| Abd paracentesis w/imaging (49083) |
$907.02 |
$1,259.75 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$623.16 |
$865.50 |
0.6× |
| Ablate inf turbinate submuc (30802) |
$731.88 |
$1,016.50 |
0.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$579.78 |
$805.25 |
0.3× |
| Amputation Finger/Thumb (26951) |
$2,794.32 |
$3,881 |
0.8× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$3,607.92 |
$5,011 |
1.0× |
| Anoscopy diagnostic (46600) |
$243.36 |
$338 |
1.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$268.56 |
$373 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,973.16 |
$2,740.50 |
0.3× |
| Application cast elbow finger short arm (29075) |
$208.80 |
$290 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$232.92 |
$323.50 |
0.7× |
| Application finger splint static (29130) |
$99.18 |
$137.75 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$243.72 |
$338.50 |
1.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$461.88 |
$641.50 |
1.5× |
| Application of long leg cast (29345) |
$338.76 |
$470.50 |
1.1× |
| Application Patellar Tendon Bearing Cast (29435) |
$108.36 |
$150.50 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$177.12 |
$246 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$284.76 |
$395.50 |
1.6× |
| Apply long leg splint (29505) |
$217.08 |
$301.50 |
1.2× |
| Apply short leg cast (29405) |
$195.84 |
$272 |
0.6× |
| Apply short leg cast (29425) |
$187.74 |
$260.75 |
0.6× |
| Apply short leg splint (29515) |
$196.56 |
$273 |
1.1× |
| Arterial puncture (36600) |
$190.08 |
$264 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$110.16 |
$153 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$142.02 |
$197.25 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$240.38 |
$333.86 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$214.86 |
$298.42 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$113.22 |
$157.25 |
0.3× |
Arthroplasty, knee, tibial plateau; Facility (27440)
likely a partial charge, not the full procedure |
$3,273.84 |
$4,547 |
0.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,519.56 |
$2,110.50 |
0.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,338.84 |
$1,859.50 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,458.72 |
$2,026 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,605.60 |
$2,230 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,167.48 |
$1,621.50 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$2,302.20 |
$3,197.50 |
0.3× |
| Arthrotomy w/synovectomy ankle (27625) |
$1,365.84 |
$1,897 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,441.08 |
$2,001.50 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$531.36 |
$738 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$273.96 |
$380.50 |
1.2× |
| Biopsy bone open deep (20245) |
$791.28 |
$1,099 |
0.2× |
| Biopsy bone open superficial (20240) |
$624.24 |
$867 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$300.97 |
$418.01 |
0.3× |
| Biopsy intranasal (30100) |
$322.20 |
$447.50 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$428.76 |
$595.50 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$1,107.72 |
$1,538.50 |
0.3× |
| Biopsy of floor of mouth (41108) |
$333.18 |
$462.75 |
0.2× |
| Biopsy of mouth lesion (40808) |
$422.28 |
$586.50 |
0.7× |
| Biopsy of palate, uvula (42100) |
$326.52 |
$453.50 |
0.2× |
| Biopsy of tongue (41100) |
$374.40 |
$520 |
0.6× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$2,851.20 |
$3,960 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$858.96 |
$1,193 |
0.2× |
| Biopsy Oropharynx (42800) |
$391.32 |
$543.50 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,283.40 |
$1,782.50 |
0.3× |
| Blood patch (62273) |
$1,283.40 |
$1,782.50 |
1.6× |
| Blood transfusion service (36430) |
$941.04 |
$1,307 |
1.9× |
| Blood/Lymph System Procedure (38999) |
$972 |
$1,350 |
2.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,050.12 |
$1,458.50 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$661.72 |
$919.05 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,046.88 |
$1,454 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,556.64 |
$1,883.25 |
0.8× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,117.80 |
$1,552.50 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$370.98 |
$515.25 |
0.2× |
| Cataract surgery complex (66982) |
$1,470.67 |
$2,042.60 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$246.24 |
$342 |
1.0× |
| Chemical cautery tissue (17250) |
$189.72 |
$263.50 |
0.8× |
| Chemodenerv musc migraine (64615) |
$267.48 |
$371.50 |
0.8× |
| Claviculectomy partial (23120) |
$3,010.68 |
$4,181.50 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$700.92 |
$973.50 |
2.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,121.76 |
$1,558 |
4.1× |
| Closed Rx Radial Shaft Fx (25500) |
$1,074.60 |
$1,492.50 |
3.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,421.28 |
$1,974 |
5.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,065.24 |
$1,479.50 |
0.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,188 |
$1,650 |
4.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,511.64 |
$2,099.50 |
5.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,365.84 |
$1,897 |
5.0× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,576.16 |
$3,578 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,089.36 |
$1,513 |
4.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,171.44 |
$1,627 |
4.3× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,325.24 |
$3,229.50 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,949.76 |
$2,708 |
7.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,316.52 |
$1,828.50 |
4.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,422 |
$1,975 |
5.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,055.96 |
$2,855.50 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,347.84 |
$1,872 |
4.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,632.60 |
$2,267.50 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$893.16 |
$1,240.50 |
3.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,450.52 |
$3,403.50 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$982.44 |
$1,364.50 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,011.96 |
$1,405.50 |
3.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$851.40 |
$1,182.50 |
3.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,073.88 |
$1,491.50 |
3.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,080.08 |
$2,889 |
1.2× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,340 |
$3,250 |
1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,001.52 |
$1,391 |
3.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,391.04 |
$1,932 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,074.60 |
$1,492.50 |
3.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,201.32 |
$1,668.50 |
4.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,074.60 |
$1,492.50 |
3.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,528.56 |
$2,123 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,121.76 |
$1,558 |
4.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,617.20 |
$3,635 |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,584.72 |
$2,201 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,026.72 |
$1,426 |
3.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$752.04 |
$1,044.50 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,198.44 |
$1,664.50 |
4.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,600.20 |
$2,222.50 |
5.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$713.16 |
$990.50 |
2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,236.60 |
$1,717.50 |
4.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,274.66 |
$3,159.25 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$735.48 |
$1,021.50 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$669.24 |
$929.50 |
2.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$502.20 |
$697.50 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$484.20 |
$672.50 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,172.88 |
$1,629 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,742.76 |
$2,420.50 |
6.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,077.84 |
$1,497 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$447.12 |
$621 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,398.60 |
$1,942.50 |
4.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$934.56 |
$1,298 |
3.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,347.84 |
$1,872 |
4.9× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,244.24 |
$3,117 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,003.50 |
$1,393.75 |
3.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$934.56 |
$1,298 |
3.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,398.60 |
$1,942.50 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$934.56 |
$1,298 |
3.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$480.60 |
$667.50 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,212.12 |
$1,683.50 |
4.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,355.76 |
$1,883 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,030.68 |
$1,431.50 |
3.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$509.40 |
$707.50 |
1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,133.72 |
$2,963.50 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,528.56 |
$2,123 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,965.78 |
$2,730.25 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,766.24 |
$3,842 |
1.5× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,753.92 |
$2,436 |
6.4× |
| Colonoscopy flex w/inj submuc (45381) |
$1,235.16 |
$1,715.50 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$903.96 |
$1,255.50 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,950.12 |
$2,708.50 |
1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$312.48 |
$434 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$523.80 |
$727.50 |
3.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$244.44 |
$339.50 |
1.6× |
| Correction hammertoe (28285) |
$842.34 |
$1,169.91 |
0.2× |
| Correction of astigmatism (65772) |
$879.29 |
$1,221.24 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$875.88 |
$1,216.50 |
5.9× |
| Curettage postpartum (59160) |
$1,506.60 |
$2,092.50 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$152.10 |
$211.25 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,367.28 |
$1,899 |
1.7× |
| Debride nail 1-5 (11720) |
$71.28 |
$99 |
1.1× |
| Debride tissue/muscle (11043) |
$520.20 |
$722.50 |
0.6× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$482.04 |
$669.50 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$203.40 |
$282.50 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$299.16 |
$415.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,094.22 |
$1,519.75 |
0.6× |
| Delivery placenta separate procedure (59414) |
$531.72 |
$738.50 |
0.1× |
| Destroy internal hemorrhoids (46930) |
$383.04 |
$532 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$322.56 |
$448 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$201.60 |
$280 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$171.36 |
$238 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$205.20 |
$285 |
0.2× |
| Dilation and curettage (58120) |
$1,324.44 |
$1,839.50 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$546.12 |
$758.50 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$354.96 |
$493 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$167.04 |
$232 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$458.64 |
$637 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,468.44 |
$2,039.50 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$475.56 |
$660.50 |
2.1× |
| Drainage of gum lesion (41800) |
$474.30 |
$658.75 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$443.88 |
$616.50 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$393.12 |
$546 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,913.40 |
$2,657.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$628.20 |
$872.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$312.84 |
$434.50 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$268.20 |
$372.50 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$943.92 |
$1,311 |
0.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$738.18 |
$1,025.25 |
0.4× |
Ear Cartilage Graft (21235)
likely a partial charge, not the full procedure |
$1,862.64 |
$2,587 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,058.40 |
$1,470 |
0.5× |
| Egd dilate stricture (43245) |
$2,617.74 |
$3,635.75 |
1.2× |
| Egd flexible foreign body removal (43247) |
$654.24 |
$908.67 |
0.6× |
| Egd guide wire insertion (43248) |
$718.92 |
$998.50 |
0.7× |
| Egd place gastrostomy tube (43246) |
$456.48 |
$634 |
0.2× |
| Egd remove lesion snare (43251) |
$1,732.42 |
$2,406.13 |
0.8× |
| Endometrial Biopsy (58100) |
$285.84 |
$397 |
1.3× |
| Endovenous rf 1st vein (36475) |
$4,086.90 |
$5,676.25 |
1.2× |
| Escharotomy initial incision (16035) |
$1,641.96 |
$2,280.50 |
3.6× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$620.64 |
$862 |
0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,377.36 |
$1,913 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$117 |
$162.50 |
0.8× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,921.32 |
$2,668.50 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,254.60 |
$1,742.50 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$315.72 |
$438.50 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$975.20 |
$1,354.44 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$329.40 |
$457.50 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$498.60 |
$692.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$456.12 |
$633.50 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$1,177.56 |
$1,635.50 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,463.73 |
$2,032.96 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$596.88 |
$829 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,062.72 |
$1,476 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$367.56 |
$510.50 |
0.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$1,245.96 |
$1,730.50 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,159.53 |
$1,610.46 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,766.16 |
$2,453 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$301.68 |
$419 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$379.26 |
$526.75 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$446.40 |
$620 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$936 |
$1,300 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,266.12 |
$1,758.50 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$636.64 |
$884.22 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$851.40 |
$1,182.50 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$953.64 |
$1,324.50 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$876.24 |
$1,217 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$844.20 |
$1,172.50 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$933.66 |
$1,296.75 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$589.32 |
$818.50 |
0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,499.40 |
$2,082.50 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,057.84 |
$4,247 |
0.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,357.20 |
$1,885 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,062.63 |
$1,475.87 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,237.68 |
$1,719 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,978.20 |
$2,747.50 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$927 |
$1,287.50 |
0.5× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,844.64 |
$2,562 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,015.92 |
$1,411 |
0.3× |
| Excision Breast Lesion (19125) |
$1,281.96 |
$1,780.50 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$523.44 |
$727 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$577.80 |
$802.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$611.28 |
$849 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$611.28 |
$849 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$824.40 |
$1,145 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$521.64 |
$724.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$575.28 |
$799 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,053 |
$1,462.50 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$381.42 |
$529.75 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$426.06 |
$591.75 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,761.84 |
$2,447 |
1.0× |
| Excision of hydrocele unilateral (55040) |
$1,097.28 |
$1,524 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$2,074.32 |
$2,881 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$398.52 |
$553.50 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$666.72 |
$926 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$617.04 |
$857 |
0.5× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$1,059.84 |
$1,472 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$457.92 |
$636 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,109.44 |
$1,540.89 |
0.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$966.96 |
$1,343 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,224.72 |
$1,701 |
0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$806.04 |
$1,119.50 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,071.72 |
$1,488.50 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,187.64 |
$1,649.50 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,100.52 |
$1,528.50 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$881.64 |
$1,224.50 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$872.28 |
$1,211.50 |
0.3× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,634.12 |
$3,658.50 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$948.60 |
$1,317.50 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$1,072.26 |
$1,489.25 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,254.60 |
$1,742.50 |
0.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,129.58 |
$2,957.75 |
3.5× |
| Fetal contraction stress test (59020) |
$387 |
$537.50 |
1.7× |
| Fetal non-stress test (59025) |
$292.32 |
$406 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$314.28 |
$436.50 |
0.7× |
| Foreskin manipulation (54450) |
$65.16 |
$90.50 |
0.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$313.56 |
$435.50 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$600.48 |
$834 |
2.5× |
| Hemorrhoidectomy (46255) |
$1,744.02 |
$2,422.25 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,366.56 |
$1,898 |
0.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$743.40 |
$1,032.50 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$605.88 |
$841.50 |
2.3× |
| I&d abscess simple (10060) |
$307.44 |
$427 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$397.26 |
$551.75 |
0.5× |
| I&d submucosal abscess rectum (45005) |
$741.60 |
$1,030 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$1,593.72 |
$2,213.50 |
0.9× |
| Incise external hemorrhoid (46083) |
$563.76 |
$783 |
2.0× |
| Incise finger tendon sheath (26055) |
$592.56 |
$823 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$540.36 |
$750.50 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$887.40 |
$1,232.50 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$723.60 |
$1,005 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$355.50 |
$493.75 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$622.80 |
$865 |
2.8× |
| Incision and drainage perianal abscess superficial (46050) |
$846 |
$1,175 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$415.44 |
$577 |
0.1× |
| Incision extensor tendon sheath wrist (25000) |
$984.24 |
$1,367 |
0.5× |
| Incision of eardrum (69420) |
$419.22 |
$582.25 |
1.6× |
| Incision of rectal abscess (46045) |
$1,879.92 |
$2,611 |
0.6× |
| Incision of rectal abscess (46040) |
$1,469.88 |
$2,041.50 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$365.76 |
$508 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$175.68 |
$244 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$378.72 |
$526 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$141.48 |
$196.50 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$147.96 |
$205.50 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$522 |
$725 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$232.56 |
$323 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$57.60 |
$80 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$182.88 |
$254 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$480.24 |
$667 |
1.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$425.16 |
$590.50 |
1.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$155.16 |
$215.50 |
0.2× |
| Injection for identification of sentinel node (38792) |
$74.88 |
$104 |
0.2× |
| Injection into skin lesions (11900) |
$116.64 |
$162 |
0.5× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$309.96 |
$430.50 |
0.7× |
| Injection sclerosing solution hemorrhoids (46500) |
$400.32 |
$556 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$119.34 |
$165.75 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$190.08 |
$264 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$446.40 |
$620 |
3.1× |
| Insert cath pleura w/o image (32556) |
$1,401.84 |
$1,947 |
0.7× |
| Insert Drug Implant Device (11981) |
$362.52 |
$503.50 |
2.4× |
| Insert non-tunnel cv cath (36556) |
$856.44 |
$1,189.50 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$259.20 |
$360 |
1.7× |
| Insert tunneled cv cath (36561) |
$811.62 |
$1,127.25 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$123.12 |
$171 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,813.50 |
$2,518.75 |
0.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$829.80 |
$1,152.50 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$666.72 |
$926 |
2.5× |
| Knee Arthroscopy/Surgery (29874) |
$2,782.80 |
$3,865 |
0.8× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,087.46 |
$2,899.25 |
0.3× |
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure |
$3,409.20 |
$4,735 |
0.3× |
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure |
$2,084.40 |
$2,895 |
0.2× |
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure |
$878.40 |
$1,220 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,804.32 |
$2,506 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$835.92 |
$1,161 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,962.36 |
$2,725.50 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,840.94 |
$3,945.75 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,548.72 |
$2,151 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,357.28 |
$3,274 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,359 |
$1,887.50 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,936.08 |
$2,689 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$350.64 |
$487 |
1.6× |
| Laryngoscopy flexible diagnostic (31575) |
$253.98 |
$352.75 |
1.1× |
| Laryngoscopy w/biopsy (31535) |
$490.32 |
$681 |
0.1× |
| Laser surgery of eye (65855) |
$299.64 |
$416.17 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$451.80 |
$627.50 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$706.68 |
$981.50 |
0.4× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562)
unusually low: confirm this is the full procedure |
$4,385.16 |
$6,090.50 |
0.5× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,549.44 |
$2,152 |
0.9× |
| Manipulation, wrist, under anesthesia (25259) |
$687.60 |
$955 |
0.4× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,721.60 |
$3,780 |
0.4× |
| Mastectomy for gynecomastia (19300) |
$1,358.64 |
$1,887 |
0.3× |
| Mastectomy partial (19301) |
$1,571.40 |
$2,182.50 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,857.32 |
$3,968.50 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$267.12 |
$371 |
0.3× |
| Nasal endoscopy dx (31231) |
$503.82 |
$699.75 |
2.3× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$1,042.20 |
$1,447.50 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$468.36 |
$650.50 |
0.1× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$980.28 |
$1,361.50 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$569.52 |
$791 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$563.94 |
$783.25 |
0.3× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,225.44 |
$1,702 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$232.20 |
$322.50 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$968.40 |
$1,345 |
0.4× |
| Nipple exploration (19110) |
$977.04 |
$1,357 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$889.92 |
$1,236 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$378.72 |
$526 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,540.08 |
$2,139 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,671.84 |
$2,322 |
2.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$360 |
$500 |
0.8× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$689.04 |
$957 |
0.1× |
Omntc epiploectomy rescj omentum spx (49255)
unusually low: confirm this is the full procedure |
$2,682.36 |
$3,725.50 |
0.4× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,238.76 |
$1,720.50 |
0.3× |
| Open treatment metacarpophalangeal dislocation (26715) |
$3,259.44 |
$4,527 |
0.9× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,894.32 |
$2,631 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$2,608.20 |
$3,622.50 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,074.40 |
$4,270 |
0.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,165.28 |
$7,174 |
0.6× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,711.44 |
$2,377 |
0.2× |
P-mastectomy w/ln removal (19302)
likely a partial charge, not the full procedure |
$752.76 |
$1,045.50 |
0.1× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,488.60 |
$2,067.50 |
0.4× |
| Perq dev breast 1st strtctc (19283) |
$529.56 |
$735.50 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$1,224.72 |
$1,701 |
1.6× |
| Perq device breast 1st imag (19281) |
$625.32 |
$868.50 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$612.72 |
$851 |
0.8× |
| Picc line placement (36569) |
$1,145.16 |
$1,590.50 |
0.7× |
| Placement of seton (46020) |
$676.80 |
$940 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$263.52 |
$366 |
0.3× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$180.84 |
$251.16 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$306 |
$425 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$321.48 |
$446.50 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$315 |
$437.50 |
0.7× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,521.24 |
$6,279.50 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$5,922.72 |
$8,226 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$4,442.40 |
$6,170 |
1.4× |
| Removal foreign body foot deep (28192) |
$1,181.88 |
$1,641.50 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$391.68 |
$544 |
0.5× |
| Removal foreign body intranasal (30300) |
$383.58 |
$532.75 |
2.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$507.42 |
$704.75 |
0.3× |
| Removal foreign body pharynx (42809) |
$555.84 |
$772 |
1.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$727.20 |
$1,010 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$34.20 |
$47.50 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$127.08 |
$176.50 |
1.9× |
| Removal implant deep (20680) |
$1,170 |
$1,625 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$315 |
$437.50 |
0.4× |
| Removal of arm foreign body (24200) |
$385.92 |
$536 |
0.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,114.92 |
$1,548.50 |
0.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$329.76 |
$458 |
0.7× |
| Removal of implant from finger or hand (26320) |
$742.68 |
$1,031.50 |
0.4× |
| Removal of iud (58301) |
$213.48 |
$296.50 |
0.6× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$673.20 |
$935 |
0.1× |
| Removal of tonsils (42826) |
$647.64 |
$899.50 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$539.28 |
$749 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$227.88 |
$316.50 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$406.80 |
$565 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$142.92 |
$198.50 |
0.5× |
| Remove anal fist subq (46270) |
$888.84 |
$1,234.50 |
0.3× |
| Remove drug implant device (11982) |
$428.22 |
$594.75 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$1,296.72 |
$1,801 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$1,728.72 |
$2,401 |
1.0× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,132.56 |
$1,573 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$580.32 |
$806 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,558.44 |
$2,164.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$213.12 |
$296 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$282.24 |
$392 |
1.9× |
| Repair arm/leg nerve (64857) |
$2,306.16 |
$3,203 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,132.56 |
$1,573 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,302.48 |
$1,809 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,014.12 |
$1,408.50 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,138.86 |
$1,581.75 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$868.32 |
$1,206 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,027.62 |
$1,427.25 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$552.24 |
$767 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$942.66 |
$1,309.25 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,044.26 |
$2,839.25 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$1,366.56 |
$1,898 |
0.4× |
| Repair hand tendon (26410) |
$3,441.60 |
$4,780 |
1.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,346.48 |
$3,259 |
0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,589.04 |
$2,207 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,266.56 |
$3,148 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,930.68 |
$2,681.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,623.24 |
$2,254.50 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$705.60 |
$980 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$752.76 |
$1,045.50 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$737.28 |
$1,024 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,217.88 |
$1,691.50 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,150.56 |
$1,598 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$627.12 |
$871 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$606.82 |
$842.81 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$880.20 |
$1,222.50 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,006.38 |
$1,397.75 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$563.76 |
$783 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$709.02 |
$984.75 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,049.76 |
$1,458 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$687.60 |
$955 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,483.74 |
$2,060.75 |
0.6× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,480.04 |
$3,444.50 |
0.4× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,755 |
$2,437.50 |
0.2× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
$609.84 |
$847 |
0.2× |
| Repair of nail bed (11760) |
$628.56 |
$873 |
0.8× |
| Repair of nasal septum (30520) |
$1,574.28 |
$2,186.50 |
0.4× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$2,218.32 |
$3,081 |
0.6× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$2,302.20 |
$3,197.50 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,936.08 |
$2,689 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,201.32 |
$1,668.50 |
0.3× |
| Repair Tongue Laceration (41250) |
$1,010.52 |
$1,403.50 |
2.0× |
| Repair tympanic membrane (69610) |
$978.84 |
$1,359.50 |
0.6× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
likely a partial charge, not the full procedure |
$1,225.44 |
$1,702 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,697.40 |
$2,357.50 |
1.7× |
| Revise ulnar nerve at elbow (64718) |
$1,285.92 |
$1,786 |
0.6× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$3,466.44 |
$4,814.50 |
0.5× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)
unusually low: confirm this is the full procedure |
$2,695.68 |
$3,744 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$363.96 |
$505.50 |
2.5× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$307.44 |
$427 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,332.18 |
$1,850.25 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$633.60 |
$880 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$448.62 |
$623.08 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$362.16 |
$503 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,699.20 |
$2,360 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$780.48 |
$1,084 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,216.80 |
$1,690 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,306.44 |
$1,814.50 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,084.68 |
$1,506.50 |
0.2× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,693.08 |
$2,351.50 |
2.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,077.08 |
$7,051.50 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$143.66 |
$199.53 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$112.24 |
$155.88 |
0.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$207 |
$287.50 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$255.96 |
$355.50 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$294.48 |
$409 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$202.32 |
$281 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$317.16 |
$440.50 |
1.4× |
| Sigmoidoscopy w/biopsy (45331) |
$852.12 |
$1,183.50 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,229.04 |
$1,707 |
2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$275.40 |
$382.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$459.36 |
$638 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$692.28 |
$961.50 |
3.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$845.64 |
$1,174.50 |
3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$226.44 |
$314.50 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$864.72 |
$1,201 |
3.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$692.28 |
$961.50 |
3.1× |
| Skin splt grft trnk/arm/leg (15100) |
$2,076.12 |
$2,883.50 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$523.98 |
$727.75 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$730.08 |
$1,014 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$883.08 |
$1,226.50 |
1.9× |
| Sphincterotomy anal division sphincter spx (46080) |
$467.64 |
$649.50 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$437.04 |
$607 |
0.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,310.40 |
$1,820 |
0.4× |
| Strapping ankle (29540) |
$128.88 |
$179 |
0.7× |
| Strapping hand/finger (29280) |
$107.64 |
$149.50 |
1.6× |
| Strapping knee (29530) |
$164.16 |
$228 |
1.1× |
| Strapping shoulder (29240) |
$142.92 |
$198.50 |
1.0× |
| Strapping toes (29550) |
$83.16 |
$115.50 |
1.3× |
| Strapping unna boot (29580) |
$200.88 |
$279 |
1.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,238.76 |
$1,720.50 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$239.94 |
$333.25 |
0.5× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,607.76 |
$2,233 |
0.2× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,026 |
$1,425 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,399.14 |
$1,943.25 |
2.0× |
| Thyroid biopsy (60100) |
$389.16 |
$540.50 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$774 |
$1,075 |
0.2× |
| Tracheotomy tube change (31502) |
$240.66 |
$334.25 |
0.9× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$993.96 |
$1,380.50 |
0.4× |
| Treat clavicle dislocation (23540) |
$962.64 |
$1,337 |
3.5× |
| Treat humerus fracture (24500) |
$1,405.44 |
$1,952 |
5.1× |
| Treat humerus fracture (23600) |
$1,282.68 |
$1,781.50 |
4.7× |
| Treat Metatarsal Fracture (28475) |
$1,225.80 |
$1,702.50 |
4.5× |
| Treat shoulder blade fx (23575) |
$1,681.20 |
$2,335 |
0.9× |
| Treat Thumb Dislocation (26641) |
$1,258.20 |
$1,747.50 |
4.6× |
| Treat wrist bone fracture (25622) |
$1,302.12 |
$1,808.50 |
4.7× |
| Treat Wrist Bone Fracture (25630) |
$1,171.44 |
$1,627 |
4.3× |
| Treatment closed elbow dislocation req anes (24605) |
$2,183.04 |
$3,032 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,037.52 |
$1,441 |
3.8× |
| Trim skin lesion (11055) |
$95.04 |
$132 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$107.64 |
$149.50 |
0.5× |
| Tube thoracostomy includes water seal (32551) |
$701.64 |
$974.50 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,473.92 |
$3,436 |
0.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,133.44 |
$4,352 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$773.28 |
$1,074 |
0.9× |
| Tympanostomy (69433) |
$440.82 |
$612.25 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$392.40 |
$545 |
0.2× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$577.80 |
$802.50 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$928.08 |
$1,289 |
0.1× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure |
$2,392.20 |
$3,322.50 |
0.4× |
| Unlisted procedure dentoalveolar structures (41899) |
$2,831.04 |
$3,932 |
10.7× |
| Unlisted procedure excision pressure ulcer (15999) |
$393.12 |
$546 |
0.5× |
| Unlisted procedure shoulder (23929) |
$486 |
$675 |
1.8× |
| Unlisted procedure, hands or fingers (26989) |
$245.88 |
$341.50 |
0.9× |
| Us urine capacity measure (51798) |
$192.24 |
$267 |
2.9× |
| Vaginal delivery only (59409) |
$3,140.28 |
$4,361.50 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$594.18 |
$825.25 |
0.3× |
| Venipuncture (36415) |
$23.76 |
$33 |
2.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$325.44 |
$452 |
0.1× |
| Wedge excision skin nail fold (11765) |
$279.36 |
$388 |
0.6× |
| Wedging of cast (29740) |
$196.56 |
$273 |
0.6× |
| Windowing of cast (29730) |
$128.52 |
$178.50 |
0.7× |
Xcpsl ctrc rmvl cplx insj 1+ (66989)
likely a partial charge, not the full procedure |
$1,137.84 |
$1,580.33 |
0.2× |