| Abd paracentesis w/imaging (49083) |
$432.44 |
$617.78 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$704.90 |
$1,007 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$1,050 |
$1,500 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,276 |
$4,680 |
1.0× |
| Anoscopy diagnostic (46600) |
$249.20 |
$356 |
1.9× |
| Application cast elbow finger short arm (29075) |
$224.70 |
$321 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$164.50 |
$235 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$229.30 |
$327.58 |
0.8× |
| Application finger splint static (29130) |
$163.80 |
$234 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$133.70 |
$191 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$112 |
$160 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$163.80 |
$234 |
1.2× |
| Application short leg splint calf foot (29515) |
$163.80 |
$234 |
1.0× |
| Apply short leg cast (29405) |
$320.60 |
$458 |
1.1× |
| Arterial puncture (36600) |
$31.50 |
$45 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$330.40 |
$472 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$182 |
$260 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$130.20 |
$186 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$330.40 |
$472 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$330.40 |
$472 |
1.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$41.30 |
$59 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$160.30 |
$229 |
0.8× |
| Biopsy of uterus lining (58100) |
$217 |
$310 |
1.1× |
| Bladder Irrigation Simple (51700) |
$277.20 |
$396 |
1.1× |
| Bladder Scan (51798) |
$95.20 |
$136 |
1.6× |
| Blood patch (62273) |
$695.45 |
$993.50 |
1.0× |
| Blood transfusion service (36430) |
$576.80 |
$824 |
1.3× |
| Chemical Cautery Tissue (17250) |
$74.20 |
$106 |
0.4× |
| Chest tube placement (32551) |
$441 |
$630 |
0.3× |
| Circumcision (54150) |
$991.20 |
$1,416 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,061.90 |
$1,517 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$476.70 |
$681 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$252 |
$360 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$422.80 |
$604 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$408.80 |
$584 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$684.60 |
$978 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$421.40 |
$602 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$574 |
$820 |
2.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$396.90 |
$567 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$586.60 |
$838 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$239.40 |
$342 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$519.40 |
$742 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,127 |
$1,610 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$497 |
$710 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$586.60 |
$838 |
2.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$252 |
$360 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$340.20 |
$486 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,170 |
$3,100 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$887.60 |
$1,268 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$225.75 |
$322.50 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$512.40 |
$732 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$223.30 |
$319 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$355.60 |
$508 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$304.50 |
$435 |
0.3× |
| Conization of cervix (57522) |
$519.40 |
$742 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$171.85 |
$245.50 |
1.3× |
| Cryotherapy of skin (17340) |
$35.70 |
$51 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$253.40 |
$362 |
1.9× |
| Curettage postpartum (59160) |
$1,465.80 |
$2,094 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$634.20 |
$906 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$761.95 |
$1,088.50 |
1.1× |
| Debride nail 1-5 (11720) |
$36.05 |
$51.50 |
0.6× |
| Debride nail 6 or more (11721) |
$64.05 |
$91.50 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$186.14 |
$265.92 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$386.40 |
$552 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$637 |
$910 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$390.60 |
$558 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$159.60 |
$228 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$232.40 |
$332 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$446.60 |
$638 |
2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$252 |
$360 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$135.80 |
$194 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$203.70 |
$291 |
0.2× |
| Drainage of hematoma/fluid (10140) |
$1,713.60 |
$2,448 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$166.60 |
$238 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$773.15 |
$1,104.50 |
0.4× |
| Egd flexible foreign body removal (43247) |
$1,225 |
$1,750 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$115.50 |
$165 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,339.40 |
$3,342 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$1,638 |
$2,340 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$195.30 |
$279 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$467.60 |
$668 |
0.3× |
| Exc frenum labial/buccal (40819) |
$1,209.60 |
$1,728 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$218.40 |
$312 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$163.80 |
$234 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$351.40 |
$502 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$404.60 |
$578 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,054.90 |
$1,507 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$405.65 |
$579.50 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$672 |
$960 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$595.35 |
$850.50 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$644 |
$920 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,040.90 |
$1,487 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,865.15 |
$2,664.50 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,938.60 |
$4,198 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,749.46 |
$2,499.22 |
1.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$849.80 |
$1,214 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$183.40 |
$262 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,100 |
$3,000 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$358.40 |
$512 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$467.95 |
$668.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,040.90 |
$1,487 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,040.90 |
$1,487 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$369.60 |
$528 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$695.45 |
$993.50 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$605.50 |
$865 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$695.80 |
$994 |
0.4× |
| Excision of bartholin's gland or cyst (56740) |
$3,105.20 |
$4,436 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,082.90 |
$1,547 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$324.64 |
$463.77 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$546 |
$780 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$334.98 |
$478.54 |
0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,764 |
$2,520 |
1.1× |
| External Cephalic Version (59412) |
$215.95 |
$308.50 |
0.1× |
| Fetal non-stress test (59025) |
$207.20 |
$296 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$299.25 |
$427.50 |
1.4× |
| Hysteroscopy biopsy (58558) |
$3,528 |
$5,040 |
1.1× |
| I&d abscess simple (10060) |
$176.05 |
$251.50 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$207.20 |
$296 |
0.3× |
| Incise finger tendon sheath (26055) |
$1,214.50 |
$1,735 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$259.70 |
$371 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$204.40 |
$292 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$425.60 |
$608 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$330.40 |
$472 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$183.75 |
$262.50 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$105 |
$150 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$99.40 |
$142 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$450.80 |
$644 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$178.50 |
$255 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$119.35 |
$170.50 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$223.30 |
$319 |
0.7× |
| Insert Drug Implant Device (11981) |
$170.10 |
$243 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,242.50 |
$1,775 |
0.4× |
| Insert picc cath (36569) |
$351.54 |
$502.20 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$95.90 |
$137 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$95.90 |
$137 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$501.72 |
$716.74 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$277.20 |
$396 |
1.2× |
| Laparoscopy Remove Adnexa (58661) |
$6,482 |
$9,260 |
1.1× |
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 |
$1,368.15 |
$1,954.50 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,659 |
$2,370 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,913.70 |
$5,591 |
0.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,482 |
$9,260 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$208.60 |
$298 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$600.60 |
$858 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$271.25 |
$387.50 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$375.90 |
$537 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$201.60 |
$288 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$3,015.60 |
$4,308 |
1.9× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$308 |
$440 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$179.20 |
$256 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$84 |
$120 |
0.2× |
| Puncture Aspiration (10160) |
$175 |
$250 |
0.4× |
| Removal fb intranasal (30300) |
$257.60 |
$368 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$464.10 |
$663 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30.80 |
$44 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.55 |
$116.50 |
1.4× |
| Removal of nail bed (11750) |
$211.05 |
$301.50 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$147.18 |
$210.25 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$121.10 |
$173 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$138.95 |
$198.50 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$905.10 |
$1,293 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$642.60 |
$918 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,400 |
$2,000 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$360.50 |
$515 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$383.60 |
$548 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$325.50 |
$465 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$242.20 |
$346 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$511.22 |
$730.32 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$289.80 |
$414 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$385.70 |
$551 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$408.80 |
$584 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$2,598.40 |
$3,712 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$140.35 |
$200.50 |
0.3× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,507.80 |
$2,154 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$690.90 |
$987 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$204.40 |
$292 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$236.95 |
$338.50 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$201.60 |
$288 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$516.60 |
$738 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$240.80 |
$344 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$275.10 |
$393 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$333.20 |
$476 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$421.40 |
$602 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$242.20 |
$346 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$252 |
$360 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$308 |
$440 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$256.90 |
$367 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$189 |
$270 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$259.70 |
$371 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$385.70 |
$551 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$204.75 |
$292.50 |
0.3× |
| Strapping knee (29530) |
$163.80 |
$234 |
1.2× |
| Strapping shoulder (29240) |
$132.30 |
$189 |
1.0× |
| Strapping unna boot (29580) |
$130.90 |
$187 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$113.40 |
$162 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$235.20 |
$336 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$565.22 |
$807.46 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$319.20 |
$456 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$541.92 |
$774.18 |
2.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$747.60 |
$1,068 |
3.0× |
| Trim skin lesion (11055) |
$64.40 |
$92 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$100.80 |
$144 |
0.5× |
| Trim skin lesions over 4 (11057) |
$105.35 |
$150.50 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$29.40 |
$42 |
0.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,633.40 |
$3,762 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$824.08 |
$1,177.25 |
0.3× |
| Vaginal delivery only (59409) |
$1,603.70 |
$2,291 |
0.5× |
| Venipuncture (36415) |
$11.90 |
$17 |
1.3× |