| Abd paracentesis w/imaging (49083) |
$1,146.97 |
$1,911.62 |
1.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$917.32 |
$1,528.86 |
0.6× |
| Acne surgery (10040) |
$147.59 |
$245.99 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$611.93 |
$1,019.88 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$5,324.33 |
$8,873.88 |
1.7× |
| Analyze spine infus pump (62367) |
$195.86 |
$326.44 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$266.72 |
$444.53 |
0.2× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$256.61 |
$427.68 |
0.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$264.04 |
$440.06 |
1.7× |
| Application cast elbow finger short arm (29075) |
$138.61 |
$231.02 |
0.5× |
| Application Cast Finger (29086) |
$177.10 |
$295.16 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$187.99 |
$313.31 |
0.7× |
| Application finger splint static (29130) |
$51.33 |
$85.55 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$313.20 |
$521.99 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$216.19 |
$360.31 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$244.03 |
$406.72 |
0.9× |
| Application of long leg cast (29345) |
$238.06 |
$396.77 |
0.9× |
| Application of rigid total contact leg cast (29445) |
$808.68 |
$1,347.80 |
3.0× |
| Application Short Arm Splint Dynamic (29126) |
$124.70 |
$207.83 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$257.26 |
$428.76 |
2.0× |
| Apply Hand/Wrist Cast (29085) |
$126.50 |
$210.82 |
0.8× |
| Apply long leg splint (29505) |
$272.36 |
$453.92 |
1.7× |
| Apply short leg cast (29405) |
$213.25 |
$355.42 |
0.8× |
| Apply short leg cast (29425) |
$118.51 |
$197.51 |
0.4× |
| Apply short leg splint (29515) |
$404.36 |
$673.93 |
2.6× |
| Arterial puncture (36600) |
$132.73 |
$221.21 |
1.0× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$251.16 |
$418.60 |
0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$220.14 |
$366.90 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$385.14 |
$641.89 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$202.01 |
$336.69 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$183.08 |
$305.12 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$183.82 |
$306.38 |
0.6× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$1,459.67 |
$2,432.78 |
0.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$369.22 |
$615.38 |
0.1× |
| Artificial Insemination Intra-Uterine (58322) |
$168.46 |
$280.76 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,980.80 |
$3,301.34 |
3.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$116.76 |
$194.60 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$152.56 |
$254.28 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,867.22 |
$4,778.70 |
1.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$419.27 |
$698.78 |
0.5× |
| Biopsy External Auditory Canal (69105) |
$828.11 |
$1,380.19 |
0.6× |
| Biopsy external ear (69100) |
$180.94 |
$301.56 |
0.8× |
| Biopsy intranasal (30100) |
$186.64 |
$311.07 |
0.1× |
| Biopsy Nail Unit Separate Procedure (11755) |
$417.73 |
$696.21 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$1,928.32 |
$3,213.86 |
0.5× |
| Biopsy of floor of mouth (41108) |
$190.75 |
$317.92 |
0.1× |
| Biopsy of lip (40490) |
$213.39 |
$355.65 |
0.9× |
| Biopsy of mouth lesion (40808) |
$243.16 |
$405.27 |
0.5× |
| Biopsy of palate, uvula (42100) |
$201.10 |
$335.16 |
0.1× |
| Biopsy of penis (54100) |
$961.51 |
$1,602.51 |
0.6× |
| Biopsy of tongue (41100) |
$225.41 |
$375.69 |
0.4× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$566.56 |
$944.26 |
0.2× |
| Biopsy Oropharynx (42800) |
$1,448.74 |
$2,414.56 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$1,588.12 |
$2,646.86 |
1.1× |
| Biopsy Salivary Gland,Needle (42400) |
$137.52 |
$229.20 |
0.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,447.31 |
$2,412.19 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$410.21 |
$683.68 |
0.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$401.38 |
$668.97 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$497.93 |
$829.89 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$188.18 |
$313.63 |
0.3× |
| Bladder Irrigation Simple (51700) |
$173.56 |
$289.26 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$305.39 |
$508.98 |
1.0× |
| Blood transfusion service (36430) |
$1,623.53 |
$2,705.88 |
3.8× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$338.79 |
$564.65 |
0.1× |
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure |
$291.35 |
$485.59 |
0.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$259.44 |
$432.41 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$355.42 |
$592.36 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$915.08 |
$1,525.14 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$144.79 |
$241.31 |
0.7× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$323.77 |
$539.61 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$428.75 |
$714.58 |
0.6× |
| Change of cystostomy tube simple (51705) |
$200.12 |
$333.53 |
0.8× |
| Chemical cautery tissue (17250) |
$298.07 |
$496.78 |
1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$498.01 |
$830.01 |
0.7× |
| Chemodenerv Eccrine Glands (64650) |
$197.30 |
$328.83 |
0.7× |
| Chemodenerv musc migraine (64615) |
$298.60 |
$497.66 |
1.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$421.52 |
$702.52 |
1.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$485.21 |
$808.68 |
0.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$576.32 |
$960.54 |
2.0× |
| Circum 28 days or older (54161) |
$633.16 |
$1,055.26 |
0.3× |
| Circumcision (54150) |
$1,145.21 |
$1,908.68 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$514.33 |
$857.22 |
2.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$547.26 |
$912.10 |
2.3× |
| Closed Rx Radial Shaft Fx (25500) |
$433.07 |
$721.78 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$432.20 |
$720.34 |
1.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$469.57 |
$782.61 |
2.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$355.58 |
$592.63 |
1.5× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,474.68 |
$2,457.80 |
0.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$502.84 |
$838.06 |
2.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$453.97 |
$756.62 |
1.9× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$422.64 |
$704.40 |
0.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$481.60 |
$802.66 |
2.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$487.04 |
$811.74 |
2.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$519.16 |
$865.26 |
2.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$492.74 |
$821.23 |
2.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$532.55 |
$887.59 |
0.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$471.37 |
$785.61 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$515.77 |
$859.61 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$547.18 |
$911.98 |
2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$646.80 |
$1,078 |
2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$372.30 |
$620.50 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$933.95 |
$1,556.59 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$557.22 |
$928.68 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$420.10 |
$700.17 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,953.09 |
$3,255.14 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,140.50 |
$1,900.84 |
0.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$417.59 |
$695.99 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$401.78 |
$669.63 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$448.49 |
$747.48 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$416.56 |
$694.27 |
1.8× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$348.73 |
$581.21 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$269.83 |
$449.71 |
1.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$284.63 |
$474.39 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,061.32 |
$5,102.20 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$569.33 |
$948.89 |
2.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$734.53 |
$1,224.21 |
3.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,252.20 |
$3,753.68 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$384.46 |
$640.78 |
1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,008.10 |
$3,346.82 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$592.56 |
$987.59 |
2.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$506.10 |
$843.50 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$490.16 |
$816.94 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$488.10 |
$813.50 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$488.11 |
$813.52 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$478.12 |
$796.87 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$553.78 |
$922.98 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,984.53 |
$3,307.55 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$733.82 |
$1,223.04 |
3.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$707.11 |
$1,178.52 |
3.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$227.51 |
$379.18 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$155.26 |
$258.77 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$198.36 |
$330.60 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$438.05 |
$730.08 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$490.16 |
$816.94 |
2.1× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$500.84 |
$834.73 |
2.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,025.28 |
$1,708.80 |
0.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$968.22 |
$1,613.70 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$298.44 |
$497.40 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$522.52 |
$870.86 |
2.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$396.36 |
$660.60 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$470.34 |
$783.89 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,184.54 |
$3,640.90 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$505.72 |
$842.86 |
2.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,296.09 |
$2,160.15 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$377.71 |
$629.51 |
1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$569.33 |
$948.89 |
2.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$517.40 |
$862.33 |
2.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$5,617.26 |
$9,362.10 |
3.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$540.54 |
$900.90 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$401.10 |
$668.50 |
3.1× |
| Colonoscopy flex w/rem forcep (45384) |
$808.13 |
$1,346.89 |
0.7× |
| Colporrhaphy Suture Injury Vagina (57200) |
$432.71 |
$721.19 |
0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$303.02 |
$505.04 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$196.10 |
$326.83 |
1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$275.79 |
$459.65 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$395.60 |
$659.34 |
0.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$266.95 |
$444.92 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$479.11 |
$798.51 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$130.58 |
$217.64 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$349.99 |
$583.32 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$198.52 |
$330.86 |
1.6× |
| Conversion ext bil drg cath (47535) |
$1,507.13 |
$2,511.88 |
0.4× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$103.69 |
$172.82 |
0.8× |
| Csf shunt reprogram (62252) |
$253 |
$421.66 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$266.69 |
$444.49 |
2.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,135.73 |
$1,892.89 |
0.6× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,196.77 |
$1,994.62 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$1,164.95 |
$1,941.59 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$1,900 |
$3,166.66 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,135.22 |
$1,892.04 |
0.6× |
| Cystourethroscopy (52000) |
$404.07 |
$673.45 |
0.6× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,278.43 |
$2,130.72 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$319.46 |
$532.43 |
0.8× |
| Debride nail 1-5 (11720) |
$41.96 |
$69.92 |
0.7× |
| Debride nail 6 or more (11721) |
$48.22 |
$80.38 |
0.9× |
| Debride tissue/muscle (11043) |
$474.32 |
$790.54 |
0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$249.58 |
$415.96 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$243.70 |
$406.17 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,091.16 |
$1,818.60 |
0.7× |
| Declot vascular device (36593) |
$585.12 |
$975.20 |
1.8× |
| Destruction anal lesion(s) (46924) |
$1,594.91 |
$2,658.18 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$204.59 |
$340.98 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$81.67 |
$136.12 |
0.4× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$662.48 |
$1,104.13 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$844.52 |
$1,407.54 |
1.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$241.79 |
$402.98 |
0.8× |
| Destruction Lesions Vulva Simple (56501) |
$1,054.97 |
$1,758.28 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$334.54 |
$557.56 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$358.36 |
$597.27 |
1.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$212.62 |
$354.36 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$243.28 |
$405.46 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$212.65 |
$354.42 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$192.02 |
$320.04 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$189.44 |
$315.74 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$305.08 |
$508.47 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$117.67 |
$196.12 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$237.75 |
$396.25 |
0.3× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$254.76 |
$424.60 |
0.2× |
| Dilate Urethra Stricture (53620) |
$438.70 |
$731.16 |
0.7× |
| Dilate urethra stricture (53600) |
$215.03 |
$358.38 |
0.9× |
| Dilation and curettage (58120) |
$1,659.54 |
$2,765.90 |
0.5× |
| Dilation Nasolacrimal Duct (68801) |
$505.92 |
$843.20 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$276.01 |
$460.02 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$304.64 |
$507.74 |
1.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$262.99 |
$438.31 |
1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$428.27 |
$713.78 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$168.06 |
$280.10 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$484.54 |
$807.56 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$323.42 |
$539.04 |
1.7× |
| Drainage of gum lesion (41800) |
$442.08 |
$736.82 |
3.5× |
| Drainage of hematoma/fluid (10140) |
$2,819.84 |
$4,699.72 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$2,138 |
$3,563.32 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,327.24 |
$2,212.07 |
3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$540.21 |
$900.35 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$540.21 |
$900.35 |
2.8× |
| Dstrj lesion anus simple surg excision (46922) |
$1,539.58 |
$2,565.96 |
0.6× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$317.41 |
$529.02 |
0.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$937.23 |
$1,562.05 |
0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$251.92 |
$419.86 |
0.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$208.28 |
$347.14 |
0.7× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$236.33 |
$393.88 |
0.8× |
| EMG anal/urethral sphincter (51785) |
$250.42 |
$417.37 |
1.0× |
| Endocervical Curettage (57505) |
$443.83 |
$739.71 |
0.5× |
| Endometrial Biopsy (58100) |
$183.41 |
$305.68 |
0.9× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$955.11 |
$1,591.85 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$101.10 |
$168.50 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,209.23 |
$2,015.39 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$438.32 |
$730.53 |
0.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$907.15 |
$1,511.92 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$998.13 |
$1,663.55 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,027.34 |
$1,712.24 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$479.28 |
$798.80 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,252.93 |
$2,088.21 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$464.17 |
$773.62 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,024.67 |
$1,707.78 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$519.33 |
$865.55 |
0.3× |
| Exc Frenum Labial/Buccal (40819) |
$1,071.90 |
$1,786.50 |
0.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,464.92 |
$2,441.54 |
0.5× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$261.71 |
$436.19 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$643.99 |
$1,073.31 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$473.61 |
$789.35 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$310.37 |
$517.29 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$519.64 |
$866.06 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,084.53 |
$1,807.55 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,794.82 |
$2,991.36 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,735.84 |
$2,893.07 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,110.62 |
$1,851.04 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,883.97 |
$3,139.95 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,760.07 |
$2,933.45 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,202.46 |
$2,004.10 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,073.08 |
$3,455.13 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$282.59 |
$470.98 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,945.44 |
$3,242.40 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,212.36 |
$2,020.60 |
0.8× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,192.19 |
$1,986.99 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,403.37 |
$2,338.96 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,769.76 |
$2,949.60 |
1.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,895.24 |
$3,158.74 |
0.7× |
| Excise Inferior Turbinate (30130) |
$3,540.56 |
$5,900.93 |
1.1× |
| Excise/repair mouth lesion (40812) |
$1,549.28 |
$2,582.14 |
1.0× |
| Excision Breast Lesion (19125) |
$4,438.40 |
$7,397.33 |
1.2× |
| Excision Chalazion Single (67800) |
$329.17 |
$548.62 |
1.1× |
| Excision external ear partial simple repair (69110) |
$1,784.51 |
$2,974.19 |
0.6× |
| Excision Lesion Floor Mouth (41116) |
$1,577.16 |
$2,628.60 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$928.34 |
$1,547.24 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$486.41 |
$810.68 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$522.04 |
$870.07 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$383.29 |
$638.81 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$579.10 |
$965.16 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$603.14 |
$1,005.24 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$493.02 |
$821.70 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$530.92 |
$884.87 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$565.03 |
$941.71 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,089.91 |
$1,816.51 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,157.81 |
$1,929.68 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$717.40 |
$1,195.68 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$523.32 |
$872.20 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$549.24 |
$915.40 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,067.69 |
$1,779.48 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,102.92 |
$1,838.20 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,585.57 |
$2,642.61 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$498.43 |
$830.71 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$515.57 |
$859.29 |
0.8× |
| Excision of chalazion; multiple, same lid (67801) |
$720.30 |
$1,200.50 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,158.37 |
$1,930.62 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$663.70 |
$1,106.16 |
0.7× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$1,647.58 |
$2,745.97 |
0.5× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Facility (41826) |
$391.65 |
$652.75 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$973.16 |
$1,621.93 |
0.6× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure |
$1,713.80 |
$2,856.34 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$721.81 |
$1,203.02 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$713.05 |
$1,188.41 |
0.6× |
| Excision of tongue lesion (41112) |
$1,615.06 |
$2,691.76 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$1,819.42 |
$3,032.37 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,769.51 |
$2,949.19 |
0.6× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,125.74 |
$3,542.90 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,385.42 |
$2,309.04 |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,129 |
$1,881.66 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,321.87 |
$2,203.12 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,188.73 |
$1,981.22 |
0.8× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$1,525.45 |
$2,542.41 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,937.95 |
$3,229.91 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,220.85 |
$2,034.75 |
0.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,119.29 |
$1,865.49 |
0.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,710.79 |
$2,851.32 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,273.67 |
$2,122.79 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$933.89 |
$1,556.48 |
0.6× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$1,184.09 |
$1,973.48 |
0.8× |
| Fetal non-stress test (59025) |
$335.67 |
$559.45 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,082.95 |
$3,471.59 |
3.1× |
| Fine needle aspiration without imaging guidance (10021) |
$253.80 |
$423 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$154.72 |
$257.86 |
0.8× |
| Fluoro exam of g/colon tube (49465) |
$209.77 |
$349.61 |
0.9× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
$475.15 |
$791.91 |
0.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,355.30 |
$3,925.50 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$130.72 |
$217.86 |
0.6× |
| Hysteroscopy biopsy (58558) |
$1,672.98 |
$2,788.30 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,575.10 |
$2,625.17 |
0.5× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,660.55 |
$2,767.58 |
0.5× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$603.31 |
$1,005.52 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$256.96 |
$428.27 |
1.1× |
| I&d abscess simple (10060) |
$169.80 |
$283 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,790.26 |
$2,983.76 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,528.05 |
$2,546.75 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$464.43 |
$774.05 |
0.7× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,704.55 |
$2,840.91 |
0.6× |
| I&d vulva/perineal abscess (56405) |
$296.21 |
$493.68 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,196.50 |
$1,994.16 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$1,197.20 |
$1,995.33 |
0.8× |
| Incise external hemorrhoid (46083) |
$266.17 |
$443.62 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$638.46 |
$1,064.11 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,549.42 |
$9,249.04 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,034.68 |
$1,724.46 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$308.75 |
$514.59 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$237.35 |
$395.58 |
1.2× |
| Incision and drainage perianal abscess superficial (46050) |
$557.03 |
$928.38 |
0.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,614.61 |
$2,691.02 |
0.6× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure |
$236.47 |
$394.11 |
0.0× |
| Incision of labial frenum (frenotomy) (40806) |
$325.40 |
$542.33 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$882.28 |
$1,470.46 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$681.76 |
$1,136.26 |
1.0× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$235.51 |
$392.52 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$169.86 |
$283.10 |
0.6× |
| Inj therapeutic carpal tunnel (20526) |
$181 |
$301.66 |
0.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$286.54 |
$477.57 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$779.90 |
$1,299.84 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$434.22 |
$723.70 |
0.6× |
| Inject Sinus Tract Theraputic (20500) |
$914.98 |
$1,524.96 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$194.87 |
$324.79 |
0.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$610.18 |
$1,016.96 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$234.22 |
$390.37 |
0.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$331.25 |
$552.08 |
1.1× |
| Injection into skin lesions (11900) |
$142.16 |
$236.93 |
0.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$241.60 |
$402.67 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$145.61 |
$242.69 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$198.50 |
$330.83 |
0.7× |
| Injection(s) spider veins (36468) |
$62.11 |
$103.51 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$163.03 |
$271.71 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$175.59 |
$292.65 |
1.4× |
| Insert cath pleura w/o image (32556) |
$1,120.34 |
$1,867.22 |
0.6× |
| Insert Drug Implant Device (11981) |
$165.52 |
$275.86 |
1.3× |
Insert heart pm atrial (33206)
likely a partial charge, not the full procedure |
$730.55 |
$1,217.59 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$2,166.98 |
$3,611.64 |
0.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$350.45 |
$584.09 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$262.03 |
$436.71 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$169.12 |
$281.86 |
1.3× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Facility (25430) |
$2,535.86 |
$4,226.44 |
0.8× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$602.56 |
$1,004.27 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,876.28 |
$3,127.13 |
0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$685.91 |
$1,143.18 |
0.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$332.04 |
$553.40 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$292.28 |
$487.12 |
1.3× |
| Laryngoscopy diagnostic (31505) |
$99.79 |
$166.32 |
0.5× |
| Laryngoscopy flexible diagnostic (31575) |
$166.06 |
$276.77 |
0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$261.35 |
$435.59 |
0.7× |
| Laryngoscopy w/exc of tumor (31540) |
$313.54 |
$522.56 |
0.1× |
| Larynscop w/tumr exc + scope (31541) |
$1,813.67 |
$3,022.78 |
0.5× |
| Laser surgery of eye (65855) |
$614.12 |
$1,023.53 |
1.2× |
| Ligate/strip long leg vein (37722) |
$2,431.19 |
$4,051.99 |
0.8× |
| Lip Surgery Procedure (40799) |
$175.61 |
$292.68 |
0.8× |
| Lyse chest fibrin init day (32561) |
$521.98 |
$869.96 |
0.9× |
| Lysis Intranasal Synechia (30560) |
$450.89 |
$751.49 |
0.9× |
| Lysis of labial adhesions (56441) |
$1,562.05 |
$2,603.42 |
0.5× |
| Manipulat Palm Cord Post Inj (26341) |
$221.32 |
$368.87 |
0.9× |
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401)
likely a partial charge, not the full procedure |
$392.99 |
$654.99 |
0.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$353.40 |
$589 |
0.1× |
| Muscle-skin graft trunk (15734) |
$419.53 |
$699.22 |
0.1× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$2,338.18 |
$3,896.96 |
0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$703.02 |
$1,171.70 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$188.77 |
$314.62 |
0.6× |
| Nasal endoscopy dx (31231) |
$164.83 |
$274.72 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,406.86 |
$2,344.78 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$422.56 |
$704.26 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$1,224.38 |
$2,040.63 |
2.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48.62 |
$81.03 |
1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$48.62 |
$81.03 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,293.47 |
$2,155.79 |
3.1× |
| Njx aa&/strd sciatic nerve (64445) |
$442.30 |
$737.16 |
0.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$272.31 |
$453.86 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$957.85 |
$1,596.41 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$205.25 |
$342.09 |
0.3× |
| Occipital Nerve Block (64405) |
$317.56 |
$529.27 |
1.1× |
| Ostectomy of sternum, partial Facility (21620) |
$139.84 |
$233.07 |
0.0× |
| Ovarian cystectomy (58925) |
$673.28 |
$1,122.14 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$46.96 |
$78.27 |
0.2× |
| Picc line placement (36569) |
$760.37 |
$1,267.29 |
0.5× |
Place Cath Vertebral Art (36226)
likely a partial charge, not the full procedure |
$329.54 |
$549.24 |
0.1× |
| Place duod/jej tube perc (49441) |
$351.59 |
$585.98 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$135.92 |
$226.54 |
0.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$936.37 |
$1,560.61 |
0.7× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$183.01 |
$305.01 |
0.6× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$729.25 |
$1,215.41 |
0.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$467.12 |
$778.53 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$392.63 |
$654.38 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$514.72 |
$857.87 |
1.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$69.74 |
$116.23 |
0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$1,983.17 |
$3,305.28 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$1,781.07 |
$2,968.45 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,289.02 |
$2,148.36 |
1.9× |
| Removal foreign body intranasal (30300) |
$244.23 |
$407.05 |
1.9× |
| Removal foreign body pharynx (42809) |
$225.61 |
$376.02 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$65.58 |
$109.29 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$191.10 |
$318.50 |
3.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$455.05 |
$758.42 |
0.7× |
| Removal Intact Mammary Implant (19328) |
$2,562.51 |
$4,270.85 |
0.7× |
| Removal of anal fissure (46200) |
$568.46 |
$947.44 |
0.2× |
| Removal of ankle implant (27704) |
$876.52 |
$1,460.87 |
0.3× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$633.32 |
$1,055.53 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$90.63 |
$151.05 |
0.2× |
| Removal of iud (58301) |
$179.61 |
$299.35 |
0.6× |
| Removal of nail bed (11750) |
$297.32 |
$495.54 |
0.8× |
| Removal of salivary stone (42330) |
$1,512.07 |
$2,520.11 |
0.5× |
| Removal Of Tendon Lesion (27630) |
$721.82 |
$1,203.03 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$191.60 |
$319.33 |
1.0× |
| Removal Submand Stone,Complicated (42335) |
$1,623.79 |
$2,706.32 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$82.39 |
$137.31 |
0.3× |
| Remove drug implant device (11982) |
$327.83 |
$546.39 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$1,173.72 |
$1,956.20 |
0.8× |
| Remove vagina gland lesion (56740) |
$381.86 |
$636.44 |
0.1× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$522.75 |
$871.25 |
0.1× |
| Remove/Insert Drug Implant (11983) |
$424.47 |
$707.45 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$194.82 |
$324.70 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$240.10 |
$400.16 |
1.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$248.80 |
$414.66 |
0.1× |
Repair blood vessel with graft other than vein; upper extremity Facility (35266)
likely a partial charge, not the full procedure |
$1,369.07 |
$2,281.78 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$634.03 |
$1,056.72 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$708.19 |
$1,180.31 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$488.69 |
$814.48 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,197.19 |
$1,995.32 |
3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$770.28 |
$1,283.81 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$609.24 |
$1,015.40 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$591.08 |
$985.14 |
0.8× |
| Repair Entropion Suture (67921) |
$2,045.57 |
$3,409.29 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$879.20 |
$1,465.34 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$461.01 |
$768.35 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$432.01 |
$720.02 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$435.91 |
$726.52 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$466.60 |
$777.68 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$321.48 |
$535.79 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$609.86 |
$1,016.44 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433.63 |
$722.71 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$427.66 |
$712.76 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$545.55 |
$909.25 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,322.06 |
$3,870.10 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$481.98 |
$803.30 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$408.19 |
$680.32 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$492.31 |
$820.52 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$481.98 |
$803.30 |
1.2× |
| Repair of nail bed (11760) |
$422.18 |
$703.64 |
0.6× |
| Repair radius & ulna (25415) |
$7,757.46 |
$12,929.10 |
1.1× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,773.27 |
$2,955.45 |
0.5× |
| Repair tympanic membrane (69610) |
$1,399.38 |
$2,332.30 |
0.9× |
| Repeat control of nosebleed (30906) |
$288.32 |
$480.53 |
1.3× |
| Reposition cv cath w/fluoro (36597) |
$159.07 |
$265.11 |
0.1× |
| Revision of iris (66761) |
$975.92 |
$1,626.52 |
1.8× |
| Revision of lower leg tendon (27685) |
$2,107.44 |
$3,512.40 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$223.69 |
$372.82 |
1.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$939.08 |
$1,565.13 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$533.51 |
$889.18 |
0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,676.36 |
$147.87 |
1.1× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$3,786.40 |
$6,310.67 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$97.78 |
$162.96 |
0.3× |
| Shave skin lesion 0.5 cm/< (11305) |
$152.02 |
$253.37 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$161.83 |
$269.71 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$308.05 |
$513.41 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$167.62 |
$279.37 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$185.94 |
$309.90 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$276.72 |
$461.20 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$183.97 |
$306.62 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$279.91 |
$466.51 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$169.06 |
$281.77 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$275.66 |
$459.43 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$180.56 |
$300.94 |
0.9× |
| Sigmoidoscopy & decompress (45337) |
$153.91 |
$256.52 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$341.86 |
$569.76 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$171.36 |
$285.60 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$190.40 |
$317.34 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$495.88 |
$826.47 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$226.64 |
$377.73 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$366.16 |
$610.27 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$212.95 |
$354.92 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$131.08 |
$218.47 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$228.40 |
$380.67 |
1.2× |
| Skin pinch graft (15050) |
$820.82 |
$1,368.04 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,167.39 |
$1,945.65 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,205.01 |
$2,008.36 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$139.74 |
$232.91 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$387.11 |
$645.18 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$382.16 |
$636.94 |
1.0× |
| Snip incision lacrimal punctum (68440) |
$321.83 |
$536.38 |
1.1× |
| Sperm washing for artificial insemination Facility (58323) |
$112.66 |
$187.76 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$447.65 |
$746.08 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$455.26 |
$758.77 |
0.7× |
| Strapping ankle (29540) |
$81.05 |
$135.09 |
0.5× |
| Strapping hand/finger (29280) |
$62.74 |
$104.57 |
1.1× |
| Strapping unna boot (29580) |
$320.26 |
$533.76 |
2.1× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$167.85 |
$279.75 |
0.4× |
| Synovectomy; metatarsophalangeal joint, each Facility (28072) |
$671.12 |
$1,118.53 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$152.39 |
$253.98 |
0.4× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$688.18 |
$1,146.96 |
0.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,025.25 |
$1,708.75 |
0.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,059.20 |
$3,432 |
0.7× |
| Tenotomy shoulder area single tendon (23405) |
$4,932.77 |
$8,221.28 |
0.7× |
Thoracoscopy w/bx nodule (32608)
likely a partial charge, not the full procedure |
$278 |
$463.32 |
0.0× |
| Thrombolytic Therapy Stroke (37195) |
$711.58 |
$1,185.96 |
2.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$256.14 |
$426.90 |
0.5× |
| Tracheotomy tube change (31502) |
$164.57 |
$274.28 |
0.7× |
| Treat Big Toe Fracture (28505) |
$2,150.03 |
$3,583.38 |
0.7× |
| Treat clavicle dislocation (23540) |
$407.55 |
$679.25 |
1.7× |
| Treat clavicle fracture (23505) |
$1,217.78 |
$2,029.64 |
0.8× |
| Treat humerus fracture (24500) |
$525.78 |
$876.30 |
2.2× |
| Treat humerus fracture (23600) |
$502.16 |
$836.94 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$333.34 |
$555.57 |
1.4× |
| Treat Thigh Fracture (27246) |
$599.47 |
$999.11 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$425.36 |
$708.94 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$495.07 |
$825.12 |
2.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$283.91 |
$473.19 |
1.2× |
| Trim skin lesion (11055) |
$113.74 |
$189.56 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$117.85 |
$196.42 |
0.6× |
| Trim skin lesions over 4 (11057) |
$140.50 |
$234.17 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$37.64 |
$62.74 |
0.7× |
| Tube thoracostomy includes water seal (32551) |
$1,242.30 |
$2,070.51 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$499.46 |
$832.44 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$352.85 |
$588.09 |
0.9× |
| Tympanostomy (69433) |
$665.94 |
$1,109.90 |
1.3× |
| Unlisted procedure nervous system (64999) |
$1,066.06 |
$1,776.76 |
3.6× |
| Urine flow measurement (51736) |
$72.96 |
$121.60 |
0.6× |
| Us urine capacity measure (51798) |
$187.84 |
$313.06 |
3.3× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$580.27 |
$967.12 |
0.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,477.12 |
$2,461.87 |
0.7× |
| Venipuncture (36415) |
$8.12 |
$13.52 |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,386.76 |
$2,311.26 |
0.4× |
| Wedge excision skin nail fold (11765) |
$296.91 |
$494.85 |
0.8× |