| Abd paracentesis w/imaging (49083) |
$1,053 |
$1,620 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$910 |
$1,400 |
1.1× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$12,749.75 |
$19,615 |
1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$16,302 |
$25,080 |
1.0× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$9,061 |
$13,940 |
0.9× |
| Abltj 1/> lvr tum prq rf (47382) |
$7,146.75 |
$10,995 |
1.3× |
| Acne Surgery (10040) |
$227.50 |
$350 |
1.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,503.12 |
$2,312.50 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,829.12 |
$4,352.50 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,847.62 |
$2,842.50 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,680.58 |
$2,585.50 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,796.60 |
$2,764 |
0.9× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,745.90 |
$2,686 |
0.9× |
| Amniocentesis diagnostic (59000) |
$492.38 |
$757.50 |
0.6× |
| Amputate metacarpal bone (26910) |
$975 |
$1,500 |
0.3× |
| Amputate Thigh,Re-Amputatn (27596) |
$975 |
$1,500 |
0.3× |
| Amputation Finger/Thumb (26951) |
$910 |
$1,400 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$607.75 |
$935 |
0.2× |
| Amputation of penis; partial (54120) |
$822.25 |
$1,265 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,140.75 |
$1,755 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$737.75 |
$1,135 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$780 |
$1,200 |
0.3× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$910 |
$1,400 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,056.25 |
$1,625 |
0.3× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$936 |
$1,440 |
0.3× |
| Anoscopy diagnostic (46600) |
$84.50 |
$130 |
0.7× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$513.50 |
$790 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$214.10 |
$329.39 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$149.50 |
$230 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$624 |
$960 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$508.30 |
$782 |
0.1× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$325 |
$500 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$188.50 |
$290 |
1.2× |
| Application cast elbow finger short arm (29075) |
$208 |
$320 |
0.8× |
| Application Cast Finger (29086) |
$152.75 |
$235 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$159.25 |
$245 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$216.12 |
$332.50 |
0.8× |
| Application finger splint static (29130) |
$149.50 |
$230 |
1.2× |
| Application Hip Spica Cast 1 Leg (29305) |
$351 |
$540 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$188.50 |
$290 |
1.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$251.88 |
$387.50 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$147.88 |
$227.50 |
1.0× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$240.50 |
$370 |
0.9× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$334.75 |
$515 |
1.3× |
| Application of long leg cast (29345) |
$248.62 |
$382.50 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$258.38 |
$397.50 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$149.50 |
$230 |
1.2× |
| Application short leg splint calf foot (29515) |
$182 |
$280 |
1.2× |
| Apply long leg cast brace (29358) |
$277.22 |
$426.50 |
1.1× |
| Apply multlay comprs arm/hand (29584) |
$188.50 |
$290 |
1.2× |
| Apply of clubfoot cast (29450) |
$175.50 |
$270 |
1.2× |
| Apply short leg cast (29405) |
$206.38 |
$317.50 |
0.8× |
| Apply short leg cast (29425) |
$209.62 |
$322.50 |
0.8× |
| Arterial puncture (36600) |
$149.50 |
$230 |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$770.25 |
$1,185 |
0.3× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818)
likely a partial charge, not the full procedure |
$841.75 |
$1,295 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$357.50 |
$550 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$858 |
$1,320 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$367.25 |
$565 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$367.25 |
$565 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$204.75 |
$315 |
0.7× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
likely a partial charge, not the full procedure |
$1,560 |
$2,400 |
0.1× |
Arthrodesis posterior craniocervical (22590)
likely a partial charge, not the full procedure |
$1,234.02 |
$1,898.50 |
0.1× |
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure |
$838.50 |
$1,290 |
0.1× |
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554)
likely a partial charge, not the full procedure |
$1,644.50 |
$2,530 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$1,218.75 |
$1,875 |
0.0× |
Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid… (22548)
likely a partial charge, not the full procedure |
$2,174.25 |
$3,345 |
0.2× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$1,462.50 |
$2,250 |
0.1× |
Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22532)
likely a partial charge, not the full procedure |
$2,080 |
$3,200 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$1,230.45 |
$1,893 |
0.0× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$1,251.90 |
$1,926 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610)
likely a partial charge, not the full procedure |
$988.65 |
$1,521 |
0.1× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
likely a partial charge, not the full procedure |
$1,677 |
$2,580 |
0.1× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595)
likely a partial charge, not the full procedure |
$1,179.75 |
$1,815 |
0.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
$8,864.38 |
$13,637.50 |
0.7× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$783.25 |
$1,205 |
0.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$835.25 |
$1,285 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$715 |
$1,100 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$744.25 |
$1,145 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$754 |
$1,160 |
0.2× |
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure |
$1,300 |
$2,000 |
0.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$2,307.50 |
$3,550 |
0.8× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$2,312.38 |
$3,557.50 |
0.8× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$2,392 |
$3,680 |
0.8× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$994.50 |
$1,530 |
0.3× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$2,617.88 |
$4,027.50 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$520 |
$800 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$760.50 |
$1,170 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$347.75 |
$535 |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$308.75 |
$475 |
0.2× |
Av fistula revision (36833)
likely a partial charge, not the full procedure |
$984.75 |
$1,515 |
0.2× |
Av Fuse Uppr Arm Basilic (36819)
likely a partial charge, not the full procedure |
$893.75 |
$1,375 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$240.50 |
$370 |
1.3× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$909.35 |
$1,399 |
0.2× |
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure |
$874.25 |
$1,345 |
0.2× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$788.12 |
$1,212.50 |
0.7× |
| Biopsy Bone Open Deep (20245) |
$806 |
$1,240 |
0.3× |
| Biopsy bone open superficial (20240) |
$295.75 |
$455 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,808.62 |
$2,782.50 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,608.75 |
$2,475 |
1.0× |
| Biopsy Breast Open Incisional (19101) |
$672.75 |
$1,035 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$458.25 |
$705 |
0.5× |
| Biopsy external ear (69100) |
$187.52 |
$288.50 |
0.8× |
| Biopsy finger joint lining (26110) |
$1,241.50 |
$1,910 |
0.8× |
| Biopsy muscle deep (20205) |
$321.75 |
$495 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,008.50 |
$3,090 |
1.3× |
| Biopsy Muscle Superficial (20200) |
$217.75 |
$335 |
0.1× |
| Biopsy Nerve (64795) |
$280.80 |
$432 |
0.2× |
Biopsy of fluid collection of lung using an endoscope (32607)
likely a partial charge, not the full procedure |
$423.15 |
$651 |
0.0× |
| Biopsy of lip (40490) |
$211.25 |
$325 |
1.0× |
| Biopsy of nail unit (11755) |
$500.50 |
$770 |
0.8× |
| Biopsy of penis (54105) |
$1,888.25 |
$2,905 |
0.7× |
| Biopsy of penis (54100) |
$1,080.62 |
$1,662.50 |
0.7× |
| Biopsy of urethra (53200) |
$1,274 |
$1,960 |
0.6× |
| Biopsy of uterus lining (58100) |
$182 |
$280 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$423.15 |
$651 |
0.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,808.62 |
$2,782.50 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$786.50 |
$1,210 |
1.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$575.25 |
$885 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$2,008.50 |
$3,090 |
1.3× |
| Biopsy soft tissue of back (21920) |
$334.75 |
$515 |
0.2× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,808.62 |
$2,782.50 |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$227.50 |
$350 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$113.75 |
$175 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$854.10 |
$1,314 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$672.75 |
$1,035 |
0.2× |
| Bl exchange/transfuse nb (36450) |
$461.50 |
$710 |
1.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$292.50 |
$450 |
0.4× |
| Bladder Irrigation Simple (51700) |
$123.50 |
$190 |
0.5× |
| Bladder Scan (51798) |
$71.50 |
$110 |
1.3× |
| Blood patch (62273) |
$495.62 |
$762.50 |
0.7× |
| Blood transfusion service (36430) |
$461.50 |
$710 |
1.1× |
| Blood/Lymph System Procedure (38999) |
$1,493.70 |
$2,298 |
3.6× |
| Bone graft, any donor area; major or large (20902) |
$9,285.25 |
$7,382.50 |
1.4× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$9,285.25 |
$7,352.50 |
1.4× |
| Bone marrow aspiration only (38220) |
$1,608.75 |
$2,475 |
1.0× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$487.82 |
$750.50 |
0.7× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$1,170 |
$1,800 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,651 |
$2,540 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,087.12 |
$1,672.50 |
0.7× |
| Brnchsc removal bronchial valve initial (31648) |
$2,279.88 |
$3,507.50 |
0.7× |
| Bronch ebus samplng 1/2 node (31652) |
$2,304.25 |
$3,545 |
0.7× |
| Bronch ebus samplng 3/> node (31653) |
$2,312.38 |
$3,557.50 |
0.7× |
| Bronch Thermoplsty 1 Lobe (31660) |
$8,043.75 |
$6,425 |
1.2× |
| Bronchial thermoplasty 2 or more lobes (31661) |
$8,043.75 |
$6,420 |
1.2× |
| Bronchial Valve Init Insert (31647) |
$8,043.75 |
$6,412.50 |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$292.50 |
$450 |
0.2× |
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure |
$2,249 |
$3,460 |
0.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,466.75 |
$3,795 |
0.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,053 |
$1,620 |
0.6× |
| Bronchoscopy w/markers (31626) |
$4,574.38 |
$7,037.50 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$312 |
$480 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$266.50 |
$410 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$214.50 |
$330 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,401.75 |
$3,695 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,002.62 |
$1,542.50 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,808.62 |
$2,782.50 |
1.2× |
| Bx anorectal wall anal approach (45100) |
$347.75 |
$535 |
0.1× |
| Bx breast 1st lesion mr imag (19085) |
$1,868.75 |
$2,875 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,008.50 |
$3,090 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$2,008.50 |
$3,090 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$161.20 |
$248 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$460.85 |
$709 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$1,608.75 |
$2,475 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$2,468.38 |
$3,797.50 |
0.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$250.25 |
$385 |
1.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$269.75 |
$415 |
0.9× |
| Cautery Cervix Electro/Thermal (57510) |
$1,584.38 |
$2,437.50 |
0.5× |
| Cautery cervix laser ablation (57513) |
$1,568.12 |
$2,412.50 |
0.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$242.12 |
$372.50 |
0.1× |
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure |
$2,115.75 |
$3,255 |
0.1× |
| Cessj Therapy Cath Removal (37214) |
$2,127.12 |
$3,272.50 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$734.50 |
$1,130 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$299 |
$460 |
1.3× |
| Change Ureter Stent, Percut (50382) |
$2,093 |
$3,220 |
1.1× |
| Chemical Cautery Tissue (17250) |
$234 |
$360 |
1.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$858 |
$1,320 |
1.3× |
| Chemodenerv Musc Migraine (64615) |
$227.50 |
$350 |
0.8× |
| Chemodenerv trunk musc 6/> (64647) |
$858 |
$1,320 |
1.3× |
| Chemodenervation eccrine glands oth area per day (64653) |
$250.25 |
$385 |
0.9× |
| Chemodenervation internal anal sphincter (46505) |
$357.50 |
$550 |
0.3× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$222.62 |
$342.50 |
0.8× |
| Chest tube placement (32551) |
$1,551.88 |
$2,387.50 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$149.50 |
$230 |
1.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,286.75 |
$6,595 |
1.3× |
| Chromotubation of oviduct, including materials (58350) |
$120.25 |
$185 |
0.0× |
| Circum 28 days or older (54161) |
$1,324.38 |
$2,037.50 |
0.7× |
| Circumcision (54150) |
$2,138.50 |
$3,290 |
1.1× |
| Circumcision Neonate (54160) |
$555.75 |
$855 |
0.8× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$367.25 |
$565 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$455 |
$700 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$715 |
$1,100 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$529.75 |
$815 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$399.75 |
$615 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$559 |
$860 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$637 |
$980 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$360.75 |
$555 |
1.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$724.75 |
$1,115 |
0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$676 |
$1,040 |
0.4× |
| Closure of gastrostomy surgical (43870) |
$906.75 |
$1,395 |
0.3× |
Closure of median sternotomy seperation with or without debridement (seperate procedure) (21750)
likely a partial charge, not the full procedure |
$1,001 |
$1,540 |
0.1× |
| Closure of vagina (57120) |
$643.50 |
$990 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$552.50 |
$850 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$578.50 |
$890 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$411.12 |
$632.50 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$221 |
$340 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$404.30 |
$622 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$614.25 |
$945 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$256.75 |
$395 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$354.25 |
$545 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$432.25 |
$665 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$409.50 |
$630 |
1.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$802.75 |
$1,235 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$334.75 |
$515 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$617.50 |
$950 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$175.50 |
$270 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$747.50 |
$1,150 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$656.50 |
$1,010 |
0.4× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,189.50 |
$1,830 |
0.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$1,072.50 |
$1,650 |
0.2× |
| Colonoscopy flex w/rem forcep (45384) |
$331.50 |
$510 |
0.3× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$906.75 |
$1,395 |
0.8× |
| Colonoscopy for bleeding (44391) |
$572 |
$880 |
0.5× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$367.25 |
$565 |
0.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$832 |
$1,280 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$435.50 |
$670 |
0.4× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$461.50 |
$710 |
0.4× |
| Colonoscopy stoma w/snare (44394) |
$549.25 |
$845 |
0.5× |
| Colonoscopy through stoma with decompression (44408) |
$1,131 |
$1,740 |
1.3× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$828.75 |
$1,275 |
0.7× |
| Colonoscopy thru stoma (44388) |
$380.25 |
$585 |
0.4× |
| Colonoscopy w/ablation (45388) |
$809.25 |
$1,245 |
0.7× |
| Colonoscopy w/band ligation (45398) |
$1,105 |
$1,700 |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,407.25 |
$2,165 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$562.25 |
$865 |
0.5× |
| Colonoscopy w/resection (45390) |
$1,925.62 |
$2,962.50 |
0.7× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$809.25 |
$1,245 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge, not the full procedure |
$786.50 |
$1,210 |
0.1× |
| Colporrhaphy suture injury vagina (57200) |
$383.50 |
$590 |
0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$204.75 |
$315 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$139.75 |
$215 |
0.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$461.50 |
$710 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$419.25 |
$645 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$364 |
$560 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$274.62 |
$422.50 |
1.0× |
| Colposcopy vulva (56820) |
$182 |
$280 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$276.25 |
$425 |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$172.25 |
$265 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$511.88 |
$787.50 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,062.75 |
$1,635 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$682.50 |
$1,050 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$292.50 |
$450 |
0.3× |
| Complete replacement picc rs&i (36584) |
$2,119 |
$3,260 |
1.4× |
| Complex Drainage, Wound (10180) |
$2,021.50 |
$3,110 |
0.7× |
| Complex Uroflowmetry (51741) |
$123.50 |
$190 |
0.6× |
| Conization of cervix (57520) |
$383.50 |
$590 |
0.1× |
| Conization of cervix (57522) |
$328.25 |
$505 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$266.50 |
$410 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$146.25 |
$225 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$136.50 |
$210 |
1.1× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure |
$2,291.25 |
$3,525 |
0.2× |
| Convert nephrostomy catheter (50434) |
$2,522 |
$3,880 |
1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,008.50 |
$3,090 |
1.3× |
Crtj arven fstl xcp dir arven anast nonautog grf (36830)
likely a partial charge, not the full procedure |
$809.25 |
$1,245 |
0.2× |
Cryosurgical ablation prostate w/us & monitori (55873)
likely a partial charge, not the full procedure |
$1,550.25 |
$2,385 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141.38 |
$217.50 |
1.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$253.50 |
$390 |
1.1× |
| Curettage postpartum (59160) |
$302.25 |
$465 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$360.75 |
$555 |
0.2× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$358.80 |
$552 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$929.50 |
$1,430 |
0.3× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$698.75 |
$1,075 |
0.1× |
| Cysto w/destruction of lesions (52214) |
$2,603.25 |
$4,005 |
0.8× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure |
$195 |
$300 |
0.0× |
| Cysto w/removal of tumors small (52234) |
$344.50 |
$530 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,316.25 |
$2,025 |
0.7× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$442 |
$680 |
0.1× |
| Cysto w/ureter stricture tx (52341) |
$448.50 |
$690 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$503.75 |
$775 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$568.75 |
$875 |
0.2× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$552.50 |
$850 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$585 |
$900 |
0.1× |
Cysto/pyeloscopy rescj pelvic tumor (52355)
likely a partial charge, not the full procedure |
$734.50 |
$1,130 |
0.1× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$812.50 |
$1,250 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$581.75 |
$895 |
0.1× |
| Cystometrogram w/vp (51728) |
$432.25 |
$665 |
0.7× |
| Cystometrogram W/Vp&Up (51729) |
$367.25 |
$565 |
0.6× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,027 |
$1,580 |
0.1× |
| Cystoscopy and treatment (52290) |
$341.25 |
$525 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$497.25 |
$765 |
0.3× |
| Cystoscopy w/complex removal stone & stent (52315) |
$565.50 |
$870 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,366.62 |
$2,102.50 |
0.7× |
| Cystoscopy,insert ureteral stent (52332) |
$656.50 |
$1,010 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$399.75 |
$615 |
0.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$650 |
$1,000 |
0.3× |
| Cystourethroscopy (52000) |
$286 |
$440 |
0.4× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,342.25 |
$2,065 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$295.75 |
$455 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$510.25 |
$785 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$260 |
$400 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$429 |
$660 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$195 |
$300 |
0.1× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$650 |
$1,000 |
0.3× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$380.25 |
$585 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$429 |
$660 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$403 |
$620 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$380.25 |
$585 |
1.0× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$633.75 |
$975 |
0.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$711.75 |
$1,095 |
0.2× |
| Dcmprn fasct leg post compartment only (27601) |
$601.25 |
$925 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$650 |
$1,000 |
1.0× |
| Debride nail 1-5 (11720) |
$52 |
$80 |
0.9× |
| Debride nail 6 or more (11721) |
$71.50 |
$110 |
1.3× |
| Debride skin musc at fx site (11011) |
$617.50 |
$950 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$472.88 |
$727.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$754 |
$1,160 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,950 |
$3,000 |
1.3× |
| Declot vascular device (36593) |
$386.75 |
$595 |
1.2× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,118 |
$1,720 |
0.7× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893)
likely a partial charge, not the full procedure |
$819 |
$1,260 |
0.1× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,478.75 |
$2,275 |
0.8× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$1,509.62 |
$2,322.50 |
0.8× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$1,448.85 |
$2,229 |
0.7× |
| Delivery placenta separate procedure (59414) |
$117 |
$180 |
0.0× |
| Derma-fat-fascia graft (15770) |
$1,036.75 |
$1,595 |
0.3× |
| Destr penis lesn,simpl,laser surg (54057) |
$188.50 |
$290 |
0.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$461.50 |
$710 |
1.2× |
| Destruction anal lesion(s) (46924) |
$545.35 |
$839 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$196.30 |
$302 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$240.50 |
$370 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$237.25 |
$365 |
0.3× |
| Destruction Lesions Vulva Extensive (56515) |
$263.25 |
$405 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$1,205.10 |
$1,854 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$278,253.62 |
$428,082.50 |
1479.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$365.62 |
$562.50 |
1.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$385.12 |
$592.50 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$593.12 |
$912.50 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$654.88 |
$1,007.50 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$326.95 |
$503 |
1.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$222.62 |
$342.50 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$232.38 |
$357.50 |
1.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$360.75 |
$555 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$204.75 |
$315 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$216.12 |
$332.50 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$229.12 |
$352.50 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$364 |
$560 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$381.88 |
$587.50 |
1.0× |
| Destruction of growth of rectum (45190) |
$1,098.50 |
$1,690 |
0.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$204.75 |
$315 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$336.38 |
$517.50 |
0.9× |
| Destruction of multiple growths of penis (54065) |
$1,339 |
$2,060 |
0.7× |
| Destruction of skin lesions (17106) |
$383.50 |
$590 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$240.50 |
$370 |
1.3× |
| Destruction vaginal lesions simple (57061) |
$201.50 |
$310 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$484.25 |
$745 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$221.65 |
$341 |
0.3× |
| Dil urethra,female,subsequent (53661) |
$121.88 |
$187.50 |
1.0× |
| Dilate urethra stricture (53620) |
$456.62 |
$702.50 |
0.7× |
| Dilate urethra stricture (53621) |
$302.25 |
$465 |
1.3× |
| Dilate Urethra Stricture (53600) |
$212.88 |
$327.50 |
0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$333.12 |
$512.50 |
0.1× |
| Dilation of anal sphincter (45905) |
$214.50 |
$330 |
0.2× |
| Dilation of cervical canal (57800) |
$74.75 |
$115 |
0.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$139.75 |
$215 |
1.2× |
| Dilation of urethra (53665) |
$45.50 |
$70 |
0.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$131.62 |
$202.50 |
1.1× |
| Dilation of vagina (57400) |
$204.75 |
$315 |
0.1× |
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045)
likely a partial charge, not the full procedure |
$1,212.25 |
$1,865 |
0.2× |
| Drain hand tendon sheath (26020) |
$598 |
$920 |
0.2× |
| Drain shoulder lesion (23030) |
$347.75 |
$535 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$367.25 |
$565 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$230.75 |
$355 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$425.75 |
$655 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$263.25 |
$405 |
1.4× |
| Drainage of deep periurethral abscess (53040) |
$568.75 |
$875 |
0.2× |
| Drainage of hematoma/fluid (10140) |
$1,950 |
$3,000 |
1.3× |
| Drainage of hydrocele (55000) |
$445.25 |
$685 |
0.7× |
| Drainage of palm bursas (26030) |
$679.25 |
$1,045 |
0.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$585 |
$900 |
0.2× |
| Drainage of pelvic abscess (45000) |
$650 |
$1,000 |
0.6× |
| Drainage of perirenal or renal abscess, open (50020) |
$1,407.25 |
$2,165 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,077.38 |
$1,657.50 |
0.7× |
| Drainage skenes gland abscess (53060) |
$237.25 |
$365 |
0.1× |
| Draw blood off venous device (36591) |
$136.50 |
$210 |
1.1× |
| Dressing change under anesthesia (15852) |
$68.25 |
$105 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$461.50 |
$710 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$232.38 |
$357.50 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$169 |
$260 |
0.9× |
| Dstrj lesion anus simple chemical (46900) |
$364 |
$560 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$299 |
$460 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$312 |
$480 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$393.25 |
$605 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$1,251.25 |
$1,925 |
0.6× |
| Dx bone marrow bx & aspir (38222) |
$3,300.38 |
$5,077.50 |
1.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$390 |
$600 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,356.88 |
$2,087.50 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$227.50 |
$350 |
0.1× |
| Egd Endo Mucosal Resection (43254) |
$1,382.88 |
$2,127.50 |
0.8× |
| Egd endoscopic stent place (43266) |
$7,738.25 |
$6,150 |
1.4× |
| Egd flexible foreign body removal (43247) |
$338 |
$520 |
0.4× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
$2,265.25 |
$3,485 |
1.3× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$1,072.50 |
$857.50 |
1.3× |
| Egd guide wire insertion (43248) |
$338 |
$520 |
0.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$344.50 |
$530 |
0.2× |
| Egd place gastrostomy tube (43246) |
$325 |
$500 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$422.50 |
$650 |
0.2× |
| Egd remove lesion snare (43251) |
$325 |
$500 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$256.75 |
$395 |
0.1× |
| Egd tube/cath insertion (43241) |
$325 |
$500 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$406.25 |
$625 |
0.2× |
| Egd us fine needle bx/aspir (43242) |
$468 |
$720 |
0.3× |
| Egd Varices Ligation (43244) |
$419.25 |
$645 |
0.2× |
| Egd w/transmural drain cyst (43240) |
$3,849.62 |
$5,922.50 |
0.7× |
Emblc/thrmbc ax brach innominate subcla art (34101)
likely a partial charge, not the full procedure |
$734.50 |
$1,130 |
0.1× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)
likely a partial charge, not the full procedure |
$1,218.75 |
$1,875 |
0.2× |
Emblc/thrmbc popliteal-tibio-proneal art leg inc (34203)
likely a partial charge, not the full procedure |
$1,176.50 |
$1,810 |
0.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$234 |
$360 |
1.9× |
| Endocervical Curettage (57505) |
$747.50 |
$1,150 |
0.9× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$1,482 |
$2,280 |
0.3× |
| Endoscopic Injection/Implant (51715) |
$399.75 |
$615 |
0.1× |
| Endoscopic us exam esoph (43237) |
$292.50 |
$450 |
0.2× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$286 |
$440 |
0.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,742 |
$22,680 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,835 |
$5,900 |
1.3× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$2,015 |
$3,100 |
0.4× |
| Endovenous rf 1st vein (36475) |
$3,721.25 |
$5,725 |
1.3× |
| Enterorrhaphy single perforation (44602) |
$1,769.95 |
$2,723 |
0.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,446.25 |
$2,225 |
0.7× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,897.38 |
$4,457.50 |
0.8× |
| Epididymectomy unilateral (54860) |
$585 |
$900 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$234 |
$360 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$682.50 |
$1,050 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$604.50 |
$930 |
0.2× |
| Ercp ea duct/ampulla dilate (43277) |
$559 |
$860 |
0.2× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$750.75 |
$1,155 |
0.1× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$585 |
$900 |
0.2× |
| Ercp remove forgn body duct (43275) |
$555.75 |
$855 |
0.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,887 |
$5,980 |
0.7× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$633.75 |
$975 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$627.25 |
$965 |
0.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$591.50 |
$910 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$409.50 |
$630 |
0.5× |
| Esophagoscopy flex biopsy (43202) |
$347.75 |
$535 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$263.25 |
$405 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$269.75 |
$415 |
0.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$243.75 |
$375 |
0.1× |
Esophagoscopy Transoral Stent Placement (43212)
likely a partial charge, not the full procedure |
$221 |
$340 |
0.0× |
| Esophagoscopy w/us needle bx (43232) |
$1,332.50 |
$2,050 |
0.7× |
| Esophagus endoscopy/ligation (43205) |
$1,285.38 |
$1,977.50 |
0.7× |
| Esophagus Surg Procedure Unlisted (43499) |
$221 |
$340 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$250.25 |
$385 |
0.1× |
| Evacuate mole of uterus (59870) |
$734.50 |
$1,130 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$107.25 |
$165 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$574.60 |
$884 |
0.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$527.15 |
$811 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$640.25 |
$985 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,868.75 |
$2,875 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,868.75 |
$2,875 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$599.95 |
$923 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$872.30 |
$1,342 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$455 |
$700 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$828.75 |
$1,275 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,868.75 |
$2,875 |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$555.75 |
$855 |
0.4× |
| Exc forearm les sc < 3 cm (25075) |
$562.25 |
$865 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$666.25 |
$1,025 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$455 |
$700 |
0.1× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$2,219.75 |
$3,415 |
1.1× |
| Exc neck tum deep < 5 cm (21556) |
$691.60 |
$1,064 |
0.3× |
| Exc rect tum transanal part (45171) |
$783.90 |
$1,206 |
0.3× |
| Exc shoulder les sc 3 cm/> (23071) |
$327.28 |
$503.50 |
0.2× |
| Exc shoulder tum deep 5 cm/> (23073) |
$904.80 |
$1,392 |
0.3× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,823.25 |
$2,805 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$828.75 |
$1,275 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$461.50 |
$710 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$828.75 |
$1,275 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$828.75 |
$1,275 |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,108.25 |
$1,705 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,868.75 |
$2,875 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$520 |
$800 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,898 |
$2,920 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,868.75 |
$2,875 |
1.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,868.75 |
$2,875 |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,257.12 |
$3,472.50 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,938.62 |
$2,982.50 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,868.75 |
$2,875 |
1.2× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$2,071.88 |
$3,187.50 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$565.50 |
$870 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$984.75 |
$1,515 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$230.75 |
$355 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$828.75 |
$1,275 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$965.90 |
$1,486 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$793 |
$1,220 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$841.75 |
$1,295 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$731.25 |
$1,125 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$877.50 |
$1,350 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$556.40 |
$856 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$591.50 |
$910 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$963.95 |
$1,483 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$604.50 |
$930 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$549.25 |
$845 |
0.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$718.25 |
$1,105 |
0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$547.95 |
$843 |
0.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$808.60 |
$1,244 |
0.3× |
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure |
$850.85 |
$1,309 |
0.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$487.50 |
$750 |
0.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,286.75 |
$6,595 |
1.3× |
| Exchange nephrostomy cath (50435) |
$2,426.12 |
$3,732.50 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,353.62 |
$2,082.50 |
0.9× |
| Excise cutaneous neurofibroma (64788) |
$461.50 |
$710 |
0.3× |
| Excise excess skin & tissue (15839) |
$1,173.25 |
$1,805 |
0.4× |
| Excise excess skin tissue,thigh (15832) |
$1,319.50 |
$2,030 |
0.5× |
| Excise lesion testis (54512) |
$585 |
$900 |
0.2× |
| Excision Breast Lesion (19125) |
$698.10 |
$1,074 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$536.25 |
$825 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$2,055.62 |
$3,162.50 |
0.8× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$481 |
$740 |
0.2× |
| Excision hydrocele bilateral (55041) |
$708.50 |
$1,090 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$536.25 |
$825 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$828.75 |
$1,275 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$461.50 |
$710 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$828.75 |
$1,275 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$828.75 |
$1,275 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$568.75 |
$875 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$559.98 |
$861.50 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$828.75 |
$1,275 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,277.25 |
$1,965 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,124.50 |
$1,730 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$558.02 |
$858.50 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$828.75 |
$1,275 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,868.75 |
$2,875 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,868.75 |
$2,875 |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$346.45 |
$533 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$468 |
$720 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$828.75 |
$1,275 |
1.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$828.75 |
$1,275 |
1.2× |
Excision of chest wall tumor including rib(s); with plastic reconstruction; without mediastinal lymphadenectomy (21602)
likely a partial charge, not the full procedure |
$1,690 |
$2,600 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$468 |
$720 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,090.38 |
$1,677.50 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,014 |
$1,560 |
0.7× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$422.50 |
$650 |
0.3× |
| Excision of local lesion of epididymis (54830) |
$520 |
$800 |
0.2× |
| Excision of nail fold toe (11765) |
$360.75 |
$555 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$347.10 |
$534 |
0.1× |
Excision of rib partial (21600)
likely a partial charge, not the full procedure |
$643.50 |
$990 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$243.75 |
$375 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$2,060.50 |
$3,170 |
0.8× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$497.25 |
$765 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$445.25 |
$685 |
0.2× |
| Excision of Umbilicus (49250) |
$919.75 |
$1,415 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure |
$884 |
$1,360 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$217.75 |
$335 |
0.1× |
| Excision of vaginal septum (57130) |
$289.25 |
$445 |
0.1× |
| Excision olecranon bursa (24105) |
$474.50 |
$730 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$916.50 |
$1,410 |
0.3× |
| Excision Prepatellar Bursa (27340) |
$510.25 |
$785 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$612.95 |
$943 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$601.25 |
$925 |
0.4× |
| Excision, graft, extremity (35903) |
$685.75 |
$1,055 |
0.2× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,241.50 |
$1,910 |
0.8× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$861.72 |
$1,325.73 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$869.05 |
$1,337 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$455 |
$700 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$643.50 |
$990 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$1,062.75 |
$1,635 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$612.30 |
$942 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$965.25 |
$1,485 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$588.90 |
$906 |
0.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$942.50 |
$1,450 |
0.3× |
| Excision/fulguration urethral prolapse (53275) |
$364 |
$560 |
0.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$495.35 |
$762.08 |
0.3× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$1,134.25 |
$1,745 |
0.2× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$949 |
$1,460 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$588.90 |
$906 |
0.4× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$591.50 |
$910 |
0.2× |
| Exploration of knee joint (27310) |
$1,007.50 |
$1,550 |
0.3× |
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure |
$1,059.50 |
$1,630 |
0.2× |
| Exploration penetrating wound spx chest (20101) |
$237.25 |
$365 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,434.88 |
$2,207.50 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$344.50 |
$530 |
0.7× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$1,322.10 |
$2,034 |
0.2× |
| External Cephalic Version (59412) |
$131.62 |
$202.50 |
0.0× |
| Fasciotomy foot and/or toe (28008) |
$4,010.50 |
$6,170 |
1.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,114.75 |
$1,715 |
0.4× |
| Fetal Contraction Stress Test (59020) |
$133.25 |
$205 |
0.7× |
| Fetal non-stress test (59025) |
$208 |
$320 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$825.50 |
$1,270 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$152.75 |
$235 |
0.4× |
| Fixation of knee joint (27570) |
$211.25 |
$325 |
0.1× |
| Fluoro exam of g/colon tube (49465) |
$302.25 |
$465 |
1.4× |
| Forehead flap w/vasc pedicle (15731) |
$2,699.12 |
$4,152.50 |
0.8× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$1,701.05 |
$2,617 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,794 |
$2,760 |
0.9× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,850.88 |
$2,847.50 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,675.70 |
$2,578 |
0.9× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,197.95 |
$1,843 |
0.6× |
| Fuse hand bones with graft (25825) |
$5,097.62 |
$7,842.50 |
0.7× |
| Fusion Finger Joint (26860) |
$2,452.12 |
$3,772.50 |
0.8× |
| Fusion of hand bones (25820) |
$5,014.75 |
$7,715 |
0.7× |
| Fusion of knuckle (26850) |
$5,057 |
$7,780 |
0.7× |
| Fusion of spermatic ducts (54900) |
$1,053 |
$1,620 |
0.5× |
| Fusion of wrist joint (25800) |
$5,065.12 |
$7,792.50 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$302.25 |
$465 |
1.5× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,052.68 |
$1,619.50 |
0.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$917.80 |
$1,412 |
0.5× |
| Graft ear crtlg autogenous nose/ear (21235) |
$3,993.28 |
$6,143.50 |
0.7× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$715 |
$1,100 |
0.2× |
| Hemorrhoidectomy (46255) |
$644.15 |
$991 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$585.65 |
$901 |
0.2× |
| Hysteroscopy ablation (58563) |
$442 |
$680 |
0.1× |
| Hysteroscopy biopsy (58558) |
$347.75 |
$535 |
0.1× |
| Hysteroscopy dx sep proc (58555) |
$286 |
$440 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$490.75 |
$755 |
0.2× |
| Hysteroscopy resect septum (58560) |
$364 |
$560 |
0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$416 |
$640 |
0.1× |
| I&d abscess simple (10060) |
$237.25 |
$365 |
1.3× |
| I&d below fascia foot 1 bursal space (28002) |
$607.75 |
$935 |
0.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$874.25 |
$1,345 |
0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$552.50 |
$850 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$295.75 |
$455 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$715 |
$1,100 |
0.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$841.75 |
$1,295 |
0.3× |
| I&d perianal abscess superficial (46050) |
$632.45 |
$973 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$214.50 |
$330 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$315.25 |
$485 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$471.25 |
$725 |
0.2× |
| I&d vaginal hematoma, non-ob (57023) |
$490.75 |
$755 |
0.2× |
| Ileoscopy stoma w/balloon dilation (44381) |
$133.25 |
$205 |
0.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$739.38 |
$1,137.50 |
0.9× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$104 |
$160 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$2,008.50 |
$3,090 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$1,808.62 |
$2,782.50 |
1.2× |
Implant neuroelectrodes (64580)
likely a partial charge, not the full procedure |
$292.50 |
$450 |
0.0× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$604.50 |
$930 |
0.0× |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
$682.50 |
$1,050 |
0.2× |
| Incise finger tendon sheath (26055) |
$1,345.50 |
$2,070 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$461.50 |
$710 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$715 |
$1,100 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$338 |
$520 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$365.30 |
$562 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$461.50 |
$710 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$160.88 |
$247.50 |
0.8× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$264.88 |
$407.50 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$155.35 |
$239 |
0.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge, not the full procedure |
$1,235 |
$1,900 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge, not the full procedure |
$1,179.75 |
$1,815 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,239.88 |
$1,907.50 |
0.8× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
| Incision of achilles tendon (27605) |
$1,992.25 |
$3,065 |
1.3× |
| Incision of lingual frenum (41010) |
$830.38 |
$1,277.50 |
0.6× |
| Incision of rectal abscess (46040) |
$708.50 |
$1,090 |
0.6× |
| Incision of thigh tendons (27307) |
$4,010.50 |
$6,170 |
1.3× |
| Incision of urethra (53000) |
$214.50 |
$330 |
0.1× |
| Incision of urethra (53020) |
$136.50 |
$210 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$270.72 |
$416.50 |
1.2× |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
$461.50 |
$710 |
0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$273 |
$420 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$754 |
$1,160 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$78 |
$120 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$357.50 |
$550 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$677.62 |
$1,042.50 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$749.12 |
$1,152.50 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$537.88 |
$827.50 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,127.75 |
$1,735 |
1.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$78 |
$120 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$677.62 |
$1,042.50 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$979.88 |
$1,507.50 |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$780 |
$1,200 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$250.25 |
$385 |
0.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$671.12 |
$1,032.50 |
0.8× |
| Inject Nerv Blck,Pudendal (64430) |
$224.25 |
$345 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$367.25 |
$565 |
1.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,069.25 |
$1,645 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$663 |
$1,020 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$204.75 |
$315 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$856.38 |
$1,317.50 |
1.3× |
| Injection for identification of sentinel node (38792) |
$393.25 |
$605 |
1.0× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$864.50 |
$1,330 |
1.0× |
| Injection peyronie disease (54200) |
$224.25 |
$345 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$367.25 |
$565 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$357.50 |
$550 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$357.50 |
$550 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$126.75 |
$195 |
0.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$214.50 |
$330 |
0.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$161.20 |
$248 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$150.15 |
$231 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$4,020.25 |
$6,185 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$4,091.75 |
$6,295 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,296.12 |
$3,532.50 |
0.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,735.88 |
$5,747.50 |
0.7× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$269.75 |
$415 |
0.1× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$7,094.75 |
$10,915 |
0.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$7,076.88 |
$10,887.50 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$7,132.12 |
$10,972.50 |
0.7× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$13,604.50 |
$20,930 |
1.4× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$10,757.50 |
$16,550 |
1.4× |
| Ins vag brachytx device (57156) |
$326.62 |
$502.50 |
1.1× |
| Ins/Rep Subq Defibrillator (33270) |
$41,681.25 |
$64,125 |
1.4× |
| Insert 1 electrode pm-defib (33216) |
$5,612.75 |
$8,635 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$178.75 |
$275 |
1.5× |
| Insert cervical dilator (59200) |
$347.75 |
$535 |
1.2× |
| Insert Drug Implant Device (11981) |
$175.50 |
$270 |
1.4× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,356.25 |
$3,625 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,497.62 |
$1,965 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,718 |
$5,720 |
1.3× |
| Insert pacing lead & connect (33224) |
$7,119.12 |
$10,952.50 |
0.7× |
| Insert pessary/other device (57160) |
$154.38 |
$237.50 |
0.8× |
| Insert picc cath (36569) |
$705.25 |
$1,085 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$843.38 |
$1,297.50 |
0.6× |
| Insert picvad cath (36570) |
$3,240.25 |
$4,985 |
1.1× |
| Insert pulse gen mult leads (33221) |
$24,791 |
$38,140 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$136.50 |
$210 |
1.1× |
| Insert tunneled cv cath (36561) |
$890.50 |
$1,370 |
0.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$5,872.75 |
$9,035 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$146.25 |
$225 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,285.12 |
$6,592.50 |
1.3× |
| Insertion of defibrillator electrode (33271) |
$10,757.50 |
$16,550 |
1.4× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$406.25 |
$625 |
0.2× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$356.85 |
$549 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,290.25 |
$1,985 |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$780 |
$1,200 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,684.38 |
$16,437.50 |
1.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$653.25 |
$1,005 |
0.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$5,611.12 |
$8,632.50 |
0.7× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$29,178.50 |
$44,890 |
1.4× |
Insj inflatable urethral/bladder neck sphincter (53445)
likely a partial charge, not the full procedure |
$1,046.50 |
$1,610 |
0.1× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$1,124.50 |
$1,730 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,249 |
$3,460 |
0.8× |
Insj stablj dev w/o dcmprn lumbar single level (22869)
likely a partial charge, not the full procedure |
$546 |
$840 |
0.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,240.25 |
$4,985 |
1.1× |
| Insj/rplcmt defib w/lead(s) (33249) |
$41,681.25 |
$32,932.50 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,757.50 |
$16,550 |
1.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,757.50 |
$16,550 |
1.4× |
| Insrt pulse gen w/dual leads (33230) |
$29,178.50 |
$44,890 |
1.4× |
| Insrt pulse gen w/mult leads (33231) |
$41,681.25 |
$64,125 |
1.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$507 |
$780 |
0.0× |
Install spinal shunt (63741)
likely a partial charge, not the full procedure |
$1,040 |
$1,600 |
0.1× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$162.50 |
$250 |
0.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,090.38 |
$1,677.50 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,127.25 |
$30,965 |
1.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,078.50 |
$5,665 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$229.12 |
$352.50 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$279.50 |
$430 |
1.2× |
| Irrigate vagina w meds (57150) |
$66.95 |
$103 |
1.2× |
| Island pedicle flap graft (15740) |
$1,355.25 |
$2,085 |
0.7× |
Kidney endoscopy (50575)
likely a partial charge, not the full procedure |
$1,192.75 |
$1,835 |
0.2× |
Kidney endoscopy & biopsy (50555)
likely a partial charge, not the full procedure |
$438.75 |
$675 |
0.0× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265)
likely a partial charge, not the full procedure |
$1,287.65 |
$1,981 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge, not the full procedure |
$1,191.12 |
$1,832.50 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266)
likely a partial charge, not the full procedure |
$1,575.60 |
$2,424 |
0.2× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure |
$780 |
$1,200 |
0.0× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
likely a partial charge, not the full procedure |
$1,027 |
$1,580 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge, not the full procedure |
$1,298.38 |
$1,997.50 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge, not the full procedure |
$1,248 |
$1,920 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020)
likely a partial charge, not the full procedure |
$1,820 |
$2,800 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge, not the full procedure |
$951.60 |
$1,464 |
0.1× |
Laminotomy single cervical (63040)
likely a partial charge, not the full procedure |
$1,885 |
$2,900 |
0.3× |
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042)
likely a partial charge, not the full procedure |
$1,019.85 |
$1,569 |
0.1× |
Lap impl electrode antrum (43647)
likely a partial charge, not the full procedure |
$971.75 |
$1,495 |
0.1× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$559 |
$860 |
0.1× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$320.78 |
$493.50 |
0.1× |
Lap jejunostomy (44186)
likely a partial charge, not the full procedure |
$835.25 |
$1,285 |
0.1× |
Lap revise/remv eltrd antrum (43648)
likely a partial charge, not the full procedure |
$781.95 |
$1,203 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$1,306.50 |
$2,010 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$1,657.50 |
$2,550 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$490.10 |
$754 |
0.1× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$453.70 |
$698 |
0.1× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$741 |
$1,140 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$783.25 |
$1,205 |
0.1× |
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure |
$897 |
$1,380 |
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 |
$1,340.62 |
$2,062.50 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$1,430 |
$2,200 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$953.88 |
$1,467.50 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$429 |
$660 |
0.1× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$1,316.25 |
$2,025 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,214.20 |
$1,868 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$889.85 |
$1,369 |
0.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$1,079 |
$1,660 |
0.3× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
likely a partial charge, not the full procedure |
$1,088.75 |
$1,675 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge, not the full procedure |
$1,371.50 |
$2,110 |
0.1× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$1,235 |
$1,900 |
0.1× |
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure |
$832.98 |
$1,281.50 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$936 |
$1,440 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge, not the full procedure |
$1,205.75 |
$1,855 |
0.1× |
Laparoscopy, surgical; ablation of renal cysts (50541)
likely a partial charge, not the full procedure |
$1,280.50 |
$1,970 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$602.88 |
$927.50 |
0.1× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$1,270.75 |
$1,955 |
0.1× |
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure |
$2,073.50 |
$3,190 |
0.2× |
Laparoscopy, surgical; pyeloplasty (50544)
likely a partial charge, not the full procedure |
$1,735.50 |
$2,670 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,092 |
$1,680 |
0.2× |
Laps abltj uterine fibroids w/intraop us gdn (58674)
likely a partial charge, not the full procedure |
$1,238.25 |
$1,905 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$930.80 |
$1,432 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$721.18 |
$1,109.50 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$968.50 |
$1,490 |
0.1× |
Laps surg bilateral total pelvic lmphadectomy (38571)
likely a partial charge, not the full procedure |
$923 |
$1,420 |
0.1× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$716.95 |
$1,103 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$486.20 |
$748 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,056.25 |
$1,625 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,215.50 |
$1,870 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,043.25 |
$1,605 |
0.2× |
Laps W/Revision Intraperitoneal Catheter (49325)
likely a partial charge, not the full procedure |
$549.90 |
$846 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$193.38 |
$297.50 |
1.0× |
| Laryngoscopy with biopsy (31576) |
$162.50 |
$250 |
0.1× |
| Laser surgery, anal lesion(s) (46917) |
$449.15 |
$691 |
0.2× |
| Late closure of wound (13160) |
$1,098.50 |
$1,690 |
0.3× |
| Ligation of a-v fistula (37607) |
$481 |
$740 |
0.2× |
Ligation of abdomen artery (37617)
unusually low: confirm this is the full procedure |
$1,774.50 |
$2,730 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$654.88 |
$1,007.50 |
0.8× |
| Ligation of neck vein (37565) |
$1,917.50 |
$2,950 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$328.25 |
$505 |
0.2× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$403 |
$620 |
0.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,085.50 |
$1,670 |
0.3× |
| Lithotripsy (50590) |
$2,902.25 |
$4,465 |
0.9× |
| Liver Biopsy (47000) |
$1,608.75 |
$2,475 |
1.0× |
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure |
$851.50 |
$1,310 |
0.1× |
| Lysis of labial adhesions (56441) |
$178.75 |
$275 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,363.38 |
$2,097.50 |
0.7× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$1,153.75 |
$1,775 |
0.1× |
| Marsup Bartholin Gland Cyst (56440) |
$204.75 |
$315 |
0.1× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,560 |
$2,400 |
0.3× |
| Mastectomy gynecomastia (19300) |
$689 |
$1,060 |
0.2× |
| Mastectomy partial (19301) |
$1,285.38 |
$1,977.50 |
0.4× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,127.10 |
$1,734 |
0.2× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,840.80 |
$2,832 |
0.3× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$71.50 |
$110 |
0.0× |
Mediastinoscopy Includes Mediastinal Mass Biopsy (39401)
likely a partial charge, not the full procedure |
$312 |
$480 |
0.1× |
Mediastinoscpy w/lmph nod bx (39402)
likely a partial charge, not the full procedure |
$416.65 |
$641 |
0.1× |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
$853.12 |
$1,312.50 |
1.2× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$821.60 |
$1,264 |
1.2× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$1,881.75 |
$2,895 |
0.6× |
| Muscle-skin graft trunk (15734) |
$2,011.75 |
$3,095 |
0.6× |
| Myelography Lumbar Injection (62305) |
$991.25 |
$1,525 |
1.3× |
| Myelography Lumbar Injection (62304) |
$991.25 |
$1,525 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$991.25 |
$1,525 |
1.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$991.25 |
$1,525 |
1.3× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$659.75 |
$1,015 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$494 |
$760 |
1.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,186.25 |
$1,825 |
1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,335.75 |
$2,055 |
0.9× |
| Neuroeltrd stim post tibial (64566) |
$274.62 |
$422.50 |
1.0× |
| Neuroplasty Brachial Plexus,Open (64713) |
$1,724.12 |
$2,652.50 |
0.9× |
| Neuroplasty digital 1/both same digit (64702) |
$1,564.88 |
$2,407.50 |
0.9× |
| Neuroplasty; nerve of hand or foot (64704) |
$1,459.25 |
$2,245 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$542.75 |
$835 |
1.3× |
| Nipple exploration (19110) |
$607.75 |
$935 |
0.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$204.75 |
$315 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,286.75 |
$6,595 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,286.75 |
$6,595 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,069.25 |
$1,645 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$260 |
$400 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,069.25 |
$1,645 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,069.25 |
$1,645 |
1.3× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,258.75 |
$3,475 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,258.75 |
$3,475 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$845 |
$1,300 |
1.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$745.88 |
$1,147.50 |
1.1× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$159.25 |
$245 |
0.4× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,241.50 |
$1,910 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$474.50 |
$730 |
0.1× |
Open bone biopsy (20251)
likely a partial charge, not the full procedure |
$327.60 |
$504 |
0.0× |
| Open bone biopsy (20250) |
$513.50 |
$790 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$1,085.50 |
$1,670 |
0.2× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$5,139.88 |
$7,907.50 |
0.8× |
Open thrombect av fistula (36831)
likely a partial charge, not the full procedure |
$750.75 |
$1,155 |
0.1× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge, not the full procedure |
$1,279.85 |
$1,969 |
0.1× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge, not the full procedure |
$1,175.85 |
$1,809 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,040 |
$1,600 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$975 |
$1,500 |
0.1× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,660.75 |
$2,555 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge, not the full procedure |
$1,348.75 |
$2,075 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,407.25 |
$2,165 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,040 |
$1,600 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,651 |
$2,540 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,248 |
$1,920 |
0.2× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$1,235 |
$1,900 |
0.1× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$5,003.38 |
$7,697.50 |
0.7× |
| Open treatment of ulnar styloid fracture (25652) |
$5,003.38 |
$7,697.50 |
0.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$5,029.38 |
$7,737.50 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$695.50 |
$1,070 |
0.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$5,286.12 |
$8,132.50 |
0.8× |
| Open tx interphalangeal joint dislocation (26785) |
$780 |
$1,200 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,494.38 |
$3,837.50 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,531.75 |
$3,895 |
0.8× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$926.25 |
$1,425 |
0.1× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$861.25 |
$1,325 |
0.1× |
| Open/Perq Place Stent Same (37238) |
$14,184.62 |
$21,822.50 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,742 |
$21,822.50 |
1.4× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$2,632.50 |
$4,050 |
0.9× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
likely a partial charge, not the full procedure |
$1,855.75 |
$2,855 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$728 |
$1,120 |
0.2× |
| Orchiectomy, partial (54522) |
$822.25 |
$1,265 |
0.2× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$988 |
$1,520 |
0.3× |
| Ostectomy of sternum partial (21620) |
$575.25 |
$885 |
0.2× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$5,086.25 |
$7,825 |
0.7× |
| Osteotomy Metacarpal Each (26565) |
$2,512.25 |
$3,865 |
0.8× |
| Osteotomy Phalanx Finger Each (26567) |
$2,515.50 |
$3,870 |
0.8× |
| Osteotomy Radius Distal Third (25350) |
$5,032.62 |
$7,742.50 |
0.7× |
| Ovarian cystectomy (58925) |
$1,033.50 |
$1,590 |
0.2× |
Paravaginal defect repair vaginal approach (57285)
likely a partial charge, not the full procedure |
$913.25 |
$1,405 |
0.1× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$617.50 |
$950 |
0.2× |
Partial excision of vertebral body for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
likely a partial charge, not the full procedure |
$702 |
$1,080 |
0.1× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112)
likely a partial charge, not the full procedure |
$1,235 |
$1,900 |
0.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$253.50 |
$390 |
0.1× |
| Partial Removal Foot Fascia (28060) |
$4,010.50 |
$6,170 |
1.3× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$999.70 |
$1,538 |
0.2× |
| Pelvic exam under anesthesia (57410) |
$120.25 |
$185 |
0.0× |
| Penis plastic surgery (54360) |
$767 |
$1,180 |
0.2× |
| Penis study (54250) |
$162.50 |
$250 |
0.7× |
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080)
likely a partial charge, not the full procedure |
$1,209 |
$1,860 |
0.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$7,881.25 |
$12,125 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$682.50 |
$1,050 |
1.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$14,184.62 |
$20,965 |
1.3× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,084.25 |
$4,745 |
1.0× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$2,393.62 |
$3,682.50 |
0.8× |
| Peri-implant capsulectomy breast complete (19371) |
$2,271.75 |
$3,495 |
0.6× |
| Pericardiocentesis W/Imaging (33016) |
$1,976 |
$3,040 |
1.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$315.25 |
$485 |
0.1× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$8,554 |
$13,160 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$871 |
$1,340 |
1.3× |
| Perq device breast 1st imag (19281) |
$2,008.50 |
$3,090 |
1.3× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$7,146.75 |
$10,995 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$302.25 |
$465 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$858 |
$1,320 |
1.3× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$21,719.75 |
$33,415 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,627.25 |
$20,965 |
1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,078.50 |
$10,890 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,862.75 |
$13,635 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,862.75 |
$13,635 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,249 |
$3,460 |
0.7× |
| Phleb Veins - Extrem 20+ (37766) |
$3,721.25 |
$5,725 |
1.3× |
| Pin finger fracture each (26756) |
$2,354.62 |
$3,622.50 |
0.8× |
| Pin hand dislocation (26676) |
$1,378 |
$2,120 |
0.4× |
| Place Cath Subclavian Art (36225) |
$4,091.75 |
$6,295 |
1.4× |
| Place Cath Thoracic Aorta (36221) |
$4,020.25 |
$6,185 |
1.4× |
| Place Cath Vertebral Art (36226) |
$6,805.50 |
$10,470 |
1.3× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,550.25 |
$2,385 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$344.50 |
$530 |
0.8× |
| Placement of seton (46020) |
$353.60 |
$544 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,109.55 |
$1,707 |
0.6× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$919.75 |
$1,415 |
0.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,466.75 |
$3,795 |
1.3× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,319.25 |
$6,645 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,819.38 |
$4,337.50 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,319.25 |
$6,645 |
1.3× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$809.25 |
$1,245 |
0.3× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$390 |
$600 |
0.1× |
Pr cysto w/urtroscopy w/tx intra-renal stricture (52346)
likely a partial charge, not the full procedure |
$624 |
$960 |
0.1× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
likely a partial charge, not the full procedure |
$1,196 |
$1,840 |
0.2× |
| Preputial Stretching (54450) |
$97.50 |
$150 |
0.4× |
| Prim art mech thrombectomy (37184) |
$22,532.25 |
$34,665 |
1.3× |
| Proctosigmoidoscopy (45303) |
$104 |
$160 |
0.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$172.25 |
$265 |
0.2× |
Prostatectomy (turp) (52601)
likely a partial charge, not the full procedure |
$1,098.50 |
$1,690 |
0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$786.50 |
$1,210 |
1.2× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$484.25 |
$745 |
0.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,286.75 |
$6,595 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,286.75 |
$6,595 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$344.50 |
$530 |
0.9× |
| Puncture Aspiration (10160) |
$432.25 |
$665 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$871 |
$1,340 |
1.3× |
| Radial styloidectomy (25230) |
$2,361.12 |
$3,632.50 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) |
$2,860 |
$4,400 |
1.1× |
Reconstruc Ant Male Urethra (53410)
likely a partial charge, not the full procedure |
$1,137.50 |
$1,750 |
0.2× |
Reconstructive repair of pectus excavatum or carinatum (21740)
likely a partial charge, not the full procedure |
$1,563.25 |
$2,405 |
0.2× |
Reduction of Large Breast (19318)
unusually low: confirm this is the full procedure |
$2,283.12 |
$3,512.50 |
0.4× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,040 |
$1,600 |
0.2× |
Reinsertion Spinal Fixation Device (22849)
likely a partial charge, not the full procedure |
$2,018.25 |
$3,105 |
0.2× |
| Release forearm/hand exten tendon (26449) |
$2,513.88 |
$3,867.50 |
0.8× |
| Release wrist/forearm tendon (25295) |
$2,414.75 |
$3,715 |
0.8× |
| Relocation of skin pocket for pacemaker (33222) |
$1,402.38 |
$2,157.50 |
0.7× |
| Rem endovas vena cava filter (37193) |
$2,182.38 |
$3,357.50 |
0.7× |
| Removal biliary drg cath (47537) |
$1,121.25 |
$1,725 |
1.3× |
| Removal fb intranasal (30300) |
$211.25 |
$325 |
1.7× |
| Removal foreign body foot deep (28192) |
$646.75 |
$995 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$340.60 |
$524 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$219.05 |
$337 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,940.25 |
$2,985 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$49.40 |
$76 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$73.12 |
$112.50 |
1.3× |
| Removal Implant Deep (20680) |
$698.75 |
$1,075 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$169 |
$260 |
0.1× |
| Removal Implantable Contraceptive Capsules (11976) |
$198.25 |
$305 |
0.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,505.75 |
$3,855 |
0.7× |
| Removal Intact Mammary Implant (19328) |
$799.50 |
$1,230 |
0.2× |
Removal of anterior instrumentation (eg, dwyer device) (22855)
unusually low: confirm this is the full procedure |
$2,174.25 |
$3,345 |
0.3× |
Removal of arm artery clot (34111)
likely a partial charge, not the full procedure |
$728 |
$1,120 |
0.1× |
| Removal of arm foreign body (24200) |
$247 |
$380 |
0.2× |
| Removal of bladder lesion (51520) |
$952.25 |
$1,465 |
0.3× |
| Removal of cervix (57530) |
$432.25 |
$665 |
0.1× |
| Removal of fascia for graft (20922) |
$604.50 |
$930 |
0.3× |
| Removal of foreign body in scrotum (55120) |
$412.75 |
$635 |
0.2× |
| Removal of growth of chest wall and rib (21601) |
$1,300 |
$2,000 |
0.5× |
Removal of hip prosthesis (27090)
likely a partial charge, not the full procedure |
$1,147.25 |
$1,765 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$718.25 |
$1,105 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$113.75 |
$175 |
0.4× |
Removal of kidney stone (50081)
likely a partial charge, not the full procedure |
$1,777.75 |
$2,735 |
0.2× |
| Removal of nail bed (11750) |
$214.50 |
$330 |
0.6× |
Removal of posterior instrumentation (eg, harrington rod) (22850)
likely a partial charge, not the full procedure |
$942.50 |
$1,450 |
0.1× |
Removal of posterior segmental instrumentation (22852)
likely a partial charge, not the full procedure |
$544.05 |
$837 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$240.50 |
$370 |
1.3× |
| Removal of sperm cord lesion (55520) |
$611 |
$940 |
0.2× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$409.50 |
$630 |
0.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$608.40 |
$936 |
0.2× |
| Removal of testis (54520) |
$438.75 |
$675 |
0.1× |
Removal of thyroid lesion (60200)
likely a partial charge, not the full procedure |
$851.50 |
$1,310 |
0.2× |
| Removal of urethra (53210) |
$195 |
$300 |
0.1× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$929.50 |
$1,430 |
0.3× |
| Removal ppm generator only (33233) |
$10,757.50 |
$8,502.50 |
1.4× |
| Removal subq cardiac rhythm monitor (33286) |
$845 |
$1,300 |
1.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,379 |
$1,902.50 |
1.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$503.10 |
$774 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$100.75 |
$155 |
0.4× |
| Remove anal fist 2 stage (46285) |
$835.25 |
$1,285 |
0.3× |
| Remove anal fist subq (46270) |
$644.80 |
$992 |
0.2× |
| Remove bladder stone (52318) |
$663 |
$1,020 |
0.2× |
| Remove Brain Cavity Fluid (61020) |
$253.50 |
$390 |
0.3× |
| Remove by ligat int hem grp (46945) |
$350.32 |
$538.96 |
0.1× |
| Remove by ligat int hem grps (46946) |
$1,607.78 |
$2,473.50 |
0.6× |
| Remove drug implant device (11982) |
$279.50 |
$430 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$383.50 |
$590 |
1.3× |
| Remove in/ex hem groups 2+ (46260) |
$622.05 |
$957 |
0.2× |
| Remove intrvas foreign body (37197) |
$3,945.50 |
$6,070 |
1.3× |
| Remove muti-comp penis pros (54406) |
$1,196 |
$1,840 |
0.4× |
Remove part thorax vertebra (22101)
likely a partial charge, not the full procedure |
$585 |
$900 |
0.1× |
| Remove Pilonidal Cyst Exten (11771) |
$754 |
$1,160 |
0.3× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$906.75 |
$1,395 |
0.2× |
| Remove renal tube w/fluoro (50389) |
$87.75 |
$135 |
0.1× |
| Remove sacrum pressure sore (15937) |
$1,394.25 |
$2,145 |
0.7× |
| Remove shoulder foreign body (23330) |
$312 |
$480 |
0.2× |
| Remove spinal canal catheter (62355) |
$422.50 |
$650 |
0.2× |
| Remove spine infusion device (62365) |
$388.70 |
$598 |
0.1× |
| Remove stent via transureth (50386) |
$1,613.62 |
$2,482.50 |
0.8× |
| Remove tissue expander (11971) |
$913.25 |
$1,405 |
0.3× |
Remove uro sphincter (53446)
likely a partial charge, not the full procedure |
$890.50 |
$1,370 |
0.2× |
| Remove wrist tendon lesion (25111) |
$1,200.88 |
$1,847.50 |
0.8× |
| Remove&replace pm gen singl (33227) |
$10,757.50 |
$8,595 |
1.4× |
Remove/replace ur sphincter (53447)
likely a partial charge, not the full procedure |
$1,186.25 |
$1,825 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$120.58 |
$185.50 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$81.25 |
$125 |
0.7× |
| Remv for.body deep penile tiss (54115) |
$487.50 |
$750 |
0.2× |
| Remv&replc cvd gen dual lead (33263) |
$29,178.50 |
$44,890 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$41,681.25 |
$64,125 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$29,178.50 |
$44,890 |
1.4× |
| Remv&replc pm gen dual lead (33228) |
$13,604.50 |
$10,800 |
1.4× |
| Remv&replc pm gen mult leads (33229) |
$24,791 |
$38,140 |
1.4× |
| Renal biopsy (50200) |
$1,608.75 |
$2,475 |
1.0× |
| Repair arm tendon/muscle (24341) |
$8,862.75 |
$13,635 |
1.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,479.75 |
$3,815 |
0.8× |
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure |
$1,157 |
$1,780 |
0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,517.12 |
$3,872.50 |
0.9× |
| Repair blood vessel lesion (35236) |
$4,111.25 |
$6,325 |
0.8× |
| Repair blood vessel with graft other than vein; upper extremity (35266) |
$4,176.25 |
$6,425 |
0.8× |
| Repair brow defect (67900) |
$658.45 |
$1,013 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$682.50 |
$1,050 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$742.62 |
$1,142.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$461.50 |
$710 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$741.98 |
$1,141.50 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$853.12 |
$1,312.50 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$695.50 |
$1,070 |
1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$567.12 |
$872.50 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695.50 |
$1,070 |
1.0× |
| Repair elbow perc (24357) |
$4,010.50 |
$6,170 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$780 |
$1,200 |
0.5× |
| Repair finger/hand tendon (26350) |
$945.75 |
$1,455 |
0.3× |
| Repair forearm tendon/muscle (25270) |
$2,395.25 |
$3,685 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$2,531.75 |
$3,895 |
0.8× |
| Repair hand tendon (26410) |
$1,417 |
$2,180 |
0.9× |
| Repair incomplete circumcision (54163) |
$1,339 |
$2,060 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$828.75 |
$1,275 |
0.2× |
| Repair initial femoral hernia, any age; reducible (49550) |
$755.30 |
$1,162 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$506.68 |
$779.50 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$461.50 |
$710 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$427.38 |
$657.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$454.35 |
$699 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$451.75 |
$695 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$526.50 |
$810 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$315.25 |
$485 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$461.50 |
$710 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$611 |
$940 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$401.38 |
$617.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$396.50 |
$610 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$406.25 |
$625 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$549.25 |
$845 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$445.25 |
$685 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$630.50 |
$970 |
0.3× |
| Repair lead pace-defib dual (33220) |
$4,732 |
$7,280 |
1.4× |
| Repair lead pace-defib one (33218) |
$4,732 |
$7,280 |
1.4× |
Repair multi-comp penis pros (54408)
likely a partial charge, not the full procedure |
$1,231.75 |
$1,895 |
0.2× |
| Repair of anal sphincter (46750) |
$867.75 |
$1,335 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$975 |
$1,500 |
0.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$588.25 |
$905 |
0.1× |
| Repair Of Foot Tendon (28208) |
$650 |
$1,000 |
0.2× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$1,495 |
$2,300 |
0.1× |
| Repair of hydrocele (55060) |
$526.50 |
$810 |
0.2× |
| Repair of penis (54440) |
$984.75 |
$1,515 |
0.3× |
| Repair of sperm duct (55400) |
$1,430 |
$2,200 |
0.4× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$789.75 |
$1,215 |
0.1× |
| Repair of traumatic corporeal tear(s) (54437) |
$936 |
$1,440 |
0.3× |
| Repair of ureter lesion (51535) |
$812.50 |
$1,250 |
0.2× |
Repair of urethra defect (53520)
likely a partial charge, not the full procedure |
$650 |
$1,000 |
0.1× |
| Repair of vagina (57260) |
$773.50 |
$1,190 |
0.2× |
| Repair rectum & vagina (57250) |
$598 |
$920 |
0.1× |
| Repair umbilical lesion (49600) |
$942.50 |
$1,450 |
0.3× |
Repair uro sphincter (53449)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.1× |
| Repair wrist joints (25447) |
$2,570.75 |
$3,955 |
0.8× |
| Repair/transpose nerve (64856) |
$4,738.50 |
$7,290 |
0.6× |
Replace Tissue Expander (11970)
likely a partial charge, not the full procedure |
$1,316.25 |
$2,025 |
0.2× |
Replace/revise brain shunt (62230)
likely a partial charge, not the full procedure |
$1,756.95 |
$2,703 |
0.2× |
| Replacement or irrigation of tube in brain (62225) |
$897 |
$1,380 |
0.3× |
| Replacement/irrigation or revision of lumbosubarachnoid shunt 63744 (63744) |
$882.05 |
$1,357 |
0.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,609.75 |
$4,015 |
0.7× |
| Reposition gastrostomy tube (43761) |
$305.50 |
$470 |
1.3× |
| Reposition pacing-defib lead (33215) |
$4,091.75 |
$6,295 |
1.4× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$107.25 |
$165 |
0.4× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,121.25 |
$1,725 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$830.05 |
$1,277 |
0.2× |
| Resection of scrotum (55150) |
$679.25 |
$1,045 |
0.2× |
| Revise arm/leg nerve (64708) |
$1,639.62 |
$2,522.50 |
0.9× |
| Revise knuckle joint (26530) |
$4,957.88 |
$7,627.50 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$2,392 |
$3,680 |
1.3× |
| Revise radius & ulna (25365) |
$8,890.38 |
$13,677.50 |
0.7× |
| Revise thumb tendon (26490) |
$2,582.12 |
$3,972.50 |
0.8× |
| Revise ulnar nerve at elbow (64718) |
$786.50 |
$1,210 |
0.4× |
| Revise ulnar nerve at wrist (64719) |
$1,538.88 |
$2,367.50 |
0.8× |
| Revise ureter (50727) |
$812.50 |
$1,250 |
0.2× |
Revise Urethra, 1st Stage (53400)
likely a partial charge, not the full procedure |
$1,157 |
$1,780 |
0.2× |
| Revise/implant finger joint (26536) |
$5,063.50 |
$7,790 |
0.7× |
Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664)
likely a partial charge, not the full procedure |
$682.50 |
$1,050 |
0.1× |
| Revision of colostomy simple (44340) |
$818.35 |
$1,259 |
0.2× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,566.50 |
$2,410 |
0.5× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
$1,298.05 |
$1,997 |
0.4× |
| Revision of penis (54435) |
$585 |
$900 |
0.2× |
| Revision of radius (25355) |
$2,549.62 |
$3,922.50 |
0.8× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$1,043.25 |
$1,605 |
0.2× |
| Revision of scrotum (55175) |
$503.75 |
$775 |
0.2× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
likely a partial charge, not the full procedure |
$2,080 |
$3,200 |
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 |
$2,405 |
$3,700 |
0.1× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$1,950 |
$3,000 |
0.2× |
| Revision of ulna (25360) |
$5,021.25 |
$7,725 |
0.7× |
| Revision of upper eyelid (15823) |
$806 |
$1,240 |
0.4× |
| Revision of urethra (57220) |
$409.50 |
$630 |
0.1× |
| Revision of urethra (53450) |
$474.50 |
$730 |
0.1× |
| Revision or removal of cranial neurostimulator pulse generator or receiver (61888) |
$16,211 |
$24,940 |
1.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$487.50 |
$750 |
0.1× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$536.25 |
$825 |
0.2× |
| Revj clst comp rcnstj in-depth spx (44345) |
$1,348.75 |
$2,075 |
0.4× |
Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf (35883)
likely a partial charge, not the full procedure |
$1,426.75 |
$2,195 |
0.3× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$708.50 |
$1,090 |
0.2× |
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881)
likely a partial charge, not the full procedure |
$1,267.50 |
$1,950 |
0.2× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$591.50 |
$910 |
0.2× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
likely a partial charge, not the full procedure |
$1,196 |
$1,840 |
0.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$773.50 |
$1,190 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$91 |
$140 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$422.50 |
$650 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$789.75 |
$1,215 |
0.3× |
| Rmvl of subq defibrillator (33272) |
$4,732 |
$7,280 |
1.4× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$854.75 |
$1,315 |
0.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,668.25 |
$4,105 |
0.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,759.25 |
$4,245 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,826.50 |
$2,017.50 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$481 |
$740 |
0.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$237.25 |
$365 |
0.6× |
| Rplc gtube revj gstrst trc (43763) |
$302.25 |
$465 |
1.3× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$325 |
$500 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,091.75 |
$6,295 |
1.4× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$555.75 |
$855 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$942.50 |
$1,450 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$715 |
$1,100 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$601.25 |
$925 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$438.75 |
$675 |
0.1× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$845 |
$1,300 |
0.1× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$715 |
$1,100 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$536.25 |
$825 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$1,030.25 |
$1,585 |
1.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$7,026.50 |
$10,810 |
1.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,504.12 |
$3,852.50 |
0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$416.65 |
$641 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$471.25 |
$725 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,565.88 |
$3,947.50 |
0.8× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,351.38 |
$3,617.50 |
0.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,077.38 |
$1,657.50 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$2,106 |
$3,240 |
1.4× |
| Scrotal exploration (55110) |
$536.25 |
$825 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$269.75 |
$415 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$341.25 |
$525 |
0.3× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,922.38 |
$2,957.50 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$240.50 |
$370 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$383.50 |
$590 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$240.50 |
$370 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$240.50 |
$370 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$204.75 |
$315 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$335.08 |
$515.50 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$461.50 |
$710 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$240.50 |
$370 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$336.38 |
$517.50 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$177.45 |
$273 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$321.75 |
$495 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$240.50 |
$370 |
1.3× |
| Sigmoidoscopy & decompress (45337) |
$224.25 |
$345 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$455 |
$700 |
0.4× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$256.75 |
$395 |
0.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$646.75 |
$995 |
0.7× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$455 |
$700 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$110.50 |
$170 |
0.1× |
| Sigmoidoscopy w/fb removal (45332) |
$305.50 |
$470 |
0.3× |
| Sigmoidoscopy w/us guide bx (45342) |
$895.38 |
$1,377.50 |
0.8× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$6,935.50 |
$10,670 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$393.25 |
$605 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$240.50 |
$370 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$152.75 |
$235 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$182 |
$280 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$201.50 |
$310 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$230.75 |
$355 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$234 |
$360 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$162.50 |
$250 |
0.9× |
| Skin splt grft trnk/arm/leg (15100) |
$1,082.25 |
$1,665 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$2,242.50 |
$3,450 |
3.2× |
| Skin sub graft trnk/arm/leg (15271) |
$2,242.50 |
$3,450 |
3.2× |
| Skin Tissue Procedure (17999) |
$108.88 |
$167.50 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,625 |
$2,500 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,195.35 |
$1,839 |
0.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,805.50 |
$10,470 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,091.75 |
$6,295 |
1.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,805.50 |
$10,470 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$812.50 |
$1,250 |
0.2× |
| Slitting of prepuce (54001) |
$1,316.25 |
$2,025 |
0.7× |
| Small bowel endoscopy (44366) |
$484.25 |
$745 |
0.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$497.25 |
$765 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$318.50 |
$490 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$240.50 |
$370 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$193.70 |
$298 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$227.50 |
$350 |
0.6× |
| Sphincterotomy (46080) |
$314.60 |
$484 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$705.25 |
$1,085 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$705.25 |
$1,085 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,721.25 |
$5,725 |
1.3× |
| Sternal Debridement (21627) |
$627.25 |
$965 |
0.2× |
| Strapping knee (29530) |
$45.50 |
$70 |
0.4× |
| Strapping toes (29550) |
$29.25 |
$45 |
0.5× |
| Strapping unna boot (29580) |
$175.50 |
$270 |
1.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$156 |
$240 |
0.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$630.50 |
$970 |
0.2× |
| Suspension of testis (54640) |
$734.50 |
$1,130 |
0.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,668.88 |
$2,567.50 |
0.9× |
| Suture of 1 nerve ulnar motor (64836) |
$4,631.25 |
$7,125 |
1.4× |
| Suture of 1 nerve; median motor thenar (64835) |
$4,631.25 |
$7,125 |
1.4× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381)
likely a partial charge, not the full procedure |
$1,105 |
$1,700 |
0.2× |
| Suture of; brachial plexus (64861) |
$2,114.12 |
$3,252.50 |
1.2× |
| Suture/repair testicular injury (54670) |
$650 |
$1,000 |
0.2× |
| Synovectomy carpometacarpal joint (26130) |
$2,380.62 |
$3,662.50 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$237.25 |
$365 |
0.6× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$36,955.75 |
$56,855 |
1.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$24,791 |
$38,140 |
1.4× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,309.12 |
$3,552.50 |
0.8× |
| Tendon excision palm/finger (26145) |
$2,408.25 |
$3,705 |
1.6× |
| Tendon graft, from a distance (20924) |
$4,933.50 |
$7,590 |
0.7× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,445.62 |
$3,762.50 |
0.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,402.38 |
$2,157.50 |
0.9× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,992.25 |
$3,065 |
1.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$2,416.38 |
$3,717.50 |
0.8× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,010.50 |
$6,170 |
1.3× |
| Tenotomy shoulder area single tendon (23405) |
$8,862.75 |
$13,635 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$493.35 |
$759 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$780 |
$1,200 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$710.12 |
$1,092.50 |
1.2× |
Thoracoscopy dx mediastinal space w/biopsy spx (32606)
likely a partial charge, not the full procedure |
$628.55 |
$967 |
0.1× |
Thoracoscopy w/bx nodule (32608)
likely a partial charge, not the full procedure |
$507 |
$780 |
0.1× |
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure |
$353.85 |
$544.38 |
0.1× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure |
$451.10 |
$694 |
0.1× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
likely a partial charge, not the full procedure |
$721.50 |
$1,110 |
0.1× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge, not the full procedure |
$1,218.75 |
$1,875 |
0.2× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,948.75 |
$6,075 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$6,805.50 |
$10,470 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$3,948.75 |
$6,075 |
1.3× |
| Thyroid biopsy (60100) |
$786.50 |
$1,210 |
1.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$819 |
$1,260 |
0.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,056.25 |
$1,625 |
0.5× |
Tissue expander placement breast reconstruction (19357)
likely a partial charge, not the full procedure |
$2,018.25 |
$3,105 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$1,855.75 |
$2,855 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$1,855.75 |
$2,855 |
0.2× |
| Trach Tube Change (31502) |
$45.50 |
$70 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$240.50 |
$370 |
0.5× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,594.12 |
$2,452.50 |
0.9× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055)
unusually low: confirm this is the full procedure |
$2,210 |
$3,400 |
0.3× |
Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056)
likely a partial charge, not the full procedure |
$1,168.38 |
$1,797.50 |
0.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,916.25 |
$6,025 |
0.8× |
| Transplantation testis to thigh (54680) |
$822.25 |
$1,265 |
0.2× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$7,892.62 |
$12,142.50 |
0.9× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$529.75 |
$815 |
0.2× |
| Transurethral incision of prostate (52450) |
$650 |
$1,000 |
0.2× |
| Transurethral resection of bladder neck (52500) |
$676 |
$1,040 |
0.2× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$919.75 |
$1,415 |
0.2× |
Treat elbow fracture (24635)
likely a partial charge, not the full procedure |
$910 |
$1,400 |
0.1× |
| Treat Finger Fracture Each (26727) |
$2,419.62 |
$3,722.50 |
0.8× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,244.75 |
$1,915 |
0.2× |
| Treat fx distal radial (25606) |
$812.50 |
$1,250 |
0.3× |
| Treat fx rad extra-articul (25607) |
$5,084.62 |
$7,822.50 |
0.7× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$1,794 |
$2,760 |
0.1× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,517.75 |
$2,335 |
0.1× |
| Treat pleurodesis w/agent (32560) |
$498.55 |
$767 |
0.8× |
Treat spine fracture (22325)
likely a partial charge, not the full procedure |
$1,121.25 |
$1,725 |
0.1× |
Treat sternum fracture (21825)
likely a partial charge, not the full procedure |
$640.25 |
$985 |
0.1× |
Treat thorax spine fracture (22327)
likely a partial charge, not the full procedure |
$1,072.50 |
$1,650 |
0.1× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$900.25 |
$1,385 |
0.1× |
| Treatment closed elbow dislocation req anes (24605) |
$630.50 |
$970 |
0.4× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,124.50 |
$1,730 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$874.25 |
$1,345 |
0.1× |
| Treatment of bone cyst (20615) |
$373.75 |
$575 |
0.6× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
likely a partial charge, not the full procedure |
$1,690 |
$2,600 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$458.25 |
$705 |
0.2× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$1,755 |
$2,700 |
0.1× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$1,365 |
$2,100 |
0.1× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$793 |
$1,220 |
0.1× |
| Treatment of urethra lesion (53260) |
$266.50 |
$410 |
0.1× |
| Trim skin lesion (11055) |
$237.25 |
$365 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$234 |
$360 |
1.2× |
| Trim skin lesions over 4 (11057) |
$234 |
$360 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$48.75 |
$75 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,078.50 |
$10,890 |
1.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,245.88 |
$11,147.50 |
1.4× |
| Trurl drainage prostatic abscess (52700) |
$611 |
$940 |
0.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$533 |
$820 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$575.25 |
$885 |
0.2× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,189.50 |
$1,830 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$427.38 |
$657.50 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$511.88 |
$787.50 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$556.08 |
$855.50 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$198.25 |
$305 |
0.5× |
| Unlisted Cardiac Surgery (33999) |
$864.50 |
$1,330 |
1.5× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,275.95 |
$1,963 |
0.2× |
Unlisted laparoscopy procedure, endocrine system (60659)
likely a partial charge, not the full procedure |
$419.25 |
$645 |
0.1× |
Unlisted laparoscopy procedure, esophagus (43289)
unusually low: confirm this is the full procedure |
$2,310.75 |
$3,555 |
0.4× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$780 |
$1,200 |
0.1× |
Unlisted laparoscopy procedure, lymphatic system (38589)
likely a partial charge, not the full procedure |
$474.50 |
$730 |
0.1× |
Unlisted laparoscopy procedure, rectum (45499)
likely a partial charge, not the full procedure |
$1,404 |
$2,160 |
0.2× |
Unlisted laparoscopy procedure, stomach (43659)
likely a partial charge, not the full procedure |
$1,442.35 |
$2,219 |
0.3× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$1,318.85 |
$2,029 |
0.2× |
| Unlisted procedure anus (46999) |
$585 |
$900 |
0.7× |
| Unlisted Procedure Breast (19499) |
$458.25 |
$705 |
0.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$188.50 |
$290 |
1.2× |
| Unlisted procedure colon (45399) |
$513.50 |
$790 |
0.6× |
| Unlisted procedure leg/ankle (27899) |
$666.25 |
$1,025 |
2.9× |
| Unlisted procedure neck or thorax (21899) |
$932.75 |
$1,435 |
4.2× |
| Unlisted Procedure Nervous System (64999) |
$341.25 |
$525 |
1.2× |
| Unlisted procedure pancreas (48999) |
$1,056.25 |
$1,625 |
1.6× |
| Unlisted Procedure Rectum (45999) |
$1,404 |
$2,160 |
1.6× |
| Unlisted Procedure Small Intestine (44799) |
$167.70 |
$258 |
0.2× |
| Unlisted procedure spine (22899) |
$1,244.10 |
$1,914 |
5.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,386.12 |
$2,132.50 |
2.4× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$321.75 |
$495 |
1.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,940.25 |
$2,985 |
2.3× |
| Unlisted procedure, hands or fingers (26989) |
$97.50 |
$150 |
0.4× |
| Unlisted procedure, male genital system (55899) |
$292.50 |
$450 |
1.2× |
| Unlisted procedure, stomach (43999) |
$2,401.75 |
$3,695 |
2.8× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$13,604.50 |
$20,930 |
1.4× |
Urethrorrhaphy sutr urethral wound/inj penile (53505)
likely a partial charge, not the full procedure |
$676 |
$1,040 |
0.1× |
| Urology Surgery Procedure (53899) |
$1,170 |
$1,800 |
5.0× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$1,264.25 |
$1,945 |
0.3× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,342.25 |
$2,065 |
0.2× |
| Vaginal delivery only (59409) |
$1,056.25 |
$1,625 |
0.3× |
| Vaginal hysterectomy (58260) |
$838.50 |
$1,290 |
0.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,007.50 |
$1,550 |
0.2× |
| Vasc embolize/occlude artery (37242) |
$21,719.75 |
$33,415 |
1.3× |
| Vasc Embolize/Occlude Bleed (37244) |
$13,627.25 |
$20,965 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$7,211.75 |
$11,095 |
0.7× |
| Vasc embolize/occlude venous (37241) |
$13,627.25 |
$10,882.50 |
1.3× |
| Vasectomy (55250) |
$575.25 |
$885 |
0.3× |
| Vbac delivery only (59612) |
$1,316.25 |
$2,025 |
0.4× |
| Venipuncture (36415) |
$9.75 |
$15 |
1.0× |
| Ventricular puncture previous burr hole w/inj (61026) |
$858 |
$1,320 |
1.3× |
| Vulvectomy simple partial (56620) |
$715 |
$1,100 |
0.2× |
| Vulvectomy simple; complete (56625) |
$773.50 |
$1,190 |
0.3× |
| Wound Prep F/N/Hf/G (15004) |
$677.62 |
$1,042.50 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$325 |
$500 |
0.5× |
| Wrist arthroscop,excis triang cart (29846) |
$2,411.50 |
$3,710 |
0.8× |
| Wrist arthroscopy (29843) |
$2,249 |
$3,460 |
0.7× |
| Wrist arthroscopy/surgery (29845) |
$2,447.25 |
$3,765 |
0.8× |