions (58660) |
$9,686.54 |
$9,686.54 |
1.7× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$9,436.54 |
$9,436.54 |
1.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$9,701.54 |
$9,701.54 |
1.7× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$16,239.33 |
$16,239.33 |
1.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$17,863 |
$17,863 |
1.8× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$31,233.66 |
$31,233.66 |
3.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$32,868.66 |
$32,868.66 |
5.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$6,745.54 |
$6,745.54 |
1.9× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$26,783.59 |
$26,783.59 |
4.8× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$18,450.50 |
$18,450.50 |
1.9× |
Laparoscopy, surgical, splenectomy (38120) likely a partial charge, not the full procedure |
$1,600 |
$1,600 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) unusually low: confirm this is the full procedure |
$3,600 |
$3,600 |
0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,525.78 |
$10,525.78 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$16,616.83 |
$16,616.83 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,701.23 |
$14,701.23 |
2.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$9,851.54 |
$9,851.54 |
1.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$17,503.08 |
$17,503.08 |
3.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$17,503.08 |
$17,503.08 |
3.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$17,682.32 |
$17,682.32 |
1.8× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$9,726.54 |
$9,726.54 |
1.7× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$13,361.24 |
$13,361.24 |
2.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$362.70 |
$362.70 |
2.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$254.19 |
$254.19 |
1.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$609.66 |
$609.66 |
3.3× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$212 |
$212 |
0.1× |
| Laryngoscopy indirect with biopsy (31510) |
$607.23 |
$607.23 |
0.2× |
| Laryngoscopy w/biopsy (31535) |
$6,410.74 |
$6,410.74 |
1.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$12,471.48 |
$12,471.48 |
7.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$7,052.76 |
$7,052.76 |
4.3× |
| Laser surgery, anal lesion(s) (46917) |
$1,250.82 |
$1,250.82 |
0.5× |
| Late closure of wound (13160) |
$3,644.77 |
$3,644.77 |
1.1× |
| Lateral retinacular release open (27425) |
$11,332.20 |
$11,332.20 |
3.8× |
| Lengthening Hamstring Tendon Single (27393) |
$21,431.19 |
$21,431.19 |
3.2× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
$21,431.19 |
$21,431.19 |
3.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$46,940.76 |
$46,940.76 |
7.0× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$38,600.46 |
$38,600.46 |
3.3× |
| Ligate/strip short leg vein (37718) |
$9,442.50 |
$9,442.50 |
3.3× |
| Ligation of hemorrhoid(s) (46221) |
$2,845.86 |
$2,845.86 |
3.3× |
| Ligation or biopsy temporal artery (37609) |
$5,095.16 |
$5,095.16 |
3.4× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$962.55 |
$962.55 |
0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,366.86 |
$8,366.86 |
2.6× |
| Liver Biopsy (47000) |
$2,854.47 |
$2,854.47 |
1.9× |
Lmtd lmphadec staging spx pel¶-aortic (38562) likely a partial charge, not the full procedure |
$1,210 |
$1,210 |
0.2× |
| Lsh uterus above 250 g (58543) |
$31,233.66 |
$31,233.66 |
3.2× |
| Lysis Intranasal Synechia (30560) |
$1,527.75 |
$1,527.75 |
3.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,307.76 |
$3,307.76 |
1.7× |
| Manipulation finger joint under anes each joint (26340) |
$2,904.14 |
$2,904.14 |
2.0× |
| Manipulation, elbow, under anesthesia (24300) |
$1,000 |
$1,000 |
0.7× |
| Marsup Bartholin Gland Cyst (56440) |
$5,019.30 |
$5,019.30 |
1.7× |
| Mast mod rad (19307) |
$14,017.54 |
$14,017.54 |
2.3× |
| Mastectomy gynecomastia (19300) |
$6,393.92 |
$6,393.92 |
1.8× |
| Mastectomy partial (19301) |
$9,147.64 |
$9,147.64 |
2.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$11,980.74 |
$11,980.74 |
2.0× |
| Mastectomy simple complete (19303) |
$11,914.06 |
$11,914.06 |
2.0× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$4,006.86 |
$4,006.86 |
1.2× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$7,232.14 |
$7,232.14 |
2.2× |
| Muscle-skin graft trunk (15734) |
$11,869.95 |
$11,869.95 |
3.6× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$21,431.19 |
$21,431.19 |
3.2× |
| Myelography Lumbar Injection (62305) |
$9,293.01 |
$9,293.01 |
12.9× |
| Myelography Lumbar Injection (62304) |
$9,293.01 |
$9,293.01 |
12.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$9,293.01 |
$9,293.01 |
12.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$9,293.01 |
$9,293.01 |
12.9× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$5,809.30 |
$5,809.30 |
2.0× |
| Nasal surgery procedure (30999) |
$60 |
$60 |
0.3× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$22,140.21 |
$22,140.21 |
3.4× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$20,767.41 |
$20,767.41 |
3.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$12,060.24 |
$12,060.24 |
3.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$13,898.61 |
$13,898.61 |
8.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$22,369.65 |
$22,369.65 |
3.4× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$22,369.65 |
$22,369.65 |
3.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$534.50 |
$534.50 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$8,117.37 |
$8,117.37 |
5.5× |
| Neuroplasty digital 1/both same digit (64702) |
$350 |
$350 |
0.2× |
| Neuroplasty; nerve of hand or foot (64704) |
$350 |
$350 |
0.2× |
| Nipple exploration (19110) |
$1,349.94 |
$1,349.94 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,439.54 |
$1,439.54 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$10,587.18 |
$10,587.18 |
3.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$10,587.18 |
$10,587.18 |
3.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,459.53 |
$1,459.53 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,859.50 |
$1,859.50 |
2.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,587.63 |
$1,587.63 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,848.45 |
$1,848.45 |
2.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,867.70 |
$1,867.70 |
2.3× |
| Occlude fallopian tube(s) (58615) |
$4,944.30 |
$4,944.30 |
1.7× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,125 |
$1,125 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$11,487.84 |
$11,487.84 |
3.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$17,859.33 |
$17,859.33 |
2.7× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$11,850.24 |
$11,850.24 |
1.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$11,403.10 |
$11,403.10 |
1.7× |
| Open Treatment Humeral Condylar Fracture (24579) |
$19,980.23 |
$19,980.23 |
1.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,611.48 |
$1,611.48 |
0.5× |
| Open Treatment Medial Malleolus Fracture (27766) |
$18,344.81 |
$18,344.81 |
2.7× |
| Open treatment metatarsal fracture each (28485) |
$12,522.20 |
$12,522.20 |
1.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$11,215.60 |
$11,215.60 |
1.7× |
| Open treatment of acute shoulder dislocation (23660) |
$21,431.19 |
$21,431.19 |
3.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$11,465.60 |
$11,465.60 |
1.7× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) likely a partial charge, not the full procedure |
$2,125 |
$2,125 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) unusually low: confirm this is the full procedure |
$2,200 |
$2,200 |
0.3× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) likely a partial charge, not the full procedure |
$1,390 |
$1,390 |
0.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$24,361.91 |
$24,361.91 |
2.1× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) unusually low: confirm this is the full procedure |
$2,500 |
$2,500 |
0.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$11,358.10 |
$11,358.10 |
1.7× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) likely a partial charge, not the full procedure |
$1,040 |
$1,040 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) unusually low: confirm this is the full procedure |
$2,560 |
$2,560 |
0.4× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$20,100.23 |
$20,100.23 |
1.7× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$14,079 |
$14,079 |
2.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$12,831.64 |
$12,831.64 |
1.9× |
| Open treatment of ulnar styloid fracture (25652) |
$21,431.19 |
$21,431.19 |
3.2× |
| Open Treatment Radial Shaft Fracture (25515) |
$11,295.60 |
$11,295.60 |
1.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$14,889.08 |
$14,889.08 |
4.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,387.32 |
$1,387.32 |
0.5× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$11,672.64 |
$11,672.64 |
1.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$5,781.06 |
$5,781.06 |
1.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$19,915.23 |
$19,915.23 |
1.7× |
| Open tx interphalangeal joint dislocation (26785) |
$6,328.52 |
$6,328.52 |
2.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$9,068.84 |
$9,068.84 |
3.0× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$11,682.58 |
$11,682.58 |
1.8× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$21,431.19 |
$21,431.19 |
3.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,944.53 |
$5,944.53 |
2.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$24,469.41 |
$24,469.41 |
2.1× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$21,431.19 |
$21,431.19 |
3.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$21,431.19 |
$21,431.19 |
3.2× |
Optx fem shft fx w/insj imed implt w/wo screw (27506) unusually low: confirm this is the full procedure |
$2,150 |
$2,150 |
0.3× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$38,600.46 |
$38,600.46 |
3.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,043.59 |
$6,043.59 |
1.8× |
| Orchiectomy, partial (54522) |
$10,346.91 |
$10,346.91 |
3.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,637.70 |
$1,637.70 |
0.5× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,335.12 |
$1,335.12 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$5,540.73 |
$5,540.73 |
1.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,534.48 |
$5,534.48 |
1.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,709.92 |
$5,709.92 |
1.9× |
| Osteochondral allograft, knee, open (27415) |
$38,600.46 |
$38,600.46 |
3.3× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$21,431.19 |
$21,431.19 |
3.2× |
| Osteotomy Clavicle W Bone Graft (23485) |
$38,600.46 |
$38,600.46 |
3.3× |
| Osteotomy Phalanx Finger Each (26567) |
$1,400 |
$1,400 |
0.5× |
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) unusually low: confirm this is the full procedure |
$2,485 |
$2,485 |
0.4× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$42,110.94 |
$42,110.94 |
6.3× |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) |
$21,431.19 |
$21,431.19 |
1.8× |
| Ovarian cystectomy (58925) |
$9,373.26 |
$9,373.26 |
2.0× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$10,626.49 |
$10,626.49 |
2.3× |
| Paravaginal defect repair vaginal approach (57285) |
$22,184.43 |
$22,184.43 |
3.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,915 |
$1,915 |
0.6× |
| Partial Excision Bone Fibula (27641) |
$9,733.83 |
$9,733.83 |
3.2× |
| Partial Excision Bone Humerus (24140) |
$9,733.83 |
$9,733.83 |
3.2× |
| Partial Excision Bone Olecranon Process (24147) |
$500 |
$500 |
0.2× |
| Partial excision bone proximal humerus (23184) |
$21,431.19 |
$21,431.19 |
3.2× |
Partial Excision Bone Radial Head/Neck (24145) likely a partial charge, not the full procedure |
$750 |
$750 |
0.1× |
| Partial Excision Bone Tibia (27640) |
$5,266.92 |
$5,266.92 |
1.8× |
| Partial Excision Deep Pelvis (27071) |
$2,684.52 |
$2,684.52 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,009.90 |
$3,009.90 |
2.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$6,731.94 |
$6,731.94 |
2.2× |
| Partial excision of lip (40520) |
$9,729.21 |
$9,729.21 |
3.2× |
| Partial excision, wing of ilium, symphysis pubis, or greater tro chanter of femur, (craterization, saucerization) (eg,… (27070) |
$1,210 |
$1,210 |
0.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$700 |
$700 |
0.2× |
| Partial Removal Foot Fascia (28060) |
$5,590.36 |
$5,590.36 |
1.9× |
| Partial removal of thyroid (60220) |
$10,160.76 |
$10,160.76 |
1.8× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$9,961.54 |
$9,961.54 |
1.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$9,733.83 |
$9,733.83 |
3.2× |
| Pelvic exam under anesthesia (57410) |
$4,901.80 |
$4,901.80 |
1.6× |
| Perc sk fix metatarsal fx w manip (28476) |
$5,256.36 |
$5,256.36 |
1.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,392.61 |
$1,392.61 |
2.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$11,515.60 |
$11,515.60 |
1.7× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$5,533.32 |
$5,533.32 |
1.8× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$5,264.78 |
$5,264.78 |
1.7× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$5,556.94 |
$5,556.94 |
1.8× |
| Peri-implant capsulectomy breast complete (19371) |
$2,400 |
$2,400 |
0.7× |
| Peritoneal Lavage (49084) |
$1,606.34 |
$1,606.34 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$2,110.77 |
$2,110.77 |
3.2× |
| Perq device breast 1st imag (19281) |
$4,860.72 |
$4,860.72 |
3.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,531.78 |
$2,531.78 |
1.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,012.34 |
$3,012.34 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$366.86 |
$366.86 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$25,204.65 |
$25,204.65 |
3.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$25,204.65 |
$25,204.65 |
3.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$9,733.83 |
$9,733.83 |
3.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$9,733.83 |
$9,733.83 |
3.2× |
| Phleb Veins - Extrem 20+ (37766) |
$9,442.50 |
$9,442.50 |
3.3× |
| Pin finger fracture each (26756) |
$9,733.83 |
$9,733.83 |
3.2× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$9,481.06 |
$9,481.06 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$159.99 |
$159.99 |
0.4× |
| Placement of seton (46020) |
$4,313.58 |
$4,313.58 |
1.7× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,800 |
$1,800 |
1.0× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$16,531.68 |
$16,531.68 |
7.8× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$9,733.83 |
$9,733.83 |
3.2× |
| Preputial Stretching (54450) |
$225.11 |
$225.11 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$2,330 |
$2,330 |
0.9× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$2,062.12 |
$2,062.12 |
1.9× |
| Proctosigmoidoscopy (45303) |
$2,674.95 |
$2,674.95 |
2.4× |
| Proctosigmoidoscopy w/bx (45305) |
$2,022.76 |
$2,022.76 |
1.8× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$359.43 |
$359.43 |
0.4× |
| Prostatectomy (turp) (52601) |
$15,250.86 |
$15,250.86 |
3.1× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$9,733.83 |
$9,733.83 |
3.2× |
| Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) |
$21,431.19 |
$21,431.19 |
3.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$21,431.19 |
$21,431.19 |
3.2× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$10,141.54 |
$10,141.54 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$852.87 |
$852.87 |
2.3× |
| Puncture Aspiration (10160) |
$364.38 |
$364.38 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,198.16 |
$1,198.16 |
1.8× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$21,431.19 |
$21,431.19 |
3.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,600 |
$1,600 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$2,500 |
$2,500 |
0.9× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$21,431.19 |
$21,431.19 |
3.2× |
| Reconstr disloc patella w mscl adv (27422) |
$11,465.60 |
$11,465.60 |
1.7× |
| Reconstruc toe deform,soft tissue (28313) |
$1,474.50 |
$1,474.50 |
0.5× |
| Reconstruct finger joint (26545) |
$1,450 |
$1,450 |
0.5× |
| Reconstruct Shoulder Joint (23470) |
$47,288.82 |
$47,288.82 |
4.0× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$38,600.46 |
$38,600.46 |
3.3× |
| Reconstruction of anus (46753) |
$1,200 |
$1,200 |
0.5× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$34,751.07 |
$34,751.07 |
5.2× |
| Reduce testis torsion (54600) |
$10,346.91 |
$10,346.91 |
3.2× |
| Reduction of Large Breast (19318) |
$3,775 |
$3,775 |
0.6× |
| Reforearm tend/musc,exten,second (25272) |
$5,649.16 |
$5,649.16 |
1.9× |
| Reinforce humerus (24498) |
$38,600.46 |
$38,600.46 |
3.3× |
Reinforce tibia (27745) likely a partial charge, not the full procedure |
$1,400 |
$1,400 |
0.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$11,440.60 |
$11,440.60 |
1.7× |
| Release elbow joint (24006) |
$9,733.83 |
$9,733.83 |
3.2× |
| Release i-p jt contracture (26525) |
$12,065.46 |
$12,065.46 |
8.2× |
| Release palm contracture (26121) |
$5,966.92 |
$5,966.92 |
2.0× |
| Removal fb intranasal (30300) |
$458.32 |
$458.32 |
3.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,645.65 |
$1,645.65 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$1,462.92 |
$1,462.92 |
1.0× |
| Removal foreign body foot deep (28192) |
$3,072.22 |
$3,072.22 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$734.10 |
$734.10 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$607.02 |
$607.02 |
0.4× |
| Removal foreign body pharynx (42809) |
$572.64 |
$572.64 |
1.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,316.26 |
$1,316.26 |
0.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,029.60 |
$5,029.60 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$41.49 |
$41.49 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110.43 |
$110.43 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,951.80 |
$4,951.80 |
1.7× |
| Removal Implant Deep (20680) |
$5,133.18 |
$5,133.18 |
1.9× |
| Removal Implant From Finger/Hand (26320) |
$2,913.56 |
$2,913.56 |
1.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,929.29 |
$2,929.29 |
1.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$404.97 |
$404.97 |
0.6× |
| Removal Intact Mammary Implant (19328) |
$1,050 |
$1,050 |
0.3× |
| Removal of adenoids (42835) |
$9,729.21 |
$9,729.21 |
3.2× |
| Removal of adenoids (42830) |
$5,428.95 |
$5,428.95 |
1.8× |
| Removal of anal fissure (46200) |
$5,316.46 |
$5,316.46 |
2.1× |
| Removal of ankle implant (27704) |
$9,733.83 |
$9,733.83 |
3.2× |
| Removal of anorectal lesion (45108) |
$1,075 |
$1,075 |
0.4× |
| Removal of bone lesion (23140) |
$525 |
$525 |
0.2× |
| Removal of cervix (57530) |
$1,000 |
$1,000 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$3,404.61 |
$3,404.61 |
2.3× |
| Removal of Head of Radius (24130) |
$800 |
$800 |
0.3× |
| Removal of heel bone (28118) |
$19,619.25 |
$19,619.25 |
6.5× |
| Removal of heel spur (28119) |
$5,600.34 |
$5,600.34 |
1.9× |
| Removal of humerus lesion (23150) |
$1,240 |
$1,240 |
0.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$510.60 |
$510.60 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$204 |
$204 |
0.7× |
Removal of ischial bursa (27060) likely a partial charge, not the full procedure |
$950 |
$950 |
0.1× |
| Removal of knee cartilage (27332) |
$1,200 |
$1,200 |
0.4× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) likely a partial charge, not the full procedure |
$3,290 |
$3,290 |
0.3× |
| Removal of kneecap (27350) |
$21,431.19 |
$21,431.19 |
3.2× |
| Removal of leg veins/lesion (37735) |
$1,200 |
$1,200 |
0.4× |
| Removal of nail bed (11750) |
$449.79 |
$449.79 |
1.2× |
| Removal of nose polyp(s) (30115) |
$9,729.21 |
$9,729.21 |
3.2× |
| Removal Of Peritoneal-Venous Shunt (49429) |
$1,100 |
$1,100 |
0.4× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$1,149.30 |
$1,149.30 |
0.7× |
| Removal of residual cervix (57550) |
$7,904.68 |
$7,904.68 |
1.7× |
| Removal of salivary stone (42330) |
$659.91 |
$659.91 |
0.2× |
| Removal of salivary stone (42335) |
$1,219.74 |
$1,219.74 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$454.70 |
$454.70 |
2.5× |
| Removal of sperm cord lesion (55520) |
$6,254.71 |
$6,254.71 |
1.9× |
| Removal of testis (54520) |
$5,673.46 |
$5,673.46 |
1.8× |
| Removal of thyroid lesion (60200) |
$9,476.54 |
$9,476.54 |
1.7× |
| Removal of tonsils (42825) |
$9,954.02 |
$9,954.02 |
1.8× |
| Removal of tonsils (42826) |
$5,272.10 |
$5,272.10 |
1.7× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$9,831.49 |
$9,831.49 |
3.3× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$425 |
$425 |
0.1× |
| Removal subq cardiac rhythm monitor (33286) |
$2,110.77 |
$2,110.77 |
3.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$5,487.69 |
$5,487.69 |
2.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$836.28 |
$836.28 |
3.3× |
Remove & graft wrist lesion (25135) likely a partial charge, not the full procedure |
$900 |
$900 |
0.1× |
| Remove anal fist subq (46270) |
$4,860.33 |
$4,860.33 |
1.9× |
| Remove bladder stone (52318) |
$10,733.06 |
$10,733.06 |
3.3× |
| Remove by ligat int hem grp (46945) |
$8,227.17 |
$8,227.17 |
3.2× |
| Remove by ligat int hem grps (46946) |
$5,457.50 |
$5,457.50 |
2.1× |
| Remove cervix repair bowel (57556) |
$1,050 |
$1,050 |
0.2× |
| Remove digit nerve lesion (64776) |
$350 |
$350 |
0.2× |
| Remove drug implant device (11982) |
$755.08 |
$755.08 |
1.8× |
| Remove elbow lesion (24120) |
$650 |
$650 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$537.40 |
$537.40 |
1.8× |
| Remove foreign body from eye (65235) |
$6,842.19 |
$6,842.19 |
3.2× |
| Remove foreign body from eye (65210) |
$103.90 |
$103.90 |
0.3× |
| Remove hip pressure sore (15941) |
$1,995 |
$1,995 |
0.7× |
| Remove hip pressure sore (15945) |
$2,690 |
$2,690 |
1.4× |
| Remove humerus lesion (24110) |
$750 |
$750 |
0.2× |
| Remove in/ex hem groups 2+ (46260) |
$5,084.12 |
$5,084.12 |
2.0× |
| Remove in/ex hem grp w/fistu (46258) |
$1,365 |
$1,365 |
0.5× |
| Remove knee cyst (27347) |
$5,351.92 |
$5,351.92 |
1.8× |
| Remove palate/lesion (42120) |
$17,746.98 |
$17,746.98 |
3.3× |
| Remove Peritoneal Foreign Body (49402) |
$10,587.18 |
$10,587.18 |
3.2× |
| Remove Pilonidal Cyst Exten (11771) |
$5,475.94 |
$5,475.94 |
2.0× |
| Remove prostate regrowth (52630) |
$17,041.89 |
$17,041.89 |
3.5× |
| Remove sacrum pressure sore (15935) |
$3,020 |
$3,020 |
0.9× |
| Remove skin nerve lesion (64774) |
$5,858.31 |
$5,858.31 |
3.3× |
| Remove thyroid duct lesion (60280) |
$9,691.54 |
$9,691.54 |
1.7× |
| Remove wrist tendon lesion (25111) |
$3,965.10 |
$3,965.10 |
2.7× |
| Remove/replace ur sphincter (53447) |
$60,385.68 |
$60,385.68 |
3.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$300 |
$300 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$177.15 |
$177.15 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$80.64 |
$80.64 |
0.7× |
| Renal biopsy (50200) |
$4,478.02 |
$4,478.02 |
2.9× |
| Repair achilles tendon (27650) |
$11,215.60 |
$11,215.60 |
1.7× |
| Repair anorectal fistula w/plug (46707) |
$8,227.17 |
$8,227.17 |
3.2× |
| Repair arm tendon/muscle (24341) |
$11,744.30 |
$11,744.30 |
1.8× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$5,745.88 |
$5,745.88 |
2.0× |
| Repair blood vessel direct neck (35201) |
$16,217.10 |
$16,217.10 |
3.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,092.74 |
$2,092.74 |
0.7× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$1,200 |
$1,200 |
0.2× |
| Repair brow defect (67900) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair collat ankle ligmnt,secondary (27698) |
$11,315.60 |
$11,315.60 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$973.30 |
$973.30 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,399.26 |
$1,399.26 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,093.08 |
$1,093.08 |
2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,328.04 |
$1,328.04 |
3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$812.55 |
$812.55 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,197.99 |
$1,197.99 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$959.07 |
$959.07 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,117.95 |
$1,117.95 |
1.6× |
| Repair elbow deb/attch open (24359) |
$7,591.82 |
$7,591.82 |
2.5× |
| Repair entropion excision tarsal wedge (67923) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,671.72 |
$1,671.72 |
1.1× |
| Repair eyelid defect (67916) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair eyelid defect (67908) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair eyelid defect (67904) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair eyelid defect (67924) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair finger tendon (26432) |
$1,100 |
$1,100 |
0.7× |
| Repair finger tendon (26433) |
$5,476.92 |
$5,476.92 |
1.8× |
| Repair finger/hand tendon (26350) |
$5,716.92 |
$5,716.92 |
1.9× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$1,900 |
$1,900 |
0.6× |
| Repair forearm tendon/muscle (25270) |
$5,466.92 |
$5,466.92 |
1.8× |
| Repair forearm tendon/muscle (25260) |
$5,566.92 |
$5,566.92 |
1.9× |
| Repair hallux rigidus (28289) |
$9,968.70 |
$9,968.70 |
3.3× |
| Repair hand tendon (26410) |
$1,609.38 |
$1,609.38 |
1.1× |
| Repair humerus with graft (24435) |
$38,600.46 |
$38,600.46 |
3.3× |
| Repair incomplete circumcision (54163) |
$3,292.76 |
$3,292.76 |
1.7× |
| Repair inguinal hernia, sliding, any age (49525) |
$6,033.59 |
$6,033.59 |
1.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$6,078.59 |
$6,078.59 |
1.8× |
| Repair initial femoral hernia, any age; reducible (49550) |
$6,707.74 |
$6,707.74 |
2.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,728.20 |
$6,728.20 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,114.74 |
$1,114.74 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$797.04 |
$797.04 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$888.60 |
$888.60 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,036.89 |
$1,036.89 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,023.57 |
$1,023.57 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$838.04 |
$838.04 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,131.87 |
$1,131.87 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$734.34 |
$734.34 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$742.11 |
$742.11 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$871.98 |
$871.98 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$826.08 |
$826.08 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$939.36 |
$939.36 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,086.30 |
$1,086.30 |
2.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$738.81 |
$738.81 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$853.65 |
$853.65 |
2.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$980.88 |
$980.88 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$938.16 |
$938.16 |
2.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,112.60 |
$1,112.60 |
0.6× |
| Repair kneecap tendon (27380) |
$11,215.60 |
$11,215.60 |
1.7× |
| Repair nasal vestibular stenosis (30465) |
$17,746.98 |
$17,746.98 |
3.3× |
| Repair nonunion hand (26546) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair of ankle ligament (27695) |
$11,165.60 |
$11,165.60 |
1.7× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.1× |
| Repair of ectropion; thermocauterization (67915) |
$6,998.88 |
$6,998.88 |
3.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$8,217.18 |
$8,217.18 |
1.8× |
| Repair of entropion; thermocauterization (67922) |
$859.53 |
$859.53 |
0.4× |
| Repair Of Foot Tendon (28208) |
$1,358.67 |
$1,358.67 |
0.5× |
| Repair of hammertoe (28286) |
$9,733.83 |
$9,733.83 |
3.2× |
| Repair of humerus (24430) |
$20,759.42 |
$20,759.42 |
1.8× |
| Repair of hydrocele (55060) |
$5,673.46 |
$5,673.46 |
1.8× |
Repair of knee ligaments (27409) likely a partial charge, not the full procedure |
$1,250 |
$1,250 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$740.76 |
$740.76 |
0.1× |
| Repair of leg tendon each (27665) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair of leg tendon each (27658) |
$11,886.69 |
$11,886.69 |
4.0× |
| Repair of nail bed (11760) |
$524.82 |
$524.82 |
0.8× |
| Repair of nasal septum (30520) |
$10,317.90 |
$10,317.90 |
3.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$21,431.19 |
$21,431.19 |
3.2× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) unusually low: confirm this is the full procedure |
$2,500 |
$2,500 |
0.4× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) likely a partial charge, not the full procedure |
$1,500 |
$1,500 |
0.2× |
Repair of nonunion or malunion, tibia; with sliding graft (27722) likely a partial charge, not the full procedure |
$1,000 |
$1,000 |
0.1× |
| Repair of rectocele (45560) |
$4,743.58 |
$4,743.58 |
1.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$11,877.39 |
$11,877.39 |
1.8× |
| Repair of shoulder (23420) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair of thigh musc (27385) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair of tibia (27720) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair of urethra injury (53502) |
$5,587.50 |
$5,587.50 |
1.7× |
| Repair of vagina (57260) |
$8,354.68 |
$8,354.68 |
1.8× |
| Repair of web finger (26561) |
$1,720 |
$1,720 |
0.6× |
| Repair rectum & vagina (57250) |
$8,124.68 |
$8,124.68 |
1.8× |
| Repair rotator cuff acute (23410) |
$11,415.60 |
$11,415.60 |
1.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair shoulder capsule (23450) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair Tongue Laceration (41250) |
$796.17 |
$796.17 |
1.9× |
| Repair vagina/perineum (57210) |
$1,100 |
$1,100 |
0.4× |
| Repair wrist joints (25447) |
$10,441.38 |
$10,441.38 |
3.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,475 |
$1,475 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$6,723.04 |
$6,723.04 |
2.2× |
| Repair/graft achilles tendon (27652) |
$21,431.19 |
$21,431.19 |
3.2× |
| Repair/graft radius & ulna (25420) |
$21,431.19 |
$21,431.19 |
3.2× |
Repair/transpose nerve (64856) likely a partial charge, not the full procedure |
$1,575 |
$1,575 |
0.2× |
Replace elbow joint (24363) unusually low: confirm this is the full procedure |
$4,995 |
$4,995 |
0.3× |
Replace/revise brain shunt (62230) unusually low: confirm this is the full procedure |
$2,760 |
$2,760 |
0.3× |
| Reposition gastrostomy tube (43761) |
$346.59 |
$346.59 |
1.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$13,362.30 |
$13,362.30 |
4.4× |
| Rerepair fem hernia blocked (49557) |
$1,760 |
$1,760 |
0.5× |
| Rerepair ing hernia blocked (49521) |
$10,309.62 |
$10,309.62 |
1.7× |
| Rerepair ing hernia reduce (49520) |
$7,628.12 |
$7,628.12 |
2.3× |
| Resect leg/ankle tum < 5 cm (27615) |
$2,560 |
$2,560 |
1.0× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$4,450.06 |
$4,450.06 |
1.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$9,733.83 |
$9,733.83 |
3.2× |
| Revise abdomen-venous shunt (49426) |
$1,550 |
$1,550 |
0.5× |
| Revise arm/leg nerve (64708) |
$3,279.16 |
$3,279.16 |
1.8× |
| Revise finger joint (26535) |
$14,568.24 |
$14,568.24 |
4.8× |
| Revise hernia & sperm veins (55540) |
$1,100 |
$1,100 |
0.3× |
| Revise knuckle joint (26530) |
$21,431.19 |
$21,431.19 |
3.2× |
| Revise median n/carpal tunnel surg (64721) |
$3,379.16 |
$3,379.16 |
1.9× |
| Revise prosth vag graft lap (57426) |
$11,903.72 |
$11,903.72 |
1.7× |
| Revise ulnar nerve at elbow (64718) |
$4,219.32 |
$4,219.32 |
2.3× |
| Revise ulnar nerve at wrist (64719) |
$4,440.51 |
$4,440.51 |
2.5× |
| Revise vag graft via vagina (57295) |
$9,538.59 |
$9,538.59 |
3.2× |
| Revision of cervix (57720) |
$5,079.30 |
$5,079.30 |
1.7× |
| Revision of collar bone (23480) |
$11,525.60 |
$11,525.60 |
1.7× |
| Revision of colostomy simple (44340) |
$5,871.46 |
$5,871.46 |
1.8× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,945 |
$1,945 |
0.6× |
| Revision of eyelid (67880) |
$4,154.36 |
$4,154.36 |
1.9× |
| Revision of eyelid (67961) |
$6,998.88 |
$6,998.88 |
3.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$2,165 |
$2,165 |
0.7× |
| Revision of infusion pump (36261) |
$10,917.90 |
$10,917.90 |
3.2× |
| Revision of iris (66761) |
$1,645.80 |
$1,645.80 |
3.3× |
| Revision of lower leg tendon (27685) |
$5,316.92 |
$5,316.92 |
1.8× |
| Revision of reconstructed breast (19380) |
$19,564.38 |
$19,564.38 |
3.2× |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
$6,190 |
$6,190 |
0.5× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) likely a partial charge, not the full procedure |
$3,500 |
$3,500 |
0.3× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) likely a partial charge, not the full procedure |
$3,000 |
$3,000 |
0.3× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) likely a partial charge, not the full procedure |
$3,700 |
$3,700 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486) unusually low: confirm this is the full procedure |
$4,950 |
$4,950 |
0.4× |
Revision of ulna (25360) likely a partial charge, not the full procedure |
$1,500 |
$1,500 |
0.2× |
| Revision of upper eyelid (15823) |
$5,487.69 |
$5,487.69 |
2.9× |
| Revision of urethra (57220) |
$14,809.35 |
$14,809.35 |
3.2× |
| Revision of urethra (53450) |
$10,346.91 |
$10,346.91 |
3.2× |
| Revision peri-implant capsule breast (19370) |
$1,900 |
$1,900 |
0.5× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$6,023.96 |
$6,023.96 |
1.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$871.77 |
$871.77 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$422.91 |
$422.91 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$139.71 |
$139.71 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$136.35 |
$136.35 |
1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,946.12 |
$1,946.12 |
1.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,630 |
$4,630 |
1.7× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$1,825 |
$1,825 |
0.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$900 |
$900 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,171.28 |
$3,171.28 |
2.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,668.75 |
$1,668.75 |
2.9× |
| Rmvl vitreous ant appr partial removal (67005) |
$6,842.19 |
$6,842.19 |
3.2× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$5,701.83 |
$5,701.83 |
2.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$396.75 |
$396.75 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,205.61 |
$1,205.61 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$9,442.50 |
$9,442.50 |
3.3× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$9,959.62 |
$9,959.62 |
1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$17,503.08 |
$17,503.08 |
3.1× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$18,719.25 |
$18,719.25 |
3.1× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$17,503.08 |
$17,503.08 |
3.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,182.04 |
$6,182.04 |
1.9× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$18,719.25 |
$18,719.25 |
3.1× |
| Rpr blood vessel direct lower extremity (35226) |
$3,383.94 |
$3,383.94 |
5.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$10,441.38 |
$10,441.38 |
3.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$962.58 |
$962.58 |
0.7× |
| Rpr ing hernia baby blocked (49496) |
$1,600 |
$1,600 |
0.5× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$1,500 |
$1,500 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$847.68 |
$847.68 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$882.18 |
$882.18 |
4.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,804.61 |
$2,804.61 |
2.0× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$11,511.51 |
$11,511.51 |
1.7× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$11,257.08 |
$11,257.08 |
1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$404.52 |
$404.52 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,037.30 |
$2,037.30 |
0.7× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,486.80 |
$2,486.80 |
1.7× |
| Scrotal exploration (55110) |
$925 |
$925 |
0.3× |
| Severing of tarsorrhaphy (67710) |
$2,905.62 |
$2,905.62 |
3.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,023.62 |
$2,023.62 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$327.06 |
$327.06 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$297.87 |
$297.87 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$346.11 |
$346.11 |
1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$494.42 |
$494.42 |
2.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$415.47 |
$415.47 |
1.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$284.01 |
$284.01 |
0.8× |
| Shldr arthroscop,lyse adhesns (29825) |
$9,735.39 |
$9,735.39 |
3.2× |
| Shoulder joint surgery (23101) |
$5,733.38 |
$5,733.38 |
1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$385.32 |
$385.32 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$439.53 |
$439.53 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$497.94 |
$497.94 |
2.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$428.31 |
$428.31 |
1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$386.19 |
$386.19 |
2.1× |
| Sigmoidoscopy & decompress (45337) |
$625 |
$625 |
0.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,928.44 |
$3,928.44 |
3.6× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$770 |
$770 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,532.56 |
$1,532.56 |
1.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,612.56 |
$1,612.56 |
1.9× |
| Sigmoidoscopy w/fb removal (45332) |
$3,537.24 |
$3,537.24 |
3.2× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$17,858.43 |
$17,858.43 |
3.2× |
| Simple biopsy of growth of throat behind nose (42804) |
$606.42 |
$606.42 |
0.2× |
| Simple Cystometrogram (51725) |
$638.94 |
$638.94 |
2.8× |
| Simple destruction of growth of penis using electric current (54055) |
$113 |
$113 |
0.1× |
| Simple drainage of abscess of saliva gland (42300) |
$608.82 |
$608.82 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$476.31 |
$476.31 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$313.47 |
$313.47 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.57 |
$327.57 |
1.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$409.62 |
$409.62 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$298.86 |
$298.86 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$365.74 |
$365.74 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$463.62 |
$463.62 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$261.84 |
$261.84 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$2,629.86 |
$2,629.86 |
14.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$368.49 |
$368.49 |
2.0× |
| Skin Pedicle Flap Trunk (15570) |
$2,527.89 |
$2,527.89 |
1.3× |
| Skin pinch graft (15050) |
$660 |
$660 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$6,419.14 |
$6,419.14 |
3.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,068.20 |
$1,068.20 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$4,667.28 |
$4,667.28 |
6.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$10,982.91 |
$10,982.91 |
5.8× |
| Skin Tissue Procedure (17999) |
$596.10 |
$596.10 |
3.2× |
| Skin tissue rearrangement (14040) |
$3,809.16 |
$3,809.16 |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,615.03 |
$6,615.03 |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$11,590.24 |
$11,590.24 |
2.5× |
| Slitting of prepuce (54001) |
$3,197.76 |
$3,197.76 |
1.7× |
| Small bowel endoscopy (44376) |
$5,690.97 |
$5,690.97 |
3.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$805 |
$805 |
0.5× |
| Small bowel endoscopy/biopsy (44377) |
$5,690.97 |
$5,690.97 |
3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$317.01 |
$317.01 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$372.48 |
$372.48 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$441.66 |
$441.66 |
1.2× |
| Sphincterotomy (46080) |
$4,516.23 |
$4,516.23 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$260 |
$260 |
0.4× |
| Spinal Puncture Therapeutic (62272) |
$2,077.56 |
$2,077.56 |
3.2× |
| Sternal Debridement (21627) |
$1,875 |
$1,875 |
0.6× |
| Strapping ankle (29540) |
$48.21 |
$48.21 |
0.3× |
| Strapping elbow/wrist (29260) |
$51.72 |
$51.72 |
1.0× |
| Strapping hand/finger (29280) |
$54 |
$54 |
1.0× |
| Strapping knee (29530) |
$50.31 |
$50.31 |
0.4× |
| Strapping shoulder (29240) |
$49.80 |
$49.80 |
0.4× |
| Strapping toes (29550) |
$30.57 |
$30.57 |
0.6× |
| Strapping unna boot (29580) |
$176.58 |
$176.58 |
1.2× |
| Suction assisted lipectomy head & neck (15876) |
$10,982.91 |
$10,982.91 |
3.4× |
| Suction assisted lipectomy lower extremity (15879) |
$10,982.91 |
$10,982.91 |
3.4× |
| Suction assisted lipectomy upper extremity (15878) |
$5,487.69 |
$5,487.69 |
2.9× |
| Suction assisted lipectomy; trunk (15877) |
$10,982.91 |
$10,982.91 |
3.4× |
Suprahyoid lymphadenectomy (38700) likely a partial charge, not the full procedure |
$1,100 |
$1,100 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,903.42 |
$4,903.42 |
1.9× |
| Suspension of testis (54640) |
$5,693.59 |
$5,693.59 |
1.7× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$500 |
$500 |
0.3× |
| Suture of 1 nerve ulnar motor (64836) |
$1,000 |
$1,000 |
0.3× |
| Suture of 1 nerve; median motor thenar (64835) |
$9,981.10 |
$9,981.10 |
3.2× |
| Tangential biopsy skin single lesion (11102) |
$284.58 |
$284.58 |
0.8× |
| Tendon excision palm/finger (26145) |
$5,941.83 |
$5,941.83 |
4.0× |
| Tenodesis long tendon biceps (23430) |
$12,990.04 |
$12,990.04 |
1.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,520 |
$1,520 |
1.0× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$730 |
$730 |
0.2× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,141.11 |
$1,141.11 |
0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$4,801.23 |
$4,801.23 |
3.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$5,346.34 |
$5,346.34 |
1.8× |
| Tenotomy shoulder area single tendon (23405) |
$21,431.19 |
$21,431.19 |
3.2× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$4,801.23 |
$4,801.23 |
3.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$4,801.23 |
$4,801.23 |
3.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,737.92 |
$1,737.92 |
3.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$657.12 |
$657.12 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$995.07 |
$995.07 |
3.3× |
| Thyroid biopsy (60100) |
$1,170.38 |
$1,170.38 |
1.8× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$17,746.98 |
$17,746.98 |
3.3× |
| Thyroidectomy, total or complete (60240) |
$11,075.62 |
$11,075.62 |
2.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$3,665 |
$3,665 |
0.7× |
| Tibial arthroscopy/surgery (29855) |
$21,431.19 |
$21,431.19 |
3.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$7,576.28 |
$7,576.28 |
4.0× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$8,019.92 |
$8,019.92 |
4.2× |
| Tongue and mouth surg unlisted (41599) |
$498.33 |
$498.33 |
2.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,593.95 |
$5,593.95 |
1.8× |
| Total hip arthroplasty (27130) |
$24,944.41 |
$24,944.41 |
2.1× |
| Total knee arthroplasty (27447) |
$25,144.41 |
$25,144.41 |
2.1× |
| Total thyroid lobectomy unilateral (60225) |
$10,101.54 |
$10,101.54 |
1.8× |
| Trach Tube Change (31502) |
$93.63 |
$93.63 |
0.4× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$350 |
$350 |
0.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$881.49 |
$881.49 |
4.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,521.92 |
$2,521.92 |
1.8× |
| Tracheostomy planned (31600) |
$9,729.21 |
$9,729.21 |
3.2× |
| Transurethral resection of bladder neck (52500) |
$10,346.91 |
$10,346.91 |
3.2× |
| Treat ankle dislocation (27846) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat clavicle dislocation (23552) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat dislocation/fracture (23670) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat ectopic pregnancy (59151) |
$10,176.36 |
$10,176.36 |
1.8× |
Treat elbow dislocation (24615) likely a partial charge, not the full procedure |
$1,180 |
$1,180 |
0.2× |
| Treat elbow fracture (24635) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat eyelid lesion (67850) |
$609.66 |
$609.66 |
0.7× |
| Treat finger dislocation (26775) |
$992.58 |
$992.58 |
3.9× |
| Treat Finger Fracture Each (26727) |
$6,228.52 |
$6,228.52 |
2.1× |
Treat forearm bone lesion (25035) likely a partial charge, not the full procedure |
$1,240 |
$1,240 |
0.2× |
| Treat fracture of radius (25526) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat Fracture Radius & Ulna (25560) |
$829.92 |
$829.92 |
3.7× |
| Treat fracture radius/ulna (25575) |
$11,403.10 |
$11,403.10 |
1.7× |
| Treat fx distal radial (25606) |
$5,786.43 |
$5,786.43 |
1.9× |
| Treat fx rad extra-articul (25607) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat heel fracture (28415) |
$47,910.36 |
$47,910.36 |
7.2× |
| Treat humerus fracture (23630) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat humerus fracture (24500) |
$1,032.96 |
$1,032.96 |
4.6× |
| Treat humerus fracture (24577) |
$3,188.82 |
$3,188.82 |
2.2× |
| Treat humerus fracture (23616) |
$55,170.15 |
$55,170.15 |
3.4× |
| Treat humerus fracture (23600) |
$951.27 |
$951.27 |
4.2× |
| Treat knee fracture (27532) |
$5,739.88 |
$5,739.88 |
1.9× |
| Treat kneecap dislocation (27566) |
$21,431.19 |
$21,431.19 |
3.2× |
| Treat lower leg fracture (27828) |
$20,450.23 |
$20,450.23 |
1.7× |
| Treat Lower Leg Fracture (27827) |
$20,849.76 |
$20,849.76 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$735.93 |
$735.93 |
3.2× |
| Treat pleurodesis w/agent (32560) |
$1,854.78 |
$1,854.78 |
3.2× |
| Treat radius fracture (24665) |
$12,502.20 |
$12,502.20 |
1.9× |
| Treat thumb fracture (26665) |
$5,426.92 |
$5,426.92 |
1.8× |
| Treat toe fracture (28525) |
$5,661.04 |
$5,661.04 |
1.9× |
| Treat ulnar fracture (24685) |
$11,295.60 |
$11,295.60 |
1.7× |
| Treat Vaginal Bleeding (57180) |
$401.76 |
$401.76 |
2.2× |
| Treat wrist bone fracture (25635) |
$4,801.23 |
$4,801.23 |
3.2× |
| Treat wrist bone fracture (25622) |
$880.35 |
$880.35 |
3.9× |
| Treat Wrist Bone Fracture (25630) |
$875.04 |
$875.04 |
3.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,312.65 |
$1,312.65 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,015.94 |
$1,015.94 |
4.5× |
| Treatment mouth roof lesion (42160) |
$653.49 |
$653.49 |
0.2× |
| Treatment of anal fissure (46940) |
$749.04 |
$749.04 |
0.3× |
| Treatment of ankle fracture (27822) |
$14,107.48 |
$14,107.48 |
2.1× |
| Treatment of ankle fracture (27792) |
$12,472.20 |
$12,472.20 |
1.9× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$900 |
$900 |
0.1× |
| Treatment of gum lesion (41850) |
$150 |
$150 |
0.1× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,010 |
$2,010 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$14,928.86 |
$14,928.86 |
5.0× |
| Treatment of penis lesion (54110) |
$1,000 |
$1,000 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$599.04 |
$599.04 |
2.6× |
| Treatment of tibia fracture (27759) |
$20,654.73 |
$20,654.73 |
1.7× |
| Treatment of urethra lesion (53260) |
$581.49 |
$581.49 |
0.2× |
| Trim skin lesion (11055) |
$200.20 |
$200.20 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$442.15 |
$442.15 |
2.4× |
| Trim skin lesions over 4 (11057) |
$452.82 |
$452.82 |
2.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$132.08 |
$132.08 |
2.4× |
| Trurl drainage prostatic abscess (52700) |
$10,346.91 |
$10,346.91 |
3.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,851.08 |
$4,851.08 |
1.9× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$20,417.73 |
$20,417.73 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,156.80 |
$5,156.80 |
1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,789.80 |
$5,789.80 |
1.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,143.12 |
$3,143.12 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$840.03 |
$840.03 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$495.96 |
$495.96 |
1.3× |
| Tympanostomy (69433) |
$1,978.95 |
$1,978.95 |
4.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,400 |
$1,400 |
7.5× |
| Unlisted laparoscopic procedure liver (47379) |
$17,503.08 |
$17,503.08 |
3.1× |
Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$1,350 |
$1,350 |
0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,612.04 |
$9,612.04 |
1.7× |
| Unlisted laparoscopy procedure, stomach (43659) |
$17,503.08 |
$17,503.08 |
3.1× |
| Unlisted laparoscopy procedure, uterus (58578) |
$17,503.08 |
$17,503.08 |
3.1× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$17,503.08 |
$17,503.08 |
3.1× |
| Unlisted procedure anus (46999) |
$2,735.13 |
$2,735.13 |
3.2× |
| Unlisted Procedure Biliary Tract (47999) |
$450 |
$450 |
0.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$495 |
$495 |
2.3× |
| Unlisted Procedure External Ear (69399) |
$400 |
$400 |
1.8× |
| Unlisted procedure femur or knee (27599) |
$662.52 |
$662.52 |
2.9× |
| Unlisted procedure humerus/elbow (24999) |
$719.64 |
$719.64 |
3.2× |
| Unlisted procedure leg/ankle (27899) |
$800 |
$800 |
3.5× |
| Unlisted procedure liver (47399) |
$2,110.77 |
$2,110.77 |
3.2× |
| Unlisted procedure maternity care & delivery (59899) |
$357.55 |
$357.55 |
1.9× |
| Unlisted Procedure Nervous System (64999) |
$360.86 |
$360.86 |
1.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$719.64 |
$719.64 |
3.2× |
| Unlisted Procedure Rectum (45999) |
$1,450.89 |
$1,450.89 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$900 |
$900 |
1.6× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$719.64 |
$719.64 |
3.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,812.68 |
$2,812.68 |
3.4× |
| Unlisted procedure, forearm or wrist (25999) |
$719.64 |
$719.64 |
3.2× |
| Unlisted procedure, hands or fingers (26989) |
$509.82 |
$509.82 |
2.2× |
| Unlisted procedure, male genital system (55899) |
$729.63 |
$729.63 |
3.2× |
| Unlisted procedure, stomach (43999) |
$1,506.34 |
$1,506.34 |
1.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$376.76 |
$376.76 |
2.0× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$11,413.59 |
$11,413.59 |
3.2× |
| Uppr gi opticl endomicrscopy (43252) |
$3,320.62 |
$3,320.62 |
1.9× |
| Urethrorrhaphy sutr urethral wound/inj perineal (53510) |
$15,250.86 |
$15,250.86 |
3.1× |
| Urine Flow Measurement (51736) |
$23.31 |
$23.31 |
0.2× |
| Urology Surgery Procedure (53899) |
$729.63 |
$729.63 |
3.2× |
| Uvulectomy excision uvula (42140) |
$5,302.68 |
$5,302.68 |
1.7× |
| Vag hyst w/enterocele repair (58270) |
$8,954.68 |
$8,954.68 |
1.9× |
| Vaginal delivery only (59409) |
$3,949.93 |
$3,949.93 |
1.3× |
| Vaginal hysterectomy (58260) |
$8,704.68 |
$8,704.68 |
1.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$10,546.82 |
$10,546.82 |
2.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$3,400 |
$3,400 |
0.7× |
| Vasectomy (55250) |
$3,863.39 |
$3,863.39 |
2.0× |
| Vbac delivery only (59612) |
$4,214.45 |
$4,214.45 |
1.4× |
| Venipuncture (36415) |
$28.08 |
$28.08 |
3.0× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$124.83 |
$124.83 |
1.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$70.27 |
$70.27 |
0.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$9,729.21 |
$9,729.21 |
3.2× |
| Vulvectomy simple partial (56620) |
$5,194.30 |
$5,194.30 |
1.7× |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) likely a partial charge, not the full procedure |
$1,870 |
$1,870 |
0.3× |
| Wound Prep F/N/Hf/G (15004) |
$3,075.45 |
$3,075.45 |
8.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$3,224.79 |
$3,224.79 |
4.7× |