| Abd paracentesis w/imaging (49083) |
$830.90 |
$1,187 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$272.30 |
$389 |
0.3× |
| Acne Surgery (10040) |
$29.40 |
$42 |
0.1× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,717.10 |
$2,453 |
0.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,530.90 |
$2,187 |
0.7× |
| Amniocentesis diagnostic (59000) |
$2,872.80 |
$4,104 |
3.1× |
| Amputate metacarpal bone (26910) |
$1,370.60 |
$1,958 |
0.4× |
| Amputation Finger/Thumb (26951) |
$840.70 |
$1,201 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$3,845.80 |
$5,494 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$2,253.30 |
$3,219 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,108.80 |
$1,584 |
0.3× |
| Anoscopy diagnostic (46600) |
$202.30 |
$289 |
1.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,603.70 |
$2,291 |
1.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,070.20 |
$4,386 |
1.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$149.80 |
$214 |
0.9× |
| Application cast elbow finger short arm (29075) |
$85.05 |
$121.50 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$261.45 |
$373.50 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$91 |
$130 |
0.3× |
| Application finger splint static (29130) |
$91 |
$130 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$91 |
$130 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$131.60 |
$188 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$211.40 |
$302 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$91 |
$130 |
0.7× |
| Application short leg splint calf foot (29515) |
$179.90 |
$257 |
1.1× |
| Apply short leg cast (29405) |
$133 |
$190 |
0.5× |
| Arterial puncture (36600) |
$82.60 |
$118 |
0.6× |
| 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× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure |
$5,234.60 |
$7,478 |
0.4× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (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× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,743.70 |
$2,491 |
0.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,864.80 |
$2,664 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,750 |
$2,500 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,514.80 |
$2,164 |
0.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,398.60 |
$1,998 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,491 |
$2,130 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,582.70 |
$2,261 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,588.60 |
$3,698 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,768.20 |
$2,526 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,625.40 |
$2,322 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,901.90 |
$2,717 |
0.6× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,916.20 |
$4,166 |
0.4× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
likely a partial charge, not the full procedure |
$1,512 |
$2,160 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,016.30 |
$4,309 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,307.60 |
$1,868 |
0.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,137.50 |
$1,625 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$198.10 |
$283 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$110.60 |
$158 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,513.35 |
$3,590.50 |
1.5× |
| Biopsy Muscle Superficial (20200) |
$587.30 |
$839 |
0.3× |
| Biopsy of uterus lining (58100) |
$35 |
$50 |
0.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$5,983.60 |
$8,548 |
3.5× |
| 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/removal lymph nodes (38525) |
$1,235.50 |
$1,765 |
0.3× |
| Bladder Irrigation Simple (51700) |
$153.30 |
$219 |
0.6× |
| Blood patch (62273) |
$387.80 |
$554 |
0.5× |
| Blood transfusion service (36430) |
$1,033.55 |
$1,476.50 |
2.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$4,654.30 |
$6,649 |
2.8× |
| Bx breast 1st lesion us imag (19083) |
$1,894.20 |
$2,706 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$77.70 |
$111 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,422.40 |
$2,032 |
0.8× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,861.30 |
$2,659 |
0.6× |
| Carpectomy All Bones Proximal Row (25215) |
$5,252.80 |
$7,504 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$317.45 |
$453.50 |
1.2× |
| Chemical Cautery Tissue (17250) |
$182 |
$260 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$69.30 |
$99 |
0.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$70 |
$100 |
0.2× |
| Chest tube placement (32551) |
$470.40 |
$672 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$147.70 |
$211 |
1.1× |
| Claviculectomy; partial (23120) |
$1,638 |
$2,340 |
0.5× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$504.70 |
$721 |
2.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$140.70 |
$201 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$912.45 |
$1,303.50 |
3.6× |
| Closed Rx Med Malleolus Fx (27760) |
$172.90 |
$247 |
0.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$319.20 |
$456 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$730.80 |
$1,044 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,343.65 |
$1,919.50 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$695.45 |
$993.50 |
2.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$319.20 |
$456 |
0.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$189 |
$270 |
0.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$319.20 |
$456 |
1.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,682.80 |
$2,404 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,158.50 |
$1,655 |
4.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$786.45 |
$1,123.50 |
3.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$586.95 |
$838.50 |
2.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$319.20 |
$456 |
1.3× |
| Closed Treatment 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 Manip (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 knee dislocation w/o anesthesia (27550) |
$1,285.90 |
$1,837 |
5.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$198.10 |
$283 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,562.40 |
$2,232 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$553.70 |
$791 |
0.3× |
| 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 patellar fracture w/o manipulation (27520) |
$167.30 |
$239 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$198.10 |
$283 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,329.30 |
$1,899 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$198.10 |
$283 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$840.35 |
$1,200.50 |
0.5× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$319.20 |
$456 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$314.65 |
$449.50 |
1.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$719.95 |
$1,028.50 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$198.10 |
$283 |
0.8× |
| Closure of vagina (57120) |
$4,399.50 |
$6,285 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$363.30 |
$519 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$198.10 |
$283 |
0.8× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$72.10 |
$103 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,069.95 |
$1,528.50 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$594.65 |
$849.50 |
2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$198.10 |
$283 |
0.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$279.30 |
$399 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,086.40 |
$1,552 |
4.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$319.20 |
$456 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,098.65 |
$1,569.50 |
4.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$198.10 |
$283 |
0.8× |
| 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 fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,044.05 |
$1,491.50 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$438.90 |
$627 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$198.10 |
$283 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$391.65 |
$559.50 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$198.10 |
$283 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$870.10 |
$1,243 |
3.5× |
| Cltx greater trochanteric fx w/o manj (27246) |
$504 |
$720 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$508.90 |
$727 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$257.60 |
$368 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$198.10 |
$283 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$602 |
$860 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$198.10 |
$283 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$816.55 |
$1,166.50 |
3.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$351.40 |
$502 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$613.55 |
$876.50 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$198.10 |
$283 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,641.50 |
$2,345 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$783.30 |
$1,119 |
3.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$319.20 |
$456 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,034.60 |
$1,478 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$361.20 |
$516 |
1.4× |
| 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 (27752) |
$1,155.70 |
$1,651 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,226.40 |
$1,752 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,090.60 |
$1,558 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$74.20 |
$106 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$732.90 |
$1,047 |
0.6× |
| Complex Drainage, Wound (10180) |
$508.20 |
$726 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$319.20 |
$456 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$308 |
$440 |
2.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$531.65 |
$759.50 |
1.0× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$1,342.25 |
$1,917.50 |
0.4× |
| Correction hammertoe (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× |
| Cystometrogram W/Vp&Up (51729) |
$471.45 |
$673.50 |
0.7× |
| Cystourethroscopy (52000) |
$399 |
$570 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$215.25 |
$159 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,145.20 |
$1,636 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$755.30 |
$1,079 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$219.10 |
$313 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$424.90 |
$607 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$904.05 |
$1,291.50 |
0.5× |
| Declot vascular device (36593) |
$450.10 |
$643 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$634.20 |
$906 |
0.3× |
| Destroy internal hemorrhoids (46930) |
$424.20 |
$606 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$625.80 |
$894 |
0.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$145.60 |
$208 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$37.10 |
$53 |
0.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$544.95 |
$778.50 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$80.15 |
$114.50 |
0.4× |
| 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/inj small joint/bursa w/us (20604) |
$530.95 |
$758.50 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$378.70 |
$541 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$2,068.50 |
$2,955 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$421.75 |
$602.50 |
2.1× |
| Drainage of gum lesion (41800) |
$378 |
$540 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$322 |
$460 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$72.80 |
$104 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$319.20 |
$456 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$198.10 |
$283 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,333.80 |
$3,334 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$432.60 |
$618 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$497 |
$710 |
0.3× |
| Egd flexible foreign body removal (43247) |
$501.20 |
$716 |
0.5× |
| Egd place gastrostomy tube (43246) |
$567 |
$810 |
0.3× |
| Egd remove lesion snare (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× |
| Epidural lysis on single day (62264) |
$1,870.40 |
$2,672 |
2.1× |
| Episiotomy or vaginal repair (59300) |
$507.50 |
$725 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$399 |
$570 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,094.45 |
$1,563.50 |
1.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$890.40 |
$1,272 |
0.5× |
| Evacuation of 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 arm/elbow les sc 3 cm/> (24071) |
$460.60 |
$658 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$255.15 |
$364.50 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$56.70 |
$81 |
0.1× |
| Exc forearm les sc 3 cm/> (25071) |
$1,194.20 |
$1,706 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$887.60 |
$1,268 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$930.30 |
$1,329 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,176 |
$1,680 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$178.85 |
$255.50 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$169.40 |
$242 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$186.90 |
$267 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$353.50 |
$505 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$134.40 |
$192 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$374.15 |
$534.50 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$521.85 |
$745.50 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,631.70 |
$2,331 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$259.70 |
$371 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$44.10 |
$63 |
0.1× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$229.60 |
$328 |
0.1× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,169 |
$1,670 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$3,248 |
$4,640 |
1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$516.25 |
$737.50 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,696.80 |
$2,424 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,698.10 |
$5,283 |
1.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$785.40 |
$1,122 |
0.5× |
| Excise Inferior Turbinate (30130) |
$5,104.05 |
$7,291.50 |
1.5× |
Excise parotid gland/lesion (42420)
unusually low: confirm this is the full procedure |
$2,440.90 |
$3,487 |
0.4× |
| Excision Breast Lesion (19125) |
$1,286.60 |
$1,838 |
0.3× |
| Excision Distal Ulna Partial/Complete (25240) |
$1,938.30 |
$2,769 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$65.10 |
$93 |
0.1× |
| 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 f/e/e/n/l 0.6-1.0 cm (11641) |
$85.40 |
$122 |
0.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$99.40 |
$142 |
0.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$774.20 |
$1,106 |
0.5× |
| 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 benign lesion other than skin tag 0.6-1.0 cm (11441) |
$71.40 |
$102 |
0.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$79.10 |
$113 |
0.1× |
| Excision of hydrocele; unilateral (55040) |
$892.50 |
$1,275 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$74.20 |
$106 |
0.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$44.80 |
$64 |
0.0× |
| Excision of nail fold toe (11765) |
$310.80 |
$444 |
0.7× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$3,447.50 |
$4,925 |
1.6× |
| Excision olecranon bursa (24105) |
$997.50 |
$1,425 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$3,073 |
$4,390 |
1.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$4,146.80 |
$5,924 |
1.2× |
| Excision Prepatellar Bursa (27340) |
$1,046.50 |
$1,495 |
0.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,587.20 |
$3,696 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,325.80 |
$1,894 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$527.80 |
$754 |
0.3× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$3,500.70 |
$5,001 |
2.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$5,436.20 |
$7,766 |
1.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$784 |
$1,120 |
0.5× |
| Exploration of knee joint (27310) |
$3,450.30 |
$4,929 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,371.30 |
$1,959 |
0.8× |
Explore parathyroid glands (60500)
unusually low: confirm this is the full procedure |
$2,723 |
$3,890 |
0.5× |
Explore treat shoulder joint (23107)
likely a partial charge, not the full procedure |
$1,846.60 |
$2,638 |
0.2× |
| Fasciotomy palmar open partial (26045) |
$1,325.80 |
$1,894 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,153.80 |
$5,934 |
1.2× |
| Fetal non-stress test (59025) |
$246.40 |
$352 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,587.60 |
$2,268 |
2.2× |
| Fine needle aspiration without imaging guidance (10021) |
$508.90 |
$727 |
1.2× |
| Fixation of knee joint (27570) |
$851.90 |
$1,217 |
0.5× |
| Fixation of shoulder (23700) |
$550.20 |
$786 |
0.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,169.30 |
$3,099 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,666 |
$2,380 |
0.8× |
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure |
$2,185.40 |
$3,122 |
0.3× |
| Fusion Finger Joint (26860) |
$2,161.60 |
$3,088 |
0.6× |
| Fusion of knuckle joint (26516) |
$2,499.70 |
$3,571 |
0.7× |
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× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,435.60 |
$4,908 |
1.0× |
| Hemorrhoidectomy (46255) |
$2,401.70 |
$3,431 |
0.8× |
| Hip arthro w/labral repair (29916) |
$5,022.50 |
$7,175 |
0.7× |
| Hysteroscopy biopsy (58558) |
$2,362.50 |
$3,375 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$440.30 |
$629 |
1.8× |
| I&d abscess simple (10060) |
$198.10 |
$283 |
1.0× |
| I&d perianal abscess superficial (46050) |
$279.30 |
$399 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$198.10 |
$283 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$262.85 |
$375.50 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$597.80 |
$854 |
0.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,223.60 |
$1,748 |
1.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$860.30 |
$1,229 |
0.9× |
| Image Cath Fluid Colxn Visc (49405) |
$9,972.90 |
$14,247 |
5.9× |
| Image Cath Fluid Peri/Retro (49406) |
$4,654.30 |
$6,649 |
2.8× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,467.20 |
$2,096 |
0.9× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,170.40 |
$1,672 |
0.2× |
| Incise finger tendon sheath (26055) |
$488.95 |
$698.50 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$209.30 |
$299 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,098.30 |
$1,569 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$506.10 |
$723 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$127.05 |
$181.50 |
0.3× |
| 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 extensor tendon sheath wrist (25000) |
$3,294.20 |
$4,706 |
2.0× |
| Incision of eardrum (69420) |
$99.40 |
$142 |
0.4× |
| Incision of rectal abscess (46040) |
$1,187.90 |
$1,697 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$319.20 |
$456 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$97.30 |
$139 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$262.50 |
$375 |
1.3× |
| Inj dupuytren cord w/enzyme (20527) |
$35.70 |
$51 |
0.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$653.10 |
$933 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$196.70 |
$281 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$319.20 |
$456 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$89.95 |
$128.50 |
0.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$370.30 |
$529 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$19.60 |
$28 |
0.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$355.60 |
$508 |
0.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$592.20 |
$846 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$33.60 |
$48 |
0.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$234.50 |
$335 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$196 |
$280 |
0.6× |
| 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 other peripheral nerve/branch (64450) |
$453.95 |
$648.50 |
0.6× |
| Injection for identification of sentinel node (38792) |
$806.40 |
$1,152 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$147.35 |
$210.50 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$198.10 |
$283 |
0.6× |
| 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, anesthetic agent; greater occipital nerve (64405) |
$292.60 |
$418 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$16.80 |
$24 |
0.1× |
| Insert nasal septal button (30220) |
$350 |
$500 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$827.75 |
$1,182.50 |
0.3× |
| Insert pessary/other device (57160) |
$25.90 |
$37 |
0.1× |
| Insert picc cath (36569) |
$1,397.20 |
$1,996 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$125.30 |
$179 |
0.9× |
| Insert tunneled cv cath (36561) |
$951.30 |
$1,359 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$15.40 |
$22 |
0.1× |
| 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× |
Insrt/redo spine n generator (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 emergency procedure (31500) |
$722.75 |
$1,032.50 |
3.0× |
| Irrigate 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 (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× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,215.90 |
$1,737 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,700.30 |
$2,429 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$938.70 |
$1,341 |
0.2× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$2,016.70 |
$2,881 |
0.3× |
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 |
$2,359.70 |
$3,371 |
0.2× |
| Laparoscopy tubal block (58671) |
$3,213 |
$4,590 |
0.5× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$2,336.60 |
$3,338 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,849.70 |
$4,071 |
0.5× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$4,366.60 |
$6,238 |
0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,379.60 |
$4,828 |
0.5× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,584.10 |
$2,263 |
0.3× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,395.80 |
$1,994 |
0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$630.70 |
$901 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$37.80 |
$54 |
0.2× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$331.80 |
$474 |
0.8× |
| Late closure of wound (13160) |
$2,181.90 |
$3,117 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,269.80 |
$1,814 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$579.60 |
$828 |
0.3× |
| Liver Biopsy (47000) |
$2,032.80 |
$2,904 |
1.2× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$128.80 |
$184 |
0.5× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$3,374 |
$4,820 |
0.5× |
| Mastectomy partial (19301) |
$1,836.80 |
$2,624 |
0.5× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,683.80 |
$3,834 |
0.4× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$4,048.10 |
$5,783 |
2.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$319.20 |
$456 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,437.10 |
$2,053 |
0.9× |
Nerve repair w/allograft (64910)
likely a partial charge, not the full procedure |
$2,224.60 |
$3,178 |
0.2× |
| Neuroplasty Brachial Plexus,Open (64713) |
$2,013.90 |
$2,877 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$10,528.70 |
$15,041 |
2.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$555.80 |
$794 |
0.6× |
| 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 (62327) |
$282.80 |
$404 |
0.3× |
| 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/o img gdn (62326) |
$372.40 |
$532 |
0.4× |
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 clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$2,013.90 |
$2,877 |
0.3× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$2,478 |
$3,540 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
unusually low: confirm this is the full procedure |
$3,497.90 |
$4,997 |
0.5× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
unusually low: confirm this is the full procedure |
$2,664.20 |
$3,806 |
0.4× |
| Open treatment of ulnar styloid fracture (25652) |
$4,372.20 |
$6,246 |
0.6× |
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure |
$2,027.20 |
$2,896 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,371.30 |
$1,959 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$3,303.30 |
$4,719 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,887.90 |
$2,697 |
0.6× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,976.10 |
$2,823 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,335.60 |
$1,908 |
0.4× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$2,472.40 |
$3,532 |
0.2× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$2,066.40 |
$2,952 |
0.2× |
Open tx rib fx w/fixj thoracoscopic vis 1-3 ribs (21811)
likely a partial charge, not the full procedure |
$1,673.70 |
$2,391 |
0.2× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$2,644.60 |
$3,778 |
0.2× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$2,145.50 |
$3,065 |
0.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,816.40 |
$5,452 |
1.1× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$1,984.50 |
$2,835 |
0.3× |
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× |
| Perc sk fix metatarsal fx w manip (28476) |
$3,916.50 |
$5,595 |
1.2× |
| 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× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,208.90 |
$1,727 |
1.7× |
| Phalangectomy toe each toe (28150) |
$838.95 |
$1,198.50 |
0.3× |
| Pin finger fracture each (26756) |
$3,864 |
$5,520 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$595.70 |
$851 |
1.3× |
| Proctosigmoidoscopy w/bx (45305) |
$483 |
$690 |
0.4× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$680.40 |
$972 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$80.50 |
$115 |
0.2× |
| Puncture Aspiration (10160) |
$317.10 |
$453 |
0.8× |
| Puncture Aspiration Cyst 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 (25230) |
$1,841 |
$2,630 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,386 |
$1,980 |
0.7× |
| Realignment extensor tendon hand each tendon (26437) |
$2,210.60 |
$3,158 |
0.7× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,587.50 |
$5,125 |
1.1× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (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× |
| Removal fb intranasal (30300) |
$445.55 |
$636.50 |
3.3× |
| Removal foreign body foot subcutaneous (28190) |
$610.40 |
$872 |
0.8× |
| Removal foreign body pharynx (42809) |
$445.90 |
$637 |
1.0× |
| 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 Separate Procedure (20670) |
$81.90 |
$117 |
0.0× |
| Removal of ankle implant (27704) |
$1,616.30 |
$2,309 |
0.5× |
Removal of humerus lesion (23156)
likely a partial charge, not the full procedure |
$1,898.40 |
$2,712 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$101.15 |
$144.50 |
0.3× |
| Removal of kneecap (27350) |
$3,852.10 |
$5,503 |
0.5× |
| Removal of nail bed (11750) |
$221.20 |
$316 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$40.60 |
$58 |
0.2× |
| Removal of sperm cord lesion (55520) |
$3,413.20 |
$4,876 |
0.9× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$998.20 |
$1,426 |
0.5× |
Removal of thyroid (60271)
unusually low: confirm this is the full procedure |
$2,117.50 |
$3,025 |
0.4× |
| Removal of wrist bone (25210) |
$3,922.80 |
$5,604 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$208.95 |
$298.50 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$319.20 |
$456 |
1.0× |
| Remove femur lesion/bursa (27062) |
$1,909.60 |
$2,728 |
0.6× |
| Remove foreign body from eye (65235) |
$1,817.20 |
$2,596 |
0.8× |
| Remove foreign body from eye (65210) |
$396.90 |
$567 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$2,061.50 |
$2,945 |
0.7× |
| Remove skin nerve lesion (64774) |
$1,155 |
$1,650 |
0.6× |
| Remove wrist tendon lesion (25111) |
$906.50 |
$1,295 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$378.35 |
$540.50 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$198.10 |
$283 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$253.75 |
$362.50 |
1.9× |
| Renal biopsy (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 and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$2,179.10 |
$3,113 |
0.7× |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$3,435.60 |
$4,908 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$613.90 |
$877 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$743.40 |
$1,062 |
1.0× |
| 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 (13132) |
$840 |
$1,200 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$301 |
$430 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$716.10 |
$1,023 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$485.10 |
$693 |
0.6× |
| 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 finger w/o graft each (26418) |
$1,463 |
$2,090 |
0.9× |
| Repair eyelid wound (67930) |
$687.40 |
$982 |
0.3× |
| Repair forearm tendon/muscle (25260) |
$2,513.70 |
$3,591 |
0.8× |
| Repair hallux rigidus (28289) |
$1,297.10 |
$1,853 |
0.4× |
| Repair hand tendon (26410) |
$319.20 |
$456 |
0.2× |
| Repair initial femoral hernia, any age; reducible (49550) |
$5,132.40 |
$7,332 |
1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,658.30 |
$2,369 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$798.70 |
$1,141 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$688.80 |
$984 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$547.40 |
$782 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$486.15 |
$694.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$596.05 |
$851.50 |
1.4× |
| 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 12.6-20.0cm (12035) |
$659.40 |
$942 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$296.10 |
$423 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$522.20 |
$746 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$663.60 |
$948 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$475.30 |
$679 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$422.80 |
$604 |
0.2× |
Repair medial collateral ligament, elbow w/local tissue (24345)
likely a partial charge, not the full procedure |
$1,979.60 |
$2,828 |
0.3× |
| Repair nonunion radius/ulna w autogrft (25405) |
$9,989.70 |
$14,271 |
1.3× |
| Repair Of Foot Tendon (28208) |
$894.60 |
$1,278 |
0.3× |
| Repair of humerus (24430) |
$12,160.40 |
$17,372 |
0.9× |
| Repair of nail bed (11760) |
$313.60 |
$448 |
0.4× |
| Repair of nasal septum (30520) |
$2,714.60 |
$3,878 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,711.50 |
$12,445 |
1.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$2,385.60 |
$3,408 |
0.3× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,720.90 |
$3,887 |
0.4× |
| Repair of thigh musc (27385) |
$5,305.30 |
$7,579 |
0.7× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$2,295.30 |
$3,279 |
0.3× |
| Repair wrist joints (25447) |
$3,633.70 |
$5,191 |
1.1× |
| Repair/graft finger tendon (26428) |
$2,102.10 |
$3,003 |
0.6× |
| Repair/revise wrist joint (25320) |
$4,118.80 |
$5,884 |
0.6× |
| Reposition gastrostomy tube (43761) |
$396.55 |
$566.50 |
1.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,997.10 |
$2,853 |
0.6× |
| Rerepair ing hernia blocked (49521) |
$4,936.40 |
$7,052 |
0.7× |
| Rerepair ing hernia reduce (49520) |
$1,787.80 |
$2,554 |
0.5× |
| Resect Inferior Turbinate (30140) |
$793.10 |
$1,133 |
0.2× |
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure |
$4,529.70 |
$6,471 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$4,894.40 |
$6,992 |
0.4× |
| Revise arm/leg nerve (64708) |
$1,419.60 |
$2,028 |
0.7× |
| Revise finger joint (26535) |
$5,335.40 |
$7,622 |
1.6× |
| Revise median n/carpal tunnel surg (64721) |
$1,211 |
$1,730 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$1,675.80 |
$2,394 |
0.8× |
| Revise wrist/forearm tendon (25280) |
$2,942.80 |
$4,204 |
0.9× |
| Revise/implant finger joint (26536) |
$6,153 |
$8,790 |
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 or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$1,043.70 |
$1,491 |
0.3× |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
likely a partial charge, not the full procedure |
$1,272.60 |
$1,818 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$254.45 |
$363.50 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$340.90 |
$487 |
2.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$726.25 |
$1,037.50 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$322.35 |
$460.50 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$387.80 |
$554 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$809.90 |
$1,157 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,894.90 |
$2,707 |
0.6× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$3,668.70 |
$5,241 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$317.80 |
$454 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$663.25 |
$947.50 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$877.80 |
$1,254 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$859.95 |
$1,228.50 |
0.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,805.20 |
$5,436 |
1.1× |
| 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× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$18.90 |
$27 |
0.0× |
| Shldr arthroscop,lyse adhesns (29825) |
$1,652 |
$2,360 |
0.5× |
| Shoulder arthroscopy (29805) |
$1,324.40 |
$1,892 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$34.30 |
$49 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$28.70 |
$41 |
0.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$643.30 |
$919 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$471.45 |
$673.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$164.85 |
$235.50 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$235.20 |
$336 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$357 |
$510 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$330.05 |
$471.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$159.25 |
$227.50 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$485.45 |
$693.50 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$273 |
$390 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$1,954.40 |
$2,792 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$46.20 |
$66 |
0.1× |
| Skin Tissue Procedure (17999) |
$795.90 |
$1,137 |
3.9× |
| Skin tissue rearrangement (14040) |
$401.80 |
$574 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$165.20 |
$236 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$418.25 |
$597.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$405.30 |
$579 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$336.70 |
$481 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$319.20 |
$456 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,588.90 |
$5,127 |
1.1× |
| Strapping ankle (29540) |
$91 |
$130 |
0.5× |
| Strapping elbow/wrist (29260) |
$85.75 |
$122.50 |
1.4× |
| Strapping hand/finger (29280) |
$90.30 |
$129 |
1.5× |
| Strapping knee (29530) |
$91 |
$130 |
0.7× |
| Strapping shoulder (29240) |
$87.85 |
$125.50 |
0.6× |
| Strapping unna boot (29580) |
$111.30 |
$159 |
0.7× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,536.10 |
$3,623 |
0.8× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,795.50 |
$2,565 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$21 |
$30 |
0.1× |
| Tendon excision palm/finger (26145) |
$2,067.80 |
$2,954 |
1.3× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$2,085.30 |
$2,979 |
0.3× |
| Tenodesis Wrist Extensors Fingers (25301) |
$1,662.50 |
$2,375 |
0.5× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,652 |
$2,360 |
0.5× |
| Tenolysis flexor foot single tendon (28220) |
$2,559.20 |
$3,656 |
1.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,156 |
$3,080 |
1.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$1,482.60 |
$2,118 |
0.4× |
| Ther Apheresis,Platelets (36513) |
$1,236.90 |
$1,767 |
2.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$698.95 |
$998.50 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$319.20 |
$456 |
0.5× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,585.10 |
$3,693 |
0.4× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$3,822.70 |
$5,461 |
0.3× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,819.20 |
$5,456 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,589 |
$2,270 |
0.8× |
| Transplant forearm tendon (25310) |
$3,149.30 |
$4,499 |
0.9× |
| Transplant hand tendon (26480) |
$1,802.50 |
$2,575 |
0.5× |
| Transplant/graft hand tendon (26483) |
$2,899.40 |
$4,142 |
0.9× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,888.60 |
$2,698 |
0.3× |
| Treat finger dislocation (26775) |
$424.90 |
$607 |
1.5× |
| Treat Finger Fracture Each (26727) |
$1,327.90 |
$1,897 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$698.25 |
$997.50 |
2.8× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$2,072.70 |
$2,961 |
0.3× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$2,181.20 |
$3,116 |
0.3× |
| Treat humerus fracture (24500) |
$185.50 |
$265 |
0.7× |
| Treat humerus fracture (23600) |
$198.10 |
$283 |
0.8× |
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure |
$2,760.80 |
$3,944 |
0.4× |
| Treat ulnar fracture (24685) |
$5,111.40 |
$7,302 |
0.7× |
| Treat Vaginal Bleeding (57180) |
$319.20 |
$456 |
1.5× |
| Treat wrist bone fracture (25622) |
$198.10 |
$283 |
0.8× |
| Treat Wrist Bone Fracture (25630) |
$198.10 |
$283 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,156.75 |
$1,652.50 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$850.85 |
$1,215.50 |
3.4× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$2,443 |
$3,490 |
0.3× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,663.20 |
$2,376 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$539.70 |
$771 |
2.1× |
| Trim skin lesion (11055) |
$81.20 |
$116 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$12.60 |
$18 |
0.1× |
| 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 Casting/Strapping (29799) |
$248.50 |
$355 |
1.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$950.60 |
$1,358 |
3.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$4,015.90 |
$5,737 |
15.9× |
| Unlisted procedure, stomach (43999) |
$1,428 |
$2,040 |
1.5× |
| Vasectomy (55250) |
$125.30 |
$179 |
0.1× |
| Venipuncture (36415) |
$21 |
$30 |
2.2× |
| Wound Prep F/N/Hf/G (15004) |
$726.60 |
$1,038 |
1.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$367.50 |
$525 |
0.5× |
| Wrist arthroscop,excis triang cart (29846) |
$1,170.40 |
$1,672 |
0.4× |
Wrist replacement (25446)
likely a partial charge, not the full procedure |
$2,039.10 |
$2,913 |
0.1× |