| 1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct… (54328) |
$2,494.40 |
$3,118 |
0.7× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$2,393.60 |
$2,992 |
0.7× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and… (54326) |
$3,379.20 |
$4,224 |
0.9× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$3,248 |
$4,060 |
0.9× |
| 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin… (54336) |
$2,663.20 |
$3,329 |
0.7× |
| 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and… (54332) |
$3,275.20 |
$4,094 |
0.9× |
| Abd paracentesis (49082) |
$937.60 |
$1,172 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$717.20 |
$896.50 |
0.8× |
Ablation bone tumor rf perq w/img gdn when done (20982)
likely a partial charge — not the full procedure |
$1,320.80 |
$1,651 |
0.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$583.20 |
$729 |
0.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$1,554.40 |
$1,943 |
1.0× |
| Acne surgery (10040) |
$188 |
$235 |
0.9× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$951.20 |
$1,189 |
0.3× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$920 |
$1,150 |
0.3× |
| Adenoidectomy, secondary; age 12 or over Age Under 21 (42836) |
$994.40 |
$1,243 |
0.3× |
| Adenoidectomy, secondary; younger than age 12 Age Under 21 (42835) |
$752 |
$940 |
0.2× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$2,083.20 |
$2,604 |
1.0× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,909.60 |
$2,387 |
0.9× |
| Amniocentesis diagnostic (59000) |
$371.20 |
$464 |
0.4× |
| Amniocentesis therapeutic (59001) |
$972.80 |
$1,216 |
3.1× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,756 |
$2,195 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,360 |
$1,700 |
0.4× |
| Amputation of penis; partial Age Under 21 (54120) |
$1,952 |
$2,440 |
0.5× |
| Amputation of toe (28820) |
$1,713.60 |
$2,142 |
0.5× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) |
$1,703.60 |
$2,129.50 |
0.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$3,066.40 |
$3,833 |
0.9× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21 (27884) |
$2,372.80 |
$2,966 |
0.7× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$1,629.60 |
$2,037 |
0.5× |
| Amputation, thigh, through femur, any level; (27590) |
$3,324.80 |
$4,156 |
1.0× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$264 |
$330 |
0.8× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$394 |
$492.50 |
0.1× |
| Anoscopy and biopsy (46606) |
$596.80 |
$746 |
0.5× |
| Anoscopy diagnostic (46600) |
$231.20 |
$289 |
1.7× |
| Anoscopy remove for body (46608) |
$443.20 |
$554 |
0.5× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$573.60 |
$717 |
0.5× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$907.20 |
$1,134 |
0.3× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$453.60 |
$567 |
0.1× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$452 |
$565 |
0.6× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$1,196 |
$1,495 |
0.6× |
| Appendectomy (44950) |
$3,779.20 |
$4,724 |
0.6× |
| Application finger splint static (29130) |
$134 |
$167.50 |
1.0× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$188.40 |
$235.50 |
1.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$145.20 |
$181.50 |
1.1× |
| Application of short leg cast (below knee to toes); (29405) |
$320.80 |
$401 |
1.1× |
| Application of short leg splint (calf to foot) (29515) |
$173.60 |
$217 |
1.0× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,364 |
$1,705 |
0.6× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$266 |
$332.50 |
1.6× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$406 |
$507.50 |
2.4× |
| Application rigid total contact leg cast (29445) |
$1,027.20 |
$1,284 |
3.6× |
| Application, cast; shoulder to hand (long arm) (29065) |
$331.20 |
$414 |
1.2× |
| Apply hand/wrist cast (29085) |
$305.60 |
$382 |
1.8× |
| Apply long arm splint (29105) |
$222 |
$277.50 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$190 |
$237.50 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$285.60 |
$357 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$218.80 |
$273.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$288.80 |
$361 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$181.20 |
$226.50 |
0.6× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$181.60 |
$227 |
0.6× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$7,780 |
$9,725 |
0.3× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$9,095.20 |
$11,369 |
0.7× |
| Aspirate pleura w/o imaging (32554) |
$216 |
$270 |
0.3× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$199.20 |
$249 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$119.20 |
$149 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$630.80 |
$788.50 |
0.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$271.20 |
$339 |
1.3× |
| Axillary lymphadenectomy; complete Age Under 21 (38745) |
$3,664.80 |
$4,581 |
0.6× |
Axillary lymphadenectomy; superficial Age Under 21 (38740)
unusually low — confirm this is the full procedure |
$2,387.20 |
$2,984 |
0.4× |
| Biopsy bone trocar/needle deep (20225) |
$736.40 |
$920.50 |
0.4× |
| Biopsy external auditory canal (69105) |
$409.60 |
$512 |
0.3× |
| Biopsy external ear (69100) |
$388 |
$485 |
1.6× |
| Biopsy intranasal (30100) |
$368 |
$460 |
0.2× |
| Biopsy lip (40490) |
$215.20 |
$269 |
0.9× |
| Biopsy liver needle percutaneous (47000) |
$505.60 |
$632 |
0.3× |
| Biopsy lymph node (38505) |
$424.40 |
$530.50 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$511.20 |
$639 |
0.3× |
| Biopsy nasopharynx visible lesion simple (42804) |
$541.60 |
$677 |
0.2× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$1,152 |
$1,440 |
0.4× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$412.80 |
$516 |
0.2× |
| Biopsy of cervix (57500) |
$334.80 |
$418.50 |
0.4× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,579.20 |
$1,974 |
1.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,256 |
$1,570 |
1.3× |
| Biopsy of ovary(s) (58900) |
$1,952 |
$2,440 |
0.6× |
| Biopsy of salivary gland (42405) |
$939.20 |
$1,174 |
0.6× |
| Biopsy of salivary gland; needle (42400) |
$370 |
$462.50 |
0.5× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$502.40 |
$628 |
0.9× |
| Biopsy of uterus lining (58100) |
$334.40 |
$418 |
1.6× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$708.80 |
$886 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,070.40 |
$1,338 |
0.3× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$2,776 |
$3,470 |
0.7× |
| Biopsy oropharynx (42800) |
$504 |
$630 |
0.3× |
| Biopsy roof of mouth (42100) |
$472.80 |
$591 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,779.20 |
$2,224 |
1.1× |
| Biopsy soft tissue neck/thorax (21550) |
$534.40 |
$668 |
0.3× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$576.80 |
$721 |
0.3× |
| Biopsy thyroid percutaneous core needle (60100) |
$242.80 |
$303.50 |
0.3× |
| Biopsy tongue,poster 1/3 (41105) |
$516.80 |
$646 |
0.2× |
| Biopsy vaginal mucosa simple (57100) |
$316.80 |
$396 |
0.3× |
| Biopsy vestibule mouth (40808) |
$499.20 |
$624 |
0.9× |
| Biopsy vulva/perineum 1 lesion (56605) |
$329.60 |
$412 |
0.4× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$539.20 |
$674 |
0.3× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$560.80 |
$701 |
0.3× |
| Biopsy, muscle; superficial (20200) |
$626.40 |
$783 |
0.4× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$1,425.60 |
$1,782 |
0.8× |
| Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age Under 21 (27614) |
$3,209.20 |
$4,011.50 |
1.1× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$1,387.20 |
$1,734 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$1,753.60 |
$2,192 |
0.4× |
| Bladder irrigation (51700) |
$213.60 |
$267 |
0.8× |
| Bladder pressure measurement during filling (51726) |
$928 |
$1,160 |
3.6× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$380.80 |
$476 |
1.2× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$934.40 |
$1,168 |
0.2× |
| Bronchoscopy w biopsy (31625) |
$1,015.20 |
$1,269 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$994.40 |
$1,243 |
0.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$639.20 |
$799 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,831.60 |
$2,289.50 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,187.20 |
$1,484 |
0.7× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$516 |
$645 |
2.5× |
| Cah artificial insemination intra-uterine (58322) |
$336 |
$420 |
1.6× |
| Care of miscarriage (59820) |
$1,412 |
$1,765 |
0.4× |
| Cast short arm (29075) |
$299.20 |
$374 |
1.0× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$510.40 |
$638 |
1.6× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$523.20 |
$654 |
0.2× |
| Cerclage of uterine cervix, nonobstetrical (57700) |
$1,058.40 |
$1,323 |
0.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$831.20 |
$1,039 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$259.20 |
$324 |
1.0× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$682.40 |
$853 |
1.0× |
| Change of windpipe airway (31502) |
$247.20 |
$309 |
1.0× |
| Chemical cauterization of granulation tissue (17250) |
$172 |
$215 |
0.8× |
| Chest tube placement (32551) |
$1,071.20 |
$1,339 |
0.7× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$2,042.40 |
$2,553 |
0.6× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$488 |
$610 |
0.1× |
| Circumcision, Newborn (54150) |
$336 |
$420 |
0.2× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$501.60 |
$627 |
0.7× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$756 |
$945 |
0.4× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,307.20 |
$2,884 |
1.4× |
| Closed rx shldr disloc,prox hum fx (23675) |
$880 |
$1,100 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,885.60 |
$2,357 |
7.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$939.20 |
$1,174 |
3.7× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$1,504.80 |
$1,881 |
6.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,192 |
$1,490 |
4.7× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,396.80 |
$1,746 |
0.9× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,256 |
$2,820 |
1.4× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$372 |
$465 |
1.5× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$372 |
$465 |
1.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$3,714.40 |
$4,643 |
14.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,029.20 |
$1,286.50 |
4.1× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$705.60 |
$882 |
2.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,208.80 |
$1,511 |
0.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$720.80 |
$901 |
2.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$851.20 |
$1,064 |
3.4× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$828.80 |
$1,036 |
0.5× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$2,510.40 |
$3,138 |
1.5× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$416 |
$520 |
1.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$2,407.20 |
$3,009 |
9.6× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,264.80 |
$1,581 |
5.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,903.20 |
$2,379 |
1.2× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,244.80 |
$1,556 |
4.9× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$880.80 |
$1,101 |
3.5× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,277.60 |
$1,597 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,695.20 |
$2,119 |
6.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,064.80 |
$2,581 |
1.3× |
| Closed tx femoral fracture prox head w/manj (27268) |
$2,925.60 |
$3,657 |
1.8× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$2,445.60 |
$3,057 |
4.4× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$3,592 |
$4,490 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,425.60 |
$1,782 |
5.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$815.20 |
$1,019 |
0.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,234.40 |
$2,793 |
1.4× |
| Closed tx septal&nose fx (21337) |
$1,424 |
$1,780 |
0.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$432 |
$540 |
1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$955.20 |
$1,194 |
3.8× |
Closure of abnormal drainage tract from bladder to vagina through bladder and vagina (57330)
unusually low — confirm this is the full procedure |
$3,008.80 |
$3,761 |
0.4× |
Closure of abnormal drainage tract from bladder to vagina through vagina (57320)
unusually low — confirm this is the full procedure |
$1,536.80 |
$1,921 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$434.80 |
$543.50 |
1.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$969.60 |
$1,212 |
1.8× |
| Closure of surgically created opening from stomach to skin (43870) |
$3,066.40 |
$3,833 |
0.8× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$673.20 |
$841.50 |
0.4× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$1,246 |
$1,557.50 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,759.20 |
$2,199 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,959.20 |
$2,449 |
1.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,508 |
$1,885 |
6.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$650 |
$812.50 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,046.40 |
$3,808 |
1.9× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$4,114.40 |
$5,143 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$324.40 |
$405.50 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,122.40 |
$1,403 |
4.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,357.60 |
$2,947 |
9.4× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$1,192 |
$1,490 |
4.7× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$1,210.40 |
$1,513 |
4.8× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,428 |
$3,035 |
1.5× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$384.40 |
$480.50 |
1.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$1,332 |
$1,665 |
5.3× |
| Cltx metar fx w/manj (28475) |
$453.60 |
$567 |
1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,210.40 |
$1,513 |
0.7× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,974.40 |
$3,718 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,149.60 |
$2,687 |
1.3× |
| Collect blood from catheter venous nos (36592) |
$117.20 |
$146.50 |
0.9× |
| Collect blood from implant venous access device (36591) |
$197.60 |
$247 |
1.5× |
| Colonoscopy flexible with decompression (45393) |
$1,405.60 |
$1,757 |
1.1× |
| Colonoscopy thru stoma spx (44388) |
$1,112.80 |
$1,391 |
1.2× |
| Colonoscopy w/ablation (45388) |
$1,656.80 |
$2,071 |
1.4× |
| Colonoscopy w/control bleed (45382) |
$1,681.60 |
$2,102 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$1,475.20 |
$1,844 |
1.2× |
| Colonoscopy w/resection (45390) |
$1,575.20 |
$1,969 |
0.6× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,236.80 |
$1,546 |
1.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,661.60 |
$2,077 |
1.4× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,745.60 |
$2,182 |
1.4× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$1,766 |
$2,207.50 |
0.2× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$1,619.60 |
$2,024.50 |
0.2× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$1,328 |
$1,660 |
0.4× |
| Colposcopy cervix (57452) |
$539.20 |
$674 |
2.6× |
| Colposcopy entire vagina w/cervix if present (57420) |
$392 |
$490 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$610.40 |
$763 |
2.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$611.20 |
$764 |
2.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$1,236 |
$1,545 |
0.4× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$564.80 |
$706 |
0.6× |
| Colposcopy vulva (56820) |
$211.20 |
$264 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$420.80 |
$526 |
1.4× |
| Colposcopy w/endocervical curettage (57456) |
$610.40 |
$763 |
2.0× |
| Colpotomy; with exploration Age Under 21 (57000) |
$743.20 |
$929 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,680 |
$2,100 |
1.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
unusually low — confirm this is the full procedure |
$1,606 |
$2,007.50 |
0.3× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265) |
$3,638.40 |
$4,548 |
0.7× |
| Complete replacement picc rs&i (36584) |
$857.20 |
$1,071.50 |
0.5× |
| Complex cystometrogram voiding pressure studies (51728) |
$1,648.40 |
$2,060.50 |
2.3× |
| Complex uroflowmetry (51741) |
$248.80 |
$311 |
1.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$1,404 |
$1,755 |
2.0× |
| Conization of cervix (57520) |
$1,381.60 |
$1,727 |
0.4× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$1,428 |
$1,785 |
0.4× |
| Contrast injection perq radiologic eval gi tube (49465) |
$388.80 |
$486 |
1.6× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$678 |
$847.50 |
3.1× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$428.80 |
$536 |
3.2× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$308.40 |
$385.50 |
2.3× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,857.60 |
$2,322 |
0.5× |
| Control throat bleeding (42960) |
$729.60 |
$912 |
1.3× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$1,332.40 |
$1,665.50 |
0.6× |
| Conz of cervix w/scope leep (57461) |
$1,127.20 |
$1,409 |
0.3× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,288.40 |
$1,610.50 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$549.60 |
$687 |
4.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$724.80 |
$906 |
3.0× |
| Curettage postpartum (59160) |
$603.60 |
$754.50 |
0.2× |
| Cylinder cast (29365) |
$440 |
$550 |
1.5× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure |
$1,292 |
$1,615 |
0.2× |
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age Under 21 (51050)
likely a partial charge — not the full procedure |
$1,280.80 |
$1,601 |
0.2× |
| Cystometrogram w/up (51727) |
$878.40 |
$1,098 |
1.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure |
$2,884.80 |
$3,606 |
0.3× |
| Cystoscopy and treatment (52310) |
$854.40 |
$1,068 |
0.4× |
| Cystoscopy w/biopsy(s) (52204) |
$1,511.20 |
$1,889 |
0.7× |
| Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Age Under 21 (51020) |
$1,066.40 |
$1,333 |
0.3× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Age… (51065) |
$1,311.20 |
$1,639 |
0.4× |
| Cystourethroscopy (52000) |
$756 |
$945 |
1.1× |
| Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) |
$1,233.60 |
$1,542 |
0.6× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$1,480 |
$1,850 |
0.4× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$604 |
$755 |
0.3× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure |
$1,216.80 |
$1,521 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$1,728 |
$2,160 |
0.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$545.60 |
$682 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$2,361.60 |
$2,952 |
0.7× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$1,755.20 |
$2,194 |
0.5× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$685.60 |
$857 |
0.3× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353)
unusually low — confirm this is the full procedure |
$2,337.60 |
$2,922 |
0.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$1,648 |
$2,060 |
0.5× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$829.60 |
$1,037 |
0.2× |
| Deb skin bone at fx site (11012) |
$2,219.20 |
$2,774 |
0.7× |
| Debride skin at fx site (11010) |
$1,248 |
$1,560 |
1.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$200 |
$250 |
0.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$54.40 |
$68 |
0.9× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$93.20 |
$116.50 |
1.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$336.80 |
$421 |
0.8× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,222 |
$1,527.50 |
0.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$689.60 |
$862 |
0.9× |
| Declot vascular device (36593) |
$388 |
$485 |
1.1× |
| Deep muscle biopsy (20205) |
$963.20 |
$1,204 |
0.3× |
| Delivery of placenta (59414) |
$487.20 |
$609 |
0.1× |
| Destroy vulva lesion/s compl (56515) |
$799.20 |
$999 |
0.4× |
| Destruct lesion 15 or more (17111) |
$270.40 |
$338 |
1.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$160.80 |
$201 |
0.8× |
| Destruction benign lesions up to 14 (17110) |
$164 |
$205 |
0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$624 |
$780 |
0.7× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$673.60 |
$842 |
0.7× |
| Destruction lesions vulva simple (56501) |
$403.20 |
$504 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,436.40 |
$1,795.50 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$675.20 |
$844 |
0.2× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$2,840.80 |
$3,551 |
1.0× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$1,312 |
$1,640 |
0.4× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$656 |
$820 |
0.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$215.20 |
$269 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$273.60 |
$342 |
1.3× |
| Diagnostic bone marrow aspirations (38220) |
$456 |
$570 |
0.3× |
| Diagnostic bone marrow biopsies (38221) |
$488.80 |
$611 |
0.3× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$672 |
$840 |
0.2× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$1,077.20 |
$1,346.50 |
0.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$380.80 |
$476 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,141.60 |
$1,427 |
1.2× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$252 |
$315 |
1.2× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$1,296 |
$1,620 |
0.4× |
| Dilation and catheterization of salivary duct, with or without injection Age Under 21 (42660) |
$363.60 |
$454.50 |
0.7× |
| Dilation of cervical canal (57800) |
$229.60 |
$287 |
0.1× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$333.60 |
$417 |
0.5× |
| Drain neck/chest lesion (21501) |
$1,431.20 |
$1,789 |
0.5× |
| Drainage external auditory canal, abscess (69020) |
$550.80 |
$688.50 |
0.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$485.60 |
$607 |
0.7× |
| Drainage finger abscess simple (26010) |
$667.60 |
$834.50 |
3.3× |
| Drainage of abscess of palate, uvula (42000) |
$790.40 |
$988 |
3.3× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$468.80 |
$586 |
0.2× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$430.40 |
$538 |
0.6× |
| Drainage of abscess; parotid, complicated Age Under 21 (42305) |
$1,794.40 |
$2,243 |
0.5× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$744 |
$930 |
0.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$496 |
$620 |
0.9× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$930.40 |
$1,163 |
0.6× |
| Drainage of lymph node abscess or lymphadenitis; simple Age Under 21 (38300) |
$793.60 |
$992 |
0.3× |
| Drainage of nose lesion (30020) |
$716 |
$895 |
1.3× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) |
$2,105.60 |
$2,632 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$721.60 |
$902 |
0.4× |
| Drainage of scrotum (54700) |
$543.20 |
$679 |
0.3× |
| Drainage of tonsil abscess (42700) |
$619.20 |
$774 |
2.6× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,452 |
$3,065 |
1.2× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,452 |
$3,065 |
1.2× |
| Dx bronchoscope/brush (31623) |
$872.80 |
$1,091 |
0.5× |
| Dx bronchoscope/lavage (31624) |
$1,052.80 |
$1,316 |
0.6× |
| Dx laryngoscopy excl nb (31525) |
$882.40 |
$1,103 |
0.5× |
| Ed proc insert intraosseous IV (36680) |
$337.60 |
$422 |
0.7× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$410.40 |
$513 |
3.1× |
| Ed proc remve fb nasal- hospital (30300) |
$358.40 |
$448 |
2.6× |
| Ed prof arthrocentesis sm - hospital (20551) |
$169.60 |
$212 |
0.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$41.20 |
$51.50 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$644 |
$805 |
1.6× |
| Ed prof burn medium - hospital (16025) |
$398 |
$497.50 |
1.9× |
| Ed prof burn small - hospital (16020) |
$233.60 |
$292 |
1.1× |
| Ed prof catheterization/straight (51701) |
$159.20 |
$199 |
1.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,992 |
$2,490 |
7.9× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,044.80 |
$1,306 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$572 |
$715 |
4.2× |
| Ed prof insert foley cath simple (51702) |
$148.80 |
$186 |
1.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$607.60 |
$759.50 |
0.2× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$900 |
$1,125 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$956 |
$1,195 |
2.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$539.20 |
$674 |
1.3× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$869.60 |
$1,087 |
3.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$181.60 |
$227 |
0.4× |
| Egd lesion ablation (43270) |
$1,979.20 |
$2,474 |
1.0× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,174.40 |
$1,468 |
0.6× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,265.60 |
$1,582 |
0.6× |
| Egd transoral control bleeding any method (43255) |
$1,342.40 |
$1,678 |
0.7× |
| Egd tube/cath insertion (43241) |
$319.20 |
$399 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
unusually low — confirm this is the full procedure |
$2,132.80 |
$2,666 |
0.4× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$3,320.80 |
$4,151 |
0.6× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision (34203) |
$3,074.40 |
$3,843 |
0.5× |
| Endocervical curettage (57505) |
$308 |
$385 |
0.3× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$868.80 |
$1,086 |
0.9× |
| Endovenous rf 1st vein (36475) |
$2,477.20 |
$3,096.50 |
0.8× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$2,935.20 |
$3,669 |
1.4× |
| Episiotomy or vaginal repair (59300) |
$743.20 |
$929 |
0.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$306.80 |
$383.50 |
0.4× |
| Ercp remove forgn body duct (43275) |
$1,248.80 |
$1,561 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$1,112 |
$1,390 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,380.80 |
$1,726 |
1.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,320.80 |
$1,651 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,151.20 |
$1,439 |
1.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,004 |
$1,255 |
0.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$917.60 |
$1,147 |
1.0× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,286.40 |
$1,608 |
0.7× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$764.80 |
$956 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under… (43217) |
$1,117.60 |
$1,397 |
0.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,044.80 |
$1,306 |
0.5× |
Ethmoidectomy; intranasal, anterior Age Under 21 (31200)
likely a partial charge — not the full procedure |
$1,323.20 |
$1,654 |
0.2× |
| Evac subungual hematoma (11740) |
$105.60 |
$132 |
0.8× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$966.40 |
$1,208 |
0.5× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$786.40 |
$983 |
1.1× |
| Exc face les sbq 2 cm/> (21012) |
$1,279.20 |
$1,599 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$1,611.20 |
$2,014 |
1.0× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$340.80 |
$426 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$332 |
$415 |
0.5× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$437.20 |
$546.50 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,752 |
$2,190 |
0.6× |
| Exc rect tum transanal part (45171) |
$2,150.40 |
$2,688 |
0.8× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$296.80 |
$371 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$306.80 |
$383.50 |
0.4× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$2,382.40 |
$2,978 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,144.80 |
$2,681 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$2,273.60 |
$2,842 |
0.8× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$1,364.80 |
$1,706 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,431.20 |
$1,789 |
0.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,368.40 |
$1,710.50 |
0.8× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$2,973.60 |
$3,717 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,631.20 |
$2,039 |
0.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$1,509.60 |
$1,887 |
0.5× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$2,802.80 |
$3,503.50 |
0.8× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,889.60 |
$3,612 |
1.4× |
| Excision aural polyp (69540) |
$539.20 |
$674 |
0.3× |
| Excision external ear partial simple repair (69110) |
$1,127.60 |
$1,409.50 |
0.4× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$932.40 |
$1,165.50 |
0.3× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$1,050.40 |
$1,313 |
0.4× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$1,196.80 |
$1,496 |
0.4× |
| Excision lesion mouth roof (42104) |
$412 |
$515 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$429.60 |
$537 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$421.60 |
$527 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$431.60 |
$539.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$521.60 |
$652 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$389.60 |
$487 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$463.20 |
$579 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$593.60 |
$742 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$638.40 |
$798 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,149.60 |
$1,437 |
0.7× |
| Excision multiple external papillae/tags anus (46230) |
$732.80 |
$916 |
0.3× |
| Excision of bartholin's gland or cyst (56740) |
$722.40 |
$903 |
0.2× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$1,965.60 |
$2,457 |
0.5× |
| Excision of chest wall tumor including rib(s) (21601) |
$3,836.80 |
$4,796 |
1.3× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21 (55500) |
$1,295.20 |
$1,619 |
0.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$694.40 |
$868 |
0.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$570.40 |
$713 |
0.2× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$1,576.80 |
$1,971 |
0.4× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,477.60 |
$1,847 |
0.9× |
| Excision of lesion of tongue with closure; posterior one-third Age Under 21 (41113) |
$1,046.40 |
$1,308 |
0.3× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$588 |
$735 |
0.2× |
| Excision of mouth lesion (41116) |
$1,015.20 |
$1,269 |
0.3× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$808.40 |
$1,010.50 |
0.3× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$3,025.60 |
$3,782 |
1.1× |
Excision of rib, partial Age Under 21 (21600)
unusually low — confirm this is the full procedure |
$2,853.60 |
$3,567 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$529.60 |
$662 |
0.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$1,342.40 |
$1,678 |
0.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$977.60 |
$1,222 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$1,200 |
$1,500 |
0.6× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
unusually low — confirm this is the full procedure |
$2,092.80 |
$2,616 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$498.40 |
$623 |
0.4× |
| Excision of tongue lesion (41112) |
$855.20 |
$1,069 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Age Under 21 (51500)
unusually low — confirm this is the full procedure |
$2,957.60 |
$3,697 |
0.5× |
| Excision of urethral diverticulum (separate procedure); female Age Under 21 (53230) |
$2,844.80 |
$3,556 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$900 |
$1,125 |
0.3× |
| Excision of vaginal septum (57130) |
$1,177.60 |
$1,472 |
0.4× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) |
$1,627.20 |
$2,034 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21 (23140) |
$2,139.20 |
$2,674 |
0.6× |
| Excision or fulguration; urethral caruncle Age Under 21 (53265) |
$520.80 |
$651 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,903.20 |
$2,379 |
0.6× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,349.60 |
$1,687 |
0.5× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low — confirm this is the full procedure |
$2,425.60 |
$3,032 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,215.20 |
$2,769 |
1.3× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,487.20 |
$1,859 |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,560 |
$1,950 |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,218.40 |
$1,523 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$443.20 |
$554 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$835.60 |
$1,044.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$656.80 |
$821 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$256.80 |
$321 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$442.40 |
$553 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$471.20 |
$589 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$560.80 |
$701 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$3,638.40 |
$4,548 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$2,034.40 |
$2,543 |
0.7× |
| Excision, lesion of palate, uvula; with simple primary closure Age Under 21 (42106) |
$739.20 |
$924 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$424 |
$530 |
0.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$725.60 |
$907 |
1.0× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$874.40 |
$1,093 |
0.5× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,014.40 |
$1,268 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$369.60 |
$462 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$741.60 |
$927 |
0.4× |
| Excision, nasal polyp(s), extensive Age Under 21 (30115) |
$1,202.40 |
$1,503 |
0.4× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$324.80 |
$406 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$625.20 |
$781.50 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$365.60 |
$457 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$680.80 |
$851 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$292.80 |
$366 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$526.40 |
$658 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,330.80 |
$1,663.50 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,576 |
$1,970 |
0.5× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$2,704.80 |
$3,381 |
0.9× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$1,979.20 |
$2,474 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$1,256 |
$1,570 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$1,324 |
$1,655 |
0.4× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$1,555.20 |
$1,944 |
0.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,320.40 |
$1,650.50 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$2,608.80 |
$3,261 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,728 |
$2,160 |
0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$1,112.80 |
$1,391 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$1,777.60 |
$2,222 |
0.6× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$3,242.40 |
$4,053 |
1.1× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$2,100 |
$2,625 |
0.7× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,388 |
$1,735 |
0.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$2,623.20 |
$3,279 |
0.9× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,573.60 |
$3,217 |
0.8× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$777.60 |
$972 |
0.2× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$1,530.40 |
$1,913 |
0.5× |
| Exploration for undescended testis (inguinal or scrotal area) Age Under 21 (54550) |
$1,532.80 |
$1,916 |
0.4× |
Exploration of neck for bleeding, blood clot, or infection after surgery (35800)
likely a partial charge — not the full procedure |
$1,092 |
$1,365 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,306 |
$2,882.50 |
1.4× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$2,200 |
$2,750 |
1.3× |
| Explore wound abdomen (20102) |
$1,526.40 |
$1,908 |
0.7× |
| Explore wound chest (20101) |
$992.80 |
$1,241 |
0.5× |
| Explore wound neck (20100) |
$2,257.60 |
$2,822 |
4.1× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$446 |
$557.50 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$442.40 |
$553 |
0.6× |
| Fixation of contralateral testis (separate procedure) Age Under 21 (54620) |
$926.40 |
$1,158 |
0.3× |
| Fluid pressure muscle (20950) |
$280 |
$350 |
0.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$252 |
$315 |
0.1× |
| Ganglion impar nerve block (64999) |
$263.20 |
$329 |
0.8× |
| Gastric lavage (43753) |
$91.20 |
$114 |
0.4× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Age Under 21 (43888) |
$2,658.40 |
$3,323 |
0.7× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Age Under 21 (43887) |
$1,412 |
$1,765 |
0.7× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$4,204 |
$5,255 |
1.1× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$1,784.40 |
$2,230.50 |
0.9× |
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235)
unusually low — confirm this is the full procedure |
$2,806.40 |
$3,508 |
0.5× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$2,231.60 |
$2,789.50 |
0.6× |
| Guide cathet fluid drainage (10030) |
$488 |
$610 |
0.7× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$668.80 |
$836 |
0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,596 |
$1,995 |
0.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,313.60 |
$1,642 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,480 |
$1,850 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$1,687.20 |
$2,109 |
0.6× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$920 |
$1,150 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$941.60 |
$1,177 |
0.3× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$1,975.20 |
$2,469 |
0.7× |
| Hymenotomy, simple incision Age Under 21 (56442) |
$164.80 |
$206 |
0.0× |
| Hysteroscopy biopsy (58558) |
$2,012.80 |
$2,516 |
0.6× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$6,809.60 |
$8,512 |
1.3× |
| Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560) |
$2,836 |
$3,545 |
0.6× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$2,962 |
$3,702.50 |
0.6× |
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure |
$1,323.60 |
$1,654.50 |
0.3× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$2,325.60 |
$2,907 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561) |
$3,300 |
$4,125 |
0.6× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,360.80 |
$1,701 |
0.4× |
| I&d abscess simple/single (10060) |
$376.40 |
$470.50 |
1.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,210.40 |
$1,513 |
0.4× |
| I&d hematoma/seroma/fluid (10140) |
$414.40 |
$518 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$434 |
$542.50 |
0.6× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$437.60 |
$547 |
0.1× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$949.60 |
$1,187 |
1.0× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,568.80 |
$1,961 |
0.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,758.40 |
$2,198 |
1.0× |
| Incise & drain bladder (51040) |
$1,373.60 |
$1,717 |
0.6× |
| Incise external hemorrhoid (46083) |
$384.80 |
$481 |
1.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$541.60 |
$677 |
1.3× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$348.40 |
$435.50 |
1.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$1,828 |
$2,285 |
0.6× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$856.40 |
$1,070.50 |
1.2× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$735.20 |
$919 |
0.6× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$1,062.40 |
$1,328 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$700 |
$875 |
2.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$692 |
$865 |
0.2× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) |
$4,360 |
$5,450 |
0.6× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$2,787.20 |
$3,484 |
0.8× |
| Incision and drainage, perianal abscess, superficial (46050) |
$418.40 |
$523 |
0.4× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$573.20 |
$716.50 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$708 |
$885 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$330.40 |
$413 |
0.8× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$675.20 |
$844 |
1.2× |
| Incision of eyelid fold (67715) |
$200.80 |
$251 |
0.1× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$261.60 |
$327 |
0.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$588 |
$735 |
0.4× |
| Incision of rectal abscess (46040) |
$1,466 |
$1,832.50 |
1.2× |
| Incision of windpipe (31600) |
$1,431.20 |
$1,789 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$387.20 |
$484 |
0.5× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$2,340.80 |
$2,926 |
6.9× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age Under 21 (38760)
unusually low — confirm this is the full procedure |
$3,354.40 |
$4,193 |
0.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$215.20 |
$269 |
1.0× |
| Inj epidural blood or clot patch (62273) |
$442.80 |
$553.50 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$594 |
$742.50 |
0.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$954 |
$1,192.50 |
1.1× |
| Inj tx nerve (64640) |
$701.60 |
$877 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$200 |
$250 |
0.3× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,596 |
$1,995 |
1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$530.40 |
$663 |
0.7× |
| Injection aa&/strd greater occipital nerve (64405) |
$417.60 |
$522 |
1.3× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$542.40 |
$678 |
0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,212 |
$1,515 |
1.3× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$838.40 |
$1,048 |
1.2× |
| Injection aa&/strd pudendal nerve (64430) |
$483.20 |
$604 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$240 |
$300 |
0.8× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$819.20 |
$1,024 |
0.9× |
| Injection for identification of sentinel node (38792) |
$184.80 |
$231 |
0.5× |
| Injection sclerosant multiple incmptnt veins (36471) |
$511.20 |
$639 |
1.2× |
| Injection sclerosant single incmptnt vein (36470) |
$261.60 |
$327 |
0.6× |
| Injection sclerosing solution hemorrhoids (46500) |
$445.60 |
$557 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$263.20 |
$329 |
0.8× |
| Injection treatment of nose (30200) |
$197.60 |
$247 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$550 |
$687.50 |
0.8× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$184 |
$230 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$238.40 |
$298 |
0.8× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$200.80 |
$251 |
0.6× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$386.80 |
$483.50 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$567.20 |
$709 |
1.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$101.60 |
$127 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$4,128 |
$5,160 |
1.3× |
| Ins cath ren art 1st unilat (36251) |
$1,900.40 |
$2,375.50 |
0.6× |
Ins cath ren art 2nd+ unilat (36253)
unusually low — confirm this is the full procedure |
$2,750 |
$3,437.50 |
0.5× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$5,756 |
$7,195 |
1.0× |
| Insert and remove bone pin (20650) |
$272 |
$340 |
0.1× |
| Insert cervical dilator (59200) |
$344.80 |
$431 |
1.1× |
| Insert drug implant device (11981) |
$378.40 |
$473 |
2.8× |
| Insert gastrostomy tube percutaneous (49440) |
$988.80 |
$1,236 |
0.5× |
| Insert heart pm atrial (33206) |
$7,578.40 |
$9,473 |
0.7× |
| Insert nasal septal button (30220) |
$793.60 |
$992 |
0.5× |
| Insert pessary/other device (57160) |
$267.20 |
$334 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,991.20 |
$3,739 |
0.8× |
Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240)
likely a partial charge — not the full procedure |
$1,052.80 |
$1,316 |
0.0× |
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21 (53445)
likely a partial charge — not the full procedure |
$4,134.40 |
$5,168 |
0.2× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405)
likely a partial charge — not the full procedure |
$3,372.80 |
$4,216 |
0.2× |
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207)
unusually low — confirm this is the full procedure |
$4,166.40 |
$5,208 |
0.4× |
Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213)
likely a partial charge — not the full procedure |
$967.20 |
$1,209 |
0.1× |
Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212)
likely a partial charge — not the full procedure |
$924 |
$1,155 |
0.1× |
Insertion of penile prosthesis; non-inflatable (semi-rigid) (54400)
likely a partial charge — not the full procedure |
$1,635.20 |
$2,044 |
0.1× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$906.40 |
$1,133 |
0.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$233.60 |
$292 |
1.0× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,775.20 |
$3,469 |
0.9× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,637.60 |
$2,047 |
0.5× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge — not the full procedure |
$2,961.60 |
$3,702 |
0.1× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge — not the full procedure |
$2,235.20 |
$2,794 |
0.1× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$1,660.80 |
$2,076 |
0.1× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$352.40 |
$440.50 |
0.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,376.40 |
$1,720.50 |
0.9× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low — confirm this is the full procedure |
$4,157.60 |
$5,197 |
0.5× |
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216)
likely a partial charge — not the full procedure |
$1,118 |
$1,397.50 |
0.1× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$7,631.20 |
$9,539 |
0.7× |
| Insj intraperitoneal catheter w/img guid (49418) |
$2,176.80 |
$2,721 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,703.20 |
$4,629 |
1.1× |
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249)
unusually low — confirm this is the full procedure |
$14,782.40 |
$18,478 |
0.5× |
Insrt heart pm atrial & vent (33208)
unusually low — confirm this is the full procedure |
$4,214.80 |
$5,268.50 |
0.4× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$594 |
$742.50 |
0.9× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$605.60 |
$757 |
0.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,256.80 |
$1,571 |
0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,286.40 |
$1,608 |
0.4× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,273.60 |
$1,592 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,447.60 |
$10,559.50 |
0.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,490.80 |
$5,613.50 |
0.8× |
| Intubation endotracheal (31500) |
$751.60 |
$939.50 |
3.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$344.80 |
$431 |
1.4× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$685.60 |
$857 |
0.4× |
Lap jejunostomy (44186)
unusually low — confirm this is the full procedure |
$2,741.60 |
$3,427 |
0.4× |
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure |
$1,566.40 |
$1,958 |
0.3× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$4,284 |
$5,355 |
0.7× |
Laparoscopic Surgical Splenectomy (38120)
unusually low — confirm this is the full procedure |
$4,540.80 |
$5,676 |
0.4× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$1,806 |
$2,257.50 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
unusually low — confirm this is the full procedure |
$2,850.40 |
$3,563 |
0.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$3,256.80 |
$4,071 |
0.5× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$2,964 |
$3,705 |
0.3× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$1,631.60 |
$2,039.50 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure |
$1,334 |
$1,667.50 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$911.20 |
$1,139 |
0.1× |
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
unusually low — confirm this is the full procedure |
$2,940 |
$3,675 |
0.5× |
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867)
unusually low — confirm this is the full procedure |
$5,428.80 |
$6,786 |
0.5× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$9,590.40 |
$11,988 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$10,231.20 |
$12,789 |
1.7× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$5,221.60 |
$6,527 |
1.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only (43772) |
$5,173.60 |
$6,467 |
1.3× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$4,312.80 |
$5,391 |
0.7× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
unusually low — confirm this is the full procedure |
$3,562.40 |
$4,453 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$2,596.80 |
$3,246 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
likely a partial charge — not the full procedure |
$2,832.80 |
$3,541 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
unusually low — confirm this is the full procedure |
$3,528.40 |
$4,410.50 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
unusually low — confirm this is the full procedure |
$2,200 |
$2,750 |
0.4× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure |
$2,451.60 |
$3,064.50 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure |
$3,065.60 |
$3,832 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge — not the full procedure |
$2,530 |
$3,162.50 |
0.2× |
| Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579) |
$4,620 |
$5,775 |
0.7× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
unusually low — confirm this is the full procedure |
$2,643.60 |
$3,304.50 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
unusually low — confirm this is the full procedure |
$3,839.20 |
$4,799 |
0.4× |
Laparoscopy, surgical; orchiectomy Age Under 21 (54690)
unusually low — confirm this is the full procedure |
$2,676 |
$3,345 |
0.4× |
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Age Under 21 (54692)
unusually low — confirm this is the full procedure |
$2,500.80 |
$3,126 |
0.4× |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21 (50947)
unusually low — confirm this is the full procedure |
$4,283.20 |
$5,354 |
0.4× |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Age Under 21 (50948)
unusually low — confirm this is the full procedure |
$4,029.60 |
$5,037 |
0.4× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571)
unusually low — confirm this is the full procedure |
$3,912 |
$4,890 |
0.4× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$1,785.60 |
$2,232 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
unusually low — confirm this is the full procedure |
$1,957.60 |
$2,447 |
0.3× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
unusually low — confirm this is the full procedure |
$2,086.80 |
$2,608.50 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
unusually low — confirm this is the full procedure |
$2,354.80 |
$2,943.50 |
0.4× |
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
unusually low — confirm this is the full procedure |
$1,957.60 |
$2,447 |
0.3× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$806.40 |
$1,008 |
0.1× |
| Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570) |
$7,141.60 |
$8,927 |
1.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
unusually low — confirm this is the full procedure |
$4,556 |
$5,695 |
0.4× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
unusually low — confirm this is the full procedure |
$3,879.60 |
$4,849.50 |
0.4× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure |
$2,918.40 |
$3,648 |
0.3× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$3,214.40 |
$4,018 |
0.5× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$1,347.20 |
$1,684 |
0.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$752 |
$940 |
0.4× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$776.80 |
$971 |
1.9× |
| Laryngoscopy flex diagnostic (31575) |
$462.40 |
$578 |
2.3× |
| Laryngoscopy indirect diagnostic (31505) |
$337.60 |
$422 |
1.7× |
| Laryngoscopy w/biopsy (31535) |
$973.60 |
$1,217 |
0.3× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$1,323.20 |
$1,654 |
0.3× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$1,383.20 |
$1,729 |
0.4× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$1,757.60 |
$2,197 |
0.5× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$3,630.40 |
$4,538 |
0.7× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age Under 21 (37700) |
$955.20 |
$1,194 |
0.3× |
| Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Age Under 21 (37780) |
$1,103.20 |
$1,379 |
0.3× |
| Ligation of abdomen artery (37617) |
$3,444 |
$4,305 |
0.6× |
| Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Age Under 21 (37761) |
$1,894.40 |
$2,368 |
0.6× |
| Ligation or biopsy, temporal artery (37609) |
$1,012 |
$1,265 |
0.6× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age… (37722) |
$1,956 |
$2,445 |
0.6× |
| Ligation, division, and stripping, short saphenous vein Age Under 21 (37718) |
$1,614.40 |
$2,018 |
0.5× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$1,440 |
$1,800 |
0.4× |
| Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic (38562) |
$6,301.60 |
$7,877 |
0.8× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$2,206.40 |
$2,758 |
0.6× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$1,991.20 |
$2,489 |
0.6× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$2,421.60 |
$3,027 |
0.7× |
| Long gi tube placement (44500) |
$252 |
$315 |
0.3× |
| Lumbar puncture (62270) |
$444.80 |
$556 |
0.6× |
| Lysis intranasal synechia (30560) |
$712 |
$890 |
1.3× |
| Lysis of labial adhesions (56441) |
$500 |
$625 |
0.2× |
| Marsupialization bartholin's gland cyst (56440) |
$635.20 |
$794 |
0.2× |
| Mastectomy gynecomastia (19300) |
$2,000.80 |
$2,501 |
0.5× |
| Mastectomy partial (19301) |
$935.20 |
$1,169 |
0.2× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$3,520 |
$4,400 |
0.5× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$4,072 |
$5,090 |
0.6× |
| Mastotomy expl drg absc dp (19020) |
$1,068 |
$1,335 |
0.6× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$90.40 |
$113 |
1.5× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$7,009.60 |
$8,762 |
1.9× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$684 |
$855 |
0.9× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$862.80 |
$1,078.50 |
1.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$996 |
$1,245 |
1.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$670.80 |
$838.50 |
0.8× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$2,090.40 |
$2,613 |
0.6× |
| Myringoplasty (69620) |
$3,309.60 |
$4,137 |
1.0× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$518.40 |
$648 |
2.1× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$652.80 |
$816 |
0.2× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$350.40 |
$438 |
1.7× |
| Nasal surg proc unlisted (30999) |
$84 |
$105 |
0.3× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$584.80 |
$731 |
1.5× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge — not the full procedure |
$1,596 |
$1,995 |
0.2× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255) |
$4,032 |
$5,040 |
0.6× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257)
likely a partial charge — not the full procedure |
$1,804.80 |
$2,256 |
0.3× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Age Under 21 (31298) |
$14,205.60 |
$17,757 |
2.0× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age Under 21 (31296) |
$8,010.40 |
$10,013 |
1.1× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295) |
$6,084.80 |
$7,606 |
0.8× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Age Under 21 (31297) |
$7,168.80 |
$8,961 |
1.0× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
unusually low — confirm this is the full procedure |
$3,062.40 |
$3,828 |
0.4× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$1,470.40 |
$1,838 |
0.4× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
unusually low — confirm this is the full procedure |
$2,940 |
$3,675 |
0.4× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288)
likely a partial charge — not the full procedure |
$2,032.80 |
$2,541 |
0.3× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$1,285.60 |
$1,607 |
0.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$888 |
$1,110 |
0.5× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,184 |
$1,480 |
0.7× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$7,006.40 |
$8,758 |
1.2× |
Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259)
likely a partial charge — not the full procedure |
$1,915.20 |
$2,394 |
0.3× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low — confirm this is the full procedure |
$2,295.20 |
$2,869 |
0.3× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) |
$1,391.20 |
$1,739 |
0.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,103.60 |
$1,379.50 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$299.60 |
$374.50 |
0.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$424 |
$530 |
0.1× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$2,763.20 |
$3,454 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$580.40 |
$725.50 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$417.60 |
$522 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$586 |
$732.50 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$729.60 |
$912 |
1.0× |
| Non stress test (59025) |
$260.80 |
$326 |
1.3× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$2,468.40 |
$3,085.50 |
0.8× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
unusually low — confirm this is the full procedure |
$2,550 |
$3,187.50 |
0.4× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$2,207.20 |
$2,759 |
0.6× |
| Open treatment of mandibular fracture; without interdental fixation Age Under 21 (21461) |
$3,381.60 |
$4,227 |
0.6× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age Under 21 (21335) |
$3,380.80 |
$4,226 |
1.0× |
| Open tx distal phalangeal fracture each (26765) |
$1,081.60 |
$1,352 |
0.3× |
Open/perq placement intravascular stent initial (37236)
likely a partial charge — not the full procedure |
$2,792.80 |
$3,491 |
0.2× |
| Open/perq placement intravascular stent same 1st (37238) |
$7,479.60 |
$9,349.50 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Age Under 21 (67413) |
$2,637.60 |
$3,297 |
1.1× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$1,384.80 |
$1,731 |
0.4× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$1,009.60 |
$1,262 |
0.3× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$2,260.80 |
$2,826 |
0.6× |
| Ostectomy of sternum, partial (21620) |
$1,543.20 |
$1,929 |
0.5× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$215.60 |
$269.50 |
1.0× |
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low — confirm this is the full procedure |
$1,633.60 |
$2,042 |
0.3× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
unusually low — confirm this is the full procedure |
$2,391.20 |
$2,989 |
0.4× |
| Parathyroidectomy or exploration of parathyroid(s); re-exploration (60502) |
$6,188.80 |
$7,736 |
1.0× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$131.20 |
$164 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$238.40 |
$298 |
1.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$86 |
$107.50 |
0.4× |
| Partial excision distal phalanx finger (26236) |
$3,572 |
$4,465 |
2.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$518.80 |
$648.50 |
0.2× |
Partial removal of kidney using an endoscope|RIGHT SIDE (50543)
unusually low — confirm this is the full procedure |
$4,606.40 |
$5,758 |
0.4× |
Partial removal of uterus with retention of cervix using an endoscope, more than 250.0 g (58543)
unusually low — confirm this is the full procedure |
$3,981.60 |
$4,977 |
0.4× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$1,556 |
$1,945 |
0.3× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$392 |
$490 |
0.1× |
Perc rf ablate renal tumor (50592)
likely a partial charge — not the full procedure |
$1,633.60 |
$2,042 |
0.3× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,926.80 |
$2,408.50 |
2.7× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
unusually low — confirm this is the full procedure |
$2,975.20 |
$3,719 |
0.5× |
Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080)
likely a partial charge — not the full procedure |
$2,690.40 |
$3,363 |
0.3× |
Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50081)
unusually low — confirm this is the full procedure |
$4,171.20 |
$5,214 |
0.4× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$3,381.60 |
$4,227 |
1.0× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$3,654.40 |
$4,568 |
0.9× |
| Pericardiocentesis w/img guidance when performed (33016) |
$767.60 |
$959.50 |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$663.60 |
$829.50 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$786 |
$982.50 |
1.1× |
| Perq device breast 1st imag (19281) |
$760.80 |
$951 |
0.5× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,033.60 |
$1,292 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$284 |
$355 |
1.1× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low — confirm this is the full procedure |
$5,456 |
$6,820 |
0.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$3,856 |
$4,820 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,224.80 |
$11,531 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,284.80 |
$7,856 |
0.8× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$4,940 |
$6,175 |
1.5× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$5,292 |
$6,615 |
1.6× |
Pf-as amputation leg through tibia & fibula (27880)
unusually low — confirm this is the full procedure |
$3,444.80 |
$4,306 |
0.5× |
| Phleb veins - extrem 20+ (37766) |
$1,980 |
$2,475 |
0.6× |
| Place duod/jej tube perc (49441) |
$1,558.40 |
$1,948 |
0.8× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$321.60 |
$402 |
0.2× |
| Placement of seton (46020) |
$921.60 |
$1,152 |
0.3× |
| Plastic operation of penis for injury Age Under 21 (54440) |
$2,256.80 |
$2,821 |
0.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,905.20 |
$2,381.50 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,656 |
$2,070 |
0.5× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
unusually low — confirm this is the full procedure |
$2,060 |
$2,575 |
0.4× |
| Pr vasovasostomy vasovasorrhaphy (55400) |
$1,376 |
$1,720 |
0.4× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$7,476.40 |
$9,345.50 |
0.4× |
| Prineoplasty rpr pr nonobal spx (56810) |
$499.20 |
$624 |
0.2× |
| Proctosigmoidoscopy dx (45300) |
$288 |
$360 |
0.3× |
| Proctosigmoidoscopy fb (45307) |
$692.80 |
$866 |
0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$284 |
$355 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) |
$396 |
$495 |
0.3× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$3,236.80 |
$4,046 |
0.9× |
Prq transluminal mechanical thrombectomy vein (37187)
unusually low — confirm this is the full procedure |
$4,962 |
$6,202.50 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$336.80 |
$421 |
0.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$300.80 |
$376 |
0.7× |
| Puncture aspiration of cyst of breast (19000) |
$234 |
$292.50 |
0.3× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$513.60 |
$642 |
0.6× |
Radiant-repair blood vessel direct neck (35201)
unusually low — confirm this is the full procedure |
$2,198.40 |
$2,748 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21 (27616) |
$5,553.60 |
$6,942 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age Under 21 (21558) |
$3,588 |
$4,485 |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Age Under 21 (23077) |
$4,020 |
$5,025 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$797.20 |
$996.50 |
0.4× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$1,271.20 |
$1,589 |
6.2× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$1,460.80 |
$1,826 |
0.4× |
| Relocate skin pocket implantable defibrillator (33223) |
$2,075.60 |
$2,594.50 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$1,867.20 |
$2,334 |
0.9× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$977.20 |
$1,221.50 |
0.5× |
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410)
likely a partial charge — not the full procedure |
$2,656.80 |
$3,321 |
0.1× |
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge — not the full procedure |
$3,916 |
$4,895 |
0.2× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,062.80 |
$1,328.50 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$764.40 |
$955.50 |
1.1× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$469.60 |
$587 |
0.3× |
| Removal foreign body mouth (40804) |
$494.80 |
$618.50 |
0.5× |
| Removal foreign body shoulder subcutaneous (23330) |
$690.40 |
$863 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia Age Under 21 (30310) |
$696 |
$870 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58.40 |
$73 |
1.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$150.40 |
$188 |
2.5× |
| Removal implant deep (20680) |
$1,635.20 |
$2,044 |
0.6× |
| Removal implant superficial (20670) |
$438.40 |
$548 |
0.3× |
| Removal implantable contraceptive capsules (11976) |
$379.20 |
$474 |
0.5× |
| Removal implantable defib pulse generator only (33241) |
$4,321.60 |
$5,402 |
1.1× |
| Removal of anal fissure (46200) |
$1,292.80 |
$1,616 |
0.5× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$424 |
$530 |
0.3× |
Removal of appendix using an endoscope (44970)
unusually low — confirm this is the full procedure |
$2,251.60 |
$2,814.50 |
0.4× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$340 |
$425 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$867.20 |
$1,084 |
0.7× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$1,378.40 |
$1,723 |
0.4× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$562.40 |
$703 |
0.3× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$245.60 |
$307 |
1.2× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$678.40 |
$848 |
0.4× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,393.60 |
$1,742 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$142 |
$177.50 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$162.40 |
$203 |
0.4× |
| Removal of foreign body, foot; deep (28192) |
$1,196 |
$1,495 |
0.7× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,400.80 |
$1,751 |
1.1× |
Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53446)
unusually low — confirm this is the full procedure |
$1,724.80 |
$2,156 |
0.3× |
| Removal of iud (58301) |
$332.80 |
$416 |
1.1× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$1,859.20 |
$2,324 |
0.7× |
| Removal of nail bed (11750) |
$622.80 |
$778.50 |
1.5× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$3,110.40 |
$3,888 |
0.9× |
Removal of pm generator (33233)
likely a partial charge — not the full procedure |
$679.20 |
$849 |
0.1× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$2,436 |
$3,045 |
0.6× |
| Removal of salivary stone (42330) |
$691.20 |
$864 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$272.80 |
$341 |
1.3× |
| Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225) |
$3,682.40 |
$4,603 |
0.6× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$6,644.40 |
$8,305.50 |
1.7× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$4,940 |
$6,175 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,680.40 |
$3,350.50 |
0.8× |
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270)
unusually low — confirm this is the full procedure |
$1,881.60 |
$2,352 |
0.4× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$2,700.80 |
$3,376 |
0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$599.20 |
$749 |
0.8× |
| Removal tunneled cv cath (36590) |
$813.60 |
$1,017 |
0.5× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$576.40 |
$720.50 |
1.3× |
| Removal, non-biodegradable drug delivery implant (11982) |
$399.20 |
$499 |
0.9× |
| Remove eyelid foreign body (67938) |
$297.60 |
$372 |
0.9× |
| Remove foreign body from eye (65210) |
$224.80 |
$281 |
0.5× |
| Remove lung catheter (32552) |
$1,091.20 |
$1,364 |
1.7× |
| Remove pharynx foreign body (42809) |
$628.80 |
$786 |
1.4× |
Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228)
unusually low — confirm this is the full procedure |
$4,704.40 |
$5,880.50 |
0.4× |
Remvl perm pm pls gen w/repl plse gen mult lead (33229)
likely a partial charge — not the full procedure |
$5,094.80 |
$6,368.50 |
0.3× |
Remvl perm pm plse gen w/repl plse gen sngl lead (33227)
unusually low — confirm this is the full procedure |
$3,953.60 |
$4,942 |
0.5× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$714.40 |
$893 |
0.4× |
| Repair blood vessel lesion (35226) |
$3,707.20 |
$4,634 |
5.1× |
| Repair blood vessel upper ext (35206) |
$6,318.40 |
$7,898 |
2.0× |
| Repair brow defect (67900) |
$1,974.40 |
$2,468 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$940 |
$1,175 |
2.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,582.80 |
$1,978.50 |
3.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,079.60 |
$1,349.50 |
2.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$931.20 |
$1,164 |
1.2× |
| Repair extensor tendon hand w/o graft each (26410) |
$3,369.60 |
$4,212 |
2.1× |
| Repair finger tendon (26418) |
$2,647.20 |
$3,309 |
1.6× |
| Repair forearm tendon/muscle (25260) |
$3,778.40 |
$4,723 |
1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$3,129.60 |
$3,912 |
0.9× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$2,620 |
$3,275 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,756.80 |
$2,196 |
0.5× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Age… (49500)
unusually low — confirm this is the full procedure |
$2,304 |
$2,880 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$544 |
$680 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$692.80 |
$866 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$873.60 |
$1,092 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,314.40 |
$1,643 |
3.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,172 |
$1,465 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$490.40 |
$613 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$548.40 |
$685.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$737.60 |
$922 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$344.80 |
$431 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$408.80 |
$511 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,299.20 |
$1,624 |
1.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$810.40 |
$1,013 |
2.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,658.40 |
$2,073 |
4.0× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,941.60 |
$2,427 |
4.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,302 |
$1,627.50 |
0.6× |
| Repair lac palate<2 cm (42180) |
$480.80 |
$601 |
0.9× |
| Repair lead pace-defib dual (33220) |
$2,715.60 |
$3,394.50 |
0.7× |
| Repair lead pace-defib one (33218) |
$4,382 |
$5,477.50 |
1.1× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,059.20 |
$1,324 |
1.9× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$2,667.20 |
$3,334 |
4.8× |
| Repair lumbar hernia Age Under 21 (49540) |
$3,244 |
$4,055 |
0.5× |
| Repair nasal septal perforations Age Under 21 (30630) |
$2,646.40 |
$3,308 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,364 |
$4,205 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614) |
$3,560 |
$4,450 |
0.6× |
| Repair of defect of soft and/or hard tissue of roof of mouth for cleft palate (42200) |
$5,150.40 |
$6,438 |
0.9× |
| Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268) |
$2,580.80 |
$3,226 |
0.5× |
Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53449)
likely a partial charge — not the full procedure |
$1,382.40 |
$1,728 |
0.1× |
| Repair of kidney using an endoscope|RIGHT SIDE (50544) |
$5,936.80 |
$7,421 |
0.5× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$699.20 |
$874 |
1.5× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,142.80 |
$1,428.50 |
4.7× |
| Repair of nail bed (11760) |
$551.60 |
$689.50 |
0.7× |
Repair palate (42182)
likely a partial charge — not the full procedure |
$1,216 |
$1,520 |
0.2× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$3,230.40 |
$4,038 |
0.9× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
unusually low — confirm this is the full procedure |
$3,234.40 |
$4,043 |
0.5× |
| Repair vagina/perineum (57210) |
$1,474.40 |
$1,843 |
0.4× |
Repair, acquired or traumatic arteriovenous fistula; extremities (35190)
likely a partial charge — not the full procedure |
$1,379.60 |
$1,724.50 |
0.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,468.80 |
$1,836 |
1.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,624.80 |
$2,031 |
2.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$1,014.40 |
$1,268 |
2.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$677.60 |
$847 |
0.9× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49495) |
$2,555.20 |
$3,194 |
0.7× |
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
likely a partial charge — not the full procedure |
$1,815.20 |
$2,269 |
0.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,548.80 |
$1,936 |
0.7× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$1,604.80 |
$2,006 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$686.40 |
$858 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,510.40 |
$1,888 |
1.6× |
| Replace tunneled cv cath (36582) |
$2,630.40 |
$3,288 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$694.40 |
$868 |
0.7× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$1,663.20 |
$2,079 |
0.5× |
| Reposition l ventric lead (33226) |
$4,001.60 |
$5,002 |
1.2× |
| Reposition venous catheter (36597) |
$268.80 |
$336 |
0.2× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$1,365.60 |
$1,707 |
0.4× |
| Reset dislocated jaw (21480) |
$163.20 |
$204 |
0.6× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$1,374.40 |
$1,718 |
0.4× |
| Revision of cervix (59320) |
$1,108 |
$1,385 |
0.3× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) |
$2,773.60 |
$3,467 |
0.8× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) |
$2,812.80 |
$3,516 |
0.8× |
| Revision of penis (54420) |
$1,583.20 |
$1,979 |
0.4× |
| Revision of penis (54435) |
$1,337.60 |
$1,672 |
0.4× |
| Revision of upper eyelid (15823) |
$2,076.80 |
$2,596 |
1.0× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$1,205.60 |
$1,507 |
0.3× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$1,113.60 |
$1,392 |
0.3× |
| Revsc evasc fpvt angio sf 1 (37263) |
$2,974.40 |
$3,718 |
0.5× |
| Revsc evasc ivt angio sf 1st (37254) |
$3,708.40 |
$4,635.50 |
0.6× |
| Revsc evasc ivt stent sf 1st (37258) |
$8,774.80 |
$10,968.50 |
0.7× |
Revsc evsc fpvt athrc sf 1st (37271)
likely a partial charge — not the full procedure |
$4,699.20 |
$5,874 |
0.3× |
| Revsc evsc fpvt stent sf 1st (37267) |
$5,956.80 |
$7,446 |
0.5× |
Revsc evsc tpvt angio sf 1st (37280)
unusually low — confirm this is the full procedure |
$4,384.80 |
$5,481 |
0.4× |
Revsc evsc tpvt athrc sf 1st (37288)
likely a partial charge — not the full procedure |
$5,159.20 |
$6,449 |
0.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$260.80 |
$326 |
1.9× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$203.20 |
$254 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,363.60 |
$1,704.50 |
0.5× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$19,802 |
$24,752.50 |
0.6× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$13,756.40 |
$17,195.50 |
0.6× |
Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263)
likely a partial charge — not the full procedure |
$1,169.20 |
$1,461.50 |
0.1× |
| Rmvl nfros tube req fluoro guidance (50389) |
$304.80 |
$381 |
0.4× |
| Rmvl of access device (36589) |
$688 |
$860 |
1.1× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$3,802.40 |
$4,753 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,987.20 |
$4,984 |
0.6× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low — confirm this is the full procedure |
$3,004 |
$3,755 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,560 |
$4,450 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,682.40 |
$3,353 |
0.7× |
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low — confirm this is the full procedure |
$3,004 |
$3,755 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,682.40 |
$3,353 |
0.7× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$2,666.40 |
$3,333 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,406.40 |
$1,758 |
1.9× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,916.80 |
$3,646 |
1.8× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$1,597.20 |
$1,996.50 |
0.4× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$1,063.20 |
$1,329 |
0.3× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$3,531.60 |
$4,414.50 |
1.1× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$3,666.40 |
$4,583 |
1.1× |
Rvsc evsc fpvt st athrc sf 1 (37275)
unusually low — confirm this is the full procedure |
$6,451.60 |
$8,064.50 |
0.3× |
| Scrotal exploration Age Under 21 (55110) |
$1,198.40 |
$1,498 |
0.3× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,755.20 |
$3,444 |
0.8× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$3,419.20 |
$4,274 |
1.0× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$177.60 |
$222 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$235.20 |
$294 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$297.60 |
$372 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$190.80 |
$238.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$231.20 |
$289 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$289.60 |
$362 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$264.40 |
$330.50 |
1.3× |
| Sigmoidoscopy w/fb removal (45332) |
$1,155.20 |
$1,444 |
0.9× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$1,093.60 |
$1,367 |
1.2× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$697.60 |
$872 |
0.7× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,155.20 |
$1,444 |
0.9× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$520.80 |
$651 |
0.4× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$1,628.80 |
$2,036 |
0.2× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$664 |
$830 |
2.6× |
| Simple partial removal of external female genitals (56620) |
$1,887.20 |
$2,359 |
0.6× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$228.80 |
$286 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$352.80 |
$441 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$359.20 |
$449 |
1.8× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$597.20 |
$746.50 |
2.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$897.60 |
$1,122 |
4.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,569.60 |
$1,962 |
7.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$373.60 |
$467 |
1.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,202.40 |
$1,503 |
5.9× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,333.60 |
$1,667 |
3.2× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,104 |
$1,380 |
2.7× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$1,380 |
$1,725 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$541.60 |
$677 |
2.6× |
| Skin tissue procedure unlisted (17999) |
$441.60 |
$552 |
2.2× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$4,826.80 |
$6,033.50 |
0.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,776.40 |
$4,720.50 |
1.2× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$3,261.20 |
$4,076.50 |
1.0× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$5,412 |
$6,765 |
1.0× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
unusually low — confirm this is the full procedure |
$1,943.20 |
$2,429 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$585.60 |
$732 |
0.3× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$422 |
$527.50 |
2.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$647.20 |
$809 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,050.40 |
$1,313 |
2.5× |
| Sperm washing for artificial insemination (58323) |
$168 |
$210 |
0.8× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21 (46750) |
$1,304.40 |
$1,630.50 |
0.5× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$1,392 |
$1,740 |
0.5× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$3,069.60 |
$3,837 |
0.8× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$2,489.60 |
$3,112 |
1.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,810.40 |
$2,263 |
0.6× |
| Stomach surgery procedure unlisted (43999) |
$298.40 |
$373 |
0.3× |
| Strapping ankle (29540) |
$72.80 |
$91 |
0.4× |
| Strapping elbow or wrist (29260) |
$114.40 |
$143 |
1.9× |
| Strapping hand/finger (29280) |
$111.20 |
$139 |
1.8× |
| Strapping hip (29520) |
$147.20 |
$184 |
1.1× |
| Strapping of chest (29200) |
$119.20 |
$149 |
0.7× |
| Strapping of knee (29530) |
$148.80 |
$186 |
1.1× |
| Strapping of shoulder (29240) |
$135.60 |
$169.50 |
1.0× |
| Strapping of toes (29550) |
$74.40 |
$93 |
1.2× |
| Strapping unna boot (29580) |
$255.20 |
$319 |
1.5× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$716.80 |
$896 |
0.9× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$2,356 |
$2,945 |
0.7× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$10,182.40 |
$12,728 |
1.7× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$11,529.60 |
$14,412 |
1.9× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$1,526.40 |
$1,908 |
0.5× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,116 |
$1,395 |
1.5× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,378.40 |
$1,723 |
3.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$1,924 |
$2,405 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$1,336.80 |
$1,671 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,440 |
$1,800 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$1,745.60 |
$2,182 |
0.6× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$4,404.80 |
$5,506 |
1.1× |
| Suture pharynx for wound or injury Age Under 21 (42900) |
$1,038 |
$1,297.50 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$274.40 |
$343 |
0.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,145.60 |
$1,432 |
1.6× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$651.20 |
$814 |
1.0× |
| Throat surgery procedure (42999) |
$297.60 |
$372 |
1.2× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
unusually low — confirm this is the full procedure |
$2,838.40 |
$3,548 |
0.5× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$5,020 |
$6,275 |
0.9× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$1,532.40 |
$1,915.50 |
0.5× |
Thrombolysis arterial infusion icra rs&i init tx (37211)
likely a partial charge — not the full procedure |
$1,367.20 |
$1,709 |
0.2× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$2,220 |
$2,775 |
0.7× |
| Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260) |
$4,787.20 |
$5,984 |
0.8× |
Thyroidectomy, total or complete (60240)
unusually low — confirm this is the full procedure |
$2,881.20 |
$3,601.50 |
0.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$3,939.20 |
$4,924 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$1,588 |
$1,985 |
0.5× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$1,584.80 |
$1,981 |
0.5× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$1,377.60 |
$1,722 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low — confirm this is the full procedure |
$8,819.20 |
$11,024 |
0.5× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
likely a partial charge — not the full procedure |
$1,819.60 |
$2,274.50 |
0.3× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$732 |
$915 |
0.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$972 |
$1,215 |
4.0× |
Transcatheter biopsy (37200)
unusually low — confirm this is the full procedure |
$1,824.40 |
$2,280.50 |
0.3× |
| Transfusion, blood or blood components (36430) |
$970.80 |
$1,213.50 |
2.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,221.60 |
$5,277 |
0.8× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$2,991.20 |
$3,739 |
0.5× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$1,908 |
$2,385 |
0.5× |
| Treat humerus fracture (24577) |
$1,281.60 |
$1,602 |
0.8× |
| Treat knee fracture (27532) |
$1,015.20 |
$1,269 |
0.3× |
| Treat lower leg fracture (27825) |
$1,152.80 |
$1,441 |
0.7× |
| Treat pleurodesis w/agent (32560) |
$679.60 |
$849.50 |
1.1× |
| Treat thumb fracture (26645) |
$1,866.40 |
$2,333 |
1.1× |
| Treat toe dislocation (28630) |
$572 |
$715 |
2.3× |
| Treat vaginal bleeding (57180) |
$576 |
$720 |
2.8× |
| Treat wrist bone fracture (25624) |
$842.40 |
$1,053 |
0.5× |
| Treat wrist dislocation (25690) |
$847.20 |
$1,059 |
0.5× |
| Treat wrist dislocation (25675) |
$1,695.20 |
$2,119 |
6.7× |
| Treatment of bladder lesion (51720) |
$374.40 |
$468 |
0.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,566.40 |
$1,958 |
6.2× |
| Treatment of miscarriage (59812) |
$1,296 |
$1,620 |
0.4× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$1,129.20 |
$1,411.50 |
0.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$799.20 |
$999 |
3.2× |
| Trimming of nondystrophic nails, any number (11719) |
$44.80 |
$56 |
0.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,250.40 |
$6,563 |
0.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,150.40 |
$7,688 |
1.1× |
| Tx superficial wound dehiscence simple closure (12020) |
$692 |
$865 |
0.9× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$1,134.40 |
$1,418 |
0.7× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$4,000 |
$5,000 |
0.7× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$1,449.20 |
$1,811.50 |
0.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$3,889.60 |
$4,862 |
0.6× |
| Unlisted procedure accessory sinuses (31299) |
$630.40 |
$788 |
2.6× |
| Unlisted procedure anus (46999) |
$647.20 |
$809 |
0.7× |
| Unlisted procedure colon (45399) |
$445.60 |
$557 |
0.5× |
| Unlisted procedure rectum (45999) |
$647.20 |
$809 |
0.7× |
| Unlisted procedure, liver (47399) |
$922 |
$1,152.50 |
1.3× |
| Upgrade of pacemaker system (33214) |
$13,847.20 |
$17,309 |
1.3× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge — not the full procedure |
$877.60 |
$1,097 |
0.2× |
| Urethromeatoplasty, with mucosal advancement Age Under 21 (53450) |
$1,045.60 |
$1,307 |
0.3× |
| Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Age Under 21 (53460) |
$1,156 |
$1,445 |
0.3× |
Urethroplasty; second stage (formation of urethra), including urinary diversion Age Under 21 (53405)
unusually low — confirm this is the full procedure |
$2,339.20 |
$2,924 |
0.4× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$2,550.40 |
$3,188 |
5.7× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$1,223.20 |
$1,529 |
0.4× |
| Vaginal delivery (59409) |
$2,464.80 |
$3,081 |
0.7× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
unusually low — confirm this is the full procedure |
$2,260.80 |
$2,826 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
unusually low — confirm this is the full procedure |
$2,394.40 |
$2,993 |
0.5× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
unusually low — confirm this is the full procedure |
$2,536 |
$3,170 |
0.5× |
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
unusually low — confirm this is the full procedure |
$3,006 |
$3,757.50 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291) |
$2,563.20 |
$3,204 |
0.5× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,768 |
$2,210 |
0.5× |
Vasc embolize/occlude bleed (37244)
likely a partial charge — not the full procedure |
$2,252.80 |
$2,816 |
0.2× |
Vascular embolization or occlusion arterial rs&i (37242)
likely a partial charge — not the full procedure |
$4,198 |
$5,247.50 |
0.2× |
| Vascular embolization or occlusion venous rs&i (37241) |
$8,179.60 |
$10,224.50 |
0.7× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$10,500 |
$13,125 |
0.9× |
| Vascular surgery procedure (37799) |
$181.60 |
$227 |
0.3× |
| Vasectomy (55250) |
$760 |
$950 |
0.4× |
| Venipuncture (36415) |
$16.80 |
$21 |
1.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$401.60 |
$502 |
0.1× |
| Version cephalic external (59412) |
$709.60 |
$887 |
0.2× |
| Vulvectomy simple; complete Age Under 21 (56625) |
$1,288.80 |
$1,611 |
0.4× |
| Wedge excision skin nail fold (11765) |
$246.80 |
$308.50 |
0.6× |
Wedge resection or bisection of ovary, unilateral or bilateral (58920)
unusually low — confirm this is the full procedure |
$2,590.40 |
$3,238 |
0.3× |