| Abd paracentesis (49082) |
$208.03 |
$277.37 |
0.2× |
| Abd paracentesis w/imaging (49083) |
$475.84 |
$634.45 |
0.5× |
| Acne surgery (10040) |
$289.11 |
$385.48 |
1.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$2,322.06 |
$3,096.08 |
0.7× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$859.29 |
$1,145.72 |
0.2× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$637.14 |
$849.51 |
0.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,884.56 |
$2,512.74 |
0.9× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$747.09 |
$996.12 |
0.4× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$690.90 |
$921.20 |
0.3× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$494.09 |
$658.78 |
0.2× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$634.55 |
$846.07 |
0.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$802.84 |
$1,070.45 |
0.4× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$553.41 |
$737.88 |
0.3× |
| Amputation of toe (28820) |
$4,297.29 |
$5,729.72 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$4,297.29 |
$5,729.72 |
1.3× |
| Anoscopy diagnostic (46600) |
$204.75 |
$273 |
1.5× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$348 |
$464 |
0.5× |
| Appendectomy (44950) |
$4,828.01 |
$6,437.34 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$128.58 |
$171.44 |
2.1× |
| Application finger splint static (29130) |
$84.53 |
$112.70 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$138.41 |
$184.55 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$131.51 |
$175.35 |
1.0× |
| Application of short leg cast (below knee to toes); (29405) |
$183.46 |
$244.61 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$157.56 |
$210.08 |
0.9× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$119.08 |
$158.76 |
0.7× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$48.75 |
$65 |
0.3× |
| Application, cast; shoulder to hand (long arm) (29065) |
$151.52 |
$202.02 |
0.5× |
| Apply long arm splint (29105) |
$98.28 |
$131.04 |
0.6× |
| Apply splint short arm dynamic (29126) |
$171.98 |
$229.31 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$104.42 |
$139.23 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$133.90 |
$178.54 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$150.31 |
$200.41 |
0.5× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$3,786 |
$5,048 |
1.1× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) |
$9,336.60 |
$12,448.80 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,549.54 |
$23,399.38 |
1.0× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Age Under 21 (27441) |
$9,697.51 |
$12,930.01 |
0.7× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$9,336.60 |
$12,448.80 |
1.3× |
| Arthroscopy, elbow, surgical; synovectomy, partial Age Under 21 (29835) |
$4,297.29 |
$5,729.72 |
1.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$3,309.68 |
$4,412.90 |
1.0× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$2,322.06 |
$3,096.08 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$4,297.29 |
$5,729.72 |
1.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$4,297.29 |
$5,729.72 |
1.3× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$369.37 |
$492.49 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$4,297.29 |
$5,729.72 |
1.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$9,336.60 |
$12,448.80 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$2,149.06 |
$2,865.41 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$4,297.29 |
$5,729.72 |
1.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$2,322.06 |
$3,096.08 |
0.7× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$7,248.15 |
$9,664.20 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$7,248.15 |
$9,664.20 |
1.0× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age… (23101) |
$3,309.68 |
$4,412.90 |
1.0× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$2,790.75 |
$3,721 |
0.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,311.69 |
$1,748.92 |
0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$877.15 |
$1,169.53 |
0.5× |
| Aspirate pleura w/o imaging (32554) |
$307.94 |
$410.59 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$117.94 |
$157.25 |
0.4× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$157.32 |
$209.77 |
0.8× |
| Biopsy external ear (69100) |
$187.20 |
$249.60 |
0.8× |
| Biopsy lip (40490) |
$264.60 |
$352.80 |
1.1× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$210.48 |
$280.64 |
0.1× |
| Biopsy of cervix (57500) |
$229.32 |
$305.76 |
0.2× |
| Biopsy of eyelid (67810) |
$118.23 |
$157.64 |
0.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,106.86 |
$1,475.81 |
1.2× |
| Biopsy of uterus lining (58100) |
$199.84 |
$266.45 |
1.0× |
| Biopsy vulva/perineum 1 lesion (56605) |
$447.17 |
$596.23 |
0.5× |
| Bladder irrigation (51700) |
$530.40 |
$707.20 |
2.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$665.03 |
$886.70 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,993.10 |
$2,657.46 |
1.2× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$500.41 |
$667.21 |
0.1× |
| Cast short arm (29075) |
$118.76 |
$158.34 |
0.4× |
| Chemical cauterization of granulation tissue (17250) |
$90.09 |
$120.12 |
0.4× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$299.75 |
$399.67 |
1.0× |
| Chest tube placement (32551) |
$401.31 |
$535.08 |
0.2× |
| Circumcision, Newborn (54150) |
$864.32 |
$1,152.42 |
0.4× |
| Claviculectomy; partial Age Under 21 (23120) |
$4,092.66 |
$5,456.88 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$452.91 |
$603.88 |
1.8× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$647.01 |
$862.68 |
2.6× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$286.65 |
$382.20 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$615.07 |
$820.09 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$449.63 |
$599.51 |
1.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$177.72 |
$236.96 |
0.7× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$728.50 |
$971.34 |
2.9× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$162.98 |
$217.31 |
0.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$477.48 |
$636.64 |
1.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$506.96 |
$675.95 |
2.0× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$679.77 |
$906.36 |
2.7× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$810.81 |
$1,081.08 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$552.01 |
$736.01 |
2.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$488.94 |
$651.92 |
1.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$204.75 |
$273 |
0.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,321.87 |
$1,762.49 |
0.8× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$372.65 |
$496.86 |
1.5× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$792.80 |
$1,057.06 |
0.5× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$571.67 |
$762.22 |
2.3× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$537.26 |
$716.35 |
2.1× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$375.92 |
$501.23 |
1.5× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$188.37 |
$251.16 |
0.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$573.30 |
$764.40 |
2.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$417.69 |
$556.92 |
1.7× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$787.06 |
$1,049.41 |
3.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$429.98 |
$573.30 |
1.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$726.45 |
$968.60 |
0.4× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$758.39 |
$1,011.19 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$352.17 |
$469.56 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,133.50 |
$1,511.33 |
4.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$837.84 |
$1,117.12 |
0.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,021.29 |
$1,361.72 |
0.6× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$433.25 |
$577.67 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$868.14 |
$1,157.52 |
3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$936.12 |
$1,248.16 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$408.08 |
$544.10 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,268.63 |
$1,691.51 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$621.62 |
$828.83 |
2.5× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$582.31 |
$776.41 |
2.3× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$615.89 |
$821.18 |
2.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,032.76 |
$1,377.01 |
0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$721.54 |
$962.05 |
2.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$639.64 |
$852.85 |
2.5× |
| Collect blood from catheter venous nos (36592) |
$91.26 |
$121.68 |
0.7× |
| Collect blood from implant venous access device (36591) |
$91.26 |
$121.68 |
0.7× |
| Colonoscopy flexible with decompression (45393) |
$982.80 |
$1,310.40 |
0.8× |
| Colonoscopy thru stoma spx (44388) |
$656.79 |
$875.72 |
0.7× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$6,195.32 |
$8,260.44 |
0.8× |
| Colposcopy cervix (57452) |
$249.80 |
$333.06 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$372.65 |
$496.86 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$290.75 |
$387.66 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$834.56 |
$1,112.75 |
0.7× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$786.24 |
$1,048.32 |
0.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$165.28 |
$220.37 |
1.2× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$140.05 |
$186.73 |
1.0× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$724.82 |
$966.42 |
0.2× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$1,701.06 |
$2,268.08 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$396.40 |
$528.53 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$380.84 |
$507.78 |
1.6× |
| Curettage postpartum (59160) |
$718.26 |
$957.68 |
0.2× |
| Cystourethroscopy (52000) |
$685.92 |
$914.55 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$945.95 |
$1,261.26 |
1.3× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$125.31 |
$167.08 |
0.3× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$66.34 |
$88.45 |
1.1× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$282.56 |
$376.74 |
4.7× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$305.49 |
$407.32 |
0.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$948.22 |
$1,264.30 |
0.6× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$585.18 |
$780.24 |
0.8× |
| Declot vascular device (36593) |
$553.80 |
$738.40 |
1.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$2,151.51 |
$2,868.68 |
1.3× |
| Destruct lesion 15 or more (17111) |
$165.44 |
$220.58 |
0.8× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$159.95 |
$213.27 |
0.8× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$550.19 |
$733.58 |
1.3× |
| Destruction benign lesions up to 14 (17110) |
$233.42 |
$311.22 |
1.1× |
| Destruction internal hemorrhoid thermal energy (46930) |
$438.98 |
$585.31 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,750.32 |
$2,333.76 |
0.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$345.61 |
$460.81 |
0.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$266.92 |
$355.89 |
0.6× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$504.67 |
$672.89 |
0.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$160.16 |
$213.54 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$192.59 |
$256.79 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$139.28 |
$185.70 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$182.43 |
$243.24 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$112.01 |
$149.34 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$181 |
$241.33 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$162.95 |
$217.26 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$149.31 |
$199.08 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$294.84 |
$393.12 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$226.86 |
$302.48 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$136.58 |
$182.10 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$219.80 |
$293.06 |
0.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$160.65 |
$214.20 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$127.94 |
$170.58 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$192.10 |
$256.13 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$224.24 |
$298.98 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$338.25 |
$451 |
0.4× |
| Drain neck/chest lesion (21501) |
$821.46 |
$1,095.28 |
0.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,817.36 |
$2,423.15 |
0.9× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,336.61 |
$1,782.14 |
0.7× |
| Ed proc insert intraosseous IV (36680) |
$70.20 |
$93.60 |
0.2× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$278.46 |
$371.28 |
2.1× |
| Ed proc remve fb nasal- hospital (30300) |
$145.79 |
$194.38 |
1.1× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$160.68 |
$214.24 |
1.2× |
| Ed prof burn - large - hospital (16030) |
$252.26 |
$336.34 |
0.6× |
| Ed prof burn medium - hospital (16025) |
$142.51 |
$190.01 |
0.7× |
| Ed prof burn small - hospital (16020) |
$85.18 |
$113.57 |
0.4× |
| Ed prof catheterization/straight (51701) |
$156.94 |
$209.25 |
1.2× |
| Ed prof insert foley cath simple (51702) |
$126.94 |
$169.26 |
0.9× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$99.84 |
$133.12 |
0.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$428.34 |
$571.12 |
1.0× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$339.07 |
$452.09 |
0.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$191.65 |
$255.53 |
0.8× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$503.10 |
$670.80 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$843.57 |
$1,124.76 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,248.16 |
$1,664.21 |
1.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$730.55 |
$974.06 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,248.16 |
$1,664.21 |
1.3× |
| Evac subungual hematoma (11740) |
$79.44 |
$105.92 |
0.6× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$521.70 |
$695.60 |
0.7× |
| Exc forearm les sc 3 cm/> (25071) |
$563.48 |
$751.30 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,170 |
$1,560 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$262.08 |
$349.44 |
0.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$309.18 |
$412.23 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$646.19 |
$861.59 |
0.4× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$396.02 |
$528.04 |
0.5× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$231.32 |
$308.43 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,253.07 |
$3,004.09 |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,170 |
$1,560 |
0.7× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,170 |
$1,560 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,253.07 |
$3,004.09 |
1.3× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$2,151.51 |
$2,868.68 |
1.3× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$3,895.98 |
$5,194.64 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$253.07 |
$337.43 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$411.14 |
$548.18 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$404.59 |
$539.45 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$497.96 |
$663.94 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$293.21 |
$390.94 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$347.26 |
$463.01 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$414.41 |
$552.55 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$541.36 |
$721.81 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$641.28 |
$855.04 |
0.4× |
| Excision multiple external papillae/tags anus (46230) |
$3,824.73 |
$5,099.64 |
1.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$1,603.68 |
$2,138.24 |
1.6× |
| Excision of single external papilla or tag, anus (46220) |
$150.70 |
$200.93 |
0.1× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$4,297.29 |
$5,729.72 |
1.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$401.31 |
$535.08 |
0.3× |
| Excision olecranon bursa (24105) |
$4,297.29 |
$5,729.72 |
1.3× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$620.81 |
$827.74 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$869.78 |
$1,159.70 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,170 |
$1,560 |
0.7× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,711.54 |
$2,282.04 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,170 |
$1,560 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$438.53 |
$584.70 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,298.12 |
$1,730.82 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$165.44 |
$220.58 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$398.03 |
$530.71 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$344.39 |
$459.18 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$552.33 |
$736.44 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$321.05 |
$428.06 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$414.41 |
$552.55 |
0.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$668.30 |
$891.07 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$787.06 |
$1,049.41 |
0.5× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$654.38 |
$872.51 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$208.03 |
$277.37 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$722.36 |
$963.14 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$301.40 |
$401.86 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$291.16 |
$388.20 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$172.81 |
$230.41 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$707.62 |
$943.49 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,948.40 |
$2,597.87 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$2,015.52 |
$2,687.36 |
0.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$3,895.98 |
$5,194.64 |
1.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,170 |
$1,560 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$2,253.07 |
$3,004.09 |
1.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$1,154.62 |
$1,539.48 |
0.7× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,015.52 |
$2,687.36 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,170 |
$1,560 |
0.7× |
| Fasciectomy plantar fascia partial spx (28060) |
$1,097.46 |
$1,463.28 |
0.3× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$574.52 |
$766.04 |
1.4× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$989.82 |
$1,319.76 |
0.5× |
| Hair removal by electrolysis, each 30 minutes (17380) |
$83.54 |
$111.38 |
0.1× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$889.43 |
$1,185.91 |
0.3× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$648.96 |
$865.28 |
0.7× |
| Hysteroscopy biopsy (58558) |
$1,105.65 |
$1,474.20 |
0.3× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$3,616.08 |
$4,821.44 |
0.7× |
| I&d abscess simple/single (10060) |
$269.45 |
$359.27 |
1.3× |
| I&d hematoma/seroma/fluid (10140) |
$256.35 |
$341.80 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$949.22 |
$1,265.63 |
1.3× |
| Incise external hemorrhoid (46083) |
$185.91 |
$247.88 |
0.7× |
| Incise finger tendon sheath (26055) |
$1,635.40 |
$2,180.54 |
1.0× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$476.25 |
$635 |
1.1× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$569.21 |
$758.94 |
0.2× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,220.31 |
$1,627.08 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$327.60 |
$436.80 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$227.68 |
$303.58 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$2,151.51 |
$2,868.68 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$319.41 |
$425.88 |
0.2× |
| Incision of rectal abscess (46040) |
$1,024.57 |
$1,366.09 |
0.8× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$635.70 |
$847.60 |
1.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$76.99 |
$102.65 |
0.4× |
| Inj epidural blood or clot patch (62273) |
$540.93 |
$721.24 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$846.44 |
$1,128.58 |
0.9× |
| Inj paravert f jnt l/s 1 lev (64493) |
$825.55 |
$1,100.74 |
0.9× |
| Inj tx nerve (64640) |
$780.50 |
$1,040.68 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$512.46 |
$683.28 |
0.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$743.42 |
$991.23 |
0.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$64.74 |
$86.32 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$413.79 |
$551.72 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$674.70 |
$899.60 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$208.85 |
$278.46 |
0.7× |
| Injection sclerosing solution hemorrhoids (46500) |
$152.33 |
$203.11 |
0.2× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$409.89 |
$546.52 |
0.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$119.78 |
$159.70 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$147.42 |
$196.56 |
0.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$123.70 |
$164.94 |
0.4× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,160.12 |
$1,546.82 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$96.24 |
$128.31 |
0.5× |
| Insert cervical dilator (59200) |
$272.73 |
$363.64 |
0.9× |
| Insert drug implant device (11981) |
$295.66 |
$394.21 |
2.2× |
| Insert pessary/other device (57160) |
$204.75 |
$273 |
1.0× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$518.70 |
$691.60 |
2.3× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$233.42 |
$311.23 |
0.1× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
unusually low — confirm this is the full procedure |
$11,884.08 |
$15,845.44 |
0.4× |
| Intubation endotracheal (31500) |
$419.64 |
$559.52 |
1.7× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
unusually low — confirm this is the full procedure |
$2,334.15 |
$3,112.20 |
0.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,066.14 |
$5,421.52 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$8,003.27 |
$10,671.02 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573) |
$12,681.40 |
$16,908.53 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$8,306.30 |
$11,075.06 |
0.8× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$2,987.72 |
$3,983.62 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure |
$1,597.05 |
$2,129.40 |
0.3× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$3,097.77 |
$4,130.36 |
0.5× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
unusually low — confirm this is the full procedure |
$1,965.60 |
$2,620.80 |
0.3× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$5,074.52 |
$6,766.03 |
0.8× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low — confirm this is the full procedure |
$1,941.03 |
$2,588.04 |
0.3× |
| Lumbar puncture (62270) |
$332.20 |
$442.94 |
0.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$2,151.51 |
$2,868.68 |
1.3× |
| Mastotomy expl drg absc dp (19020) |
$485.67 |
$647.56 |
0.3× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$111.54 |
$148.72 |
1.9× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$1,492.27 |
$1,989.69 |
2.0× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$1,027.26 |
$1,369.68 |
1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,635.40 |
$2,180.54 |
1.0× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,672.39 |
$3,563.18 |
1.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$2,672.40 |
$3,563.20 |
1.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,253.07 |
$1,670.76 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$590.20 |
$786.92 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,009.28 |
$1,345.71 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$665.34 |
$887.12 |
0.7× |
| Non stress test (59025) |
$116.90 |
$155.87 |
0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$9,336.60 |
$12,448.80 |
1.3× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579) |
$17,549.54 |
$23,399.38 |
1.3× |
| Open tx distal fibular fracture lat malleolus (27792) |
$9,336.60 |
$12,448.80 |
1.3× |
| Open tx distal phalangeal fracture each (26765) |
$722.36 |
$963.14 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,478.30 |
$1,971.06 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$723.18 |
$964.24 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$773.14 |
$1,030.85 |
0.2× |
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310)
likely a partial charge — not the full procedure |
$736.28 |
$981.71 |
0.1× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$859.13 |
$1,145.51 |
0.3× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$4,297.29 |
$5,729.72 |
1.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$127.76 |
$170.35 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$144.56 |
$192.74 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$250.18 |
$333.56 |
1.2× |
| Placement of seton (46020) |
$212.94 |
$283.92 |
0.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250) |
$4,325.14 |
$5,766.85 |
0.8× |
Prq impltj nstim electrode array epidural (63650)
unusually low — confirm this is the full procedure |
$3,048.54 |
$4,064.71 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$122.14 |
$162.86 |
0.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$119.57 |
$159.43 |
0.3× |
| Puncture aspiration of cyst of breast (19000) |
$135.95 |
$181.27 |
0.2× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24344) |
$9,336.60 |
$12,448.80 |
1.3× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24346) |
$17,409.14 |
$23,212.18 |
1.3× |
| Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420) |
$4,961.25 |
$6,615 |
0.7× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge — not the full procedure |
$1,308.75 |
$1,745 |
0.2× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$7,248.15 |
$9,664.20 |
1.0× |
| Relieve pressure on nerve(s) (64722) |
$2,672.40 |
$3,563.20 |
1.3× |
| Removal foreign body mouth (40804) |
$234.23 |
$312.31 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$36 |
$48 |
0.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$100.80 |
$134.40 |
1.7× |
| Removal implant deep (20680) |
$1,358.29 |
$1,811.06 |
0.5× |
| Removal implant from finger/hand (26320) |
$1,711.54 |
$2,282.04 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$268.64 |
$358.18 |
0.4× |
| Removal of appendix using an endoscope (44970) |
$4,472.15 |
$5,962.86 |
0.7× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$3,309.68 |
$4,412.90 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$120.70 |
$160.94 |
0.3× |
| Removal of iud (58301) |
$159.52 |
$212.69 |
0.5× |
| Removal of nail bed (11750) |
$650.70 |
$867.60 |
1.6× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$2,130.22 |
$2,840.29 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$112.20 |
$149.60 |
0.5× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$75.35 |
$100.46 |
0.3× |
| Removal tunneled cv cath (36590) |
$683.87 |
$911.82 |
0.4× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$471.74 |
$628.99 |
1.0× |
| Removal, non-biodegradable drug delivery implant (11982) |
$339.89 |
$453.18 |
0.7× |
| Remove stent via transureth (50386) |
$642.10 |
$856.13 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$488.12 |
$650.83 |
1.2× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$876.71 |
$1,168.94 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$655.81 |
$874.41 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$443.08 |
$590.77 |
0.6× |
| Repair finger tendon (26418) |
$2,151.51 |
$2,868.68 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$3,795.38 |
$5,060.51 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$291.56 |
$388.75 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$481.98 |
$642.64 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$547.10 |
$729.46 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$718.26 |
$957.68 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$469.29 |
$625.72 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$244.07 |
$325.42 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$448 |
$597.32 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$368.55 |
$491.40 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$543 |
$724 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$460.69 |
$614.25 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$540.54 |
$720.72 |
0.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$407.04 |
$542.72 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$432.99 |
$577.32 |
1.0× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$443.61 |
$591.48 |
1.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$9,336.60 |
$12,448.80 |
1.3× |
| Repair wrist joints (25447) |
$3,459.40 |
$4,612.52 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,024.20 |
$1,365.59 |
1.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,162.98 |
$1,550.64 |
1.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$351.35 |
$468.47 |
0.8× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$307.94 |
$410.59 |
0.4× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure |
$933 |
$1,244 |
0.1× |
| Revise ulnar nerve at elbow (64718) |
$2,037.42 |
$2,716.56 |
1.0× |
| Revision of cervix (59320) |
$620.81 |
$827.74 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
unusually low — confirm this is the full procedure |
$4,717.44 |
$6,289.92 |
0.4× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$4,717.44 |
$6,289.92 |
1.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$143.33 |
$191.10 |
1.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$136.77 |
$182.36 |
1.0× |
| Rmvl of access device (36589) |
$385.75 |
$514.33 |
0.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,027.79 |
$1,370.38 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$992.25 |
$1,323 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,528.25 |
$10,037.66 |
2.1× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$3,158.48 |
$4,211.30 |
0.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,000.82 |
$1,334.42 |
0.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$146.74 |
$195.66 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$122.03 |
$162.71 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$124.49 |
$165.98 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$141.69 |
$188.92 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$141.69 |
$188.92 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$306.34 |
$408.45 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$164.62 |
$219.49 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$194.10 |
$258.80 |
0.5× |
| Simple partial removal of external female genitals (56620) |
$2,205.84 |
$2,941.12 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$252.26 |
$336.34 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$276.83 |
$369.10 |
1.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$326.78 |
$435.71 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$395.58 |
$527.44 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$409.50 |
$546 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$197.38 |
$263.17 |
1.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$533.99 |
$711.98 |
2.6× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$360.36 |
$480.48 |
0.9× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$491.40 |
$655.20 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$296.48 |
$395.30 |
1.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$4,532.78 |
$6,043.70 |
0.9× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$237.14 |
$316.20 |
1.2× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$384.11 |
$512.15 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$458.64 |
$611.52 |
1.1× |
| Strapping ankle (29540) |
$56.51 |
$75.35 |
0.3× |
| Strapping unna boot (29580) |
$157.25 |
$209.66 |
0.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,454.23 |
$1,938.98 |
1.9× |
| Tangential biopsy skin single lesion (11102) |
$689.52 |
$919.36 |
1.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$3,632.07 |
$4,842.76 |
1.1× |
| Tenodesis long tendon biceps (23430) |
$5,159.70 |
$6,879.60 |
0.7× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,322.06 |
$3,096.08 |
0.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$336.61 |
$448.81 |
0.5× |
Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy (32601)
likely a partial charge — not the full procedure |
$881.24 |
$1,174.99 |
0.1× |
| Total knee arthroplasty (27447) |
$17,549.54 |
$23,399.38 |
1.3× |
| Transfusion, blood or blood components (36430) |
$730.97 |
$974.62 |
1.6× |
| Treat finger dislocation (26775) |
$432.44 |
$576.58 |
1.5× |
| Treat fx rad extra-articul (25607) |
$9,114.30 |
$12,152.40 |
1.2× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$600.33 |
$800.44 |
0.4× |
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure |
$1,634.25 |
$2,179 |
0.2× |
| Trimming of nondystrophic nails, any number (11719) |
$52.42 |
$69.89 |
0.9× |
| Tx superficial wound dehiscence simple closure (12020) |
$647.01 |
$862.68 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$378.38 |
$504.50 |
0.9× |
| Unlisted procedure, dentoalveolar structures (41899) |
$338.25 |
$451 |
1.4× |
| Vaginal delivery (59409) |
$1,983.62 |
$2,644.82 |
0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262) |
$3,931.20 |
$5,241.60 |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$4,750.20 |
$6,333.60 |
0.9× |
| Venipuncture (36415) |
$13.10 |
$17.47 |
1.4× |
| Wedge excision skin nail fold (11765) |
$225.23 |
$300.30 |
0.5× |