| Abd paracentesis w/imaging (49083) |
$738.40 |
$923 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$738.80 |
$923.50 |
0.9× |
| Ablate inf turbinate submuc (30802) |
$478.40 |
$598 |
0.3× |
| Abortion (59841) |
$708 |
$885 |
0.2× |
Acetabuloplasty Resection Femoral Head (27122)
likely a partial charge, not the full procedure |
$1,726.40 |
$2,158 |
0.3× |
| Acne Surgery (10040) |
$165.60 |
$207 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$887.20 |
$1,109 |
0.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$913.20 |
$1,141.50 |
0.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,701.60 |
$2,127 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,559.20 |
$1,949 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,086.80 |
$1,358.50 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,446.40 |
$1,808 |
0.8× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,195.60 |
$1,494.50 |
0.6× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$702.40 |
$878 |
0.1× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$861.20 |
$1,076.50 |
0.3× |
| Amputate metacarpal bone (26910) |
$1,178.80 |
$1,473.50 |
0.4× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,066 |
$1,332.50 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,668.20 |
$2,085.25 |
0.6× |
| Amputation Foot Midtarsal (28800) |
$884 |
$1,105 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$890.40 |
$1,113 |
0.3× |
| Amputation of finger/thumb (26952) |
$3,498.40 |
$4,373 |
1.2× |
Amputation Of Foot At Ankle (27889)
likely a partial charge, not the full procedure |
$961.60 |
$1,202 |
0.1× |
| Amputation thigh through femur any level (27590) |
$1,216.40 |
$1,520.50 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$2,418.40 |
$3,023 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$673.20 |
$841.50 |
0.2× |
| Amputation, foot; transmetatarsal (28805) |
$1,645.60 |
$2,057 |
0.5× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,521.60 |
$1,902 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,053.60 |
$1,317 |
0.4× |
Ankle arthroscopy/surgery (29892)
likely a partial charge, not the full procedure |
$1,057.60 |
$1,322 |
0.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,086.80 |
$1,358.50 |
0.4× |
| Ankle scope,part synovectomy (29895) |
$740 |
$925 |
0.2× |
| Anoscopy control bleeding (46614) |
$98.80 |
$123.50 |
0.1× |
| Anoscopy diagnostic (46600) |
$153.60 |
$192 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$374.40 |
$468 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$285.60 |
$357 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$194.80 |
$243.50 |
0.1× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$1,086.80 |
$1,358.50 |
0.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,056.80 |
$1,321 |
0.2× |
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure |
$1,304.40 |
$1,630.50 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,348 |
$1,685 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$458.40 |
$573 |
3.1× |
| Application cast elbow finger short arm (29075) |
$592.40 |
$740.50 |
2.3× |
| Application Cast Finger (29086) |
$82.80 |
$103.50 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$325.80 |
$407.25 |
2.2× |
| Application cast shoulder hand long arm (29065) |
$327.20 |
$409 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$170.20 |
$212.75 |
3.1× |
| Application finger splint static (29130) |
$281.20 |
$351.50 |
2.3× |
| Application Hip Spica Cast 1 Leg (29305) |
$362.80 |
$453.50 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$342.40 |
$428 |
2.3× |
| Application long leg splint thigh ankle/toes (29505) |
$311.60 |
$389.50 |
2.1× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$1,760 |
$2,200 |
0.1× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$936.40 |
$1,170.50 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$161.20 |
$201.50 |
0.6× |
| Application of long leg cast (29345) |
$313.60 |
$392 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$396 |
$495 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$256.80 |
$321 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$209 |
$261.25 |
1.7× |
| Application short leg splint calf foot (29515) |
$311.60 |
$389.50 |
2.1× |
| Application, cast; figure-of-eight (29049) |
$174 |
$217.50 |
0.7× |
| Apply short leg cast (29405) |
$233.80 |
$292.25 |
0.9× |
| Apply short leg cast (29425) |
$275.40 |
$344.25 |
1.1× |
| Arterial puncture (36600) |
$76 |
$95 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$279.80 |
$349.75 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$133.60 |
$167 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$287.80 |
$359.75 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$302.40 |
$378 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$95.60 |
$119.50 |
0.3× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$1,655.60 |
$2,069.50 |
0.1× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
likely a partial charge, not the full procedure |
$3,364 |
$4,205 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$526.80 |
$658.50 |
0.1× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554)
likely a partial charge, not the full procedure |
$2,604 |
$3,255 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$2,808 |
$3,510 |
0.1× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$3,684 |
$4,605 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,672 |
$2,090 |
0.3× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$2,888 |
$3,610 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$2,912 |
$3,640 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610)
likely a partial charge, not the full procedure |
$2,444 |
$3,055 |
0.2× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
likely a partial charge, not the full procedure |
$2,364 |
$2,955 |
0.1× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$1,224.80 |
$1,531 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,497.20 |
$3,121.50 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$1,764 |
$2,205 |
0.1× |
Arthroplasty radial head w/implant (24366)
likely a partial charge, not the full procedure |
$1,114 |
$1,392.50 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443)
likely a partial charge, not the full procedure |
$1,304.40 |
$1,630.50 |
0.1× |
Arthroplasty, patella; with prosthesis (27438)
likely a partial charge, not the full procedure |
$1,279.20 |
$1,599 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,619.20 |
$2,024 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889)
likely a partial charge, not the full procedure |
$1,968.80 |
$2,461 |
0.2× |
| Arthroscopy ankle; ext debridem (29898) |
$911.60 |
$1,139.50 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$961.60 |
$1,202 |
0.3× |
| Arthroscopy of joint (29999) |
$898.80 |
$1,123.50 |
4.0× |
| Arthroscopy subtalar joint (29906) |
$1,095.20 |
$1,369 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$862.80 |
$1,078.50 |
0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$215.20 |
$269 |
0.1× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$662 |
$827.50 |
0.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,074 |
$1,342.50 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,174 |
$1,467.50 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$834.80 |
$1,043.50 |
0.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$880 |
$1,100 |
0.3× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
likely a partial charge, not the full procedure |
$2,056.80 |
$2,571 |
0.2× |
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866)
likely a partial charge, not the full procedure |
$1,684.80 |
$2,106 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$898.80 |
$1,123.50 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$842 |
$1,052.50 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,122 |
$1,402.50 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,158 |
$1,447.50 |
0.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,500 |
$1,875 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,748.80 |
$2,186 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,024.80 |
$1,281 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$936 |
$1,170 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,094.80 |
$1,368.50 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,664 |
$2,080 |
0.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$936.40 |
$1,170.50 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,788.80 |
$2,236 |
0.3× |
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure |
$1,500.80 |
$1,876 |
0.2× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$1,847.60 |
$2,309.50 |
1.2× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$552 |
$690 |
0.2× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$704 |
$880 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$1,124.80 |
$1,406 |
0.4× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$766.40 |
$958 |
0.3× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$1,049.20 |
$1,311.50 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$493.60 |
$617 |
0.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$644 |
$805 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$240.20 |
$300.25 |
0.9× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$530.80 |
$663.50 |
0.3× |
| Aspiration bladder needle (51100) |
$497.80 |
$622.25 |
2.2× |
Av fusion/forearm vein (36820)
unusually low: confirm this is the full procedure |
$2,270 |
$2,837.50 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$205.60 |
$257 |
1.1× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$1,160.80 |
$1,451 |
0.2× |
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure |
$1,906.40 |
$2,383 |
0.3× |
| Biopsy Bone Open Deep (20245) |
$710.80 |
$888.50 |
0.3× |
| Biopsy bone open superficial (20240) |
$248 |
$310 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$884.80 |
$1,106 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$810 |
$1,012.50 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$1,881 |
$2,351.25 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$210.80 |
$263.50 |
0.2× |
| Biopsy external ear (69100) |
$167.20 |
$209 |
0.8× |
| Biopsy intranasal (30100) |
$235.20 |
$294 |
0.2× |
| Biopsy muscle deep (20205) |
$244 |
$305 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$928.40 |
$1,160.50 |
0.6× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$854 |
$1,067.50 |
0.3× |
| Biopsy of floor of mouth (41108) |
$244 |
$305 |
0.2× |
| Biopsy of lip (40490) |
$200.80 |
$251 |
0.9× |
| Biopsy of mouth lesion (40808) |
$300.40 |
$375.50 |
0.6× |
| Biopsy of nail unit (11755) |
$215.20 |
$269 |
0.3× |
| Biopsy of penis (54100) |
$348 |
$435 |
0.2× |
| Biopsy of prostate (55705) |
$505.60 |
$632 |
0.2× |
| Biopsy of uterus lining (58100) |
$933.60 |
$1,167 |
5.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,618.60 |
$3,273.25 |
0.7× |
| Biopsy Oropharynx (42800) |
$264.80 |
$331 |
0.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,907.20 |
$2,384 |
1.3× |
| Biopsy Salivary Gland Incisional (42405) |
$626.40 |
$783 |
0.4× |
| Biopsy Salivary Gland,Needle (42400) |
$88 |
$110 |
0.1× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$652.40 |
$815.50 |
0.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$417.60 |
$522 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$1,504.80 |
$1,881 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$622 |
$777.50 |
0.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$282.80 |
$353.50 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$278.40 |
$348 |
0.2× |
| Biopsy tongue posterior one-third (41105) |
$280.40 |
$350.50 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$154.80 |
$193.50 |
0.2× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$595.20 |
$744 |
0.2× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$261.20 |
$326.50 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$717.60 |
$897 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,521.60 |
$1,902 |
0.4× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$178.40 |
$223 |
0.3× |
| Bladder Irrigation Simple (51700) |
$350 |
$437.50 |
1.5× |
| Bladder Scan (51798) |
$135.60 |
$169.50 |
2.5× |
| Blood patch (62273) |
$1,042.40 |
$1,303 |
1.6× |
| Blood transfusion service (36430) |
$769.60 |
$962 |
1.9× |
| Bone graft with microvascular anastomosis fibula- iliac crest (20956) |
$4,238.80 |
$5,298.50 |
0.6× |
Bone graft, any donor area; major or large (20902)
likely a partial charge, not the full procedure |
$470 |
$587.50 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$301.20 |
$376.50 |
0.0× |
| Bone marrow aspiration only (38220) |
$696.80 |
$871 |
0.5× |
| Bone Marrow Biopsy (38221) |
$126.40 |
$158 |
0.1× |
| Bone Marrow Harvest Autolog (38232) |
$322 |
$402.50 |
0.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$548 |
$685 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,687.20 |
$2,109 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,391.80 |
$1,739.75 |
0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$478.40 |
$598 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,315.60 |
$1,644.50 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$565.20 |
$706.50 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,192.60 |
$1,490.75 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,243.80 |
$1,554.75 |
0.8× |
| Bx anorectal wall anal approach (45100) |
$480.80 |
$601 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,551.40 |
$1,939.25 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,426 |
$1,782.50 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$832.60 |
$1,040.75 |
0.5× |
| Bx vulva/perineum 1 lesion (56605) |
$138 |
$172.50 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,136.80 |
$1,421 |
0.7× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$744.40 |
$930.50 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$806.40 |
$1,008 |
0.3× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$840.40 |
$1,050.50 |
0.3× |
| Carpectomy All Bones Proximal Row (25215) |
$965.60 |
$1,207 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$51.20 |
$64 |
0.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$261.20 |
$326.50 |
0.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$261.20 |
$326.50 |
0.1× |
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure |
$2,836 |
$3,545 |
0.2× |
| Cervical lymphadenectomy (complete) (38720) |
$3,344 |
$4,180 |
0.5× |
| Change Cystostomy Tube Complicated (51710) |
$210.80 |
$263.50 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$371.20 |
$464 |
1.6× |
| Change g-tube to g-j perc (49446) |
$1,586.80 |
$1,983.50 |
0.9× |
| Chemical Cautery Tissue (17250) |
$328.80 |
$411 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$234.40 |
$293 |
0.8× |
| Chemodenervation internal anal sphincter (46505) |
$587.20 |
$734 |
0.5× |
| Chest tube placement (32551) |
$1,505.20 |
$1,881.50 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$98.80 |
$123.50 |
0.8× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,147.60 |
$1,434.50 |
0.6× |
| Circum 28 days or older (54161) |
$1,623.80 |
$2,029.75 |
0.8× |
| Circumcision (54150) |
$1,816.40 |
$2,270.50 |
0.9× |
| Circumcision Neonate (54160) |
$1,497.20 |
$1,871.50 |
2.3× |
| Claviculectomy; partial (23120) |
$919.60 |
$1,149.50 |
0.3× |
| Clean out mastoid cavity (69222) |
$364 |
$455 |
0.7× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,801.60 |
$3,502 |
1.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,610.80 |
$2,013.50 |
7.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$326.40 |
$408 |
1.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$671.60 |
$839.50 |
0.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,127.20 |
$1,409 |
5.0× |
| Closed Rx Med Malleolus Fx (27760) |
$1,620.40 |
$2,025.50 |
7.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$547.40 |
$684.25 |
0.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$542 |
$677.50 |
0.4× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,239.20 |
$1,549 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,444.80 |
$1,806 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$304.40 |
$380.50 |
1.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$526.80 |
$658.50 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$2,115.20 |
$2,644 |
9.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,620.40 |
$2,025.50 |
7.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,128.80 |
$1,411 |
0.8× |
| Closed Rx Trimalleolar Fx (27816) |
$1,557.60 |
$1,947 |
6.9× |
| Closed Treat Vert Body Fract (22310) |
$452.40 |
$565.50 |
2.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$300.40 |
$375.50 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$416.80 |
$521 |
0.1× |
| Closed treatment of broken top of shin bone at knee (27538) |
$2,468.80 |
$3,086 |
10.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$989.60 |
$1,237 |
4.4× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$417.20 |
$521.50 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$1,502.80 |
$1,878.50 |
6.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$735.20 |
$919 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,692.40 |
$2,115.50 |
7.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,026.40 |
$1,283 |
4.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$702.40 |
$878 |
0.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$426.40 |
$533 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$366.60 |
$458.25 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$814.80 |
$1,018.50 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,124.80 |
$2,656 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$716.60 |
$895.75 |
3.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$336.40 |
$420.50 |
1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,109.20 |
$2,636.50 |
1.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$999.20 |
$1,249 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$336.40 |
$420.50 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,620.40 |
$2,025.50 |
7.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$919.60 |
$1,149.50 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,449.20 |
$3,061.50 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,422.80 |
$1,778.50 |
6.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$308.80 |
$386 |
1.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$416.20 |
$520.25 |
1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$701.20 |
$876.50 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$870.80 |
$1,088.50 |
3.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,843.20 |
$3,554 |
1.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$306.80 |
$383.50 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$487.20 |
$609 |
2.1× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$531.20 |
$664 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,455.20 |
$1,819 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$175.20 |
$219 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,743.20 |
$2,179 |
1.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$374.60 |
$468.25 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,557.60 |
$1,947 |
6.9× |
| Closure of gastrostomy surgical (43870) |
$1,217.60 |
$1,522 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,497.60 |
$1,872 |
6.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$676.40 |
$845.50 |
1.4× |
| Closure of vagina (57120) |
$828 |
$1,035 |
0.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$262.40 |
$328 |
1.2× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$545.60 |
$682 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$533.40 |
$666.75 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,234.40 |
$2,793 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,083.60 |
$1,354.50 |
4.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$682.80 |
$853.50 |
3.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,333.60 |
$1,667 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$347.20 |
$434 |
1.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$543.60 |
$679.50 |
2.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,620.40 |
$2,025.50 |
7.1× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,095.20 |
$1,369 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$502.40 |
$628 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,762.80 |
$2,203.50 |
7.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$732.40 |
$915.50 |
3.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$652.80 |
$816 |
2.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$884.80 |
$1,106 |
3.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,843.20 |
$3,554 |
1.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$534.40 |
$668 |
2.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$752.40 |
$940.50 |
3.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,792 |
$2,240 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,805.20 |
$2,256.50 |
8.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$218.80 |
$273.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$351.20 |
$439 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$338.20 |
$422.75 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,173.80 |
$1,467.25 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,000 |
$1,250 |
4.4× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$552 |
$690 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$304.40 |
$380.50 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$331 |
$413.75 |
1.5× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,568 |
$1,960 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$951.20 |
$1,189 |
4.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,107.20 |
$1,384 |
4.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$790 |
$987.50 |
3.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,743.20 |
$2,179 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,057.60 |
$1,322 |
4.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$310 |
$387.50 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,271.20 |
$1,589 |
5.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$1,295.60 |
$1,619.50 |
5.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,457 |
$1,821.25 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$507.20 |
$634 |
2.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$369.20 |
$461.50 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,630.80 |
$2,038.50 |
7.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$999.60 |
$1,249.50 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$341.80 |
$427.25 |
1.5× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,880.80 |
$2,351 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,124.80 |
$2,656 |
1.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$264.80 |
$331 |
0.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$292 |
$365 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$556 |
$695 |
2.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,151.80 |
$1,439.75 |
0.8× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$832 |
$1,040 |
3.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,115.20 |
$2,644 |
1.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$1,565.20 |
$1,956.50 |
0.3× |
| Coccygectomy Primary (27080) |
$819.60 |
$1,024.50 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$786.40 |
$983 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$434.80 |
$543.50 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$304.40 |
$380.50 |
0.3× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$506 |
$632.50 |
0.5× |
| Colonoscopy stoma w/snare (44394) |
$372.40 |
$465.50 |
0.3× |
| Colonoscopy through stoma with decompression (44408) |
$351.20 |
$439 |
0.4× |
| Colonoscopy thru stoma (44388) |
$717.60 |
$897 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$786.40 |
$983 |
0.7× |
| Colonoscopy w/resection (45390) |
$786.40 |
$983 |
0.3× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge, not the full procedure |
$1,086.80 |
$1,358.50 |
0.2× |
| Colporrhaphy suture injury vagina (57200) |
$500 |
$625 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$318 |
$397.50 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$186.80 |
$233.50 |
1.0× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$250.80 |
$313.50 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$198 |
$247.50 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$296.80 |
$371 |
1.1× |
| Colposcopy vulva (56820) |
$189.20 |
$236.50 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$252.80 |
$316 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$274.40 |
$343 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$267.20 |
$334 |
0.3× |
| Colpotomy; with exploration (57000) |
$318 |
$397.50 |
0.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$786.40 |
$983 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$786.40 |
$983 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$786.40 |
$983 |
0.7× |
Comp multiplane ext fixation (20696)
likely a partial charge, not the full procedure |
$1,826.80 |
$2,283.50 |
0.1× |
| Complete replacement picc rs&i (36584) |
$2,292 |
$2,865 |
1.6× |
| Complex Cystometrogram (51726) |
$426.40 |
$533 |
1.9× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$504.80 |
$631 |
0.8× |
| Complex Drainage, Wound (10180) |
$1,784 |
$2,230 |
0.7× |
| Complex Uroflowmetry (51741) |
$113.20 |
$141.50 |
0.6× |
| Composite skin graft (15760) |
$1,099.60 |
$1,374.50 |
0.6× |
| Conization of cervix (57520) |
$522 |
$652.50 |
0.2× |
| Conization of cervix (57522) |
$522.80 |
$653.50 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$342 |
$427.50 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$226.80 |
$283.50 |
1.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$269.80 |
$337.25 |
0.5× |
Coracoacromial ligament release, with or without acromioplasty (23415)
likely a partial charge, not the full procedure |
$1,202 |
$1,502.50 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,101.20 |
$2,626.50 |
1.4× |
| Correction hammertoe (28285) |
$630.40 |
$788 |
0.2× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$794.40 |
$993 |
0.1× |
| Correction of bunion (28292) |
$765.20 |
$956.50 |
0.3× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$957.60 |
$1,197 |
0.1× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$953.20 |
$1,191.50 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$865.60 |
$1,082 |
0.3× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$7,780.80 |
$9,726 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$490.40 |
$613 |
4.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$786 |
$982.50 |
3.6× |
| Curettage postpartum (59160) |
$282.80 |
$353.50 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$434.80 |
$543.50 |
0.2× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$475.20 |
$594 |
0.1× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$490 |
$612.50 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,115.20 |
$1,394 |
0.3× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$1,000 |
$1,250 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$1,065.20 |
$1,331.50 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$456.80 |
$571 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$490.80 |
$613.50 |
0.3× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$673.20 |
$841.50 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$625.60 |
$782 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$913.20 |
$1,141.50 |
0.3× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$1,434.80 |
$1,793.50 |
0.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$800.40 |
$1,000.50 |
0.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$878 |
$1,097.50 |
0.2× |
| Cysto/uretero w/lithotripsy (52356) |
$1,739.20 |
$2,174 |
0.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$1,304.40 |
$1,630.50 |
0.3× |
| Cystolithotomy w rem stone wo vn res (51050) |
$796 |
$995 |
0.2× |
| Cystometrogram w/vp (51728) |
$513.60 |
$642 |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$552.40 |
$690.50 |
0.9× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,191.60 |
$1,489.50 |
0.1× |
| Cystoscopy & duct catheter (52010) |
$608.80 |
$761 |
0.9× |
| Cystoscopy and treatment (52290) |
$498.40 |
$623 |
0.3× |
| Cystoscopy and treatment (52330) |
$1,682.80 |
$2,103.50 |
0.5× |
| Cystoscopy and treatment (52301) |
$494.40 |
$618 |
0.2× |
| Cystoscopy implant stent (52282) |
$573.20 |
$716.50 |
0.2× |
| Cystoscopy inject material (52327) |
$495.20 |
$619 |
0.1× |
| Cystoscopy stone removal (52325) |
$611.60 |
$764.50 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$1,217.60 |
$1,522 |
0.6× |
| Cystoscopy w/complex removal stone & stent (52315) |
$796 |
$995 |
0.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$446.80 |
$558.50 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$1,008.80 |
$1,261 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,405.60 |
$1,757 |
0.7× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$822 |
$1,027.50 |
0.4× |
| Cystotomy,extract &/or frag ureter calc (51065) |
$977.60 |
$1,222 |
0.3× |
| Cystotomy/cystostomy fulg&/insj radact matrl (51020) |
$791.60 |
$989.50 |
0.2× |
| Cystourethro cut ejacul duct (52402) |
$510.40 |
$638 |
0.2× |
| Cystourethroscopy (52000) |
$335.20 |
$419 |
0.5× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$500 |
$625 |
0.3× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$408 |
$510 |
0.1× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$462 |
$577.50 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$357.60 |
$447 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$619.20 |
$774 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$471.60 |
$589.50 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$450.80 |
$563.50 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$596 |
$745 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; female Other Surgical Services (52270) |
$581.20 |
$726.50 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$784 |
$980 |
0.4× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$550.80 |
$688.50 |
0.2× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$458.80 |
$573.50 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$601.20 |
$751.50 |
0.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$491.60 |
$614.50 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$68.40 |
$85.50 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,386 |
$1,732.50 |
0.5× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$648 |
$810 |
0.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$804.40 |
$1,005.50 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$797.20 |
$996.50 |
1.2× |
| Debride nail 1-5 (11720) |
$151.20 |
$189 |
2.8× |
| Debride nail 6 or more (11721) |
$70 |
$87.50 |
1.3× |
| Debride skin musc at fx site (11011) |
$812 |
$1,015 |
1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$227.20 |
$284 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$509.20 |
$636.50 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$542.60 |
$678.25 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$994.80 |
$1,243.50 |
0.7× |
| Declot vascular device (36593) |
$54.40 |
$68 |
0.2× |
| Decomp forearm,1 compart,w/o debride (25020) |
$915.60 |
$1,144.50 |
0.6× |
| Decompress fingers/hand (26037) |
$939.60 |
$1,174.50 |
0.3× |
| Decompress forearm 1 space (25023) |
$1,910.40 |
$2,388 |
0.6× |
| Decompression of leg (27892) |
$1,346 |
$1,682.50 |
0.4× |
| Decompression of tibia nerve (28035) |
$581.20 |
$726.50 |
0.3× |
| Decompression; plantar digital nerve (64726) |
$439.20 |
$549 |
0.2× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$577.20 |
$721.50 |
0.3× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$518.40 |
$648 |
0.3× |
| Delivery placenta separate procedure (59414) |
$1,947 |
$2,433.75 |
0.7× |
| Derm autograft trnk/arm/leg (15130) |
$1,113.20 |
$1,391.50 |
0.6× |
| Derma-fat-fascia graft (15770) |
$1,185.20 |
$1,481.50 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$301.20 |
$376.50 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$239.20 |
$299 |
0.6× |
| Destruction anal lesion(s) (46924) |
$869.60 |
$1,087 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$209.20 |
$261.50 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$163.80 |
$204.75 |
0.9× |
| Destruction Lesions Vulva Extensive (56515) |
$339.60 |
$424.50 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$217.60 |
$272 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$287.20 |
$359 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$330.80 |
$413.50 |
1.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$400.40 |
$500.50 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$447.60 |
$559.50 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$572.80 |
$716 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$202 |
$252.50 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$278.40 |
$348 |
1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$320.40 |
$400.50 |
1.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$355.20 |
$444 |
1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$200.80 |
$251 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$226.40 |
$283 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$174 |
$217.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$261.20 |
$326.50 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$300.40 |
$375.50 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$335.20 |
$419 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$393.20 |
$491.50 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$137.60 |
$172 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$250.80 |
$313.50 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$235.20 |
$294 |
1.3× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$213.20 |
$266.50 |
0.6× |
| Destruction of multiple growths of penis (54065) |
$356.80 |
$446 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$155.20 |
$194 |
0.8× |
| Destruction Vaginal Lesions Extensive (57065) |
$270 |
$337.50 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$156.80 |
$196 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$191.60 |
$239.50 |
0.2× |
| Dil urethra,female,subsequent (53661) |
$113.60 |
$142 |
0.9× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$108.80 |
$136 |
0.0× |
| Dilate urethra stricture (53620) |
$345.20 |
$431.50 |
0.5× |
| Dilate urethra stricture (53621) |
$178.80 |
$223.50 |
0.8× |
| Dilate Urethra Stricture (53600) |
$1,091.20 |
$1,364 |
4.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$426.40 |
$533 |
0.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$177.20 |
$221.50 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$242.80 |
$303.50 |
0.3× |
| Dilation of anal sphincter (45905) |
$272 |
$340 |
0.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$115.20 |
$144 |
1.0× |
| Dilation of salivary duct (42650) |
$139.20 |
$174 |
0.1× |
| Dilation of urethra (53665) |
$65.60 |
$82 |
0.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$132.80 |
$166 |
1.1× |
| Division of fallopian tube (58600) |
$587.20 |
$734 |
0.2× |
| Drain bladder by trocar/cath (51101) |
$252.80 |
$316 |
0.3× |
| Drain hand tendon sheath (26020) |
$713.20 |
$891.50 |
0.2× |
| Drain outer ear canal lesion (69020) |
$233.20 |
$291.50 |
0.4× |
| Drain penis lesion (54015) |
$913.20 |
$1,141.50 |
0.6× |
| Drain shoulder lesion (23030) |
$410 |
$512.50 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$122.40 |
$153 |
0.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$383.20 |
$479 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$230.40 |
$288 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,857.60 |
$2,322 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$707.40 |
$884.25 |
3.8× |
| Drainage of bone lesion (26992) |
$1,576 |
$1,970 |
0.5× |
| Drainage of eyelid abscess (67700) |
$596 |
$745 |
2.0× |
| Drainage of gum lesion (41800) |
$378.40 |
$473 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$1,155 |
$1,443.75 |
0.8× |
| Drainage of hydrocele (55000) |
$135.20 |
$169 |
0.2× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$840.40 |
$1,050.50 |
0.6× |
| Drainage of perirenal or renal abscess, open (50020) |
$1,668 |
$2,085 |
0.9× |
| Drainage of prostate abscess (55725) |
$1,101.20 |
$1,376.50 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,053.20 |
$1,316.50 |
0.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$665.60 |
$832 |
0.2× |
| Dressing change under anesthesia (15852) |
$104.20 |
$130.25 |
0.2× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$670 |
$837.50 |
1.4× |
| Drg privesical/prevesical space absc (51080) |
$691.60 |
$864.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$498.20 |
$622.75 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$464.60 |
$580.75 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$409 |
$511.25 |
2.2× |
| Dstrj lesion anus simple chemical (46900) |
$391.60 |
$489.50 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$374.40 |
$468 |
2.0× |
| Dstrj lesion anus simple surg excision (46922) |
$548 |
$685 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$417.60 |
$522 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$213.20 |
$266.50 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$456 |
$570 |
1.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$368 |
$460 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$326.40 |
$408 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$671.60 |
$839.50 |
0.4× |
| Egd flexible foreign body removal (43247) |
$659.20 |
$824 |
0.8× |
| Egd guide wire insertion (43248) |
$263.60 |
$329.50 |
0.3× |
| Egd injection varices (43243) |
$376.40 |
$470.50 |
0.2× |
| Egd place gastrostomy tube (43246) |
$628 |
$785 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$1,308.80 |
$1,636 |
0.7× |
| Egd remove lesion snare (43251) |
$826 |
$1,032.50 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$380.40 |
$475.50 |
0.2× |
| Egd tube/cath insertion (43241) |
$448.40 |
$560.50 |
0.3× |
Elbow arthroscopy/surgery (29836)
likely a partial charge, not the full procedure |
$937.60 |
$1,172 |
0.1× |
| Elbow arthroscopy/surgery (29838) |
$961.20 |
$1,201.50 |
0.3× |
| Elbow arthroscopy/surgery (29837) |
$844.40 |
$1,055.50 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$113.60 |
$142 |
1.0× |
| Endocervical Curettage (57505) |
$1,000 |
$1,250 |
1.2× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$630.40 |
$788 |
0.1× |
| Endoscopic Injection/Implant (51715) |
$478.40 |
$598 |
0.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$702.40 |
$878 |
0.2× |
| Endovenous rf 1st vein (36475) |
$430.80 |
$538.50 |
0.1× |
| Enterorrhaphy single perforation (44602) |
$2,421.60 |
$3,027 |
0.7× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,200.40 |
$1,500.50 |
0.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,378.40 |
$1,723 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$2,694.80 |
$3,368.50 |
0.9× |
| Escharotomy initial incision (16035) |
$426.40 |
$533 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$298 |
$372.50 |
0.4× |
| Esophagoscopy flex biopsy (43202) |
$163.20 |
$204 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$661.20 |
$826.50 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$356.80 |
$446 |
0.4× |
| Esophagoscopy rigid trnso dx (43191) |
$242.80 |
$303.50 |
0.1× |
| Esophagoscopy w/us needle bx (43232) |
$522 |
$652.50 |
0.3× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$361.20 |
$451.50 |
0.2× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure |
$934.80 |
$1,168.50 |
0.2× |
| Esophagoscp rig trnso biopsy (43193) |
$306.40 |
$383 |
0.2× |
| Evacuate mole of uterus (59870) |
$765.60 |
$957 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$168.80 |
$211 |
1.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$878.40 |
$1,098 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$726.40 |
$908 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$613.60 |
$767 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$800.40 |
$1,000.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$427 |
$533.75 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$383.20 |
$479 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$608.80 |
$761 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$1,130.40 |
$1,413 |
0.4× |
| Exc coccygeal pressure ulcer (15920) |
$978.40 |
$1,223 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$642.40 |
$803 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$706.20 |
$882.75 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$396 |
$495 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$652.40 |
$815.50 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$681.60 |
$852 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
$498.40 |
$623 |
0.3× |
| Exc frenum labial/buccal (40819) |
$665.60 |
$832 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$531.20 |
$664 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$652.40 |
$815.50 |
0.2× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$2,621.20 |
$3,276.50 |
1.4× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$1,116.40 |
$1,395.50 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$802.80 |
$1,003.50 |
0.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,100 |
$1,375 |
0.6× |
| Exc Rect Tum Transanal Full (45172) |
$1,444 |
$1,805 |
0.6× |
| Exc rect tum transanal part (45171) |
$974 |
$1,217.50 |
0.4× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$1,478.40 |
$1,848 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$674 |
$842.50 |
0.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,074.40 |
$1,343 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,001.80 |
$1,252.25 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$506.40 |
$633 |
1.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$339.60 |
$424.50 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$908.60 |
$1,135.75 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$453.20 |
$566.50 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,265.40 |
$1,581.75 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$624.80 |
$781 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$600.40 |
$750.50 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,296 |
$1,620 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$398.40 |
$498 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$869.60 |
$1,087 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$522 |
$652.50 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$530.80 |
$663.50 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$682.80 |
$853.50 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,252.40 |
$1,565.50 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,027.60 |
$3,784.50 |
2.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$462.80 |
$578.50 |
0.7× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$956.40 |
$1,195.50 |
0.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$878.40 |
$1,098 |
0.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,433.20 |
$1,791.50 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$512 |
$640 |
0.3× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$644.80 |
$806 |
0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$848.80 |
$1,061 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$904.80 |
$1,131 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$507.80 |
$634.75 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$720.40 |
$900.50 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$995.20 |
$1,244 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,732.40 |
$2,165.50 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$934.80 |
$1,168.50 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$869.60 |
$1,087 |
0.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,043.60 |
$1,304.50 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$984.40 |
$1,230.50 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$970 |
$1,212.50 |
0.4× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$587.20 |
$734 |
0.2× |
| Exchange nephrostomy cath (50435) |
$174 |
$217.50 |
0.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,174 |
$1,467.50 |
0.8× |
| Excise lesion testis (54512) |
$886.40 |
$1,108 |
0.3× |
Excise parotid gland/lesion (42410)
likely a partial charge, not the full procedure |
$1,140.80 |
$1,426 |
0.2× |
Excise parotid gland/lesion (42420)
unusually low: confirm this is the full procedure |
$2,543.20 |
$3,179 |
0.5× |
| Excise pharynx lesion (42808) |
$278.40 |
$348 |
0.1× |
| Excise/repair mouth lesion (40812) |
$338 |
$422.50 |
0.2× |
| Excision Breast Lesion (19125) |
$874 |
$1,092.50 |
0.2× |
| Excision Distal Ulna Partial/Complete (25240) |
$685.60 |
$857 |
0.2× |
| Excision external ear partial simple repair (69110) |
$508.80 |
$636 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$565.20 |
$706.50 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$526.40 |
$658 |
0.2× |
| Excision hydrocele bilateral (55041) |
$819.60 |
$1,024.50 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$309.60 |
$387 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$364 |
$455 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$393.20 |
$491.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$439.20 |
$549 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$480.80 |
$601 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$292.80 |
$366 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$318 |
$397.50 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$338 |
$422.50 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$491.60 |
$614.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$301.20 |
$376.50 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$304.40 |
$380.50 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$330.40 |
$413 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$472.40 |
$590.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$501.60 |
$627 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,493.40 |
$1,866.75 |
0.6× |
| Excision of bartholin's gland or cyst (56740) |
$1,678 |
$2,097.50 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$209.20 |
$261.50 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$663.40 |
$829.25 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$614.80 |
$768.50 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$543.60 |
$679.50 |
0.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$376 |
$470 |
0.1× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$508 |
$635 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$205.20 |
$256.50 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$702.20 |
$877.75 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$785.80 |
$982.25 |
0.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$513.60 |
$642 |
0.3× |
| Excision of local lesion of epididymis (54830) |
$630.40 |
$788 |
0.2× |
| Excision of mouth lesion (41116) |
$369.60 |
$462 |
0.1× |
| Excision of nail fold toe (11765) |
$266.60 |
$333.25 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$639.20 |
$799 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$242.80 |
$303.50 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$522.80 |
$653.50 |
0.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$413.20 |
$516.50 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,478 |
$3,097.50 |
1.3× |
Excision of thyroglossal duct cyst or sinus; recurrent (60281)
likely a partial charge, not the full procedure |
$746.40 |
$933 |
0.1× |
| Excision of tongue lesion (41112) |
$413.20 |
$516.50 |
0.1× |
| Excision of Umbilicus (49250) |
$919.60 |
$1,149.50 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure |
$1,078.80 |
$1,348.50 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$284.40 |
$355.50 |
0.1× |
| Excision olecranon bursa (24105) |
$1,887.20 |
$2,359 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$956.40 |
$1,195.50 |
0.3× |
| Excision or fulguration; Skene's glands (53270) |
$301.20 |
$376.50 |
0.1× |
| Excision or fulguration; urethral caruncle (53265) |
$330 |
$412.50 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$969.20 |
$1,211.50 |
0.4× |
| Excision Prepatellar Bursa (27340) |
$593.60 |
$742 |
0.2× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$1,543.60 |
$1,929.50 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$887.20 |
$1,109 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$650.80 |
$813.50 |
0.4× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$1,139.20 |
$1,424 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,113.20 |
$1,391.50 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$417.60 |
$522 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$443.60 |
$554.50 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$765.60 |
$957 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$869.60 |
$1,087 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$2,173.60 |
$2,717 |
0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$648 |
$810 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,130.40 |
$1,413 |
0.4× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$804.40 |
$1,005.50 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,592.60 |
$1,990.75 |
0.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$894.20 |
$1,117.75 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$639.80 |
$799.75 |
0.4× |
| Explor ankle jt+tenosynovectomy (27626) |
$940.80 |
$1,176 |
0.3× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$806.80 |
$1,008.50 |
0.2× |
| Exploration of knee joint (27310) |
$1,130.40 |
$1,413 |
0.4× |
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure |
$1,536 |
$1,920 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$726.40 |
$908 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,028.80 |
$1,286 |
2.1× |
| Exploratory shoulder surgery (23044) |
$841.20 |
$1,051.50 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$535.20 |
$669 |
0.2× |
| Explore limb vessels (35860) |
$1,279.20 |
$1,599 |
0.4× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$1,596.40 |
$1,995.50 |
0.3× |
| Explore/treat ankle joint (27620) |
$756 |
$945 |
0.3× |
| Explore/treat ankle joint (27610) |
$1,078 |
$1,347.50 |
0.4× |
| Explore/treat elbow joint (24101) |
$790.40 |
$988 |
0.3× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$446 |
$557.50 |
0.3× |
| Exposure of prostate, any approach, for insertion of radioactive substance; (55860) |
$1,648 |
$2,060 |
0.3× |
| Extern drain prostate absc,simple (55720) |
$881.20 |
$1,101.50 |
0.3× |
| External Cephalic Version (59412) |
$3,296 |
$4,120 |
1.1× |
| Eye surgery procedure (66999) |
$618.40 |
$773 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$496 |
$620 |
0.2× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$1,417.20 |
$1,771.50 |
0.5× |
| Fasciotomy Iliotibial Open (27305) |
$1,004.80 |
$1,256 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$765.60 |
$957 |
0.3× |
| Fasciotomy palmar percutaneous (26040) |
$497.60 |
$622 |
0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,337.60 |
$1,672 |
0.4× |
| Fetal Contraction Stress Test (59020) |
$757.20 |
$946.50 |
4.1× |
| Fetal non-stress test (59025) |
$438 |
$547.50 |
2.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$897.60 |
$1,122 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$989.60 |
$1,237 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$328.80 |
$411 |
0.9× |
| Fitting of diaphragm/cap (57170) |
$96.40 |
$120.50 |
0.5× |
| Fixation of knee joint (27570) |
$252.80 |
$316 |
0.2× |
| Fixation of shoulder (23700) |
$287.20 |
$359 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$866 |
$1,082.50 |
3.9× |
| Fna bx w/fluor gdn 1st les (10007) |
$154.80 |
$193.50 |
0.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$209.20 |
$261.50 |
0.1× |
| Frenulotomy of penis (54164) |
$413.20 |
$516.50 |
0.2× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$1,224.80 |
$1,531 |
0.6× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$1,078.80 |
$1,348.50 |
0.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,519 |
$1,898.75 |
0.8× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,388 |
$1,735 |
0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,070 |
$2,587.50 |
1.1× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$1,429.60 |
$1,787 |
0.1× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$1,112 |
$1,390 |
0.1× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,045.20 |
$1,306.50 |
0.2× |
Fusion of hand bones (25820)
likely a partial charge, not the full procedure |
$1,020 |
$1,275 |
0.2× |
Fusion of wrist joint (25800)
likely a partial charge, not the full procedure |
$1,174.80 |
$1,468.50 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$313.40 |
$391.75 |
1.6× |
| Gastrocnemius Recession (27687) |
$439.20 |
$549 |
0.1× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,546.40 |
$3,183 |
0.7× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,463.60 |
$1,829.50 |
0.8× |
Graft ear crtlg autogenous nose/ear (21235)
likely a partial charge, not the full procedure |
$911.60 |
$1,139.50 |
0.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$748.40 |
$935.50 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,352 |
$1,690 |
2.1× |
| Harvest cultured skin graft (15040) |
$284 |
$355 |
0.1× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$1,866 |
$2,332.50 |
0.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$422.40 |
$528 |
0.1× |
| Hemorrhoidectomy (46255) |
$852.40 |
$1,065.50 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$756.80 |
$946 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$695.60 |
$869.50 |
0.3× |
| Hysteroscopy ablation (58563) |
$630.40 |
$788 |
0.1× |
| Hysteroscopy biopsy (58558) |
$500 |
$625 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$449.20 |
$561.50 |
0.2× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$543.60 |
$679.50 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$482.80 |
$603.50 |
0.2× |
| Hysteroscopy resect septum (58560) |
$608.80 |
$761 |
0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$878.40 |
$1,098 |
0.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,657 |
$2,071.25 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$332.60 |
$415.75 |
1.5× |
| I&d abscess simple (10060) |
$428.20 |
$535.25 |
2.3× |
| I&d below fascia foot 1 bursal space (28002) |
$1,108.80 |
$1,386 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,492.60 |
$3,115.75 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$596.80 |
$746 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$351.20 |
$439 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$404.80 |
$506 |
0.1× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,304.40 |
$1,630.50 |
0.4× |
| I&d perianal abscess superficial (46050) |
$562 |
$702.50 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$1,096.80 |
$1,371 |
1.7× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$782.80 |
$978.50 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$3,824 |
$4,780 |
3.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$901.20 |
$1,126.50 |
0.6× |
| Ileoscopy stoma w/balloon dilation (44381) |
$152.40 |
$190.50 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,687.20 |
$2,109 |
1.1× |
Incis 1 vertebral seg lumbar (22214)
unusually low: confirm this is the full procedure |
$2,892 |
$3,615 |
0.4× |
| Incise finger tendon sheath (26055) |
$876 |
$1,095 |
0.6× |
| Incise wrist/forearm tendon (25290) |
$685.60 |
$857 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$827.80 |
$1,034.75 |
2.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$869.60 |
$1,087 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,081.60 |
$1,352 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$863.80 |
$1,079.75 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$907.20 |
$1,134 |
2.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$434.80 |
$543.50 |
2.3× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$284.40 |
$355.50 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$427.20 |
$534 |
1.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
unusually low: confirm this is the full procedure |
$2,374 |
$2,967.50 |
0.4× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge, not the full procedure |
$1,891.20 |
$2,364 |
0.3× |
| Incision bone cortex hand/finger (26034) |
$878.40 |
$1,098 |
0.6× |
| Incision bone cortex shoulder area (23035) |
$1,049.20 |
$1,311.50 |
0.7× |
| Incision extensor tendon sheath wrist (25000) |
$520 |
$650 |
0.4× |
| Incision labial frenum frenotomy (40806) |
$351.20 |
$439 |
0.7× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$1,020 |
$1,275 |
0.2× |
| Incision of lingual frenum (41010) |
$184.40 |
$230.50 |
0.1× |
| Incision of metatarsal (28308) |
$660.80 |
$826 |
0.2× |
| Incision of rectal abscess (46040) |
$2,845.60 |
$3,557 |
2.6× |
Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (thoracic spine) to correct… (22212)
unusually low: confirm this is the full procedure |
$2,076 |
$2,595 |
0.3× |
| Incision of urethra (53020) |
$160.80 |
$201 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$389.80 |
$487.25 |
1.7× |
| Incision&drainage bursa foot (28001) |
$822 |
$1,027.50 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$171.60 |
$214.50 |
0.3× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure |
$1,354.40 |
$1,693 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$112.40 |
$140.50 |
0.6× |
| Inj dupuytren cord w/enzyme (20527) |
$130.80 |
$163.50 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$245.40 |
$306.75 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$368 |
$460 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$100.40 |
$125.50 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$492.40 |
$615.50 |
0.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$368 |
$460 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$619.80 |
$774.75 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,042.40 |
$1,303 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$96 |
$120 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$130.80 |
$163.50 |
0.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$129.60 |
$162 |
0.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$88 |
$110 |
0.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$230.80 |
$288.50 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$642.40 |
$803 |
2.3× |
| Injection anes other peripheral nerve/branch (64450) |
$663 |
$828.75 |
1.0× |
| Injection for identification of sentinel node (38792) |
$65.60 |
$82 |
0.2× |
| Injection of drug into cavity behind eye (67500) |
$166.80 |
$208.50 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$390.80 |
$488.50 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$370.40 |
$463 |
1.3× |
| Injection therapeutic carpal tunnel (20526) |
$123.20 |
$154 |
0.4× |
| Injection treatment of nose (30200) |
$184.40 |
$230.50 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$100.40 |
$125.50 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$92 |
$115 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$404.40 |
$505.50 |
3.4× |
| Insert cervical dilator (59200) |
$149.20 |
$186.50 |
0.5× |
| Insert Drug Implant Device (11981) |
$172.40 |
$215.50 |
1.4× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,057.40 |
$2,571.75 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,294.40 |
$1,618 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,740.80 |
$2,176 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$140 |
$175 |
0.0× |
| Insert pessary/other device (57160) |
$117.20 |
$146.50 |
0.6× |
| Insert picc cath (36569) |
$1,050 |
$1,312.50 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$286 |
$357.50 |
2.3× |
| Insert tun ip cath perc (49418) |
$318 |
$397.50 |
0.1× |
| Insert tunneled cv cath (36561) |
$2,601.80 |
$3,252.25 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$113.20 |
$141.50 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,374.20 |
$2,967.75 |
0.7× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$582.80 |
$728.50 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$142.40 |
$178 |
0.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$272 |
$340 |
0.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,206.80 |
$12,758.50 |
1.3× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$1,378.40 |
$1,723 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$489.20 |
$611.50 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,936.40 |
$4,920.50 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,514.40 |
$8,143 |
0.9× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$443.60 |
$554.50 |
0.1× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$154.80 |
$193.50 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$190 |
$237.50 |
0.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$226.40 |
$283 |
1.0× |
| Irrigation maxillary sinus (31000) |
$294.40 |
$368 |
1.4× |
| Knee arthroscopy/surgery (29883) |
$1,391.20 |
$1,739 |
0.5× |
| Knee arthroscopy/surgery (29876) |
$1,062 |
$1,327.50 |
0.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$796.80 |
$996 |
0.1× |
Lap jejunostomy (44186)
likely a partial charge, not the full procedure |
$1,095.60 |
$1,369.50 |
0.2× |
Laparo sling operation (51992)
likely a partial charge, not the full procedure |
$1,420.80 |
$1,776 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,311.60 |
$1,639.50 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,055.20 |
$1,319 |
0.2× |
Laparoscopy fimbrioplasty (58672)
likely a partial charge, not the full procedure |
$1,152.40 |
$1,440.50 |
0.2× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,108.80 |
$1,386 |
0.2× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$1,296 |
$1,620 |
0.1× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$1,521.60 |
$1,902 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,130.40 |
$2,663 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$695.60 |
$869.50 |
0.1× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$652.40 |
$815.50 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,122 |
$1,402.50 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$608.80 |
$761 |
0.1× |
Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency (47370)
likely a partial charge, not the full procedure |
$1,565.20 |
$1,956.50 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,675.20 |
$2,094 |
0.3× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge, not the full procedure |
$2,570.80 |
$3,213.50 |
0.3× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,282.40 |
$2,853 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,260.80 |
$1,576 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge, not the full procedure |
$1,700.40 |
$2,125.50 |
0.2× |
Laparoscopy, surgical; ablation of renal cysts (50541)
likely a partial charge, not the full procedure |
$1,504.80 |
$1,881 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,532 |
$1,915 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,256.40 |
$4,070.50 |
0.3× |
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure |
$2,513.20 |
$3,141.50 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,165.60 |
$1,457 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence (51990)
likely a partial charge, not the full procedure |
$1,265.60 |
$1,582 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,260.80 |
$1,576 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,308 |
$1,635 |
0.4× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$1,326 |
$1,657.50 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$739.20 |
$924 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,490 |
$1,862.50 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,217.60 |
$1,522 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,608.80 |
$2,011 |
0.3× |
| Laryngoscopy Direct Aspiration (31515) |
$262.80 |
$328.50 |
0.7× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$248 |
$310 |
0.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,265.20 |
$1,581.50 |
3.5× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$75.60 |
$94.50 |
0.4× |
| Laryngoscopy w/biopsy (31535) |
$325.60 |
$407 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,875.20 |
$4,844 |
2.4× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$270 |
$337.50 |
0.2× |
| Late closure of wound (13160) |
$2,212.20 |
$2,765.25 |
0.7× |
| Lateral retinacular release open (27425) |
$710 |
$887.50 |
0.2× |
Lengthen radius or ulna (25391)
likely a partial charge, not the full procedure |
$1,596.80 |
$1,996 |
0.1× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,112 |
$1,390 |
0.2× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428)
likely a partial charge, not the full procedure |
$1,793.60 |
$2,242 |
0.2× |
| Ligate/strip short leg vein (37718) |
$652.40 |
$815.50 |
0.2× |
| Ligation of a-v fistula (37607) |
$3,914.40 |
$4,893 |
1.3× |
| Ligation of hemorrhoid(s) (46221) |
$369.60 |
$462 |
0.4× |
| Ligation of neck vein (37565) |
$1,217.60 |
$1,522 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$1,375.40 |
$1,719.25 |
0.9× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$4,274.40 |
$5,343 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,582.80 |
$1,978.50 |
0.5× |
| Lithotripsy (50590) |
$1,786.40 |
$2,233 |
0.6× |
| Liver Biopsy (47000) |
$1,241 |
$1,551.25 |
0.8× |
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure |
$1,174 |
$1,467.50 |
0.1× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$1,369.60 |
$1,712 |
0.1× |
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure |
$1,548 |
$1,935 |
0.2× |
| Lysis of labial adhesions (56441) |
$242.80 |
$303.50 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,526.20 |
$1,907.75 |
0.8× |
| Manipulation, elbow, under anesthesia (24300) |
$690 |
$862.50 |
0.5× |
| Marsup Bartholin Gland Cyst (56440) |
$261.20 |
$326.50 |
0.1× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,188 |
$2,735 |
0.4× |
| Mastectomy partial (19301) |
$1,294.40 |
$1,618 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,478.40 |
$1,848 |
0.2× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$1,855.60 |
$2,319.50 |
0.3× |
| Measure Ureter Press,Indwell Cath (50686) |
$256 |
$320 |
2.2× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$903.20 |
$1,129 |
1.3× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$903.20 |
$1,129 |
1.3× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$2,106.80 |
$2,633.50 |
0.6× |
Muscle transfer shoulder/arm (23395)
likely a partial charge, not the full procedure |
$1,990 |
$2,487.50 |
0.3× |
| Muscle-skin graft trunk (15734) |
$2,428.80 |
$3,036 |
0.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$913.20 |
$1,141.50 |
0.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$242.80 |
$303.50 |
1.3× |
| Nasal surgery procedure (30999) |
$169.20 |
$211.50 |
0.8× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$869.60 |
$1,087 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$542.80 |
$678.50 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$461.20 |
$576.50 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$278.40 |
$348 |
0.2× |
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295)
likely a partial charge, not the full procedure |
$282.80 |
$353.50 |
0.0× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$470 |
$587.50 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$652.40 |
$815.50 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,930.80 |
$3,663.50 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$261.20 |
$326.50 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$530 |
$662.50 |
1.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$430.80 |
$538.50 |
1.9× |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
$680.40 |
$850.50 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$834.80 |
$1,043.50 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$59.20 |
$74 |
2.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$919.60 |
$1,149.50 |
0.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$522.80 |
$653.50 |
0.3× |
| Nipple exploration (19110) |
$556.80 |
$696 |
0.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$148 |
$185 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$755.20 |
$944 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$368 |
$460 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$517.40 |
$646.75 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$163.20 |
$204 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$592 |
$740 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$460 |
$575 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$108.80 |
$136 |
0.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$255.20 |
$319 |
0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$261.20 |
$326.50 |
0.7× |
| Obstructive material removal from gi tube (49460) |
$1,379.80 |
$1,724.75 |
1.7× |
| Occlude fallopian tube(s) (58615) |
$406.40 |
$508 |
0.1× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure |
$2,000 |
$2,500 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$706.80 |
$883.50 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$1,237.60 |
$1,547 |
0.2× |
| Open rx carpal bone fx,each bone (25645) |
$5,078.40 |
$6,348 |
1.7× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,333.20 |
$1,666.50 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,276 |
$1,595 |
0.2× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$1,337.60 |
$1,672 |
0.1× |
Open Treatment Lunate Dislocation (25695)
likely a partial charge, not the full procedure |
$986.80 |
$1,233.50 |
0.1× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$998.40 |
$1,248 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$891.20 |
$1,114 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$903.20 |
$1,129 |
0.1× |
Open treatment of acute shoulder dislocation (23660)
likely a partial charge, not the full procedure |
$1,112 |
$1,390 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,162.80 |
$1,453.50 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$1,630.40 |
$2,038 |
0.1× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,975.60 |
$2,469.50 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge, not the full procedure |
$1,627.20 |
$2,034 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,608.80 |
$2,011 |
0.1× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge, not the full procedure |
$1,226 |
$1,532.50 |
0.2× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,434.80 |
$1,793.50 |
0.1× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge, not the full procedure |
$1,334.80 |
$1,668.50 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,236 |
$1,545 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,914.80 |
$2,393.50 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,482.80 |
$1,853.50 |
0.2× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$1,434.80 |
$1,793.50 |
0.1× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$1,608.80 |
$2,011 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,012.40 |
$1,265.50 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$999.20 |
$1,249 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,086 |
$1,357.50 |
0.2× |
Open treatment talus fracture (28445)
likely a partial charge, not the full procedure |
$891.20 |
$1,114 |
0.1× |
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure |
$1,408.80 |
$1,761 |
0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,716.80 |
$3,396 |
0.9× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$1,154 |
$1,442.50 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,090.80 |
$1,363.50 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$1,722 |
$2,152.50 |
0.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$786 |
$982.50 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,196.80 |
$1,496 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$2,453.80 |
$3,067.25 |
0.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$899.20 |
$1,124 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,130.40 |
$1,413 |
0.2× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
likely a partial charge, not the full procedure |
$1,293.20 |
$1,616.50 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,217.60 |
$5,272 |
1.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,421.20 |
$1,776.50 |
0.1× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$1,082.80 |
$1,353.50 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$1,154 |
$1,442.50 |
0.1× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,043.60 |
$1,304.50 |
0.2× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
unusually low: confirm this is the full procedure |
$2,206 |
$2,757.50 |
0.3× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$1,734 |
$2,167.50 |
0.1× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$1,492.40 |
$1,865.50 |
0.1× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,149.60 |
$1,437 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$919.60 |
$1,149.50 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$694 |
$867.50 |
0.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$480.80 |
$601 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$493.60 |
$617 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$472.40 |
$590.50 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$685.60 |
$857 |
0.2× |
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure |
$2,190.40 |
$2,738 |
0.2× |
Osteoplasty, radius OR ulna; shortening (25390)
likely a partial charge, not the full procedure |
$1,216 |
$1,520 |
0.2× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$656.40 |
$820.50 |
0.1× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$1,534.40 |
$1,918 |
0.1× |
| Osteotomy Fibula (27707) |
$639.60 |
$799.50 |
0.2× |
| Osteotomy Metacarpal Each (26565) |
$1,154 |
$1,442.50 |
0.4× |
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical (22210)
unusually low: confirm this is the full procedure |
$2,432 |
$3,040 |
0.4× |
| Osteotomy Phalanx Finger Each (26567) |
$3,600 |
$4,500 |
1.2× |
Osteotomy Radius Distal Third (25350)
likely a partial charge, not the full procedure |
$1,082.80 |
$1,353.50 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$965.60 |
$1,207 |
0.1× |
| Ovarian cystectomy (58925) |
$1,213.20 |
$1,516.50 |
0.3× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,379.60 |
$1,724.50 |
0.5× |
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure |
$1,113.20 |
$1,391.50 |
0.2× |
| Partial Excision Bone Fibula (27641) |
$1,127.20 |
$1,409 |
0.4× |
| Partial Excision Bone Olecranon Process (24147) |
$961.60 |
$1,202 |
0.3× |
| Partial Excision Bone Radius (25151) |
$932.40 |
$1,165.50 |
0.3× |
| Partial excision bone talus/calcaneus (28120) |
$878 |
$1,097.50 |
0.3× |
| Partial Excision Bone Tibia (27640) |
$1,400 |
$1,750 |
0.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,172.40 |
$1,465.50 |
0.4× |
| Partial excision of lip (40520) |
$556 |
$695 |
0.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$305.20 |
$381.50 |
0.1× |
| Partial Removal Foot Fascia (28060) |
$585.20 |
$731.50 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,410.40 |
$1,763 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,174 |
$1,467.50 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$543.60 |
$679.50 |
0.2× |
| Pelvic exam under anesthesia (57410) |
$348 |
$435 |
0.1× |
| Penis plastic surgery (54360) |
$1,178.80 |
$1,473.50 |
0.4× |
| Perc sk fix metatarsal fx w manip (28476) |
$564.40 |
$705.50 |
0.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,233.20 |
$1,541.50 |
1.9× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$1,437.60 |
$1,797 |
0.3× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,499.20 |
$1,874 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$710.80 |
$888.50 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$753.60 |
$942 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$773.60 |
$967 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$426.40 |
$533 |
0.1× |
| Peritoneal Lavage (49084) |
$322 |
$402.50 |
0.4× |
| Perq dev breast 1st us imag (19285) |
$8,477.60 |
$10,597 |
13.0× |
| Perq device breast 1st imag (19281) |
$748.40 |
$935.50 |
0.5× |
| Perq dilation xst trc endourologic px w/img (50436) |
$238.40 |
$298 |
0.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$998.20 |
$1,247.75 |
0.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,912 |
$2,390 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$371.20 |
$464 |
1.6× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure |
$823.60 |
$1,029.50 |
0.1× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$782 |
$977.50 |
0.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$668.80 |
$836 |
0.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$714.80 |
$893.50 |
0.2× |
| Pin hand dislocation (26676) |
$818 |
$1,022.50 |
0.3× |
| Pin radioulnar dislocation (25671) |
$832 |
$1,040 |
0.3× |
| Place ndl musc/tis for rt (20555) |
$562 |
$702.50 |
0.2× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$695.60 |
$869.50 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$568 |
$710 |
1.4× |
| Placement of seton (46020) |
$582.80 |
$728.50 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,417.60 |
$1,772 |
0.8× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$266.40 |
$333 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$378.40 |
$473 |
0.2× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$591.60 |
$739.50 |
0.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$369.60 |
$462 |
0.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$447.60 |
$559.50 |
0.1× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$915.60 |
$1,144.50 |
0.3× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$478.40 |
$598 |
0.1× |
| Prepare face/oral prosthesis (21085) |
$1,061.20 |
$1,326.50 |
4.9× |
| Preputial Stretching (54450) |
$252.40 |
$315.50 |
1.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$482 |
$602.50 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$318.80 |
$398.50 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$159.20 |
$199 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$207.60 |
$259.50 |
0.2× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187)
likely a partial charge, not the full procedure |
$1,592.80 |
$1,991 |
0.2× |
| Prostate Saturation Sampling (55706) |
$614.80 |
$768.50 |
0.2× |
| Prostatectomy (turp) (52601) |
$1,593.20 |
$1,991.50 |
0.3× |
Prosthesis removal humeral and glenoid component (23335)
unusually low: confirm this is the full procedure |
$2,040 |
$2,550 |
0.3× |
Prq impltj neurostimulator eltrd peripheral nrv (64555)
likely a partial charge, not the full procedure |
$74 |
$92.50 |
0.0× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$388.80 |
$486 |
0.1× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
likely a partial charge, not the full procedure |
$1,216.40 |
$1,520.50 |
0.2× |
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
likely a partial charge, not the full procedure |
$627.20 |
$784 |
0.1× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,053.60 |
$1,317 |
0.2× |
Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212)
unusually low: confirm this is the full procedure |
$1,739.20 |
$2,174 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$163.20 |
$204 |
0.4× |
| Puncture Aspiration (10160) |
$510.60 |
$638.25 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,005.60 |
$1,257 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,158 |
$1,447.50 |
0.8× |
| Rad resect tumor soft tissue thigh/knee <5cm (27329) |
$1,743.60 |
$2,179.50 |
0.7× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$1,695.60 |
$2,119.50 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
$3,060.80 |
$3,826 |
1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
$2,126 |
$2,657.50 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$2,194.80 |
$2,743.50 |
0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$309.60 |
$387 |
0.2× |
Rcnstj Dislc Patella W/Patellectomy (27424)
likely a partial charge, not the full procedure |
$1,149.60 |
$1,437 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,128.80 |
$1,411 |
0.2× |
| Realignment extensor tendon hand each tendon (26437) |
$1,053.60 |
$1,317 |
0.4× |
Realignment of knee (27457)
likely a partial charge, not the full procedure |
$1,504.80 |
$1,881 |
0.2× |
Realignment of knee (27455)
likely a partial charge, not the full procedure |
$1,521.60 |
$1,902 |
0.2× |
| Reattachment of part of cutoff finger (20822) |
$3,167.20 |
$3,959 |
2.1× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$1,191.60 |
$1,489.50 |
0.2× |
| Reconstruc toe deform,soft tissue (28313) |
$614.80 |
$768.50 |
0.2× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$1,931.20 |
$2,414 |
0.2× |
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure |
$1,358.80 |
$1,698.50 |
0.2× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346)
unusually low: confirm this is the full procedure |
$5,680.80 |
$7,101 |
0.5× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
likely a partial charge, not the full procedure |
$1,195.60 |
$1,494.50 |
0.2× |
| Reconstruction of nail bed with graft (11762) |
$321.20 |
$401.50 |
0.2× |
| Reconstruction of urethra (53430) |
$1,596.80 |
$1,996 |
0.3× |
| Reduce testis torsion (54600) |
$739.20 |
$924 |
0.2× |
| Reduction of rectal prolapse (45900) |
$556.40 |
$695.50 |
0.7× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,278.40 |
$1,598 |
0.2× |
Release hip flexion contracture (27036)
likely a partial charge, not the full procedure |
$1,622 |
$2,027.50 |
0.2× |
| Release i-p jt contracture (26525) |
$1,229.60 |
$1,537 |
0.8× |
| Release of big toe (28240) |
$740.40 |
$925.50 |
0.2× |
| Release palm contracture (26121) |
$936.40 |
$1,170.50 |
0.3× |
| Release/Recession Hamstring Proximal (27097) |
$1,041.20 |
$1,301.50 |
0.3× |
| Removal Anal Seton Other Marker (46030) |
$146.40 |
$183 |
0.1× |
| Removal fb intranasal (30300) |
$398.80 |
$498.50 |
3.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$922 |
$1,152.50 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,715.20 |
$2,144 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$715 |
$893.75 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$598.60 |
$748.25 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$982.40 |
$1,228 |
0.3× |
| Removal foreign body pharynx (42809) |
$113.20 |
$141.50 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,412 |
$1,765 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$286.60 |
$358.25 |
5.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$115.40 |
$144.25 |
2.1× |
| Removal Implant Deep (20680) |
$3,064.40 |
$3,830.50 |
1.1× |
| Removal Implant From Finger/Hand (26320) |
$556 |
$695 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,096 |
$1,370 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$464.20 |
$580.25 |
0.7× |
| Removal of adenoids (42835) |
$323.60 |
$404.50 |
0.1× |
| Removal of adenoids (42830) |
$351.60 |
$439.50 |
0.1× |
| Removal of adenoids (42836) |
$409.20 |
$511.50 |
0.1× |
| Removal of anal fissure (46200) |
$722 |
$902.50 |
0.3× |
Removal of anterior instrumentation (eg, dwyer device) (22855)
likely a partial charge, not the full procedure |
$1,812 |
$2,265 |
0.3× |
| Removal of arm foreign body (24200) |
$254.40 |
$318 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$543.60 |
$679.50 |
0.4× |
| Removal of finger lesion (26210) |
$1,777.60 |
$2,222 |
1.2× |
| Removal of heel bone (28118) |
$674 |
$842.50 |
0.2× |
| Removal of heel spur (28119) |
$585.20 |
$731.50 |
0.2× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure |
$2,575.20 |
$3,219 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$255.20 |
$319 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$280.60 |
$350.75 |
1.0× |
| Removal of knee cartilage (27333) |
$924 |
$1,155 |
0.3× |
| Removal of knee cartilage (27332) |
$1,026.40 |
$1,283 |
0.3× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
likely a partial charge, not the full procedure |
$1,979.60 |
$2,474.50 |
0.2× |
| Removal of nail bed (11750) |
$606.80 |
$758.50 |
1.6× |
Removal of posterior instrumentation (eg, harrington rod) (22850)
likely a partial charge, not the full procedure |
$1,280 |
$1,600 |
0.2× |
Removal of posterior segmental instrumentation (22852)
likely a partial charge, not the full procedure |
$1,252 |
$1,565 |
0.2× |
| Removal of sesamoid bone (28315) |
$531.20 |
$664 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$159.60 |
$199.50 |
0.9× |
| Removal of sperm cord lesion (55520) |
$727.60 |
$909.50 |
0.2× |
| Removal of testis (54520) |
$546.40 |
$683 |
0.2× |
Removal of thyroid (60271)
unusually low: confirm this is the full procedure |
$1,776 |
$2,220 |
0.3× |
Removal of thyroid lesion (60200)
likely a partial charge, not the full procedure |
$1,066 |
$1,332.50 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$443.60 |
$554.50 |
0.1× |
| Removal of tonsils (42826) |
$730.80 |
$913.50 |
0.2× |
| Removal of ureter stone (51060) |
$986.40 |
$1,233 |
0.5× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,130.40 |
$1,413 |
0.4× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$765.60 |
$957 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$324.40 |
$405.50 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$324.40 |
$405.50 |
1.3× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$2,305.60 |
$2,882 |
1.2× |
| Remove anal fist subq (46270) |
$617.60 |
$772 |
0.2× |
| Remove bladder stone (52318) |
$904.80 |
$1,131 |
0.3× |
| Remove cerclage suture (59871) |
$205.20 |
$256.50 |
0.1× |
| Remove drug implant device (11982) |
$240.20 |
$300.25 |
0.6× |
| Remove elbow lesion (24120) |
$840.40 |
$1,050.50 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$254.80 |
$318.50 |
0.9× |
| Remove femur lesion (27355) |
$970 |
$1,212.50 |
0.3× |
| Remove foreign body from eye (65210) |
$104.80 |
$131 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$800.40 |
$1,000.50 |
0.3× |
| Remove in/ex hem grp w/fistu (46258) |
$752.40 |
$940.50 |
0.3× |
| Remove knee cyst (27347) |
$823.60 |
$1,029.50 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$958.80 |
$1,198.50 |
0.4× |
| Remove prostate regrowth (52630) |
$845.20 |
$1,056.50 |
0.2× |
| Remove sacrum pressure sore (15937) |
$1,717.20 |
$2,146.50 |
0.9× |
| Remove sacrum pressure sore (15935) |
$1,813.20 |
$2,266.50 |
0.6× |
| Remove spinal canal catheter (62355) |
$430.80 |
$538.50 |
0.2× |
| Remove wrist joint cartilage (25107) |
$949.20 |
$1,186.50 |
0.3× |
| Remove wrist tendon lesion (25111) |
$702.80 |
$878.50 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,099 |
$1,373.75 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$232.80 |
$291 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$117.20 |
$146.50 |
1.0× |
| Remv for.body deep penile tiss (54115) |
$740 |
$925 |
0.3× |
| Remv/revisn shldr/hip spica cast (29710) |
$450 |
$562.50 |
1.7× |
| Renal biopsy (50200) |
$213.20 |
$266.50 |
0.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,062 |
$1,327.50 |
0.2× |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$2,988.80 |
$3,736 |
0.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,708.40 |
$3,385.50 |
0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,491.80 |
$1,864.75 |
0.5× |
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure |
$1,036.80 |
$1,296 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$858.40 |
$1,073 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$938 |
$1,172.50 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$877.20 |
$1,096.50 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,265.20 |
$1,581.50 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$640 |
$800 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,095.60 |
$1,369.50 |
2.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$695.60 |
$869.50 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$907 |
$1,133.75 |
1.3× |
| Repair elbow deb/attch open (24359) |
$1,082.80 |
$1,353.50 |
0.4× |
| Repair elbow perc (24357) |
$711.60 |
$889.50 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,695.60 |
$3,369.50 |
1.8× |
| Repair finger tendon (26433) |
$1,690.80 |
$2,113.50 |
0.6× |
| Repair finger/hand tendon (26350) |
$2,320.20 |
$2,900.25 |
0.8× |
| Repair finger/hand tendon (26370) |
$2,577 |
$3,221.25 |
0.9× |
| Repair forearm tendon/muscle (25270) |
$3,449.20 |
$4,311.50 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$2,254.80 |
$2,818.50 |
0.7× |
| Repair hallux rigidus (28289) |
$744.40 |
$930.50 |
0.2× |
| Repair hand tendon (26410) |
$1,581.40 |
$1,976.75 |
1.1× |
Repair humerus with graft (24435)
likely a partial charge, not the full procedure |
$1,730.80 |
$2,163.50 |
0.1× |
| Repair incomplete circumcision (54163) |
$359.60 |
$449.50 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$890.40 |
$1,113 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,582.80 |
$1,978.50 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,269.60 |
$1,587 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,218.80 |
$1,523.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,084.40 |
$1,355.50 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$768 |
$960 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$366.40 |
$458 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,558.80 |
$1,948.50 |
4.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$549 |
$686.25 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$848.40 |
$1,060.50 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,603.20 |
$2,004 |
4.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$876 |
$1,095 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$582.80 |
$728.50 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$366.40 |
$458 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$596.20 |
$745.25 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,420.40 |
$1,775.50 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$708.40 |
$885.50 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$532.80 |
$666 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,304 |
$1,630 |
3.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,230.80 |
$1,538.50 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$667.80 |
$834.75 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,365.20 |
$1,706.50 |
0.7× |
| Repair intrinsic muscles of hand (26591) |
$719.20 |
$899 |
0.2× |
| Repair kneecap tendon (27380) |
$5,032.60 |
$6,290.75 |
0.8× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$932.40 |
$1,165.50 |
0.1× |
Repair medial collateral ligament, elbow w/local tissue (24345)
likely a partial charge, not the full procedure |
$1,112 |
$1,390 |
0.2× |
Repair nonunion hand (26546)
likely a partial charge, not the full procedure |
$1,630.40 |
$2,038 |
0.2× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$769.20 |
$961.50 |
0.1× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$970 |
$1,212.50 |
0.1× |
Repair of defect with autograft; radius OR ulna (25425)
likely a partial charge, not the full procedure |
$1,542.80 |
$1,928.50 |
0.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$800.40 |
$1,000.50 |
0.2× |
| Repair of eye socket wound (65290) |
$2,422.40 |
$3,028 |
0.7× |
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure |
$1,488.40 |
$1,860.50 |
0.2× |
| Repair Of Foot Tendon (28208) |
$865.60 |
$1,082 |
0.3× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$1,596.80 |
$1,996 |
0.1× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$1,048 |
$1,310 |
0.2× |
Repair of knee ligament (27407)
likely a partial charge, not the full procedure |
$1,266.80 |
$1,583.50 |
0.2× |
Repair of knee ligaments (27409)
likely a partial charge, not the full procedure |
$1,570.80 |
$1,963.50 |
0.2× |
| Repair of leg tendon each (27658) |
$633.20 |
$791.50 |
0.2× |
| Repair of nail bed (11760) |
$477.20 |
$596.50 |
0.7× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400)
unusually low: confirm this is the full procedure |
$3,135.80 |
$3,919.75 |
0.5× |
Repair of nonunion or malunion, tibia; with sliding graft (27722)
likely a partial charge, not the full procedure |
$1,354.40 |
$1,693 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,567.20 |
$1,959 |
0.2× |
Repair of shoulder (23420)
likely a partial charge, not the full procedure |
$1,559.20 |
$1,949 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$903.20 |
$1,129 |
0.1× |
Repair of tibia (27720)
likely a partial charge, not the full procedure |
$1,400.40 |
$1,750.50 |
0.2× |
| Repair of vagina (57260) |
$1,387.20 |
$1,734 |
0.3× |
Repair radius & ulna (25415)
likely a partial charge, not the full procedure |
$1,517.60 |
$1,897 |
0.2× |
| Repair rectum & vagina (57250) |
$1,065.20 |
$1,331.50 |
0.2× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,473.20 |
$1,841.50 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,145.60 |
$1,432 |
0.2× |
Repair shldr capsu,ant,coracoid xfer (23462)
likely a partial charge, not the full procedure |
$1,710 |
$2,137.50 |
0.3× |
Repair shoulder capsule (23465)
unusually low: confirm this is the full procedure |
$2,104.40 |
$2,630.50 |
0.3× |
| Repair Tongue Laceration (41250) |
$570.40 |
$713 |
1.4× |
| Repair wrist joints (25447) |
$1,300 |
$1,625 |
0.4× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$798.40 |
$998 |
0.3× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472)
unusually low: confirm this is the full procedure |
$2,031.60 |
$2,539.50 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$2,976.80 |
$3,721 |
0.4× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$526.80 |
$658.50 |
0.2× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,099.60 |
$1,374.50 |
0.2× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,208.40 |
$1,510.50 |
0.2× |
Repair/revise wrist joint (25320)
likely a partial charge, not the full procedure |
$1,572 |
$1,965 |
0.2× |
| Replace g/c tube perc (49450) |
$867.60 |
$1,084.50 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,031.60 |
$1,289.50 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,132.80 |
$1,416 |
0.4× |
| Rerepair fem hernia blocked (49557) |
$1,086.80 |
$1,358.50 |
0.3× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,361.20 |
$1,701.50 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,266.40 |
$1,583 |
0.4× |
| Resect arm/elbow tum < 5 cm (24077) |
$1,704.40 |
$2,130.50 |
0.6× |
| Resection of scrotum (55150) |
$830.80 |
$1,038.50 |
0.3× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$2,428.80 |
$3,036 |
0.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,621.20 |
$3,276.50 |
0.2× |
| Revise arm/leg nerve (64708) |
$818 |
$1,022.50 |
0.5× |
| Revise Eyelashes,Forceps (67820) |
$44 |
$55 |
0.4× |
| Revise hernia & sperm veins (55540) |
$882 |
$1,102.50 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$832 |
$1,040 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$970 |
$1,212.50 |
0.5× |
| Revise ulnar nerve at wrist (64719) |
$639.60 |
$799.50 |
0.4× |
| Revise ureter (50727) |
$848 |
$1,060 |
0.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$2,491.60 |
$3,114.50 |
0.8× |
| Revision of foot (28116) |
$944.80 |
$1,181 |
0.3× |
Revision of humerus (24400)
likely a partial charge, not the full procedure |
$1,296 |
$1,620 |
0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$1,618 |
$2,022.50 |
0.5× |
| Revision of lower leg tendon (27685) |
$752.40 |
$940.50 |
0.3× |
| Revision of penis (54300) |
$1,032.80 |
$1,291 |
0.3× |
| Revision of penis (54420) |
$1,162.40 |
$1,453 |
0.4× |
| Revision of penis (54304) |
$1,237.60 |
$1,547 |
0.4× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge, not the full procedure |
$2,863.60 |
$3,579.50 |
0.2× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
likely a partial charge, not the full procedure |
$2,577.60 |
$3,222 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$2,953.60 |
$3,692 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$2,342.80 |
$2,928.50 |
0.2× |
| Revision of urethra (53460) |
$748.40 |
$935.50 |
0.2× |
| Revision of urethra (53450) |
$673.20 |
$841.50 |
0.2× |
| Revj clst comp rcnstj in-depth spx (44345) |
$2,208.80 |
$2,761 |
0.7× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$978.40 |
$1,223 |
0.3× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$1,112 |
$1,390 |
0.2× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$138 |
$172.50 |
0.1× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$732.40 |
$915.50 |
1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,226 |
$1,532.50 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$421.60 |
$527 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$198.80 |
$248.50 |
1.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$678.80 |
$848.50 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,797 |
$2,246.25 |
0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$673.20 |
$841.50 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$501.20 |
$626.50 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,068 |
$1,335 |
1.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$380.40 |
$475.50 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$246.80 |
$308.50 |
1.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$330.40 |
$413 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$652.40 |
$815.50 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$288.80 |
$361 |
0.1× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$869.60 |
$1,087 |
0.1× |
| Rpr blood vessel direct lower extremity (35226) |
$2,206 |
$2,757.50 |
3.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,024.40 |
$3,780.50 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,441 |
$1,801.25 |
1.0× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$760.80 |
$951 |
0.1× |
| Rpr ing hernia baby blocked (49496) |
$1,043.60 |
$1,304.50 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,289.20 |
$1,611.50 |
1.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$479.20 |
$599 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,222.40 |
$1,528 |
2.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,195.20 |
$1,494 |
0.8× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$1,267.20 |
$1,584 |
0.2× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$913.20 |
$1,141.50 |
0.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,473.60 |
$1,842 |
2.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$826 |
$1,032.50 |
0.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,266.80 |
$1,583.50 |
0.4× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$463.20 |
$579 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$104.80 |
$131 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$215.20 |
$269 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$178.80 |
$223.50 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$296 |
$370 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$176.40 |
$220.50 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$253 |
$316.25 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$213.20 |
$266.50 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$318 |
$397.50 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$300.40 |
$375.50 |
0.8× |
| Shldr arthroscop,lyse adhesns (29825) |
$928 |
$1,160 |
0.3× |
| Shoulder arthroscopy (29805) |
$736 |
$920 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$191.60 |
$239.50 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$261.20 |
$326.50 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$191.60 |
$239.50 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$314.80 |
$393.50 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$235.20 |
$294 |
1.3× |
| Sigmoidoscopy & decompress (45337) |
$207.60 |
$259.50 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$413.20 |
$516.50 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$213.20 |
$266.50 |
0.2× |
| Sigmoidoscopy w/fb removal (45332) |
$313.60 |
$392 |
0.3× |
| Simple biopsy of growth of throat behind nose (42804) |
$330.80 |
$413.50 |
0.1× |
| Simple destruction of growth of penis using electric current (54055) |
$191.60 |
$239.50 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$934 |
$1,167.50 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$338.40 |
$423 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$427.80 |
$534.75 |
2.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$902 |
$1,127.50 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$433.40 |
$541.75 |
2.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$520 |
$650 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,064.40 |
$1,330.50 |
5.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$462.80 |
$578.50 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,102.40 |
$1,378 |
6.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$395 |
$493.75 |
2.1× |
Sinus endo w/balloon dil (31296)
likely a partial charge, not the full procedure |
$330.80 |
$413.50 |
0.1× |
| Sinus endo w/balloon dil (31297) |
$3,912.80 |
$4,891 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,075.60 |
$1,344.50 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$204.80 |
$256 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$210.80 |
$263.50 |
0.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$487.20 |
$609 |
0.3× |
| Skin Tissue Procedure (17999) |
$68.40 |
$85.50 |
0.4× |
| Skin tissue rearrangement (14040) |
$1,276 |
$1,595 |
0.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,408.80 |
$1,761 |
0.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,195.60 |
$1,494.50 |
0.3× |
| Slitting of prepuce (54001) |
$300.40 |
$375.50 |
0.2× |
| Slitting of prepuce (54000) |
$174 |
$217.50 |
0.1× |
| Small bowel endoscopy (44376) |
$451.60 |
$564.50 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$250.80 |
$313.50 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$458.20 |
$572.75 |
2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$476.20 |
$595.25 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$580.40 |
$725.50 |
1.6× |
| Sphincterotomy (46080) |
$409.20 |
$511.50 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$576.60 |
$720.75 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$720 |
$900 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$942.80 |
$1,178.50 |
0.3× |
| Stimulus evoked response (51792) |
$339.60 |
$424.50 |
6.3× |
| Strapping ankle (29540) |
$323.60 |
$404.50 |
2.2× |
| Strapping elbow/wrist (29260) |
$207.20 |
$259 |
3.8× |
| Strapping hand/finger (29280) |
$184.80 |
$231 |
3.4× |
| Strapping knee (29530) |
$203.20 |
$254 |
1.7× |
| Strapping shoulder (29240) |
$323.60 |
$404.50 |
2.6× |
| Strapping thorax (29200) |
$191.60 |
$239.50 |
1.3× |
| Strapping toes (29550) |
$323.60 |
$404.50 |
6.0× |
| Strapping unna boot (29580) |
$504 |
$630 |
3.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$480 |
$600 |
1.2× |
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure |
$1,398.40 |
$1,748 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,074.80 |
$1,343.50 |
0.4× |
| Suspension of testis (54640) |
$782.80 |
$978.50 |
0.2× |
| Suspension of testis (54620) |
$500 |
$625 |
0.2× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
likely a partial charge, not the full procedure |
$1,325.20 |
$1,656.50 |
0.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,103.60 |
$1,379.50 |
0.6× |
| Suture of 1 nerve ulnar motor (64836) |
$5,782.40 |
$7,228 |
1.8× |
| Suture/repair testicular injury (54670) |
$668.80 |
$836 |
0.2× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$581.20 |
$726.50 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$593.60 |
$742 |
0.4× |
Talectomy (astragalectomy) (28130)
likely a partial charge, not the full procedure |
$957.60 |
$1,197 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$154.80 |
$193.50 |
0.4× |
| Tendon excision palm/finger (26145) |
$811.20 |
$1,014 |
0.5× |
Tendon graft, from a distance (20924)
likely a partial charge, not the full procedure |
$794.40 |
$993 |
0.1× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,226 |
$1,532.50 |
0.2× |
| Tenodesis Wrist Flexors Fingers (25300) |
$1,095.20 |
$1,369 |
0.4× |
| Tenolysis extensor foot single tendon (28225) |
$514.40 |
$643 |
0.2× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$1,530 |
$1,912.50 |
0.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$685.60 |
$857 |
0.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$861.20 |
$1,076.50 |
0.3× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$5,994 |
$7,492.50 |
2.0× |
| Tenotomy percutaneous single each digit (26060) |
$2,503.20 |
$3,129 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$535.20 |
$669 |
0.2× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$995.20 |
$1,244 |
0.1× |
Tenotomy shoulder multiple thru same incision (23406)
likely a partial charge, not the full procedure |
$1,241.60 |
$1,552 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$984.40 |
$1,230.50 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,058.80 |
$1,323.50 |
1.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$897.40 |
$1,121.75 |
1.6× |
| Throat Surgery Procedure (42999) |
$169.20 |
$211.50 |
0.8× |
| Thrombolytic Therapy, Stroke (37195) |
$484.80 |
$606 |
1.6× |
| Thyroid biopsy (60100) |
$522.80 |
$653.50 |
0.8× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260)
unusually low: confirm this is the full procedure |
$1,822 |
$2,277.50 |
0.3× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$1,890.40 |
$2,363 |
0.3× |
Tibial arthroscopy/surgery (29855)
likely a partial charge, not the full procedure |
$1,291.60 |
$1,614.50 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,274.40 |
$1,593 |
0.7× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,103.60 |
$1,379.50 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$748 |
$935 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge, not the full procedure |
$3,132 |
$3,915 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,406.40 |
$3,008 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,571.20 |
$3,214 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$217.60 |
$272 |
0.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$536 |
$670 |
0.4× |
| Tracheostomy planned (31600) |
$2,121.80 |
$2,652.25 |
0.7× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$832 |
$1,040 |
0.5× |
| Transplant forearm tendon (25310) |
$974 |
$1,217.50 |
0.3× |
| Transplant/graft hand tendon (26483) |
$624 |
$780 |
0.2× |
| Transurethral incision of prostate (52450) |
$890.40 |
$1,113 |
0.3× |
| Transurethral resection of bladder neck (52500) |
$822 |
$1,027.50 |
0.3× |
Treat ankle dislocation (27848)
likely a partial charge, not the full procedure |
$1,287.60 |
$1,609.50 |
0.2× |
Treat ankle dislocation (27846)
likely a partial charge, not the full procedure |
$1,162.40 |
$1,453 |
0.2× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,049.20 |
$1,311.50 |
0.2× |
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure |
$1,367.20 |
$1,709 |
0.2× |
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure |
$1,492.40 |
$1,865.50 |
0.1× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,239.20 |
$1,549 |
0.2× |
| Treat finger dislocation (26775) |
$905.20 |
$1,131.50 |
3.5× |
| Treat Finger Fracture Each (26727) |
$738.40 |
$923 |
0.2× |
Treat forearm bone lesion (25035)
likely a partial charge, not the full procedure |
$1,672 |
$2,090 |
0.3× |
Treat fracture of radius (25526)
likely a partial charge, not the full procedure |
$1,492.40 |
$1,865.50 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$371.40 |
$464.25 |
1.6× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,478.40 |
$1,848 |
0.2× |
| Treat fx distal radial (25606) |
$1,048 |
$1,310 |
0.3× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,185.60 |
$1,482 |
0.2× |
Treat heel fracture (28415)
likely a partial charge, not the full procedure |
$1,801.60 |
$2,252 |
0.3× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$1,250 |
$1,562.50 |
0.2× |
| Treat humerus fracture (24500) |
$781.20 |
$976.50 |
3.4× |
| Treat humerus fracture (24577) |
$1,080 |
$1,350 |
0.7× |
Treat humerus fracture (23616)
likely a partial charge, not the full procedure |
$1,994 |
$2,492.50 |
0.1× |
| Treat humerus fracture (23600) |
$1,046 |
$1,307.50 |
4.6× |
| Treat knee fracture (27532) |
$1,982 |
$2,477.50 |
0.7× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$2,111.20 |
$2,639 |
0.2× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,764 |
$2,205 |
0.1× |
| Treat Metatarsal Fracture (28475) |
$364 |
$455 |
1.6× |
| Treat pleurodesis w/agent (32560) |
$683 |
$853.75 |
1.2× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$1,032.80 |
$1,291 |
0.2× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$1,530 |
$1,912.50 |
0.2× |
| Treat thumb fracture (26650) |
$1,003.20 |
$1,254 |
0.3× |
| Treat thumb fracture (26665) |
$1,003.20 |
$1,254 |
0.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$369.20 |
$461.50 |
0.2× |
| Treat toe fracture (28525) |
$648 |
$810 |
0.2× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,060.40 |
$1,325.50 |
0.2× |
| Treat Vaginal Bleeding (57180) |
$253.20 |
$316.50 |
1.4× |
| Treat wrist bone fracture (25635) |
$1,060.60 |
$1,325.75 |
0.7× |
| Treat wrist bone fracture (25622) |
$1,038.60 |
$1,298.25 |
4.6× |
| Treat Wrist Bone Fracture (25630) |
$537.20 |
$671.50 |
2.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,527.60 |
$1,909.50 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,355.60 |
$1,694.50 |
6.0× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,413.20 |
$1,766.50 |
0.2× |
Treatment of ankle fracture (28436)
likely a partial charge, not the full procedure |
$723.20 |
$904 |
0.1× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,153.60 |
$1,442 |
0.2× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,141.20 |
$1,426.50 |
0.2× |
| Treatment of foot infection (28003) |
$585.20 |
$731.50 |
0.2× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,345.20 |
$2,931.50 |
0.4× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure |
$1,922.40 |
$2,403 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$522 |
$652.50 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$922.20 |
$1,152.75 |
4.1× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$1,998.40 |
$2,498 |
0.2× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$1,659.20 |
$2,074 |
0.1× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$928 |
$1,160 |
0.1× |
| Trim skin lesion (11055) |
$144.60 |
$180.75 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$71.60 |
$89.50 |
0.4× |
| Trim skin lesions over 4 (11057) |
$96 |
$120 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$26.40 |
$33 |
0.5× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$288.80 |
$361 |
0.2× |
| Trurl drainage prostatic abscess (52700) |
$727.60 |
$909.50 |
0.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$556 |
$695 |
0.2× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,383.60 |
$1,729.50 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$608.80 |
$761 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$608.80 |
$761 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,445.40 |
$1,806.75 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$625 |
$781.25 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$434.80 |
$543.50 |
1.2× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$538.40 |
$673 |
2.5× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,032.80 |
$1,291 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,492.40 |
$1,865.50 |
0.3× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$608.80 |
$761 |
0.1× |
| Unlisted procedure anus (46999) |
$497.60 |
$622 |
0.6× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$150.80 |
$188.50 |
0.7× |
| Unlisted Procedure External Ear (69399) |
$330.40 |
$413 |
1.5× |
| Unlisted procedure humerus/elbow (24999) |
$316.40 |
$395.50 |
1.4× |
| Unlisted procedure leg/ankle (27899) |
$316.40 |
$395.50 |
1.4× |
| Unlisted Procedure Nervous System (64999) |
$329.20 |
$411.50 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,156 |
$1,445 |
5.1× |
| Unlisted Procedure Rectum (45999) |
$679.20 |
$849 |
0.8× |
| Unlisted Procedure Trachea Bronchi (31899) |
$250.80 |
$313.50 |
1.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,471.60 |
$3,089.50 |
4.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,513.40 |
$3,141.75 |
3.0× |
| Unlisted procedure, male genital system (55899) |
$587.20 |
$734 |
2.6× |
| Unlisted procedure, stomach (43999) |
$1,033.60 |
$1,292 |
1.2× |
| Ureter endoscopy (50970) |
$710.80 |
$888.50 |
0.2× |
| Ureter endoscopy & treatment (50980) |
$681.20 |
$851.50 |
0.1× |
| Ureter endoscopy & treatment (50957) |
$824.40 |
$1,030.50 |
0.2× |
| Ureter endoscopy & treatment (50976) |
$884 |
$1,105 |
0.2× |
| Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) |
$730.80 |
$913.50 |
0.1× |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
$756 |
$945 |
0.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$722 |
$902.50 |
0.2× |
| Ureteral endoscopy via ureterostomy w/biopsy (50955) |
$807.20 |
$1,009 |
0.2× |
| Ureteral endoscopy via ureterot w/o imaging w/bx (50974) |
$807.20 |
$1,009 |
0.2× |
| Urine Flow Measurement (51736) |
$69.60 |
$87 |
0.6× |
| Urology Surgery Procedure (53899) |
$150.40 |
$188 |
0.7× |
| Uvulectomy excision uvula (42140) |
$417.60 |
$522 |
0.1× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$1,927.20 |
$2,409 |
0.4× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,785.20 |
$2,231.50 |
0.3× |
| Vaginal delivery only (59409) |
$1,417.60 |
$1,772 |
0.5× |
| Vaginal hysterectomy (58260) |
$1,391.20 |
$1,739 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,586.80 |
$1,983.50 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$1,608.80 |
$2,011 |
0.3× |
| Vasectomy (55250) |
$686.40 |
$858 |
0.4× |
| Vasotomy cannulization w/wo vas inc uni/bi spx (55200) |
$739.20 |
$924 |
0.2× |
| Vbac delivery only (59612) |
$1,727 |
$2,158.75 |
0.6× |
| Venipuncture (36415) |
$23.40 |
$29.25 |
2.5× |
| Vulvectomy simple partial (56620) |
$819.60 |
$1,024.50 |
0.3× |
| Wedging of cast (29740) |
$202.80 |
$253.50 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$973.60 |
$1,217 |
2.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$434.80 |
$543.50 |
0.6× |
| Wrist arthroscop,excis triang cart (29846) |
$819.60 |
$1,024.50 |
0.3× |
| Wrist arthroscop,part synovect (29844) |
$786 |
$982.50 |
0.3× |
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure |
$1,158 |
$1,447.50 |
0.2× |