| Abd paracentesis w/imaging (49083) |
$396.90 |
$567 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$309.23 |
$441.75 |
0.3× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$217 |
$310 |
0.1× |
| Acne Surgery (10040) |
$94.50 |
$135 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,375.50 |
$1,965 |
0.4× |
| Amniocentesis diagnostic (59000) |
$269.50 |
$385 |
0.3× |
| Amputation Finger/Thumb (26951) |
$1,047.55 |
$1,496.50 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$625.10 |
$893 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$655.90 |
$937 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,226.40 |
$1,752 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$1,015 |
$1,450 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$665 |
$950 |
0.2× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,316.70 |
$1,881 |
0.2× |
| Ankle arthroscopy/surgery (29894) |
$985.95 |
$1,408.50 |
0.3× |
| Ankle scope,part synovectomy (29895) |
$946.40 |
$1,352 |
0.3× |
| Anoscopy control bleeding (46614) |
$248.50 |
$355 |
0.2× |
| Anoscopy diagnostic (46600) |
$166.25 |
$237.50 |
1.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$467.60 |
$668 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$381.50 |
$545 |
0.3× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) likely a partial charge, not the full procedure |
$913.50 |
$1,305 |
0.2× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$946.75 |
$1,352.50 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$154.10 |
$220.15 |
0.9× |
| Application cast elbow finger short arm (29075) |
$122.50 |
$175 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$126 |
$180 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$185.50 |
$265 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$81.12 |
$115.88 |
1.4× |
| Application finger splint static (29130) |
$82.95 |
$118.50 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$159.25 |
$227.50 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$196 |
$280 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$187.42 |
$267.75 |
1.2× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) likely a partial charge, not the full procedure |
$1,330 |
$1,900 |
0.1× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) likely a partial charge, not the full procedure |
$705.60 |
$1,008 |
0.1× |
| Application of long leg cast (29345) |
$242.20 |
$346 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$282.10 |
$403 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$151.55 |
$216.50 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$85.65 |
$122.36 |
0.6× |
| Application short leg splint calf foot (29515) |
$158.90 |
$227 |
1.0× |
| Application, cast; figure-of-eight (29049) |
$140.70 |
$201 |
0.5× |
| Apply short leg cast (29405) |
$99.40 |
$142 |
0.4× |
| Apply short leg cast (29425) |
$188.65 |
$269.50 |
0.7× |
| Arterial puncture (36600) |
$52.15 |
$74.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$105.70 |
$151 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$428.75 |
$612.50 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$284.20 |
$406 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$449.75 |
$642.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$146.65 |
$209.50 |
0.5× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$1,192.80 |
$1,704 |
0.1× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$764.75 |
$1,092.50 |
0.1× |
Arthrodesis knee any technique (27580) likely a partial charge, not the full procedure |
$1,738.10 |
$2,483 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$1,705.90 |
$2,437 |
0.1× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) likely a partial charge, not the full procedure |
$1,355.90 |
$1,937 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) unusually low: confirm this is the full procedure |
$2,485 |
$3,550 |
0.3× |
| Arthroscopy ankle; ext debridem (29898) |
$1,617 |
$2,310 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,180.55 |
$1,686.50 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$972.65 |
$1,389.50 |
0.3× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) likely a partial charge, not the full procedure |
$774.20 |
$1,106 |
0.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,662.50 |
$2,375 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,977.50 |
$2,825 |
0.6× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$608.30 |
$869 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,442 |
$2,060 |
0.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,410.50 |
$2,015 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,298.50 |
$1,855 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,829.05 |
$4,041.50 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,879.50 |
$2,685 |
0.6× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,072 |
$2,960 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,162.70 |
$1,661 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,375.50 |
$1,965 |
0.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,664.70 |
$9,521 |
0.9× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,552.90 |
$3,647 |
0.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$1,057 |
$1,510 |
0.3× |
| Artificial insemination (58322) |
$143.50 |
$205 |
0.7× |
| Aspir/inj thyroid cyst (60300) |
$143.50 |
$205 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$112 |
$160 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$423.50 |
$605 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$79.80 |
$114 |
0.4× |
Axillary lymphadenectomy superficial 38740 (38740) likely a partial charge, not the full procedure |
$1,036 |
$1,480 |
0.2× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$770 |
$1,100 |
0.6× |
| Biopsy Bone Open Deep (20245) |
$763 |
$1,090 |
0.3× |
| Biopsy bone open superficial (20240) |
$430.50 |
$615 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$731.50 |
$1,045 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$315 |
$450 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$400.40 |
$572 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$161 |
$230 |
0.2× |
| Biopsy external ear (69100) |
$98 |
$140 |
0.4× |
| Biopsy of mouth lesion (40808) |
$1,041.53 |
$1,487.90 |
1.9× |
| Biopsy of ovary(s) (58900) |
$990.50 |
$1,415 |
0.3× |
| Biopsy of penis (54100) |
$185.50 |
$265 |
0.1× |
| Biopsy of uterus lining (58100) |
$164.50 |
$235 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$395.50 |
$565 |
0.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$779.10 |
$1,113 |
0.5× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$325.50 |
$465 |
0.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$269.50 |
$385 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$168 |
$240 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$630 |
$900 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$605.50 |
$865 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$140 |
$200 |
0.2× |
| Bladder Irrigation Simple (51700) |
$163.80 |
$234 |
0.7× |
| Bladder Scan (51798) |
$45.94 |
$65.62 |
0.8× |
| Blepharoplasty lower eyelid (15820) |
$1,102.50 |
$1,575 |
0.5× |
| Blepharoplasty upper eyelid (15822) |
$976.50 |
$1,395 |
0.5× |
| Blood patch (62273) |
$663.25 |
$947.50 |
0.9× |
| Blood transfusion service (36430) |
$788.20 |
$1,126 |
1.8× |
| Bone marrow aspiration only (38220) |
$245 |
$350 |
0.1× |
| Bone Marrow Biopsy (38221) |
$308 |
$440 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$392 |
$560 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$444.50 |
$635 |
0.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$591.50 |
$845 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$619.50 |
$885 |
0.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$531.30 |
$759 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$420 |
$600 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$314.65 |
$449.50 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$581 |
$830 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$560 |
$800 |
0.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$157.50 |
$225 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$159.37 |
$227.67 |
0.2× |
| Cataract surgery complex (66982) |
$855.40 |
$1,222 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$128.80 |
$184 |
0.6× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$203 |
$290 |
0.7× |
| Cautery Cervix Electro/Thermal (57510) |
$178.50 |
$255 |
0.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$419.65 |
$599.50 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$154.70 |
$221 |
0.6× |
| Change Ureter Stent, Percut (50382) |
$1,333.50 |
$1,905 |
0.6× |
| Chemical Cautery Tissue (17250) |
$308.70 |
$441 |
1.5× |
| Chemodenerv Musc Migraine (64615) |
$990.50 |
$1,415 |
3.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$602 |
$860 |
2.0× |
| Chest tube placement (32551) |
$217 |
$310 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$105 |
$150 |
0.8× |
Chromotubation of oviduct, including materials (58350) likely a partial charge, not the full procedure |
$192.50 |
$275 |
0.0× |
| Circum 28 days or older (54161) |
$475.65 |
$679.50 |
0.2× |
| Circumcision (54150) |
$329.35 |
$470.50 |
0.2× |
| Circumcision Neonate (54160) |
$384.30 |
$549 |
0.6× |
| Claviculectomy; partial (23120) |
$1,127 |
$1,610 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$715.05 |
$1,021.50 |
0.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$743.75 |
$1,062.50 |
3.0× |
| Closed Rx Med Malleolus Fx (27760) |
$448 |
$640 |
1.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$994 |
$1,420 |
0.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$359.80 |
$514 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$871.50 |
$1,245 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$364 |
$520 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$668.50 |
$955 |
2.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$567 |
$810 |
2.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,183.35 |
$1,690.50 |
0.7× |
| Closed treat wrist dislocation (25660) |
$81.20 |
$116 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$665 |
$950 |
2.7× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$612.50 |
$875 |
2.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$151.20 |
$216 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$317.80 |
$454 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$168.70 |
$241 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$384.30 |
$549 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$406 |
$580 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$241.85 |
$345.50 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$840.35 |
$1,200.50 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$493.85 |
$705.50 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$239.40 |
$342 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$432.60 |
$618 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$289.80 |
$414 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,049.30 |
$1,499 |
0.7× |
| Closed tx septal&nose fx (21337) |
$759.50 |
$1,085 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$175 |
$250 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$170.80 |
$244 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$392 |
$560 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$555.77 |
$793.96 |
2.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$210.70 |
$301 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$315 |
$450 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$231 |
$330 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$278.95 |
$398.50 |
1.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$319.20 |
$456 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$588 |
$840 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$219.80 |
$314 |
0.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$586.60 |
$838 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$306.95 |
$438.50 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$618.10 |
$883 |
2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$146.65 |
$209.50 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$337.40 |
$482 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$643.30 |
$919 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$169.40 |
$242 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,325.10 |
$1,893 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$216.30 |
$309 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$95.90 |
$137 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$162.75 |
$232.50 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$636.30 |
$909 |
2.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$959 |
$1,370 |
3.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$62.30 |
$89 |
0.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,806 |
$2,580 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$474.25 |
$677.50 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$612.50 |
$875 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$208.60 |
$298 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$636.30 |
$909 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$239.40 |
$342 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$644 |
$920 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$539 |
$770 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$994.35 |
$1,420.50 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$655.55 |
$936.50 |
2.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$284.20 |
$406 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$277.20 |
$396 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$193.90 |
$277 |
0.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$291.90 |
$417 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$274.05 |
$391.50 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,074.50 |
$1,535 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,240.40 |
$1,772 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$529.20 |
$756 |
0.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$885.50 |
$1,265 |
3.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$805.35 |
$1,150.50 |
0.5× |
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) unusually low: confirm this is the full procedure |
$1,589 |
$2,270 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,144.15 |
$1,634.50 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$714 |
$1,020 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$1,165.50 |
$1,665 |
1.0× |
| Colonoscopy stoma w/snare (44394) |
$1,349.25 |
$1,927.50 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,144.50 |
$1,635 |
1.2× |
| Colonoscopy w/band ligation (45398) |
$1,197 |
$1,710 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,209.25 |
$1,727.50 |
1.0× |
Colpocentesis (57020) likely a partial charge, not the full procedure |
$287 |
$410 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) likely a partial charge, not the full procedure |
$1,491 |
$2,130 |
0.2× |
| Colporrhaphy suture injury vagina (57200) |
$599.55 |
$856.50 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$252 |
$360 |
0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$175 |
$250 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$623 |
$890 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$463.75 |
$662.50 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$180.60 |
$258 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$266 |
$380 |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$227.50 |
$325 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$252 |
$360 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$248.50 |
$355 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,427.30 |
$2,039 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,165.50 |
$1,665 |
1.0× |
| Complex Cystometrogram (51726) |
$472.50 |
$675 |
1.9× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$577.50 |
$825 |
0.8× |
| Complex Drainage, Wound (10180) |
$294 |
$420 |
0.1× |
| Complex Uroflowmetry (51741) |
$119 |
$170 |
0.6× |
| Conization of cervix (57520) |
$745.50 |
$1,065 |
0.2× |
| Conization of cervix (57522) |
$675.50 |
$965 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$243.48 |
$347.82 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$82.60 |
$118 |
0.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$318.50 |
$455 |
0.6× |
| Correction hammertoe (28285) |
$808.85 |
$1,155.50 |
0.2× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,358 |
$1,940 |
0.2× |
| Correction of bunion (28292) |
$1,141.70 |
$1,631 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,795.50 |
$2,565 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,809.50 |
$2,585 |
0.6× |
| Create eardrum opening (69436) |
$465.50 |
$665 |
0.3× |
| Cryotherapy of skin (17340) |
$104.29 |
$148.98 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$210.70 |
$301 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$239.75 |
$342.50 |
1.0× |
| Curettage postpartum (59160) |
$507.50 |
$725 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$511 |
$730 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,386 |
$1,980 |
0.4× |
Cysto w fulgertn lg bladder tumor(s) (52240) likely a partial charge, not the full procedure |
$1,435 |
$2,050 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$490 |
$700 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$417.20 |
$596 |
0.1× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$920.50 |
$1,315 |
0.2× |
| Cystometrogram W/Vp&Up (51729) |
$581 |
$830 |
0.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) likely a partial charge, not the full procedure |
$1,281 |
$1,830 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$710.50 |
$1,015 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$525 |
$750 |
0.3× |
| Cystoscopy,insert ureteral stent (52332) |
$913.50 |
$1,305 |
0.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$784 |
$1,120 |
0.4× |
| Cystourethroscopy (52000) |
$280 |
$400 |
0.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$416.50 |
$595 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$714 |
$1,020 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$71.75 |
$102.50 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,298.50 |
$1,855 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$640.50 |
$915 |
0.9× |
| Debride nail 1-5 (11720) |
$28 |
$40 |
0.5× |
| Debride nail 6 or more (11721) |
$86.02 |
$122.88 |
1.5× |
| Debride skin musc at fx site (11011) |
$1,256.22 |
$1,794.60 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$151.20 |
$216 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$448 |
$640 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$619.50 |
$885 |
0.4× |
| Declot vascular device (36593) |
$85.75 |
$122.50 |
0.3× |
| Decompression of tibia nerve (28035) |
$602 |
$860 |
0.3× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$875 |
$1,250 |
0.4× |
| Delivery placenta separate procedure (59414) |
$276.50 |
$395 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$736.05 |
$1,051.50 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$420 |
$600 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$1,874.25 |
$2,677.50 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$220.50 |
$315 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$105 |
$150 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$171.50 |
$245 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$437.50 |
$625 |
0.5× |
| Destruction Lesions Vulva Extensive (56515) |
$381.50 |
$545 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$164.50 |
$235 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$154 |
$220 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$182 |
$260 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$231 |
$330 |
0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$129.50 |
$185 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$129.50 |
$185 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$129.50 |
$185 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$140 |
$200 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$192.50 |
$275 |
0.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$112 |
$160 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,225 |
$1,750 |
0.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$151.20 |
$216 |
0.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$136.50 |
$195 |
0.3× |
| Destruction of skin lesions (17106) |
$402.50 |
$575 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$115.50 |
$165 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$511 |
$730 |
0.2× |
| Destruction vaginal lesions simple (57061) |
$168 |
$240 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$365.75 |
$522.50 |
0.4× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$164.50 |
$235 |
0.0× |
| Dilate Urethra Stricture (53600) |
$133 |
$190 |
0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$347.20 |
$496 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$248.50 |
$355 |
0.3× |
| Dilation Esophagus Guide Wire (43453) |
$3,080 |
$4,400 |
1.6× |
| Dilation of cervical canal (57800) |
$122.50 |
$175 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$266 |
$380 |
2.1× |
| Dilation of urethra (53665) |
$95.90 |
$137 |
0.0× |
| Dilation of vagina (57400) |
$350 |
$500 |
0.1× |
| Division of fallopian tube (58600) |
$723.10 |
$1,033 |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$318.50 |
$455 |
0.2× |
| Drain hand tendon sheath (26020) |
$834.40 |
$1,192 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$171.50 |
$245 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$420 |
$600 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$536.20 |
$766 |
0.3× |
| Drainage of eye (65800) |
$164.50 |
$235 |
0.1× |
| Drainage of eyelid abscess (67700) |
$245 |
$350 |
0.8× |
| Drainage of gum lesion (41800) |
$554.75 |
$792.50 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$231 |
$330 |
0.1× |
| Drainage of hydrocele (55000) |
$766.50 |
$1,095 |
1.1× |
| Drainage of ovarian cyst(s) (58800) |
$633.50 |
$905 |
0.2× |
| Drainage of pelvic abscess (45000) |
$490 |
$700 |
0.4× |
| Drainage of salivary gland (42305) |
$850.50 |
$1,215 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$913.50 |
$1,305 |
0.3× |
| Draw blood off venous device (36591) |
$105 |
$150 |
0.8× |
| Dressing change under anesthesia (15852) |
$112 |
$160 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$406 |
$580 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$276.50 |
$395 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$154 |
$220 |
0.8× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$245 |
$350 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$374.50 |
$535 |
0.9× |
| Dstrj lesion anus simple cryosurgery (46916) |
$374.50 |
$535 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$283.50 |
$405 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$1,071 |
$1,530 |
0.4× |
| Dx gastr intub w/asp spec (43754) |
$170.10 |
$243 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,746.15 |
$2,494.50 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,048.60 |
$1,498 |
0.5× |
| Egd flexible foreign body removal (43247) |
$877.10 |
$1,253 |
1.0× |
| Egd guide wire insertion (43248) |
$504 |
$720 |
0.6× |
| Egd injection varices (43243) |
$654.50 |
$935 |
0.3× |
| Egd place gastrostomy tube (43246) |
$1,131.90 |
$1,617 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$1,036.70 |
$1,481 |
0.5× |
| Egd remove lesion snare (43251) |
$1,109.50 |
$1,585 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$618.45 |
$883.50 |
0.3× |
| Egd tube/cath insertion (43241) |
$595 |
$850 |
0.3× |
| Egd Varices Ligation (43244) |
$630 |
$900 |
0.3× |
| Elbow arthroscopy/surgery (29837) |
$1,052.10 |
$1,503 |
0.3× |
| Endocervical Curettage (57505) |
$154 |
$220 |
0.2× |
Endometrial abltj thermal w/o hysteroscopic guid (58353) likely a partial charge, not the full procedure |
$1,099 |
$1,570 |
0.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,135 |
$3,050 |
0.7× |
| Enterorrhaphy single perforation (44602) |
$1,512 |
$2,160 |
0.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$434 |
$620 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$385.35 |
$550.50 |
0.1× |
| Escharotomy initial incision (16035) |
$214.20 |
$306 |
0.5× |
| Esoph endoscopy dilation (43226) |
$395.50 |
$565 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,730 |
$3,900 |
3.0× |
| Esophagoscopy flex biopsy (43202) |
$574 |
$820 |
0.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$640.50 |
$915 |
0.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$542.50 |
$775 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$423.50 |
$605 |
0.5× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$413 |
$590 |
0.2× |
| Esophagus endoscopy/ligation (43205) |
$570.50 |
$815 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$458.50 |
$655 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$70 |
$100 |
0.5× |
| Exc abd les sc 3 cm/> (22903) |
$1,148 |
$1,640 |
0.4× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$493.50 |
$705 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$647.50 |
$925 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$245 |
$350 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$420 |
$600 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$626.50 |
$895 |
0.4× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$1,711.50 |
$2,445 |
0.6× |
| Exc face les sbq 2 cm/> (21012) |
$658 |
$940 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$203 |
$290 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$395.50 |
$565 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$759.50 |
$1,085 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$812 |
$1,160 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$1,018.50 |
$1,455 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$463.40 |
$662 |
0.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$199.50 |
$285 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$738.50 |
$1,055 |
0.3× |
| Exc rect tum transanal part (45171) |
$1,141 |
$1,630 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$819 |
$1,170 |
0.5× |
Exc skin abd (15830) unusually low: confirm this is the full procedure |
$2,268 |
$3,240 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$154 |
$220 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$140 |
$200 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$164.50 |
$235 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$210 |
$300 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$367.50 |
$525 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$262.50 |
$375 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$455 |
$650 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$413 |
$590 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$364 |
$520 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$409.50 |
$585 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$626.50 |
$895 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$661.50 |
$945 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$476 |
$680 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$784 |
$1,120 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,424.50 |
$2,035 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$275.80 |
$394 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$85.05 |
$121.50 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,438.50 |
$2,055 |
0.5× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,348.45 |
$1,926.36 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$836.50 |
$1,195 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,039.50 |
$1,485 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$693 |
$990 |
0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$623 |
$890 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,386 |
$1,980 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$672 |
$960 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$476 |
$680 |
0.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,155 |
$1,650 |
0.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$915.60 |
$1,308 |
0.6× |
| Excise excessive skin arm (15836) |
$1,522.50 |
$2,175 |
0.5× |
Excise parotid gland/lesion (42420) unusually low: confirm this is the full procedure |
$2,646 |
$3,780 |
0.4× |
| Excision Breast Lesion (19125) |
$588 |
$840 |
0.1× |
| Excision Chalazion Single (67800) |
$164.50 |
$235 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$654.50 |
$935 |
0.2× |
| Excision hydrocele bilateral (55041) |
$717.50 |
$1,025 |
0.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$280 |
$400 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$168 |
$240 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$311.50 |
$445 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$220.50 |
$315 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$262.50 |
$375 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$444.50 |
$635 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$213.50 |
$305 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$346.50 |
$495 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$378 |
$540 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$615.30 |
$879 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$248.50 |
$355 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$227.50 |
$325 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$259 |
$370 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$388.50 |
$555 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$532 |
$760 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$595 |
$850 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$178.50 |
$255 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$217 |
$310 |
0.3× |
| Excision of hydrocele; unilateral (55040) |
$1,456.70 |
$2,081 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$185.50 |
$265 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$161 |
$230 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$583.45 |
$833.50 |
0.4× |
| Excision of nail fold toe (11765) |
$108.50 |
$155 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$462 |
$660 |
0.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$518 |
$740 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$525 |
$750 |
0.3× |
| Excision of Umbilicus (49250) |
$878.50 |
$1,255 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$420 |
$600 |
0.1× |
| Excision of vaginal septum (57130) |
$388.50 |
$555 |
0.1× |
| Excision olecranon bursa (24105) |
$686 |
$980 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$1,036 |
$1,480 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$900.55 |
$1,286.50 |
0.3× |
| Excision Prepatellar Bursa (27340) |
$752.50 |
$1,075 |
0.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$574.70 |
$821 |
0.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$994 |
$1,420 |
0.6× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$1,092 |
$1,560 |
0.4× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,010.80 |
$1,444 |
0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$378 |
$540 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$735 |
$1,050 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$496.65 |
$709.50 |
0.3× |
| Exploration of knee joint (27310) |
$1,484 |
$2,120 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$439.60 |
$628 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$785.75 |
$1,122.50 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$668.50 |
$955 |
0.2× |
| Explore limb vessels (35860) |
$1,321.60 |
$1,888 |
0.4× |
| Explore/treat ankle joint (27610) |
$762.30 |
$1,089 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,471.75 |
$2,102.50 |
0.9× |
| External Cephalic Version (59412) |
$281.75 |
$402.50 |
0.1× |
| Fasciotomy foot and/or toe (28008) |
$649.95 |
$928.50 |
0.2× |
| Fasciotomy palmar open partial (26045) |
$1,439.20 |
$2,056 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$540.05 |
$771.50 |
0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,065 |
$2,950 |
0.6× |
| Fetal non-stress test (59025) |
$97.65 |
$139.50 |
0.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$483 |
$690 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$171.15 |
$244.50 |
0.4× |
| Fitting of diaphragm/cap (57170) |
$122.50 |
$175 |
0.6× |
| Fixation of knee joint (27570) |
$395.50 |
$565 |
0.2× |
| Fixation of shoulder (23700) |
$437.50 |
$625 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$284.20 |
$406 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,057 |
$1,510 |
0.5× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$980 |
$1,400 |
0.5× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$829.50 |
$1,185 |
0.4× |
| Fusion Finger Joint (26860) |
$1,001.70 |
$1,431 |
0.3× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$863.80 |
$1,234 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$45.50 |
$65 |
0.2× |
| Gastrocnemius Recession (27687) |
$966 |
$1,380 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,459.50 |
$2,085 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,305.50 |
$1,865 |
0.7× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$1,240.04 |
$1,771.48 |
0.3× |
Hemiarthroplasty Hip Partial (27125) likely a partial charge, not the full procedure |
$1,335.60 |
$1,908 |
0.1× |
| Hemorrhoidectomy (46255) |
$822.50 |
$1,175 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$679 |
$970 |
0.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$731.50 |
$1,045 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$94.50 |
$135 |
0.0× |
Hysteroscopy ablation (58563) unusually low: confirm this is the full procedure |
$2,032.45 |
$2,903.50 |
0.4× |
| Hysteroscopy biopsy (58558) |
$1,132.95 |
$1,618.50 |
0.3× |
| Hysteroscopy dx sep proc (58555) |
$504 |
$720 |
0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$682.50 |
$975 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata (58561) likely a partial charge, not the full procedure |
$1,347.50 |
$1,925 |
0.3× |
| I&d abscess simple (10060) |
$178.50 |
$255 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$833 |
$1,190 |
0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$536.90 |
$767 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$416.50 |
$595 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$788.90 |
$1,127 |
0.2× |
| I&d perianal abscess superficial (46050) |
$185.50 |
$265 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$103.60 |
$148 |
0.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$485.10 |
$693 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$408.80 |
$584 |
0.1× |
| I&d vaginal hematoma, non-ob (57023) |
$392 |
$560 |
0.1× |
| Implant neuroelectrodes (63650) |
$15,595.30 |
$22,279 |
2.4× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) likely a partial charge, not the full procedure |
$1,046.50 |
$1,495 |
0.1× |
| Incise finger tendon sheath (26055) |
$873.60 |
$1,248 |
0.5× |
| Incise/drain eyelid lining (68020) |
$259 |
$370 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$285.60 |
$408 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$731.50 |
$1,045 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$294 |
$420 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$112 |
$160 |
0.3× |
| Incision and drainage of abscess of pelvis (57010) |
$710.50 |
$1,015 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$192.50 |
$275 |
1.0× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$301 |
$430 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$136.15 |
$194.50 |
0.4× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) likely a partial charge, not the full procedure |
$1,151.50 |
$1,645 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) likely a partial charge, not the full procedure |
$1,123.50 |
$1,605 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$840 |
$1,200 |
0.5× |
| Incision labial frenum frenotomy (40806) |
$98 |
$140 |
0.2× |
| Incision of eardrum (69421) |
$259 |
$370 |
0.1× |
| Incision of eardrum (69420) |
$192.50 |
$275 |
0.8× |
Incision of heel bone (28300) likely a partial charge, not the full procedure |
$1,372 |
$1,960 |
0.2× |
| Incision of lingual frenum (41010) |
$388.50 |
$555 |
0.2× |
| Incision of rectal abscess (46040) |
$813.75 |
$1,162.50 |
0.7× |
| Incision of urethra (53020) |
$252 |
$360 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$206.85 |
$295.50 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$497.35 |
$710.50 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$129.50 |
$185 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$560 |
$800 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$113.75 |
$162.50 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$581 |
$830 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$126 |
$180 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$945.35 |
$1,350.50 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,129.80 |
$1,614 |
1.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$91 |
$130 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$840 |
$1,200 |
0.9× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,820 |
$2,600 |
2.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$866.25 |
$1,237.50 |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$693 |
$990 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$252 |
$360 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$455 |
$650 |
0.5× |
| Inject Nerv Blck,Pudendal (64430) |
$700 |
$1,000 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$112 |
$160 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,173.90 |
$1,677 |
1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,219.75 |
$1,742.50 |
1.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$442.40 |
$632 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$840 |
$1,200 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$264.60 |
$378 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$228.20 |
$326 |
0.3× |
| Injection for identification of sentinel node (38792) |
$91 |
$130 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$105 |
$150 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$126.70 |
$181 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$281.75 |
$402.50 |
0.9× |
| Injection(s) spider veins (36468) |
$178.50 |
$255 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$192.50 |
$275 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$980 |
$1,400 |
3.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$236.25 |
$337.50 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$643.30 |
$919 |
0.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$455 |
$650 |
0.5× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$1,088.50 |
$1,555 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$220.85 |
$315.50 |
1.7× |
| Insert cervical dilator (59200) |
$150.50 |
$215 |
0.5× |
| Insert Drug Implant Device (11981) |
$182 |
$260 |
1.4× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,459.10 |
$3,513 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$402.50 |
$575 |
0.1× |
| Insert pessary/other device (57160) |
$85.40 |
$122 |
0.4× |
| Insert picc cath (36569) |
$266 |
$380 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$115.50 |
$165 |
0.9× |
| Insert tunneled cv cath (36561) |
$1,862 |
$2,660 |
0.6× |
Insert Tunneled Cv Cath With Pump (36563) unusually low: confirm this is the full procedure |
$1,715 |
$2,450 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$121.45 |
$173.50 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$917 |
$1,310 |
0.3× |
Insertion of infusion pump (36260) likely a partial charge, not the full procedure |
$661.50 |
$945 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$441 |
$630 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,127 |
$1,610 |
0.4× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$35,089.60 |
$50,128 |
2.7× |
Insj tun vad req 2 cath 2 sits w/subq port (36566) likely a partial charge, not the full procedure |
$850.50 |
$1,215 |
0.2× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$1,561 |
$2,230 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,115.45 |
$1,593.50 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$242.90 |
$347 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$472.50 |
$675 |
2.0× |
| Knee arthroscopy/surgery (29883) |
$2,345 |
$3,350 |
0.7× |
| Knee arthroscopy/surgery (29876) |
$1,697.50 |
$2,425 |
0.5× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) unusually low: confirm this is the full procedure |
$2,660.70 |
$3,801 |
0.4× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$1,737.75 |
$2,482.50 |
0.3× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$696.50 |
$995 |
0.1× |
Laparo sling operation (51992) likely a partial charge, not the full procedure |
$1,382.50 |
$1,975 |
0.2× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$931 |
$1,330 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$1,001 |
$1,430 |
0.2× |
Laparoscopy Remove Adnexa (58661) likely a partial charge, not the full procedure |
$1,417.50 |
$2,025 |
0.2× |
Laparoscopy salpingostomy (58673) likely a partial charge, not the full procedure |
$1,244.25 |
$1,777.50 |
0.1× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) likely a partial charge, not the full procedure |
$2,005.50 |
$2,865 |
0.2× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$1,001 |
$1,430 |
0.2× |
Laparoscopy Tubal Cautery (58670) likely a partial charge, not the full procedure |
$1,719.90 |
$2,457 |
0.3× |
Laparoscopy w/lysis of adhesions (58660) likely a partial charge, not the full procedure |
$1,361.50 |
$1,945 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) likely a partial charge, not the full procedure |
$913.50 |
$1,305 |
0.2× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$1,242.50 |
$1,775 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,319.50 |
$1,885 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,711.85 |
$2,445.50 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$1,900.50 |
$2,715 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,114 |
$3,020 |
0.2× |
Laparoscopy, surgical; partial nephrectomy (50543) likely a partial charge, not the full procedure |
$1,761.90 |
$2,517 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) unusually low: confirm this is the full procedure |
$2,124.85 |
$3,035.50 |
0.4× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,157.10 |
$1,653 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$833 |
$1,190 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550) likely a partial charge, not the full procedure |
$1,688.40 |
$2,412 |
0.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$210 |
$300 |
1.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$126 |
$180 |
0.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$94.50 |
$135 |
0.5× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$497 |
$710 |
0.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$465.50 |
$665 |
0.3× |
| Larynscop w/tumr exc + scope (31541) |
$385 |
$550 |
0.1× |
Laser vaporization surgery prostate, complete (52648) unusually low: confirm this is the full procedure |
$2,495.50 |
$3,565 |
0.5× |
| Late closure of wound (13160) |
$1,820 |
$2,600 |
0.5× |
| Lateral retinacular release open (27425) |
$1,109.50 |
$1,585 |
0.3× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) unusually low: confirm this is the full procedure |
$5,898.20 |
$8,426 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$261.80 |
$374 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$455 |
$650 |
0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,582 |
$2,260 |
0.4× |
| Lithotripsy (50590) |
$1,820 |
$2,600 |
0.5× |
| Liver Biopsy (47000) |
$373.80 |
$534 |
0.2× |
Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$1,249.15 |
$1,784.50 |
0.1× |
| Lyse Chest Fibrin Init Day (32561) |
$1,456.70 |
$2,081 |
2.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$472.50 |
$675 |
0.2× |
| Manipulation, wrist, under anesthesia (25259) |
$288.40 |
$412 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$514.50 |
$735 |
0.2× |
Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,587.60 |
$2,268 |
0.2× |
| Mastectomy partial (19301) |
$676.90 |
$967 |
0.2× |
Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,135.75 |
$1,622.50 |
0.2× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,081.15 |
$1,544.50 |
0.2× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$2,772 |
$3,960 |
0.8× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,424.50 |
$2,035 |
0.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$203 |
$290 |
1.0× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$500.50 |
$715 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$423.50 |
$605 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$110.95 |
$158.50 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$171.51 |
$245.02 |
5.9× |
| Nipple exploration (19110) |
$481.60 |
$688 |
0.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,132.60 |
$1,618 |
1.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$175 |
$250 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$383.60 |
$548 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$602 |
$860 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$560 |
$800 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,035.65 |
$1,479.50 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$469 |
$670 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$1,186.50 |
$1,695 |
1.3× |
| Occlude fallopian tube(s) (58615) |
$815.50 |
$1,165 |
0.3× |
Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,501.50 |
$2,145 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,627.50 |
$2,325 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,033.55 |
$1,476.50 |
0.1× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$843.85 |
$1,205.50 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$851.20 |
$1,216 |
0.1× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) likely a partial charge, not the full procedure |
$1,908.55 |
$2,726.50 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) likely a partial charge, not the full procedure |
$1,171.45 |
$1,673.50 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) unusually low: confirm this is the full procedure |
$2,348.50 |
$3,355 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) likely a partial charge, not the full procedure |
$1,059.80 |
$1,514 |
0.1× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) likely a partial charge, not the full procedure |
$1,058.40 |
$1,512 |
0.1× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) likely a partial charge, not the full procedure |
$2,058 |
$2,940 |
0.3× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,291.50 |
$1,845 |
0.2× |
Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,063.65 |
$1,519.50 |
0.1× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,526 |
$2,180 |
0.5× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$751.10 |
$1,073 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,134 |
$1,620 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) likely a partial charge, not the full procedure |
$1,326.50 |
$1,895 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$843.15 |
$1,204.50 |
0.3× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) likely a partial charge, not the full procedure |
$1,043 |
$1,490 |
0.1× |
Optx fem shft fx w/insj imed implt w/wo screw (27506) likely a partial charge, not the full procedure |
$1,578.50 |
$2,255 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$817.60 |
$1,168 |
0.2× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$844.20 |
$1,206 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,144.50 |
$1,635 |
0.3× |
Osteochondral allograft, knee, open (27415) likely a partial charge, not the full procedure |
$3,143 |
$4,490 |
0.2× |
Ovarian cystectomy (58925) likely a partial charge, not the full procedure |
$1,442 |
$2,060 |
0.3× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) unusually low: confirm this is the full procedure |
$1,813 |
$2,590 |
0.4× |
| Partial Excision Bone Humerus (24140) |
$1,326.50 |
$1,895 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$929.60 |
$1,328 |
0.6× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,137.50 |
$1,625 |
0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$319.20 |
$456 |
0.1× |
| Partial Removal Foot Fascia (28060) |
$980 |
$1,400 |
0.3× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,634.50 |
$2,335 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,274 |
$1,820 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$451.50 |
$645 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$187.60 |
$268 |
0.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$700 |
$1,000 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) likely a partial charge, not the full procedure |
$2,009 |
$2,870 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$797.30 |
$1,139 |
0.2× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$847 |
$1,210 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$476 |
$680 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$602 |
$860 |
0.2× |
| Perq device breast 1st imag (19281) |
$322.70 |
$461 |
0.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$836.50 |
$1,195 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$672 |
$960 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$604.80 |
$864 |
2.4× |
Perq tx mndblr fx xtrnl fixj (21452) likely a partial charge, not the full procedure |
$801.50 |
$1,145 |
0.1× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,083.70 |
$8,691 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$1,957.90 |
$2,797 |
0.6× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$1,964.20 |
$2,806 |
0.6× |
| Phleb Veins - Extrem 20+ (37766) |
$1,301.30 |
$1,859 |
0.4× |
| Pin hand dislocation (26676) |
$1,071 |
$1,530 |
0.3× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,178.32 |
$1,683.32 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$264.60 |
$378 |
0.6× |
| Pr sperm washing artificial insemination (58323) |
$87.50 |
$125 |
0.4× |
| Preputial Stretching (54450) |
$91 |
$130 |
0.4× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$441 |
$630 |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$315 |
$450 |
0.3× |
| Proctosigmoidoscopy removal (45315) |
$427 |
$610 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$164.50 |
$235 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$783.30 |
$1,119 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$274.05 |
$391.50 |
0.7× |
| Puncture Aspiration (10160) |
$82.60 |
$118 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$210 |
$300 |
0.3× |
| Pvb thoracic single inj site (64461) |
$840 |
$1,200 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$529.20 |
$756 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,543.50 |
$2,205 |
0.2× |
| Reattachment of part of cutoff finger (20822) |
$3,937.50 |
$5,625 |
2.4× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$1,414.70 |
$2,021 |
0.1× |
Reconstruct urethra/bladder (53431) unusually low: confirm this is the full procedure |
$2,016 |
$2,880 |
0.4× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$1,732.50 |
$2,475 |
0.5× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) likely a partial charge, not the full procedure |
$1,561 |
$2,230 |
0.2× |
Reduction of Large Breast (19318) likely a partial charge, not the full procedure |
$1,772.40 |
$2,532 |
0.3× |
| Release of big toe (28240) |
$864.50 |
$1,235 |
0.3× |
| Release palm contracture (26121) |
$1,757 |
$2,510 |
0.5× |
| Release/Recession Hamstring Proximal (27097) |
$808.50 |
$1,155 |
0.2× |
| Removal fb intranasal (30300) |
$350 |
$500 |
2.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$41.30 |
$59 |
0.0× |
| Removal Foreign Body Foot Complicated (28193) |
$386.40 |
$552 |
0.2× |
| Removal foreign body foot deep (28192) |
$376.60 |
$538 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$218.75 |
$312.50 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$355.25 |
$507.50 |
0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$434.70 |
$621 |
0.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$282.10 |
$403 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$121.10 |
$173 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.90 |
$137 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$245 |
$350 |
0.1× |
| Removal Implant Deep (20680) |
$919.80 |
$1,314 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$490 |
$700 |
0.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$206.50 |
$295 |
0.3× |
| Removal of adenoids (42830) |
$354.20 |
$506 |
0.1× |
| Removal of ankle implant (27704) |
$669.20 |
$956 |
0.2× |
| Removal of arm foreign body (24200) |
$393.75 |
$562.50 |
0.2× |
| Removal of bone lesion (23140) |
$1,456 |
$2,080 |
0.4× |
| Removal of heel spur (28119) |
$797.65 |
$1,139.50 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$122.50 |
$175 |
0.4× |
| Removal of nail bed (11750) |
$252 |
$360 |
0.6× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$290.50 |
$415 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$80.50 |
$115 |
0.4× |
| Removal of sperm cord lesion (55520) |
$868 |
$1,240 |
0.2× |
| Removal of testis (54520) |
$554.75 |
$792.50 |
0.2× |
Removal of thyroid (60271) unusually low: confirm this is the full procedure |
$2,044 |
$2,920 |
0.3× |
Removal of thyroid lesion (60200) likely a partial charge, not the full procedure |
$1,274 |
$1,820 |
0.2× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$457.10 |
$653 |
0.1× |
| Removal of tonsils (42826) |
$567 |
$810 |
0.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$136.50 |
$195 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$98 |
$140 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$67.55 |
$96.50 |
0.2× |
| Remove anal fist subq (46270) |
$553 |
$790 |
0.2× |
| Remove bladder stone (52318) |
$1,074.50 |
$1,535 |
0.3× |
| Remove by ligat int hem grp (46945) |
$280 |
$400 |
0.1× |
| Remove by ligat int hem grps (46946) |
$322 |
$460 |
0.1× |
| Remove cerclage suture (59871) |
$301 |
$430 |
0.1× |
Remove cervix/repair vagina (57555) likely a partial charge, not the full procedure |
$973.70 |
$1,391 |
0.2× |
| Remove drug implant device (11982) |
$203 |
$290 |
0.5× |
| Remove elbow lesion (24120) |
$1,211 |
$1,730 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$150.85 |
$215.50 |
0.5× |
| Remove femur lesion (27355) |
$1,519 |
$2,170 |
0.5× |
| Remove femur lesion/bursa (27062) |
$973 |
$1,390 |
0.3× |
| Remove foreign body from eye (65210) |
$39.90 |
$57 |
0.1× |
| Remove in/ex hem groups 2+ (46260) |
$1,071 |
$1,530 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$746.55 |
$1,066.50 |
0.3× |
| Remove shoulder foreign body (23330) |
$120.40 |
$172 |
0.1× |
| Remove skin nerve lesion (64774) |
$623 |
$890 |
0.3× |
| Remove spinal cord lesion (63600) |
$2,897.66 |
$4,139.52 |
1.5× |
| Remove thigh pressure sore (15956) |
$1,991.50 |
$2,845 |
1.0× |
Remove wrist joint implant (25449) likely a partial charge, not the full procedure |
$1,219.40 |
$1,742 |
0.2× |
| Remove wrist tendon lesion (25111) |
$526.75 |
$752.50 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$247.10 |
$353 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$122.85 |
$175.50 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$82.60 |
$118 |
0.6× |
| Remv vein clot subclav,neck incis (34471) |
$1,403.50 |
$2,005 |
2.2× |
| Renal biopsy (50200) |
$619.50 |
$885 |
0.4× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$1,141.70 |
$1,631 |
0.2× |
Repair arm tendon/muscle (24341) likely a partial charge, not the full procedure |
$1,731.10 |
$2,473 |
0.2× |
Repair bladder-vagina lesion (57320) likely a partial charge, not the full procedure |
$878.50 |
$1,255 |
0.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,662.80 |
$3,804 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,102.50 |
$1,575 |
0.3× |
Repair collat ankle ligmnt,secondary (27698) likely a partial charge, not the full procedure |
$1,411.90 |
$2,017 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$373.10 |
$533 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$840 |
$1,200 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$362.25 |
$517.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$424.20 |
$606 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$307.65 |
$439.50 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$609.70 |
$871 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$321.30 |
$459 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$427 |
$610 |
0.6× |
| Repair elbow deb/attch open (24359) |
$1,445.50 |
$2,065 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,197 |
$1,710 |
0.7× |
| Repair finger/hand tendon (26350) |
$1,159.20 |
$1,656 |
0.4× |
| Repair finger/hand tendon (26370) |
$1,564.50 |
$2,235 |
0.5× |
| Repair forearm tendon/muscle (25260) |
$1,701 |
$2,430 |
0.5× |
| Repair hallux rigidus (28289) |
$1,414 |
$2,020 |
0.4× |
| Repair incomplete circumcision (54163) |
$511 |
$730 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,176.65 |
$3,109.50 |
0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,310.70 |
$3,301 |
0.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,165.10 |
$3,093 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,227.75 |
$3,182.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$332.50 |
$475 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$232.75 |
$332.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$279.30 |
$399 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,465.33 |
$3,521.90 |
6.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$392 |
$560 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$462.70 |
$661 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$478.10 |
$683 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$205.80 |
$294 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$346.15 |
$494.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$192.82 |
$275.46 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$429.45 |
$613.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$384.30 |
$549 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$747.25 |
$1,067.50 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$198.80 |
$284 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$306.36 |
$437.65 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,281.28 |
$1,830.40 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$533.05 |
$761.50 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$595 |
$850 |
0.3× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$1,221.50 |
$1,745 |
0.2× |
Repair lumbar hernia (49540) unusually low: confirm this is the full procedure |
$2,536.45 |
$3,623.50 |
0.4× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$4,282.60 |
$6,118 |
0.7× |
Repair of enterocele, vaginal approach (separate procedure) (57268) likely a partial charge, not the full procedure |
$1,046.50 |
$1,495 |
0.2× |
| Repair Of Foot Tendon (28208) |
$616 |
$880 |
0.2× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$2,082.50 |
$2,975 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,452.50 |
$2,075 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$805 |
$1,150 |
0.1× |
| Repair of leg tendon each (27658) |
$629.30 |
$899 |
0.2× |
| Repair of nail bed (11760) |
$429.10 |
$613 |
0.6× |
| Repair of rectocele (45560) |
$983.50 |
$1,405 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) likely a partial charge, not the full procedure |
$1,553.30 |
$2,219 |
0.2× |
Repair of shoulder (23420) likely a partial charge, not the full procedure |
$2,079 |
$2,970 |
0.3× |
Repair of thigh musc (27385) likely a partial charge, not the full procedure |
$1,599.50 |
$2,285 |
0.2× |
| Repair of urethra injury (53502) |
$850.50 |
$1,215 |
0.2× |
Repair of vagina (57260) likely a partial charge, not the full procedure |
$1,365 |
$1,950 |
0.3× |
Repair rectum & vagina (57250) likely a partial charge, not the full procedure |
$843.85 |
$1,205.50 |
0.2× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$1,415.05 |
$2,021.50 |
0.2× |
| Repair Tongue Laceration (41250) |
$301.70 |
$431 |
0.7× |
| Repair tympanic membrane (69610) |
$434 |
$620 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$3,578.40 |
$5,112 |
0.5× |
Rerepair ing hernia blocked (49521) unusually low: confirm this is the full procedure |
$2,669.80 |
$3,814 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$2,344.30 |
$3,349 |
0.7× |
| Revise arm/leg nerve (64708) |
$364.70 |
$521 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$743.40 |
$1,062 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$993.30 |
$1,419 |
0.5× |
| Revise ulnar nerve at wrist (64719) |
$723.10 |
$1,033 |
0.4× |
| Revision of cervix (57720) |
$581 |
$830 |
0.2× |
Revision of collar bone (23480) likely a partial charge, not the full procedure |
$1,788.50 |
$2,555 |
0.2× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,466.50 |
$2,095 |
0.4× |
| Revision of leg vein (37780) |
$399 |
$570 |
0.1× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) likely a partial charge, not the full procedure |
$2,249.80 |
$3,214 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486) likely a partial charge, not the full procedure |
$1,656.90 |
$2,367 |
0.1× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$7,798 |
$11,140 |
2.2× |
| Revj clst comp rcnstj in-depth spx (44345) |
$1,296.75 |
$1,852.50 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$264.60 |
$378 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$134.40 |
$192 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$76.30 |
$109 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$318.15 |
$454.50 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$532 |
$760 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$355.60 |
$508 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$921.55 |
$1,316.50 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$329 |
$470 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$322 |
$460 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$420 |
$600 |
1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,148.20 |
$5,926 |
0.7× |
Rpr aa hernia 1st 3-10 cm reducible (49593) unusually low: confirm this is the full procedure |
$3,185.70 |
$4,551 |
0.5× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) unusually low: confirm this is the full procedure |
$1,960.70 |
$2,801 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,440.25 |
$2,057.50 |
0.4× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$3,554.60 |
$5,078 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$3,178 |
$4,540 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,342.20 |
$3,346 |
0.7× |
| Rpr blood vessel direct lower extremity (35226) |
$1,409.80 |
$2,014 |
2.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$273.70 |
$391 |
0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,100 |
$3,000 |
0.6× |
| Scrotal exploration (55110) |
$724.50 |
$1,035 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$574 |
$820 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$91 |
$130 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$70 |
$100 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$98 |
$140 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$115.50 |
$165 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$154 |
$220 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$73.50 |
$105 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$108.50 |
$155 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$126 |
$180 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$91 |
$130 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$168 |
$240 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.50 |
$255 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$379.05 |
$541.50 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$343 |
$490 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$406 |
$580 |
0.3× |
| Simple destruction of growth of penis using electric current (54055) |
$224 |
$320 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$597.10 |
$853 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$275.10 |
$393 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$280.24 |
$400.34 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,026.69 |
$1,466.70 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$344.05 |
$491.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$480.55 |
$686.50 |
2.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$457.10 |
$653 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$227.85 |
$325.50 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$534.80 |
$764 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$315.70 |
$451 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$3,373.30 |
$4,819 |
4.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,182.55 |
$4,546.50 |
4.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,761.40 |
$6,802 |
2.3× |
| Skin tissue rearrangement (14040) |
$1,221.50 |
$1,745 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$3,224.90 |
$4,607 |
1.6× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$1,613.50 |
$2,305 |
0.3× |
| Slitting of prepuce (54001) |
$339.50 |
$485 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$262.85 |
$375.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$409.50 |
$585 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$550.20 |
$786 |
1.4× |
| Sphincterotomy (46080) |
$420 |
$600 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$303.10 |
$433 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,295 |
$1,850 |
0.4× |
| Stimulus evoked response (51792) |
$663.40 |
$947.72 |
11.2× |
| Strapping ankle (29540) |
$52.52 |
$75.02 |
0.3× |
| Strapping elbow/wrist (29260) |
$39.55 |
$56.50 |
0.7× |
| Strapping hand/finger (29280) |
$37.10 |
$53 |
0.6× |
| Strapping knee (29530) |
$40.60 |
$58 |
0.3× |
| Strapping shoulder (29240) |
$47.78 |
$68.25 |
0.4× |
| Strapping toes (29550) |
$52.50 |
$75 |
0.9× |
| Strapping unna boot (29580) |
$152.60 |
$218 |
0.9× |
| Suction assisted lipectomy; trunk (15877) |
$1,253 |
$1,790 |
0.4× |
| Suspension of testis (54640) |
$513.10 |
$733 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$287.70 |
$411 |
0.7× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,241.10 |
$1,773 |
0.2× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$1,375.50 |
$1,965 |
0.4× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,043 |
$1,490 |
0.3× |
| Therapeutic pneumothorax (32960) |
$248.50 |
$355 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$838.25 |
$1,197.50 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$627.55 |
$896.50 |
1.0× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) unusually low: confirm this is the full procedure |
$2,600.50 |
$3,715 |
0.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,239 |
$1,770 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$672 |
$960 |
0.2× |
Total hip arthroplasty (27130) likely a partial charge, not the full procedure |
$1,651.30 |
$2,359 |
0.1× |
Total knee arthroplasty (27447) likely a partial charge, not the full procedure |
$1,544.90 |
$2,207 |
0.1× |
| Trach Tube Change (31502) |
$115.50 |
$165 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$455 |
$650 |
1.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$32.20 |
$46 |
0.0× |
Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,533 |
$2,190 |
0.3× |
Treat elbow fracture (24635) likely a partial charge, not the full procedure |
$798 |
$1,140 |
0.1× |
| Treat finger dislocation (26775) |
$158.90 |
$227 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$330.40 |
$472 |
1.3× |
Treat fx rad extra-articul (25607) likely a partial charge, not the full procedure |
$1,163.40 |
$1,662 |
0.2× |
Treat heel fracture (28415) likely a partial charge, not the full procedure |
$1,320.20 |
$1,886 |
0.2× |
| Treat humerus fracture (24500) |
$342.30 |
$489 |
1.4× |
| Treat humerus fracture (23600) |
$226.80 |
$324 |
0.9× |
| Treat knee fracture (27532) |
$735 |
$1,050 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$398.65 |
$569.50 |
1.6× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,152.90 |
$1,647 |
0.2× |
Treat ulnar fracture (24685) likely a partial charge, not the full procedure |
$1,482.25 |
$2,117.50 |
0.2× |
| Treat Vaginal Bleeding (57180) |
$277.55 |
$396.50 |
1.4× |
| Treat wrist bone fracture (25635) |
$875 |
$1,250 |
0.5× |
| Treat wrist bone fracture (25622) |
$581 |
$830 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$254.03 |
$362.90 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$371 |
$530 |
1.5× |
Treatment of ankle fracture (27792) likely a partial charge, not the full procedure |
$1,309 |
$1,870 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$693 |
$990 |
0.2× |
| Trim skin lesion (11055) |
$144.90 |
$207 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$94.50 |
$135 |
0.5× |
| Trim skin lesions over 4 (11057) |
$42.70 |
$61 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$21 |
$30 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,050 |
$1,500 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$403.55 |
$576.50 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$882 |
$1,260 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$329.35 |
$470.50 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$185.15 |
$264.50 |
0.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$205.10 |
$293 |
0.1× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$707 |
$1,010 |
3.5× |
Unlisted laparoscopy px abd pertoneum & omentum (49329) likely a partial charge, not the full procedure |
$707 |
$1,010 |
0.1× |
| Unlisted procedure anus (46999) |
$315 |
$450 |
0.3× |
| Unlisted procedure colon (45399) |
$2,002 |
$2,860 |
2.1× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$406 |
$580 |
1.7× |
| Unlisted procedure maternity care & delivery (59899) |
$287 |
$410 |
1.4× |
| Unlisted Procedure Nervous System (64999) |
$661.50 |
$945 |
2.2× |
| Unlisted Procedure Rectum (45999) |
$31.50 |
$45 |
0.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,519 |
$2,170 |
1.7× |
| Unlisted procedure, male genital system (55899) |
$273 |
$390 |
1.1× |
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) unusually low: confirm this is the full procedure |
$2,054.50 |
$2,935 |
0.4× |
Vag hyst w/enterocele repair (58270) unusually low: confirm this is the full procedure |
$2,310 |
$3,300 |
0.5× |
| Vaginal delivery only (59409) |
$1,085 |
$1,550 |
0.3× |
Vaginal hysterectomy (58260) likely a partial charge, not the full procedure |
$1,445.15 |
$2,064.50 |
0.3× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$2,047.50 |
$2,925 |
0.4× |
| Vasectomy (55250) |
$838.95 |
$1,198.50 |
0.4× |
| Venipuncture (36415) |
$18.20 |
$26 |
1.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$175 |
$250 |
0.1× |
| Vulvectomy simple partial (56620) |
$688.10 |
$983 |
0.2× |
| Wrist arthroscop,excis triang cart (29846) |
$1,645 |
$2,350 |
0.5× |
| Wrist arthroscopy (29843) |
$936.95 |
$1,338.50 |
0.3× |