| Abd paracentesis (49082) |
$272.30 |
$389 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$830.90 |
$1,187 |
0.9× |
| Acne surgery (10040) |
$29.40 |
$42 |
0.1× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$1,717.10 |
$2,453 |
0.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$401.80 |
$574 |
0.2× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,530.90 |
$2,187 |
0.7× |
| Amniocentesis diagnostic (59000) |
$2,872.80 |
$4,104 |
3.1× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$840.70 |
$1,201 |
0.3× |
| Amputate metacarpal bone (26910) |
$1,370.60 |
$1,958 |
0.4× |
| Amputation of toe (28820) |
$1,108.80 |
$1,584 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$2,253.30 |
$3,219 |
0.7× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$3,845.80 |
$5,494 |
1.2× |
| Anchoring of extending tendon of fingers to wrist bone (25301) |
$1,662.50 |
$2,375 |
0.5× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$19.60 |
$28 |
0.1× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$3,070.20 |
$4,386 |
1.1× |
| Anoscopy and biopsy (46606) |
$1,603.70 |
$2,291 |
1.3× |
| Anoscopy diagnostic (46600) |
$202.30 |
$289 |
1.5× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$46.20 |
$66 |
0.1× |
| Application finger splint static (29130) |
$91 |
$130 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$131.60 |
$188 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$91 |
$130 |
0.7× |
| Application of short leg cast (below knee to toes); (29405) |
$133 |
$190 |
0.5× |
| Application of short leg splint (calf to foot) (29515) |
$179.90 |
$257 |
1.1× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$149.80 |
$214 |
0.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$91 |
$130 |
0.3× |
| Apply hand/wrist cast (29085) |
$261.45 |
$373.50 |
1.6× |
| Apply long arm splint (29105) |
$91 |
$130 |
0.5× |
| Apply splint short arm dynamic (29126) |
$211.40 |
$302 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$205.10 |
$293 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,099.30 |
$2,999 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$285.25 |
$407.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$454.30 |
$649 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$198.10 |
$283 |
0.6× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$530.95 |
$758.50 |
1.7× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
unusually low — confirm this is the full procedure |
$5,234.60 |
$7,478 |
0.4× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$2,161.60 |
$3,088 |
0.6× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
likely a partial charge — not the full procedure |
$2,185.40 |
$3,122 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
likely a partial charge — not the full procedure |
$2,221.10 |
$3,173 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$4,062.10 |
$5,803 |
0.2× |
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21 (25446)
likely a partial charge — not the full procedure |
$2,039.10 |
$2,913 |
0.1× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536) |
$6,153 |
$8,790 |
0.8× |
| Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916) |
$5,022.50 |
$7,175 |
0.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$1,864.80 |
$2,664 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$1,750 |
$2,500 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$1,514.80 |
$2,164 |
0.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$1,398.60 |
$1,998 |
0.4× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$1,743.70 |
$2,491 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$1,582.70 |
$2,261 |
0.5× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$1,324.40 |
$1,892 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$1,768.20 |
$2,526 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$1,625.40 |
$2,322 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$1,901.90 |
$2,717 |
0.6× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure |
$2,916.20 |
$4,166 |
0.4× |
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820)
likely a partial charge — not the full procedure |
$1,512 |
$2,160 |
0.2× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$1,652 |
$2,360 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure |
$3,016.30 |
$4,309 |
0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$1,170.40 |
$1,672 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$1,307.60 |
$1,868 |
0.4× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age Under 21 (23107)
likely a partial charge — not the full procedure |
$1,846.60 |
$2,638 |
0.2× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$1,137.50 |
$1,625 |
0.3× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$3,822.70 |
$5,461 |
0.3× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$3,450.30 |
$4,929 |
1.0× |
| Aspirate pleura w/o imaging (32554) |
$319.20 |
$456 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$198.10 |
$283 |
0.6× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$110.60 |
$158 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,513.35 |
$3,590.50 |
1.5× |
| Biopsy liver needle percutaneous (47000) |
$2,032.80 |
$2,904 |
1.2× |
| Biopsy lymph node (38505) |
$1,422.40 |
$2,032 |
0.8× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$643.30 |
$919 |
0.7× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$860.30 |
$1,229 |
0.9× |
| Biopsy of uterus lining (58100) |
$35 |
$50 |
0.2× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$1,235.50 |
$1,765 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$6,382.60 |
$9,118 |
3.8× |
| Biopsy soft tissue neck/thorax (21550) |
$8,177.75 |
$11,682.50 |
4.8× |
| Biopsy vulva/perineum 1 lesion (56605) |
$77.70 |
$111 |
0.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$4,654.30 |
$6,649 |
2.8× |
| Biopsy, muscle; superficial (20200) |
$587.30 |
$839 |
0.3× |
| Bladder irrigation (51700) |
$153.30 |
$219 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$1,894.20 |
$2,706 |
1.1× |
| Bx pancreas ndl perc (48102) |
$5,983.60 |
$8,548 |
3.5× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$1,861.30 |
$2,659 |
0.6× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$2,499.70 |
$3,571 |
0.7× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$4,118.80 |
$5,884 |
0.6× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$5,252.80 |
$7,504 |
1.6× |
| Cast short arm (29075) |
$85.05 |
$121.50 |
0.3× |
| Casting/strapping procedure (29799) |
$248.50 |
$355 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$317.45 |
$453.50 |
1.2× |
| Chemical cauterization of granulation tissue (17250) |
$182 |
$260 |
0.9× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$70 |
$100 |
0.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$69.30 |
$99 |
0.2× |
| Chest tube placement (32551) |
$470.40 |
$672 |
0.3× |
| Claviculectomy; partial Age Under 21 (23120) |
$1,638 |
$2,340 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$319.20 |
$456 |
1.3× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$198.10 |
$283 |
0.1× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$198.10 |
$283 |
0.8× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$198.10 |
$283 |
0.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$198.10 |
$283 |
0.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,086.40 |
$1,552 |
4.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$319.20 |
$456 |
1.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$198.10 |
$283 |
0.8× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,044.05 |
$1,491.50 |
0.6× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$198.10 |
$283 |
0.8× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$198.10 |
$283 |
0.8× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$504 |
$720 |
2.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,682.80 |
$2,404 |
1.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$185.50 |
$265 |
0.7× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,285.90 |
$1,837 |
5.1× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$319.20 |
$456 |
0.2× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$172.90 |
$247 |
0.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$602 |
$860 |
2.4× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$198.10 |
$283 |
0.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,562.40 |
$2,232 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$167.30 |
$239 |
0.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$613.55 |
$876.50 |
2.4× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$198.10 |
$283 |
0.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,641.50 |
$2,345 |
1.0× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$319.20 |
$456 |
1.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,034.60 |
$1,478 |
0.6× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$198.10 |
$283 |
0.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$698.25 |
$997.50 |
2.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$198.10 |
$283 |
0.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$361.20 |
$516 |
1.4× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$695.45 |
$993.50 |
2.8× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$319.20 |
$456 |
0.2× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$594.65 |
$849.50 |
2.4× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$840.35 |
$1,200.50 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$586.95 |
$838.50 |
2.3× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$319.20 |
$456 |
1.3× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$719.95 |
$1,028.50 |
2.9× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$198.10 |
$283 |
0.8× |
| Closed treatment of ulnar styloid fracture (25650) |
$869.75 |
$1,242.50 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,036.70 |
$1,481 |
4.1× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$805.35 |
$1,150.50 |
0.5× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,171.80 |
$1,674 |
0.4× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$319.20 |
$456 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$198.10 |
$283 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$319.20 |
$456 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$958.30 |
$1,369 |
3.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,329.30 |
$1,899 |
0.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,343.65 |
$1,919.50 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$198.10 |
$283 |
0.8× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$912.45 |
$1,303.50 |
3.6× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$319.20 |
$456 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$363.30 |
$519 |
1.4× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$553.70 |
$791 |
0.3× |
| Clsd tx pelvic ring fx (27197) |
$72.10 |
$103 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,069.95 |
$1,528.50 |
0.7× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$279.30 |
$399 |
1.1× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,098.65 |
$1,569.50 |
4.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$382.55 |
$546.50 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$937.30 |
$1,339 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$391.65 |
$559.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$870.10 |
$1,243 |
3.5× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$140.70 |
$201 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$508.90 |
$727 |
2.0× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$786.45 |
$1,123.50 |
3.1× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$730.80 |
$1,044 |
0.4× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$257.60 |
$368 |
1.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$816.55 |
$1,166.50 |
3.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$319.20 |
$456 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$319.20 |
$456 |
0.2× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,155.70 |
$1,651 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$189 |
$270 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,226.40 |
$1,752 |
0.7× |
| Collect blood from catheter venous nos (36592) |
$147.70 |
$211 |
1.1× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,090.60 |
$1,558 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$74.20 |
$106 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$732.90 |
$1,047 |
0.6× |
| Complx cystometro w/void press & urethral profil (51729) |
$471.45 |
$673.50 |
0.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$319.20 |
$456 |
2.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$308 |
$440 |
2.3× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,342.25 |
$1,917.50 |
0.4× |
| Control throat bleeding (42960) |
$531.65 |
$759.50 |
1.0× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$2,457.70 |
$3,511 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$375.90 |
$537 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$467.60 |
$668 |
1.9× |
| Curettage postpartum (59160) |
$585.55 |
$836.50 |
0.2× |
| Cystourethroscopy (52000) |
$399 |
$570 |
0.6× |
| Deb skin bone at fx site (11012) |
$1,145.20 |
$1,636 |
0.4× |
| Debride skin at fx site (11010) |
$755.30 |
$1,079 |
1.0× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$111.30 |
$159 |
0.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$219.10 |
$313 |
0.5× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$904.05 |
$1,291.50 |
0.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$424.90 |
$607 |
0.6× |
| Declot vascular device (36593) |
$450.10 |
$643 |
1.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$80.15 |
$114.50 |
0.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$145.60 |
$208 |
0.4× |
| Destruction benign lesions up to 14 (17110) |
$37.10 |
$53 |
0.2× |
| Destruction internal hemorrhoid thermal energy (46930) |
$424.20 |
$606 |
0.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,099.30 |
$2,999 |
2.9× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$199.50 |
$285 |
0.1× |
| Drain lower leg lesion (27603) |
$1,098.30 |
$1,569 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$378.70 |
$541 |
0.5× |
| Drainage finger abscess simple (26010) |
$421.75 |
$602.50 |
2.1× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,068.50 |
$2,955 |
1.2× |
| Drainage of tonsil abscess (42700) |
$440.30 |
$629 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$634.20 |
$906 |
0.3× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$625.80 |
$894 |
0.3× |
| Ed proc insert intraosseous IV (36680) |
$595.70 |
$851 |
1.3× |
| Ed proc remve fb nasal- hospital (30300) |
$445.55 |
$636.50 |
3.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$112.35 |
$160.50 |
0.4× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$82.60 |
$118 |
0.6× |
| Ed prof burn - large - hospital (16030) |
$72.80 |
$104 |
0.2× |
| Ed prof burn medium - hospital (16025) |
$319.20 |
$456 |
1.6× |
| Ed prof burn small - hospital (16020) |
$198.10 |
$283 |
1.0× |
| Ed prof catheterization/straight (51701) |
$15.40 |
$22 |
0.1× |
| Ed prof closed tx post hip arthroplasty (27265) |
$783.30 |
$1,119 |
3.1× |
| Ed prof drain dental abscess-hospital (41800) |
$378 |
$540 |
2.8× |
| Ed prof insert foley cath simple (51702) |
$125.30 |
$179 |
0.9× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$827.75 |
$1,182.50 |
0.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$659.40 |
$942 |
1.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$475.30 |
$679 |
1.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$198.10 |
$283 |
0.8× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$319.20 |
$456 |
0.7× |
| Egd percutaneous placement gastrostomy tube (43246) |
$567 |
$810 |
0.3× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$554.40 |
$792 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$77.35 |
$110.50 |
0.6× |
| Endovenous rf 1st vein (36475) |
$786.80 |
$1,124 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$507.50 |
$725 |
0.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$453.95 |
$648.50 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$432.60 |
$618 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$2,333.80 |
$3,334 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$497 |
$710 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$501.20 |
$716 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$399 |
$570 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,094.45 |
$1,563.50 |
1.2× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$890.40 |
$1,272 |
0.5× |
| Evac subungual hematoma (11740) |
$114.80 |
$164 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,173.20 |
$1,676 |
0.7× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$99.40 |
$142 |
0.1× |
| Exc forearm les sc 3 cm/> (25071) |
$1,194.20 |
$1,706 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$44.80 |
$64 |
0.0× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$178.85 |
$255.50 |
0.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$74.20 |
$106 |
0.0× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$44.10 |
$63 |
0.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$186.90 |
$267 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$229.60 |
$328 |
0.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$930.30 |
$1,329 |
0.6× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$1,169 |
$1,670 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$887.60 |
$1,268 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,248 |
$4,640 |
1.9× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$5,436.20 |
$7,766 |
1.8× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$460.60 |
$658 |
0.2× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,938.30 |
$2,769 |
0.6× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$906.50 |
$1,295 |
0.6× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$5,104.05 |
$7,291.50 |
1.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,500.70 |
$5,001 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$81.20 |
$116 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$88.20 |
$126 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$317.10 |
$453 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$116.20 |
$166 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$81.90 |
$117 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$92.40 |
$132 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$130.20 |
$186 |
0.1× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$1,286.60 |
$1,838 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$3,413.20 |
$4,876 |
0.9× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$785.40 |
$1,122 |
0.5× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$1,155 |
$1,650 |
0.6× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420)
unusually low — confirm this is the full procedure |
$2,440.90 |
$3,487 |
0.4× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$3,447.50 |
$4,925 |
1.6× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$2,587.20 |
$3,696 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$259.70 |
$371 |
0.2× |
| Excision olecranon bursa (24105) |
$997.50 |
$1,425 |
0.3× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Age Under 21 (23156)
likely a partial charge — not the full procedure |
$1,898.40 |
$2,712 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$3,698.10 |
$5,283 |
1.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$4,146.80 |
$5,924 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,325.80 |
$1,894 |
0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,176 |
$1,680 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$527.80 |
$754 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$255.15 |
$364.50 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$169.40 |
$242 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$353.50 |
$505 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$134.40 |
$192 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$85.40 |
$122 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$374.15 |
$534.50 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$774.20 |
$1,106 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$65.10 |
$93 |
0.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$521.85 |
$745.50 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$79.10 |
$113 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$71.40 |
$102 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$56.70 |
$81 |
0.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$516.25 |
$737.50 |
0.3× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$1,696.80 |
$2,424 |
0.6× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$3,073 |
$4,390 |
1.9× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$1,631.70 |
$2,331 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,371.30 |
$1,959 |
0.8× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$784 |
$1,120 |
0.5× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$1,325.80 |
$1,894 |
0.4× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$4,153.80 |
$5,934 |
1.2× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$508.90 |
$727 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,587.60 |
$2,268 |
2.2× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$1,894.90 |
$2,707 |
0.6× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$2,169.30 |
$3,099 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,666 |
$2,380 |
0.8× |
Fusion of thumb (26841)
unusually low — confirm this is the full procedure |
$2,883.30 |
$4,119 |
0.4× |
Fusion of wrist joint (25800)
unusually low — confirm this is the full procedure |
$2,975 |
$4,250 |
0.4× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$1,297.10 |
$1,853 |
0.4× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,435.60 |
$4,908 |
1.0× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,269.80 |
$1,814 |
1.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,401.70 |
$3,431 |
0.8× |
| Hysteroscopy biopsy (58558) |
$2,362.50 |
$3,375 |
0.7× |
| I&d abscess simple/single (10060) |
$198.10 |
$283 |
1.0× |
| I&d hematoma/seroma/fluid (10140) |
$322 |
$460 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$198.10 |
$283 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$597.80 |
$854 |
0.2× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$1,223.60 |
$1,748 |
1.3× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,467.20 |
$2,096 |
0.9× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$9,972.90 |
$14,247 |
5.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,654.30 |
$6,649 |
2.8× |
| Incise external hemorrhoid (46083) |
$319.20 |
$456 |
1.3× |
| Incise finger tendon sheath (26055) |
$488.95 |
$698.50 |
0.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$209.30 |
$299 |
0.5× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$358.05 |
$511.50 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$351.40 |
$502 |
1.1× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$508.20 |
$726 |
0.2× |
| Incision and drainage, perianal abscess, superficial (46050) |
$279.30 |
$399 |
0.3× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$262.85 |
$375.50 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$506.10 |
$723 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$127.05 |
$181.50 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$3,294.20 |
$4,706 |
2.0× |
| Incision of rectal abscess (46040) |
$1,187.90 |
$1,697 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$97.30 |
$139 |
0.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$262.50 |
$375 |
1.3× |
| Inj epidural blood or clot patch (62273) |
$387.80 |
$554 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$653.10 |
$933 |
0.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$555.80 |
$794 |
0.6× |
| Inj tx nerve (64640) |
$544.95 |
$778.50 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$89.95 |
$128.50 |
0.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$355.60 |
$508 |
0.4× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$319.20 |
$456 |
0.4× |
| Injection aa&/strd greater occipital nerve (64405) |
$292.60 |
$418 |
0.9× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$33.60 |
$48 |
0.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$579.60 |
$828 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$30.10 |
$43 |
0.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$161.70 |
$231 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$249.20 |
$356 |
0.8× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$234.50 |
$335 |
0.3× |
| Injection enzyme palmar fascial cord (20527) |
$35.70 |
$51 |
0.1× |
| Injection for identification of sentinel node (38792) |
$806.40 |
$1,152 |
2.0× |
| Injection therapeutic carpal tunnel (20526) |
$94.15 |
$134.50 |
0.3× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$308 |
$440 |
0.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$147.35 |
$210.50 |
0.5× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$198.10 |
$283 |
0.6× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$196.70 |
$281 |
0.6× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$592.20 |
$846 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$16.80 |
$24 |
0.1× |
| Insert nasal septal button (30220) |
$350 |
$500 |
0.2× |
| Insert pessary/other device (57160) |
$25.90 |
$37 |
0.1× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$951.30 |
$1,359 |
0.3× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,397.20 |
$1,996 |
0.9× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,194.85 |
$3,135.50 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,826.60 |
$4,038 |
0.9× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$1,012.20 |
$1,446 |
0.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$540.40 |
$772 |
0.2× |
| Intubation endotracheal (31500) |
$722.75 |
$1,032.50 |
3.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$342.30 |
$489 |
1.3× |
| Knee arthroscopy/surgery (29876) |
$1,841 |
$2,630 |
0.6× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
likely a partial charge — not the full procedure |
$2,327.50 |
$3,325 |
0.1× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
unusually low — confirm this is the full procedure |
$2,488.50 |
$3,555 |
0.3× |
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low — confirm this is the full procedure |
$2,849.70 |
$4,071 |
0.5× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$2,336.60 |
$3,338 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$1,215.90 |
$1,737 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure |
$2,359.70 |
$3,371 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$3,379.60 |
$4,828 |
0.5× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$938.70 |
$1,341 |
0.2× |
| Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671) |
$3,213 |
$4,590 |
0.5× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
unusually low — confirm this is the full procedure |
$2,016.70 |
$2,881 |
0.3× |
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570)
likely a partial charge — not the full procedure |
$1,395.80 |
$1,994 |
0.2× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
unusually low — confirm this is the full procedure |
$4,366.60 |
$6,238 |
0.4× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$1,584.10 |
$2,263 |
0.3× |
| Laryngoscopy flex diagnostic (31575) |
$37.80 |
$54 |
0.2× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$630.70 |
$901 |
0.2× |
| Laryngoscopy, indirect; with vocal cord injection Age Under 21 (31513) |
$331.80 |
$474 |
0.8× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$2,942.80 |
$4,204 |
0.9× |
| Ligation or biopsy, temporal artery (37609) |
$579.60 |
$828 |
0.3× |
| Lumbar puncture (62270) |
$336.70 |
$481 |
0.5× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$128.80 |
$184 |
0.5× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$851.90 |
$1,217 |
0.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$550.20 |
$786 |
0.3× |
| Mastectomy partial (19301) |
$1,836.80 |
$2,624 |
0.5× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
unusually low — confirm this is the full procedure |
$3,374 |
$4,820 |
0.5× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$99.40 |
$142 |
0.4× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$4,048.10 |
$5,783 |
2.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,437.10 |
$2,053 |
0.9× |
Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910)
likely a partial charge — not the full procedure |
$2,224.60 |
$3,178 |
0.2× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,211 |
$1,730 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Age Under 21 (64713) |
$2,013.90 |
$2,877 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$1,419.60 |
$2,028 |
0.7× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$370.30 |
$529 |
0.4× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$10,528.70 |
$15,041 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,201.55 |
$1,716.50 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,878.40 |
$4,112 |
4.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$319.20 |
$456 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$845.60 |
$1,208 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$282.80 |
$404 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$372.40 |
$532 |
0.4× |
| Non stress test (59025) |
$246.40 |
$352 |
1.2× |
Open treatment bimalleolar ankle fracture (27814)
unusually low — confirm this is the full procedure |
$3,277.40 |
$4,682 |
0.4× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$1,702.40 |
$2,432 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$1,559.60 |
$2,228 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure |
$1,888.60 |
$2,698 |
0.3× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure |
$2,027.20 |
$2,896 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$2,013.90 |
$2,877 |
0.3× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure |
$1,976.10 |
$2,823 |
0.3× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$2,181.20 |
$3,116 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
unusually low — confirm this is the full procedure |
$3,497.90 |
$4,997 |
0.5× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$2,066.40 |
$2,952 |
0.2× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
likely a partial charge — not the full procedure |
$1,673.70 |
$2,391 |
0.2× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
unusually low — confirm this is the full procedure |
$2,760.80 |
$3,944 |
0.4× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$5,111.40 |
$7,302 |
0.7× |
Open treatment of ulnar shaft fracture (25545)
unusually low — confirm this is the full procedure |
$2,664.20 |
$3,806 |
0.4× |
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure |
$1,663.20 |
$2,376 |
0.2× |
| Open tx distal phalangeal fracture each (26765) |
$1,371.30 |
$1,959 |
0.4× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,887.90 |
$2,697 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,335.60 |
$1,908 |
0.4× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$2,472.40 |
$3,532 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure |
$2,644.60 |
$3,778 |
0.2× |
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low — confirm this is the full procedure |
$2,145.50 |
$3,065 |
0.4× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
unusually low — confirm this is the full procedure |
$2,723 |
$3,890 |
0.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$12.60 |
$18 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$81.20 |
$116 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,816.40 |
$5,452 |
1.1× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low — confirm this is the full procedure |
$1,988.70 |
$2,841 |
0.3× |
| Partical excision bone phalanx toe (28124) |
$939.40 |
$1,342 |
0.3× |
| Patellectomy or hemipatellectomy Age Under 21 (27350) |
$3,852.10 |
$5,503 |
0.5× |
| Pelvis/hip joint surgery unlisted (27299) |
$4,015.90 |
$5,737 |
15.9× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$1,870.40 |
$2,672 |
2.1× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$680.40 |
$972 |
0.2× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$3,916.50 |
$5,595 |
1.2× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$1,327.90 |
$1,897 |
0.4× |
| Perq dev breast 1st us imag (19285) |
$2,057.30 |
$2,939 |
2.8× |
| Perq device breast 1st imag (19281) |
$1,555.40 |
$2,222 |
0.9× |
| Phalangectomy, toe, each toe Age Under 21 (28150) |
$838.95 |
$1,198.50 |
0.3× |
| Pin finger fracture each (26756) |
$3,864 |
$5,520 |
1.2× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,208.90 |
$1,727 |
1.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$483 |
$690 |
0.4× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$1,170.40 |
$1,672 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$80.50 |
$115 |
0.2× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$317.10 |
$453 |
0.8× |
| Puncture aspiration of cyst of breast (19000) |
$396.90 |
$567 |
0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,580.50 |
$5,115 |
2.2× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$1,841 |
$2,630 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,386 |
$1,980 |
0.7× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$2,210.60 |
$3,158 |
0.7× |
| Reconstr mcp jnt col ligam w graft (26541) |
$3,587.50 |
$5,125 |
1.1× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
unusually low — confirm this is the full procedure |
$2,720.90 |
$3,887 |
0.4× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
unusually low — confirm this is the full procedure |
$3,587.50 |
$5,125 |
0.5× |
| Release i-p jt contracture (26525) |
$2,276.40 |
$3,252 |
1.4× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$1,491 |
$2,130 |
0.4× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
unusually low — confirm this is the full procedure |
$2,588.60 |
$3,698 |
0.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$610.40 |
$872 |
0.8× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$378.35 |
$540.50 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$100.10 |
$143 |
1.7× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$95.20 |
$136 |
1.6× |
| Removal implant deep (20680) |
$706.30 |
$1,009 |
0.2× |
| Removal implant from finger/hand (26320) |
$3,222.80 |
$4,604 |
1.9× |
| Removal implant superficial (20670) |
$81.90 |
$117 |
0.0× |
| Removal of ankle implant (27704) |
$1,616.30 |
$2,309 |
0.5× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$1,700.30 |
$2,429 |
0.3× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$892.50 |
$1,275 |
0.2× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$1,909.60 |
$2,728 |
0.6× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$1,046.50 |
$1,495 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$253.75 |
$362.50 |
1.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$254.45 |
$363.50 |
0.6× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$1,817.20 |
$2,596 |
0.8× |
| Removal of iud (58301) |
$101.15 |
$144.50 |
0.3× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,061.50 |
$2,945 |
0.7× |
| Removal of nail bed (11750) |
$221.20 |
$316 |
0.5× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$2,559.20 |
$3,656 |
1.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$40.60 |
$58 |
0.2× |
| Removal of wrist bone (25210) |
$3,922.80 |
$5,604 |
1.2× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$208.95 |
$298.50 |
0.7× |
| Removal tunneled cv cath (36590) |
$322.35 |
$460.50 |
0.2× |
| Remove eyelid foreign body (67938) |
$319.20 |
$456 |
1.0× |
| Remove foreign body from eye (65210) |
$396.90 |
$567 |
0.9× |
| Remove pharynx foreign body (42809) |
$445.90 |
$637 |
1.0× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$4,654.30 |
$6,649 |
2.8× |
Repair achilles tendon (27650)
unusually low — confirm this is the full procedure |
$3,206 |
$4,580 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$671.30 |
$959 |
1.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$840 |
$1,200 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$716.10 |
$1,023 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,076.25 |
$1,537.50 |
1.4× |
| Repair elbow deb/attch open (24359) |
$1,865.50 |
$2,665 |
0.6× |
| Repair extensor tendon hand w/o graft each (26410) |
$319.20 |
$456 |
0.2× |
| Repair eyelid wound (67930) |
$687.40 |
$982 |
0.3× |
| Repair finger tendon (26418) |
$1,463 |
$2,090 |
0.9× |
| Repair forearm tendon/muscle (25260) |
$2,513.70 |
$3,591 |
0.8× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$5,132.40 |
$7,332 |
1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,658.30 |
$2,369 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$688.80 |
$984 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$547.40 |
$782 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$596.05 |
$851.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$798.70 |
$1,141 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$401.80 |
$574 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$257.60 |
$368 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$585.55 |
$836.50 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$296.10 |
$423 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$522.20 |
$746 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$663.60 |
$948 |
0.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$486.15 |
$694.50 |
1.2× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$422.80 |
$604 |
0.2× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$877.80 |
$1,254 |
1.6× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
likely a partial charge — not the full procedure |
$1,979.60 |
$2,828 |
0.3× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$2,102.10 |
$3,003 |
0.6× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$663.25 |
$947.50 |
2.7× |
| Repair of nail bed (11760) |
$313.60 |
$448 |
0.4× |
| Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) |
$12,160.40 |
$17,372 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$9,989.70 |
$14,271 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$8,711.50 |
$12,445 |
1.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410)
unusually low — confirm this is the full procedure |
$2,295.30 |
$3,279 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
unusually low — confirm this is the full procedure |
$2,385.60 |
$3,408 |
0.3× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$3,805.20 |
$5,436 |
1.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521) |
$4,936.40 |
$7,052 |
0.7× |
| Repair tongue lacer,post 1/3 (41251) |
$317.80 |
$454 |
1.3× |
| Repair wrist joints (25447) |
$3,633.70 |
$5,191 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$613.90 |
$877 |
0.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$743.40 |
$1,062 |
1.0× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$301 |
$430 |
0.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$485.10 |
$693 |
0.6× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659)
unusually low — confirm this is the full procedure |
$3,668.70 |
$5,241 |
0.5× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
unusually low — confirm this is the full procedure |
$3,435.60 |
$4,908 |
0.5× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$894.60 |
$1,278 |
0.3× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$396.55 |
$566.50 |
1.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,997.10 |
$2,853 |
0.6× |
| Reset dislocated jaw (21480) |
$314.65 |
$449.50 |
1.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low — confirm this is the full procedure |
$4,894.40 |
$6,992 |
0.4× |
| Revise finger joint (26535) |
$5,335.40 |
$7,622 |
1.6× |
| Revise ulnar nerve at elbow (64718) |
$1,675.80 |
$2,394 |
0.8× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
likely a partial charge — not the full procedure |
$4,960.20 |
$7,086 |
0.3× |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473)
unusually low — confirm this is the full procedure |
$4,529.70 |
$6,471 |
0.3× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge — not the full procedure |
$1,272.60 |
$1,818 |
0.2× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$1,043.70 |
$1,491 |
0.3× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$198.10 |
$283 |
1.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$340.90 |
$487 |
2.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$726.25 |
$1,037.50 |
0.2× |
| Rmvl of access device (36589) |
$387.80 |
$554 |
0.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$998.20 |
$1,426 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$809.90 |
$1,157 |
0.2× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$859.95 |
$1,228.50 |
0.5× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$1,787.80 |
$2,554 |
0.5× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$2,179.10 |
$3,113 |
0.7× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,181.90 |
$3,117 |
0.6× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$2,714.60 |
$3,878 |
0.8× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$18.90 |
$27 |
0.0× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$28.70 |
$41 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$25.90 |
$37 |
0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$28 |
$40 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$34.30 |
$49 |
0.2× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
unusually low — confirm this is the full procedure |
$2,683.80 |
$3,834 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$164.85 |
$235.50 |
0.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$235.20 |
$336 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$357 |
$510 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$330.05 |
$471.50 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$159.25 |
$227.50 |
0.8× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$485.45 |
$693.50 |
2.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$471.45 |
$673.50 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$273 |
$390 |
1.3× |
| Skin tissue procedure unlisted (17999) |
$795.90 |
$1,137 |
3.9× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$165.20 |
$236 |
0.8× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$418.25 |
$597.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$405.30 |
$579 |
1.0× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,954.40 |
$2,792 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,588.90 |
$5,127 |
1.1× |
| Stomach surgery procedure unlisted (43999) |
$1,428 |
$2,040 |
1.5× |
| Strapping ankle (29540) |
$91 |
$130 |
0.5× |
| Strapping elbow or wrist (29260) |
$85.75 |
$122.50 |
1.4× |
| Strapping hand/finger (29280) |
$90.30 |
$129 |
1.5× |
| Strapping of knee (29530) |
$91 |
$130 |
0.7× |
| Strapping of shoulder (29240) |
$87.85 |
$125.50 |
0.6× |
| Strapping unna boot (29580) |
$111.30 |
$159 |
0.7× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$793.10 |
$1,133 |
0.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$367.50 |
$525 |
0.5× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$726.60 |
$1,038 |
1.7× |
| Suture closure of vagina and vaginal opening (57120) |
$4,399.50 |
$6,285 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$5,305.30 |
$7,579 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$1,795.50 |
$2,565 |
1.1× |
| Synovectomy, tendon sheath, foot; extensor Age Under 21 (28088) |
$2,536.10 |
$3,623 |
0.8× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,067.80 |
$2,954 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$21 |
$30 |
0.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$3,149.30 |
$4,499 |
0.9× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$2,085.30 |
$2,979 |
0.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,652 |
$2,360 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,156 |
$3,080 |
1.3× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$1,482.60 |
$2,118 |
0.4× |
| Therapeutic apheresis platelet (36513) |
$1,236.90 |
$1,767 |
2.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$319.20 |
$456 |
0.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$698.95 |
$998.50 |
1.1× |
Thyroidectomy, including substernal thyroid; cervical approach (60271)
unusually low — confirm this is the full procedure |
$2,117.50 |
$3,025 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low — confirm this is the full procedure |
$2,585.10 |
$3,693 |
0.4× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,819.20 |
$5,456 |
0.3× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
unusually low — confirm this is the full procedure |
$1,984.50 |
$2,835 |
0.3× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$1,589 |
$2,270 |
0.8× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$2,899.40 |
$4,142 |
0.9× |
| Transfusion, blood or blood components (36430) |
$1,033.55 |
$1,476.50 |
2.3× |
| Transplant hand tendon (26480) |
$1,802.50 |
$2,575 |
0.5× |
| Treat big toe fracture (28495) |
$438.90 |
$627 |
1.7× |
| Treat finger dislocation (26775) |
$424.90 |
$607 |
1.5× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$2,072.70 |
$2,961 |
0.3× |
| Treat hip socket fracture (27222) |
$504.70 |
$721 |
2.0× |
| Treat toe dislocation (28630) |
$351.40 |
$502 |
1.4× |
| Treat vaginal bleeding (57180) |
$319.20 |
$456 |
1.5× |
| Treat wrist dislocation (25675) |
$1,158.50 |
$1,655 |
4.6× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,156.75 |
$1,652.50 |
0.7× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
unusually low — confirm this is the full procedure |
$3,303.30 |
$4,719 |
0.4× |
Treatment of ankle fracture (27822)
unusually low — confirm this is the full procedure |
$2,443 |
$3,490 |
0.3× |
| Treatment of broken base of forearm bone on small finger side at wrist (25652) |
$4,372.20 |
$6,246 |
0.6× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$2,478 |
$3,540 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$850.85 |
$1,215.50 |
3.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$539.70 |
$771 |
2.1× |
| Trimming of nondystrophic nails, any number (11719) |
$30.80 |
$44 |
0.5× |
| Tx superficial wound dehiscence simple closure (12020) |
$531.65 |
$759.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$198.10 |
$283 |
0.5× |
| Unlisted procedure, dentoalveolar structures (41899) |
$950.60 |
$1,358 |
3.9× |
| Vasectomy (55250) |
$125.30 |
$179 |
0.1× |
| Venipuncture (36415) |
$21 |
$30 |
2.2× |
| Wedge excision skin nail fold (11765) |
$310.80 |
$444 |
0.7× |