| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$3,560.62 |
$4,747.50 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$892.88 |
$1,190.50 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$241.50 |
$322 |
0.3× |
| Ablate inf turbinate submuc (30802) |
$441 |
$588 |
0.3× |
| Acne surgery (10040) |
$48 |
$64 |
0.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$840.75 |
$1,121 |
0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$967.50 |
$1,290 |
0.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$735 |
$980 |
0.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,569.75 |
$2,093 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,504.50 |
$2,006 |
0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,115.38 |
$2,820.50 |
1.0× |
| Amniocentesis diagnostic (59000) |
$299.25 |
$399 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,122.50 |
$2,830 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,556.62 |
$2,075.50 |
0.5× |
| Amputation foot transmetarsal (28805) |
$1,627.50 |
$2,170 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$1,702.50 |
$2,270 |
0.5× |
| Amputation thigh through femur any level (27590) |
$2,538 |
$3,384 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$1,269 |
$1,692 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,326.75 |
$1,769 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,433.12 |
$4,577.50 |
0.5× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$1,902.75 |
$2,537 |
0.6× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$4,806.75 |
$6,409 |
1.5× |
| Analyze spine infus pump (62367) |
$71.25 |
$95 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$536.25 |
$715 |
0.2× |
| Anoscopy diagnostic (46600) |
$152.25 |
$203 |
1.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$42.75 |
$57 |
0.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$1,203.75 |
$1,605 |
0.2× |
| Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) |
$1,626 |
$2,168 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,611 |
$2,148 |
0.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$180 |
$240 |
1.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$205.50 |
$274 |
1.3× |
| Appl Multlay Comprs Arm/Hand (29584) |
$76.50 |
$102 |
0.5× |
| Application cast elbow finger short arm (29075) |
$144.75 |
$193 |
0.5× |
| Application Cast Finger (29086) |
$147 |
$196 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$247.50 |
$330 |
0.9× |
| Application finger splint static (29130) |
$86.25 |
$115 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$165.75 |
$221 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$162 |
$216 |
0.6× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$2,228.25 |
$2,971 |
0.2× |
| Application of long leg cast (29345) |
$228.75 |
$305 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$486 |
$648 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$169.50 |
$226 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$143.25 |
$191 |
1.1× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,052.25 |
$1,403 |
0.1× |
| Apply Hand/Wrist Cast (29085) |
$106.50 |
$142 |
0.7× |
| Apply long leg splint (29505) |
$195 |
$260 |
1.2× |
| Apply short leg cast (29405) |
$154.50 |
$206 |
0.6× |
| Apply short leg cast (29425) |
$186.75 |
$249 |
0.7× |
| Apply short leg splint (29515) |
$127.50 |
$170 |
0.8× |
| Arterial puncture (36600) |
$96 |
$128 |
0.7× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure |
$1,722.75 |
$2,297 |
0.1× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,647 |
$2,196 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$137.62 |
$183.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$156.75 |
$209 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$131.25 |
$175 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$185.62 |
$247.50 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$101.62 |
$135.50 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,112.25 |
$1,483 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,667.25 |
$2,223 |
0.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,385.25 |
$1,847 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,222 |
$4,296 |
0.2× |
Arthroplasty patella w/prosthesis (27438)
likely a partial charge, not the full procedure |
$1,877.25 |
$2,503 |
0.1× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,779 |
$2,372 |
0.6× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$2,566.50 |
$3,422 |
0.2× |
Arthroplasty, patella; without prosthesis Facility (27437)
likely a partial charge, not the full procedure |
$1,384.50 |
$1,846 |
0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$669 |
$892 |
0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$873 |
$1,164 |
0.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,207.25 |
$2,943 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,106.75 |
$2,809 |
0.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,599 |
$2,132 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,388.25 |
$1,851 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,469 |
$3,292 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$1,820.25 |
$2,427 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$2,106.75 |
$2,809 |
0.7× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899)
unusually low: confirm this is the full procedure |
$2,578.50 |
$3,438 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,827.75 |
$2,437 |
0.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,917.75 |
$2,557 |
0.6× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,457.25 |
$1,943 |
0.5× |
| Arthroscopy, elbow, surgical; synovectomy, partial Facility (29835) |
$951.75 |
$1,269 |
0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$921 |
$1,228 |
0.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$1,847.62 |
$2,463.50 |
0.6× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887)
likely a partial charge, not the full procedure |
$1,873.50 |
$2,498 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,874 |
$3,832 |
0.9× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$7,260 |
$9,680 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,782.75 |
$2,377 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,397.25 |
$1,863 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,395.25 |
$4,527 |
1.1× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,340.50 |
$4,454 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$3,631.50 |
$4,842 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,355.25 |
$1,807 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,689.50 |
$3,586 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,974.50 |
$3,966 |
0.4× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$728.25 |
$971 |
0.5× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure |
$3,278.25 |
$4,371 |
0.5× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$1,896.75 |
$2,529 |
0.6× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$2,943 |
$3,924 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,239.75 |
$1,653 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,188.75 |
$1,585 |
0.7× |
| Artificial Insemination Intra-Uterine (58322) |
$206.25 |
$275 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,132.12 |
$1,509.50 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$53.62 |
$71.50 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$867.38 |
$1,156.50 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$146.25 |
$195 |
0.7× |
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure |
$2,373 |
$3,164 |
0.4× |
| Biopsy bone open deep (20245) |
$3,072 |
$4,096 |
1.1× |
| Biopsy bone open superficial (20240) |
$1,717.88 |
$2,290.50 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$823.50 |
$1,098 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,492.50 |
$1,990 |
0.9× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$321 |
$428 |
0.4× |
| Biopsy external ear (69100) |
$148.88 |
$198.50 |
0.6× |
| Biopsy intranasal (30100) |
$708 |
$944 |
0.5× |
| Biopsy muscle deep (20205) |
$1,450.88 |
$1,934.50 |
0.5× |
| Biopsy Muscle Superficial (20200) |
$79.50 |
$106 |
0.0× |
| Biopsy Nail Unit Separate Procedure (11755) |
$302.62 |
$403.50 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$527.62 |
$703.50 |
0.1× |
| Biopsy of floor of mouth (41108) |
$467.25 |
$623 |
0.3× |
| Biopsy of lip (40490) |
$394.50 |
$526 |
1.7× |
| Biopsy of mouth lesion (40808) |
$227.25 |
$303 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,096.50 |
$1,462 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$238.50 |
$318 |
0.3× |
| Biopsy soft tissue back/flank deep (21925) |
$1,112.62 |
$1,483.50 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$469.50 |
$626 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$176.62 |
$235.50 |
0.1× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,172.62 |
$1,563.50 |
0.4× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$1,293.38 |
$1,724.50 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$354 |
$472 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$299.25 |
$399 |
0.3× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$521.25 |
$695 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,219.50 |
$1,626 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,918.50 |
$2,558 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$376.12 |
$501.50 |
0.5× |
| Blepharotomy drain absc eyelid (67700) |
$483 |
$644 |
1.5× |
| Blood patch (62273) |
$255.75 |
$341 |
0.4× |
| Blood transfusion service (36430) |
$698.25 |
$931 |
1.6× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$1,014.75 |
$1,353 |
0.1× |
| Bone marrow aspiration only (38220) |
$383.62 |
$511.50 |
0.2× |
| Bone Marrow Biopsy (38221) |
$443.25 |
$591 |
0.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$858 |
$1,144 |
0.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$368.25 |
$491 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,531.50 |
$2,042 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$285 |
$380 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$881.25 |
$1,175 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$1,954.12 |
$2,605.50 |
0.7× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,575 |
$2,100 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,187.75 |
$2,917 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,156.50 |
$1,542 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$169.50 |
$226 |
0.1× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$2,002.12 |
$2,669.50 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,190.25 |
$1,587 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$969.38 |
$1,292.50 |
0.3× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450)
unusually low: confirm this is the full procedure |
$2,680.12 |
$3,573.50 |
0.4× |
| Capsulotomy, midfoot; with tendon lengthening Facility (28261) |
$1,967.25 |
$2,623 |
1.2× |
| Casting/strapping procedure (29799) |
$51 |
$68 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$93 |
$124 |
0.4× |
| Cauterization,cervix,electro/thermal (57510) |
$315 |
$420 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$266.25 |
$355 |
0.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,218.38 |
$1,624.50 |
0.4× |
| Change of cystostomy tube simple (51705) |
$173.25 |
$231 |
0.7× |
| Chemical cautery tissue (17250) |
$110.25 |
$147 |
0.6× |
| Chemodenerv musc migraine (64615) |
$297.75 |
$397 |
1.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$265.12 |
$353.50 |
0.9× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$269.25 |
$359 |
0.4× |
| Chromotubation oviduct (58350) |
$264.75 |
$353 |
0.1× |
| Circum 28 days or older (54161) |
$577.50 |
$770 |
0.3× |
| Circumcision (54150) |
$231.75 |
$309 |
0.1× |
| Claviculectomy partial (23120) |
$1,509.75 |
$2,013 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$431.25 |
$575 |
1.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$433.50 |
$578 |
1.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,002.75 |
$1,337 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$623.25 |
$831 |
2.6× |
| Closed Rx Radial Shaft Fx (25500) |
$430.50 |
$574 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$703.50 |
$938 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$708 |
$944 |
2.9× |
| Closed Treat Vert Body Fract (22310) |
$396 |
$528 |
1.6× |
| Closed treat wrist dislocation (25660) |
$846.75 |
$1,129 |
3.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$732 |
$976 |
3.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$414.75 |
$553 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$996.75 |
$1,329 |
4.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,876.50 |
$2,502 |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$627.75 |
$837 |
2.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$703.50 |
$938 |
2.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$697.50 |
$930 |
2.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$391.50 |
$522 |
1.6× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$330.75 |
$441 |
1.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,322.25 |
$1,763 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$752.25 |
$1,003 |
3.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$636 |
$848 |
2.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$372 |
$496 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$530.25 |
$707 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$768.75 |
$1,025 |
3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,121.25 |
$1,495 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$762.75 |
$1,017 |
3.1× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,314 |
$1,752 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$450 |
$600 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$310.50 |
$414 |
0.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$505.50 |
$674 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,235.25 |
$1,647 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$411 |
$548 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$863.25 |
$1,151 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$422.25 |
$563 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,245.75 |
$1,661 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,127.75 |
$2,837 |
1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$381.75 |
$509 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$209.25 |
$279 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,052.25 |
$1,403 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$631.50 |
$842 |
2.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$414.75 |
$553 |
1.7× |
| Closure of vesicovaginal fistula; vaginal approach Facility (57320) |
$2,267.62 |
$3,023.50 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$355.50 |
$474 |
1.5× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$762.75 |
$1,017 |
3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$822.75 |
$1,097 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$631.50 |
$842 |
2.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$878.25 |
$1,171 |
3.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,322.25 |
$1,763 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$977.25 |
$1,303 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$362.25 |
$483 |
1.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$304.50 |
$406 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,057.50 |
$1,410 |
4.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$589.50 |
$786 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$531 |
$708 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$298.50 |
$398 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$481.50 |
$642 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$561.75 |
$749 |
0.4× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,021.50 |
$1,362 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,027.50 |
$1,370 |
4.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,647.75 |
$2,197 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$808.50 |
$1,078 |
3.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,647.75 |
$2,197 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$257.25 |
$343 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$221.25 |
$295 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$402 |
$536 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$189.75 |
$253 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,695.75 |
$2,261 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,002.75 |
$1,337 |
4.1× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$543.75 |
$725 |
2.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,623.75 |
$2,165 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$810 |
$1,080 |
0.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$899.25 |
$1,199 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$304.50 |
$406 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$279.75 |
$373 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$796.50 |
$1,062 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$531 |
$708 |
2.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$762.75 |
$1,017 |
3.1× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,116 |
$1,488 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$746.25 |
$995 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$396 |
$528 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$531 |
$708 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$372 |
$496 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$775.50 |
$1,034 |
3.2× |
| Cltx post ankle fx w/mnpj (27768) |
$1,085.25 |
$1,447 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,362 |
$1,816 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,002.75 |
$1,337 |
4.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$945.75 |
$1,261 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$573.75 |
$765 |
2.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,306.50 |
$1,742 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$311.25 |
$415 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,096.50 |
$1,462 |
0.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,441.50 |
$1,922 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,340.25 |
$1,787 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,940.25 |
$2,587 |
8.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$269.25 |
$359 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,568.25 |
$2,091 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$186.75 |
$249 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$42.75 |
$57 |
0.3× |
| Colonoscopy flex w/inj submuc (45381) |
$1,070.25 |
$1,427 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,473 |
$1,964 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$945.75 |
$1,261 |
0.8× |
| Colonoscopy thru stoma (44388) |
$1,002.75 |
$1,337 |
1.1× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,304.25 |
$1,739 |
1.1× |
| Colonoscopy w/ablation (45388) |
$1,314 |
$1,752 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$1,000.50 |
$1,334 |
0.8× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,203.75 |
$1,605 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$1,555.50 |
$2,074 |
0.3× |
| Colpoperineorrhaphy non ob (57210) |
$884.25 |
$1,179 |
0.3× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,326.75 |
$1,769 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$272.62 |
$363.50 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$258.75 |
$345 |
1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$252.75 |
$337 |
0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$707.25 |
$943 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,162.12 |
$1,549.50 |
0.4× |
| Colposcopy vulva w/biopsy (56821) |
$461.25 |
$615 |
1.5× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$261.75 |
$349 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$778.12 |
$1,037.50 |
0.9× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,054.50 |
$1,406 |
0.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$1,585.50 |
$2,114 |
0.3× |
| Complex Cystometrogram (51726) |
$449.62 |
$599.50 |
1.8× |
| Complex cystometrogram urethral press profile (51727) |
$232.88 |
$310.50 |
0.3× |
| Complex Uroflowmetry (51741) |
$181.12 |
$241.50 |
0.8× |
| Conization of cervix (57520) |
$705.75 |
$941 |
0.2× |
| Conization of cervix (57522) |
$684 |
$912 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$510 |
$680 |
2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$243.75 |
$325 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$190.50 |
$254 |
1.4× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$7,894.50 |
$10,526 |
0.6× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
likely a partial charge, not the full procedure |
$2,113.50 |
$2,818 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$742.50 |
$990 |
0.5× |
| Correction hammertoe (28285) |
$951.75 |
$1,269 |
0.3× |
| Correction of bunion (28292) |
$1,663.50 |
$2,218 |
0.5× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,320.12 |
$3,093.50 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,749.75 |
$2,333 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,455.50 |
$3,274 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$489.75 |
$653 |
3.7× |
| Curettage postpartum (59160) |
$600 |
$800 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,012.12 |
$1,349.50 |
0.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$585.75 |
$781 |
0.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,649 |
$3,532 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$480.75 |
$641 |
0.1× |
| Cysto w/insert ureteral stent (52332) |
$541.50 |
$722 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$759 |
$1,012 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$2,234.62 |
$2,979.50 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$552.38 |
$736.50 |
0.3× |
| Cysto w/ureter stricture tx (52341) |
$715.50 |
$954 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,754.25 |
$2,339 |
0.5× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$460.50 |
$614 |
0.1× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$1,111.50 |
$1,482 |
0.2× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$788.25 |
$1,051 |
0.1× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
unusually low: confirm this is the full procedure |
$2,609.25 |
$3,479 |
0.5× |
Cystolithotomy (51050)
likely a partial charge, not the full procedure |
$771.75 |
$1,029 |
0.1× |
| Cystometrogram w/vp (51728) |
$393 |
$524 |
0.6× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$2,593.50 |
$3,458 |
0.3× |
| Cystoscopy implant stent (52282) |
$861.75 |
$1,149 |
0.2× |
Cystoscopy inject material (52327)
unusually low: confirm this is the full procedure |
$2,609.25 |
$3,479 |
0.5× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$1,228.88 |
$1,638.50 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,719.25 |
$4,959 |
1.8× |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
$1,067.25 |
$1,423 |
0.3× |
| Cystouretero & or pyeloscope (52351) |
$1,807.50 |
$2,410 |
0.5× |
| Cystourethroscopy (52000) |
$306.75 |
$409 |
0.4× |
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
likely a partial charge, not the full procedure |
$1,442.25 |
$1,923 |
0.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$492 |
$656 |
0.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,415.62 |
$1,887.50 |
0.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$456 |
$608 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$1,882.12 |
$2,509.50 |
0.9× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge, not the full procedure |
$1,449 |
$1,932 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$1,182 |
$1,576 |
0.6× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,098 |
$1,464 |
0.5× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$489 |
$652 |
0.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$1,112.25 |
$1,483 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$132.75 |
$177 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,578.75 |
$2,105 |
0.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,734 |
$2,312 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$732 |
$976 |
1.0× |
| Debride nail 1-5 (11720) |
$73.50 |
$98 |
1.3× |
| Debride nail 6 or more (11721) |
$62.25 |
$83 |
1.1× |
| Debride skin musc at fx site (11011) |
$690.38 |
$920.50 |
1.0× |
| Debride tissue/muscle (11043) |
$550.50 |
$734 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$162.75 |
$217 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$663 |
$884 |
0.4× |
| Declot vascular device (36593) |
$187.50 |
$250 |
0.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$682.88 |
$910.50 |
0.4× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$2,106.75 |
$2,809 |
0.7× |
| Decompression of leg (27892) |
$1,352.25 |
$1,803 |
0.4× |
| Decompression Of Tibia Nerve (28035) |
$2,185.50 |
$2,914 |
1.1× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$1,124.25 |
$1,499 |
0.6× |
| Delivery placenta separate procedure (59414) |
$337.50 |
$450 |
0.1× |
| Dermabrasion superficial any site (15783) |
$790.50 |
$1,054 |
2.0× |
| Destroy cerv/thor facet jnt (64633) |
$759 |
$1,012 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$243 |
$324 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$754.12 |
$1,005.50 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$93.38 |
$124.50 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$83.25 |
$111 |
0.4× |
| Destruction Lesions Vulva Extensive (56515) |
$1,428 |
$1,904 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$274.12 |
$365.50 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$159.38 |
$212.50 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$280.88 |
$374.50 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$270.75 |
$361 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$471 |
$628 |
0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$121.50 |
$162 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$260.25 |
$347 |
1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$280.12 |
$373.50 |
1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$393.75 |
$525 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$151.50 |
$202 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$190.50 |
$254 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$139.88 |
$186.50 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$169.50 |
$226 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$378.38 |
$504.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$254.25 |
$339 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$81.38 |
$108.50 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$570.75 |
$761 |
0.3× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$444.38 |
$592.50 |
0.2× |
| Destruction of skin lesions (17106) |
$506.25 |
$675 |
1.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$250.88 |
$334.50 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$109.88 |
$146.50 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$1,762.50 |
$2,350 |
0.6× |
| Destruction Vaginal Lesions Simple (57061) |
$1,269.75 |
$1,693 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$181.50 |
$242 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$246.75 |
$329 |
0.3× |
| Dil urethra,female,subsequent (53661) |
$137.62 |
$183.50 |
1.0× |
| Dilat female urethra general/cndj spinal anes (53665) |
$368.25 |
$491 |
0.2× |
| Dilate Urethra Stricture (53620) |
$382.50 |
$510 |
0.6× |
| Dilate urethra stricture (53600) |
$358.12 |
$477.50 |
1.5× |
| Dilation and curettage (58120) |
$796.50 |
$1,062 |
0.2× |
| Dilation of cervical canal (57800) |
$987.75 |
$1,317 |
0.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$102.75 |
$137 |
0.8× |
| Dilation Salivary Duct (42650) |
$129 |
$172 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$311.25 |
$415 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$333.38 |
$444.50 |
1.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$382.50 |
$510 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$285 |
$380 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$808.50 |
$1,078 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$252.75 |
$337 |
1.3× |
| Drainage of gum lesion (41800) |
$313.50 |
$418 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$275.25 |
$367 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$438.38 |
$584.50 |
0.1× |
| Draw blood off venous device (36591) |
$51.75 |
$69 |
0.4× |
| Dressing change under anesthesia (15852) |
$168.38 |
$224.50 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$369.75 |
$493 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$233.25 |
$311 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$163.50 |
$218 |
0.8× |
| Dstrj lesion anus simple chemical (46900) |
$193.88 |
$258.50 |
0.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$243.38 |
$324.50 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$540.75 |
$721 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$353.25 |
$471 |
0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$284.62 |
$379.50 |
1.4× |
| Dx bone marrow bx & aspir (38222) |
$981.38 |
$1,308.50 |
0.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$546.75 |
$729 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,180.50 |
$1,574 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$977.25 |
$1,303 |
0.5× |
| Egd control bleeding any (43255) |
$980.25 |
$1,307 |
0.5× |
| Egd dilate stricture (43245) |
$1,092 |
$1,456 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,086 |
$1,448 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,030.50 |
$1,374 |
1.2× |
| Egd guide wire insertion (43248) |
$912.75 |
$1,217 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,468.12 |
$1,957.50 |
0.8× |
| Egd remove lesion snare (43251) |
$1,107.75 |
$1,477 |
0.6× |
| Elbow Arthroscopy/Surgery (29837) |
$835.50 |
$1,114 |
0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$156.38 |
$208.50 |
0.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$95.25 |
$127 |
0.3× |
| Electrical stimulation bone healing noninvasive (20974) |
$105.38 |
$140.50 |
1.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$312.75 |
$417 |
2.5× |
| Endocervical Curettage (57505) |
$275.25 |
$367 |
0.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$2,440.12 |
$3,253.50 |
0.5× |
| Endometrial Biopsy (58100) |
$210.75 |
$281 |
1.1× |
| Endoscopy bowel pouch/biop (44386) |
$719.25 |
$959 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$2,499.75 |
$3,333 |
0.7× |
| Epididymectomy unilateral (54860) |
$1,625.25 |
$2,167 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$365.25 |
$487 |
0.1× |
Ercp lithotripsy calculi (43265)
likely a partial charge, not the full procedure |
$1,158 |
$1,544 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,008.75 |
$1,345 |
1.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$891.75 |
$1,189 |
0.5× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,458.75 |
$1,945 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$68.25 |
$91 |
0.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,027.25 |
$2,703 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$777.75 |
$1,037 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,204.50 |
$1,606 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,042.88 |
$1,390.50 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$82.12 |
$109.50 |
0.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$131.25 |
$175 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$216 |
$288 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$235.50 |
$314 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$275.25 |
$367 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$1,340.25 |
$1,787 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$202.50 |
$270 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$284.25 |
$379 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$2,159.62 |
$2,879.50 |
1.3× |
| Exc Frenum Labial/Buccal (40819) |
$509.62 |
$679.50 |
0.3× |
| Exc ganglion wrist recurrent (25112) |
$1,040.25 |
$1,387 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,314.50 |
$3,086 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,007.25 |
$1,343 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$998.25 |
$1,331 |
0.6× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$2,646.75 |
$3,529 |
0.8× |
| Exc neck tum deep < 5 cm (21556) |
$770.62 |
$1,027.50 |
0.3× |
| Exc rect tum transanal part (45171) |
$1,410 |
$1,880 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$178.50 |
$238 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$222 |
$296 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$167.62 |
$223.50 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$693 |
$924 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,344.38 |
$1,792.50 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$239.62 |
$319.50 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$406.50 |
$542 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,064.25 |
$1,419 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,936.50 |
$2,582 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,031.25 |
$1,375 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$790.88 |
$1,054.50 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$391.88 |
$522.50 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,732.50 |
$2,310 |
1.1× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,428.38 |
$1,904.50 |
0.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$687 |
$916 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,101.88 |
$2,802.50 |
0.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,112.25 |
$1,483 |
0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$826.12 |
$1,101.50 |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,156.50 |
$1,542 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,311 |
$1,748 |
0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,478.25 |
$1,971 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,192.50 |
$1,590 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,044.75 |
$1,393 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,130.25 |
$1,507 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,103.25 |
$1,471 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,516.50 |
$2,022 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$777.75 |
$1,037 |
0.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$630.38 |
$840.50 |
0.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$2,227.12 |
$2,969.50 |
0.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$630.38 |
$840.50 |
0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,328.25 |
$1,771 |
0.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,492.12 |
$1,989.50 |
0.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,066.12 |
$1,421.50 |
0.7× |
| Exchange nephrostomy cath (50435) |
$258 |
$344 |
0.1× |
| Excise Inferior Turbinate (30130) |
$603.75 |
$805 |
0.2× |
| Excise/repair mouth lesion (40812) |
$1,442.25 |
$1,923 |
0.9× |
| Excision Breast Lesion (19125) |
$999 |
$1,332 |
0.3× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,458.75 |
$1,945 |
0.5× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$2,058.75 |
$2,745 |
0.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$800.25 |
$1,067 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,064.25 |
$1,419 |
0.7× |
| Excision lesion meniscus/capsule knee (27347) |
$1,746.75 |
$2,329 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$129.38 |
$172.50 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$167.62 |
$223.50 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$339.75 |
$453 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$672 |
$896 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,070.25 |
$1,427 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$147.38 |
$196.50 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$220.12 |
$293.50 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,431.75 |
$1,909 |
2.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,152 |
$1,536 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,709.25 |
$2,279 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$129.38 |
$172.50 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$588 |
$784 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$183.75 |
$245 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,820.25 |
$2,427 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,602.75 |
$2,137 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$735 |
$980 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$148.50 |
$198 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$163.12 |
$217.50 |
0.2× |
| Excision of chalazion; multiple, same lid (67801) |
$1,019.25 |
$1,359 |
1.0× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$2,504.25 |
$3,339 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$486 |
$648 |
0.3× |
| Excision of hydrocele unilateral (55040) |
$1,625.25 |
$2,167 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$1,436.25 |
$1,915 |
0.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,035 |
$1,380 |
0.3× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$876 |
$1,168 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$207 |
$276 |
0.1× |
| Excision of local lesion of epididymis (54830) |
$829.50 |
$1,106 |
0.2× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$846.75 |
$1,129 |
0.4× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure |
$2,856.75 |
$3,809 |
0.5× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
$5,470.50 |
$7,294 |
0.6× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
$5,259.75 |
$7,013 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$312.38 |
$416.50 |
0.1× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$2,026.50 |
$2,702 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$1,458.75 |
$1,945 |
1.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$5,281.50 |
$7,042 |
2.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$482.25 |
$643 |
0.4× |
| Excision of vaginal cyst or tumor (57135) |
$1,894.50 |
$2,526 |
0.6× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$1,965 |
$2,620 |
0.6× |
| Excision olecranon bursa (24105) |
$1,040.25 |
$1,387 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,086.12 |
$2,781.50 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,967.25 |
$2,623 |
0.6× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$357.75 |
$477 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,035 |
$1,380 |
0.4× |
| Excision prepatellar bursa (27340) |
$2,154.38 |
$2,872.50 |
0.7× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,539.75 |
$2,053 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,496.25 |
$1,995 |
0.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,129.50 |
$1,506 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$315.75 |
$421 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$525 |
$700 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,635.75 |
$2,181 |
0.6× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$623.25 |
$831 |
0.2× |
| Excision, nasal polyp(s), simple Facility (30110) |
$408.38 |
$544.50 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$353.25 |
$471 |
0.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,755.38 |
$2,340.50 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$536.25 |
$715 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,134 |
$1,512 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,057.50 |
$1,410 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,322.25 |
$1,763 |
0.5× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,816.50 |
$2,422 |
1.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,169.25 |
$1,559 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$615 |
$820 |
0.4× |
| Exploration of knee joint (27310) |
$1,978.50 |
$2,638 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,174.50 |
$1,566 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,161.75 |
$1,549 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$1,203 |
$1,604 |
0.4× |
| External cephalic version (59412) |
$334.50 |
$446 |
0.1× |
| Eye surgery procedure (66999) |
$51 |
$68 |
0.0× |
| Fasciectomy Palm Only (26121) |
$1,330.50 |
$1,774 |
0.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,103.25 |
$1,471 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$797.25 |
$1,063 |
0.2× |
| Fasciotomy palmar percutaneous (26040) |
$711 |
$948 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$261 |
$348 |
0.1× |
| Fetal contraction stress test (59020) |
$277.50 |
$370 |
1.4× |
| Fetal non-stress test (59025) |
$178.50 |
$238 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$385.88 |
$514.50 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$198 |
$264 |
0.5× |
| Fit/Insert Intravag Support Device (57160) |
$92.62 |
$123.50 |
0.5× |
| Fitting of diaphragm/cap (57170) |
$55.50 |
$74 |
0.3× |
| Fixation of shoulder (23700) |
$843.75 |
$1,125 |
0.5× |
| Foreskin manipulation (54450) |
$129.75 |
$173 |
0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,361.25 |
$1,815 |
0.7× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,956 |
$2,608 |
0.3× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$1,569 |
$2,092 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$195 |
$260 |
0.9× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,261.25 |
$3,015 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$593.25 |
$791 |
0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,399.50 |
$1,866 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$969.75 |
$1,293 |
0.3× |
| Hemorrhoidectomy (46255) |
$1,158 |
$1,544 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,021.50 |
$1,362 |
0.4× |
| Hysteroscopy biopsy (58558) |
$975 |
$1,300 |
0.3× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$1,306.12 |
$1,741.50 |
0.3× |
| Hysteroscopy removal leiomyomata (58561) |
$1,755 |
$2,340 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$3,085.12 |
$4,113.50 |
0.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$641.25 |
$855 |
0.2× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$4,292.25 |
$5,723 |
0.9× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,237.12 |
$1,649.50 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$354.75 |
$473 |
1.5× |
| I&d abscess simple (10060) |
$159 |
$212 |
0.8× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$366.38 |
$488.50 |
0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,575.75 |
$2,101 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$565.50 |
$754 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,112.25 |
$1,483 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$294.75 |
$393 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$400.50 |
$534 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$773.25 |
$1,031 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$279 |
$372 |
0.9× |
| Ileoscopy thru stoma (44380) |
$567.75 |
$757 |
0.6× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$3,077.25 |
$4,103 |
0.5× |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure |
$931.50 |
$1,242 |
0.1× |
| Incise external hemorrhoid (46083) |
$174 |
$232 |
0.7× |
| Incise finger tendon sheath (26055) |
$1,787.25 |
$2,383 |
1.1× |
| Incise wrist/forearm tendon (25290) |
$910.50 |
$1,214 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$403.50 |
$538 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$172.50 |
$230 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$384.75 |
$513 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$225.75 |
$301 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$307.50 |
$410 |
1.5× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,659.75 |
$2,213 |
0.6× |
| Incision and drainage perianal abscess superficial (46050) |
$465 |
$620 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$673.50 |
$898 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$682.88 |
$910.50 |
0.4× |
| Incision of labial frenum (frenotomy) (40806) |
$226.50 |
$302 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$242.25 |
$323 |
0.2× |
| Incision of rectal abscess (46045) |
$796.50 |
$1,062 |
0.3× |
| Incision of rectal abscess (46040) |
$1,239.75 |
$1,653 |
1.0× |
| Incision of urethra (53020) |
$216 |
$288 |
0.1× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$456 |
$608 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$364.50 |
$486 |
0.5× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
likely a partial charge, not the full procedure |
$1,654.50 |
$2,206 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$179.25 |
$239 |
0.9× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$167.25 |
$223 |
0.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$199.88 |
$266.50 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$133.50 |
$178 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$171 |
$228 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$4.50 |
$6 |
0.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$794.25 |
$1,059 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$424.50 |
$566 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$372 |
$496 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$771.75 |
$1,029 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$366.75 |
$489 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$114.38 |
$152.50 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$354.38 |
$472.50 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$516 |
$688 |
0.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$196.50 |
$262 |
0.3× |
| Injection aa&/strd pudendal nerve (64430) |
$172.88 |
$230.50 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$366.75 |
$489 |
1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$162 |
$216 |
0.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$345.38 |
$460.50 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$355.50 |
$474 |
0.5× |
| Injection for identification of sentinel node (38792) |
$456 |
$608 |
1.2× |
| Injection into skin lesions (11900) |
$119.25 |
$159 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$89.62 |
$119.50 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$106.12 |
$141.50 |
0.3× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$97.50 |
$130 |
0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$111 |
$148 |
0.6× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$495.75 |
$661 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$213.75 |
$285 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,635.75 |
$2,181 |
1.1× |
| Insert cath pleura w/o image (32556) |
$815.25 |
$1,087 |
0.4× |
| Insert Drug Implant Device (11981) |
$255.38 |
$340.50 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$609 |
$812 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$170.62 |
$227.50 |
1.3× |
| Insert tunneled cv cath (36561) |
$657.38 |
$876.50 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141 |
$188 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,574.75 |
$3,433 |
0.7× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405)
likely a partial charge, not the full procedure |
$4,397.25 |
$5,863 |
0.2× |
Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400)
unusually low: confirm this is the full procedure |
$4,516.50 |
$6,022 |
0.3× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$673.50 |
$898 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$1,444.12 |
$1,925.50 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$650.25 |
$867 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,850 |
$3,800 |
0.9× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$801.75 |
$1,069 |
0.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$564.75 |
$753 |
0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$882 |
$1,176 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$306.75 |
$409 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$492 |
$656 |
2.0× |
| Knee Arthroscopy/Surgery (29874) |
$1,839 |
$2,452 |
0.6× |
| Knee Arthroscopy/Surgery (29879) |
$2,747.25 |
$3,663 |
0.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$993.75 |
$1,325 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
unusually low: confirm this is the full procedure |
$2,157.75 |
$2,877 |
0.4× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,575.75 |
$2,101 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,168.50 |
$1,558 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,335.25 |
$4,447 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$1,164.75 |
$1,553 |
0.2× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,916 |
$3,888 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure |
$1,811.25 |
$2,415 |
0.3× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure |
$2,890.50 |
$3,854 |
0.5× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$2,512.50 |
$3,350 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,431.12 |
$3,241.50 |
0.4× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
unusually low: confirm this is the full procedure |
$2,090.25 |
$2,787 |
0.3× |
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge, not the full procedure |
$2,506.50 |
$3,342 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)
likely a partial charge, not the full procedure |
$2,361.75 |
$3,149 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge, not the full procedure |
$2,367.75 |
$3,157 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,025.75 |
$2,701 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$1,949.25 |
$2,599 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,172 |
$2,896 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553)
likely a partial charge, not the full procedure |
$2,506.50 |
$3,342 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$2,784.75 |
$3,713 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,313 |
$3,084 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,417.25 |
$3,223 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,395 |
$1,860 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
unusually low: confirm this is the full procedure |
$2,890.50 |
$3,854 |
0.5× |
Laparoscopy, surgical; with fimbrioplasty Facility (58672)
unusually low: confirm this is the full procedure |
$2,977.50 |
$3,970 |
0.5× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$1,164.75 |
$1,553 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
unusually low: confirm this is the full procedure |
$2,413.50 |
$3,218 |
0.4× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)
likely a partial charge, not the full procedure |
$2,782.50 |
$3,710 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,069.50 |
$1,426 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure |
$2,070 |
$2,760 |
0.3× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$2,294.25 |
$3,059 |
0.2× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
unusually low: confirm this is the full procedure |
$2,332.50 |
$3,110 |
0.4× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,473 |
$1,964 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,637.25 |
$2,183 |
0.3× |
| Laryngoscopy flexible diagnostic (31575) |
$250.50 |
$334 |
1.3× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$627.75 |
$837 |
0.4× |
| Laryngoscopy w/bx op scope (31536) |
$1,113 |
$1,484 |
0.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$956.25 |
$1,275 |
0.5× |
Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649)
unusually low: confirm this is the full procedure |
$2,010 |
$2,680 |
0.4× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$4,727.25 |
$6,303 |
0.9× |
| Late closure of wound (13160) |
$977.25 |
$1,303 |
0.3× |
| Lateral retinacular release open (27425) |
$1,297.88 |
$1,730.50 |
0.4× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low: confirm this is the full procedure |
$3,095.25 |
$4,127 |
0.4× |
| Ligation major artery abdomen (37617) |
$2,884.50 |
$3,846 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$292.50 |
$390 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$563.25 |
$751 |
0.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,133.75 |
$2,845 |
0.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,704 |
$2,272 |
0.5× |
| Lithotripsy (50590) |
$5,338.88 |
$7,118.50 |
1.5× |
| Liver Biopsy (47000) |
$828 |
$1,104 |
0.5× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$2,115.75 |
$2,821 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,071.75 |
$1,429 |
0.5× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$3,687.38 |
$4,916.50 |
0.3× |
| Manipulat Palm Cord Post Inj (26341) |
$217.88 |
$290.50 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$635.25 |
$847 |
0.4× |
| Manipulation, elbow, under anesthesia (24300) |
$966 |
$1,288 |
0.6× |
| Manipulation, wrist, under anesthesia (25259) |
$369.75 |
$493 |
0.2× |
| Marsupialization Bartholins Gland Cyst (56440) |
$671.25 |
$895 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,677.50 |
$3,570 |
0.4× |
| Mastectomy for gynecomastia (19300) |
$1,144.50 |
$1,526 |
0.3× |
| Mastectomy partial (19301) |
$927.75 |
$1,237 |
0.2× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,182.75 |
$1,577 |
0.2× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,110 |
$1,480 |
1.5× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,025.62 |
$1,367.50 |
1.4× |
| Muscle-skin graft trunk (15734) |
$2,777.62 |
$3,703.50 |
0.8× |
| Myelography Lumbar Injection (62305) |
$294 |
$392 |
0.4× |
| Myelography Lumbar Injection (62304) |
$615.75 |
$821 |
0.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$284.25 |
$379 |
0.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$285.75 |
$381 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$247.12 |
$329.50 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$147 |
$196 |
0.5× |
| Nasal endoscopy dx (31231) |
$300.75 |
$401 |
1.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$918.75 |
$1,225 |
0.2× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$1,812.75 |
$2,417 |
0.3× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$1,147.50 |
$1,530 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,946.25 |
$2,595 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$620.25 |
$827 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$4,105.50 |
$5,474 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$3,791.25 |
$5,055 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$3,888.75 |
$5,185 |
0.6× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$1,606.50 |
$2,142 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$243.75 |
$325 |
0.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$2,316.38 |
$3,088.50 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$959.25 |
$1,279 |
0.6× |
| Neurectomy, intrinsic musculature of foot Facility (28055) |
$880.50 |
$1,174 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$821.25 |
$1,095 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,854.75 |
$2,473 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,121.25 |
$1,495 |
2.7× |
| Njx aa&/strd sciatic nerve (64445) |
$350.25 |
$467 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$297.75 |
$397 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$314.25 |
$419 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$442.12 |
$589.50 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$564.38 |
$752.50 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$439.88 |
$586.50 |
0.6× |
| Occipital Nerve Block (64405) |
$211.88 |
$282.50 |
0.7× |
Omntc epiploectomy rescj omentum spx (49255)
likely a partial charge, not the full procedure |
$1,837.50 |
$2,450 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,703.25 |
$2,271 |
0.2× |
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure |
$3,311.62 |
$4,415.50 |
0.5× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$3,362.62 |
$4,483.50 |
0.3× |
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure |
$1,984.50 |
$2,646 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,453.50 |
$1,938 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$1,857.75 |
$2,477 |
0.6× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,269 |
$1,692 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848)
unusually low: confirm this is the full procedure |
$2,838.75 |
$3,785 |
0.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$3,849.75 |
$5,133 |
0.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
likely a partial charge, not the full procedure |
$3,718.50 |
$4,958 |
0.3× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$3,650.25 |
$4,867 |
0.5× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure |
$486 |
$648 |
0.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)
unusually low: confirm this is the full procedure |
$2,361.75 |
$3,149 |
0.3× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$2,932.50 |
$3,910 |
0.2× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure |
$4,069.50 |
$5,426 |
0.3× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$1,473 |
$1,964 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge, not the full procedure |
$2,333.25 |
$3,111 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge, not the full procedure |
$2,094 |
$2,792 |
0.3× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$2,502.75 |
$3,337 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge, not the full procedure |
$1,747.12 |
$2,329.50 |
0.2× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,442 |
$3,256 |
0.8× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,285.50 |
$1,714 |
0.4× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,645.50 |
$2,194 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,285.50 |
$1,714 |
0.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,214.75 |
$2,953 |
0.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$987 |
$1,316 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,800.75 |
$2,401 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure |
$3,547.12 |
$4,729.50 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$1,639.50 |
$2,186 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$798 |
$1,064 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,748.25 |
$2,331 |
0.5× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$3,093 |
$4,124 |
0.4× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,374 |
$1,832 |
0.2× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,993.25 |
$3,991 |
0.9× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,446.50 |
$3,262 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$1,977.75 |
$2,637 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
likely a partial charge, not the full procedure |
$894.38 |
$1,192.50 |
0.1× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$3,465.75 |
$4,621 |
0.5× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$2,475.75 |
$3,301 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure |
$2,937 |
$3,916 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,194.75 |
$1,593 |
0.3× |
| Ostectomy calcaneus (28118) |
$1,416.75 |
$1,889 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,116 |
$1,488 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$983.25 |
$1,311 |
0.3× |
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure |
$2,899.50 |
$3,866 |
0.2× |
Osteochondral knee autograft (27416)
unusually low: confirm this is the full procedure |
$3,441 |
$4,588 |
0.5× |
Osteoplasty, radius OR ulna; shortening Facility (25390)
likely a partial charge, not the full procedure |
$1,696.50 |
$2,262 |
0.2× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$762.75 |
$1,017 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,436.25 |
$1,915 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,347.75 |
$1,797 |
0.4× |
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure |
$1,441.50 |
$1,922 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
likely a partial charge, not the full procedure |
$1,827 |
$2,436 |
0.3× |
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 |
$3,638.25 |
$4,851 |
0.3× |
| Ovarian cystectomy (58925) |
$2,594.25 |
$3,459 |
0.5× |
P-mastectomy w/ln removal (19302)
unusually low: confirm this is the full procedure |
$2,100 |
$2,800 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$1,551 |
$2,068 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,125.75 |
$1,501 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,032.75 |
$1,377 |
0.7× |
| Partial excision of lip (40520) |
$1,445.62 |
$1,927.50 |
0.4× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,104 |
$1,472 |
0.7× |
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure |
$2,451.75 |
$3,269 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$904.50 |
$1,206 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$229.50 |
$306 |
0.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$3,664.88 |
$4,886.50 |
0.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$699.75 |
$933 |
0.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,114.50 |
$1,486 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,003.50 |
$1,338 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$709.50 |
$946 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$881.25 |
$1,175 |
1.3× |
| Perq device breast 1st imag (19281) |
$975.38 |
$1,300.50 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$550.50 |
$734 |
2.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,219.62 |
$2,959.50 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,664 |
$3,552 |
0.8× |
| Phalangectomy toe each toe (28150) |
$874.50 |
$1,166 |
0.3× |
| Picc line placement (36569) |
$597.75 |
$797 |
0.4× |
| Pin hand dislocation (26676) |
$1,788 |
$2,384 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$147.75 |
$197 |
0.3× |
| Placement of seton (46020) |
$180 |
$240 |
0.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$1,066.50 |
$1,422 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$117 |
$156 |
0.1× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$205.50 |
$274 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$294.75 |
$393 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$199.50 |
$266 |
0.2× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$522 |
$696 |
0.2× |
| Prostatic microwave thermotx (53850) |
$6,207 |
$8,276 |
1.8× |
| Prq skel fixj metar fx w/manj (28476) |
$873.75 |
$1,165 |
0.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,158 |
$1,544 |
0.4× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$2,316 |
$3,088 |
0.3× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,575.75 |
$2,101 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$290.25 |
$387 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$237.38 |
$316.50 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$113.25 |
$151 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$79.88 |
$106.50 |
0.1× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$3,715.12 |
$4,953.50 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$2,839.12 |
$3,785.50 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Facility (23078) |
$3,054.75 |
$4,073 |
1.1× |
| Radical resection of tumor, femur or knee Facility (27365) |
$4,447.50 |
$5,930 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$683.62 |
$911.50 |
0.4× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,302 |
$1,736 |
0.4× |
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure |
$1,239.75 |
$1,653 |
0.2× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$333 |
$444 |
0.4× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$1,471.12 |
$1,961.50 |
0.1× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure |
$1,662 |
$2,216 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
unusually low: confirm this is the full procedure |
$3,102.75 |
$4,137 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$482.25 |
$643 |
0.7× |
| Removal foreign body intranasal (30300) |
$131.25 |
$175 |
1.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$271.50 |
$362 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$726.75 |
$969 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$497.25 |
$663 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39 |
$52 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$188.25 |
$251 |
3.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$421.50 |
$562 |
0.1× |
| Removal implant deep (20680) |
$963 |
$1,284 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$747.75 |
$997 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$168 |
$224 |
0.2× |
| Removal of adenoids (42835) |
$499.50 |
$666 |
0.2× |
| Removal of adenoids (42830) |
$486 |
$648 |
0.1× |
| Removal of anal fissure (46200) |
$849.75 |
$1,133 |
0.3× |
| Removal of bone lesion (23140) |
$1,458.75 |
$1,945 |
0.5× |
| Removal of cervix (57530) |
$631.50 |
$842 |
0.1× |
| Removal of embedded foreign body, eyelid (67938) |
$195 |
$260 |
0.6× |
| Removal of finger lesion (26210) |
$1,366.50 |
$1,822 |
0.9× |
| Removal of foreign body in scrotum (55120) |
$463.50 |
$618 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$144 |
$192 |
0.3× |
| Removal of heel spur (28119) |
$1,057.50 |
$1,410 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$257.25 |
$343 |
0.4× |
| Removal of iud (58301) |
$177 |
$236 |
0.6× |
| Removal of kidney stone (50081) |
$7,615.50 |
$10,154 |
0.8× |
| Removal of knee cartilage (27332) |
$2,350.50 |
$3,134 |
0.7× |
| Removal of nail bed (11750) |
$312 |
$416 |
0.8× |
| Removal of sesamoid bone (28315) |
$811.50 |
$1,082 |
0.3× |
| Removal Of Tendon Lesion (27630) |
$1,035 |
$1,380 |
0.3× |
| Removal of testis (54520) |
$769.50 |
$1,026 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$627.75 |
$837 |
0.1× |
| Removal of tonsils (42826) |
$780 |
$1,040 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,276.50 |
$5,702 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$89.25 |
$119 |
0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$108.75 |
$145 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$68.25 |
$91 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$90.75 |
$121 |
0.3× |
| Remove anal fist subq (46270) |
$1,024.50 |
$1,366 |
0.4× |
| Remove drug implant device (11982) |
$195 |
$260 |
0.4× |
| Remove ext hem groups 2+ (46250) |
$946.50 |
$1,262 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$1,938.75 |
$2,585 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$814.50 |
$1,086 |
0.3× |
Remove Prostate Regrowth (52630)
likely a partial charge, not the full procedure |
$1,149 |
$1,532 |
0.2× |
| Remove spine eltrd perq aray (63661) |
$1,134.38 |
$1,512.50 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$659.25 |
$879 |
0.4× |
| Remove vagina gland lesion (56740) |
$615.75 |
$821 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$369 |
$492 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$927.75 |
$1,237 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$250.50 |
$334 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$117 |
$156 |
0.9× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$557.25 |
$743 |
0.2× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,338.50 |
$3,118 |
0.3× |
| Repair anorectal fistula w/plug (46707) |
$944.25 |
$1,259 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,596.75 |
$2,129 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$636.75 |
$849 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,245.75 |
$1,661 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$507.75 |
$677 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$985.50 |
$1,314 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$414.75 |
$553 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$637.50 |
$850 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$263.25 |
$351 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$555.75 |
$741 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,443.75 |
$1,925 |
0.9× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$1,290 |
$1,720 |
0.4× |
Repair Fibula Nonunion (27726)
unusually low: confirm this is the full procedure |
$2,721.75 |
$3,629 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,713.75 |
$2,285 |
0.5× |
| Repair hand joint with graft (26542) |
$3,189.75 |
$4,253 |
1.0× |
| Repair hand tendon (26410) |
$1,217.25 |
$1,623 |
0.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,449.75 |
$1,933 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,913.25 |
$2,551 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,900.50 |
$2,534 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,473 |
$1,964 |
0.4× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)
likely a partial charge, not the full procedure |
$1,359.75 |
$1,813 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$821.25 |
$1,095 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$391.50 |
$522 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$567.75 |
$757 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$496.50 |
$662 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$854.25 |
$1,139 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$580.50 |
$774 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$330 |
$440 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$391.50 |
$522 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$600 |
$800 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$702.75 |
$937 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$277.50 |
$370 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$356.25 |
$475 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$633.75 |
$845 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$385.50 |
$514 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,014.75 |
$1,353 |
0.5× |
Repair lumbar hernia (49540)
unusually low: confirm this is the full procedure |
$2,386.50 |
$3,182 |
0.4× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$1,152 |
$1,536 |
0.2× |
Repair of foot bones (28320)
likely a partial charge, not the full procedure |
$3,040.12 |
$4,053.50 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,194.75 |
$1,593 |
0.2× |
| Repair of nail bed (11760) |
$355.50 |
$474 |
0.5× |
| Repair of nasal septum (30520) |
$1,526.25 |
$2,035 |
0.5× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435)
likely a partial charge, not the full procedure |
$2,370 |
$3,160 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
unusually low: confirm this is the full procedure |
$3,297.75 |
$4,397 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure |
$2,367.75 |
$3,157 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$2,930.25 |
$3,907 |
0.4× |
| Repair of shoulder (23420) |
$4,197.75 |
$5,597 |
0.6× |
| Repair of sperm duct (55400) |
$2,343 |
$3,124 |
0.7× |
Repair of tibia (27720)
likely a partial charge, not the full procedure |
$2,139 |
$2,852 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,482 |
$1,976 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,719.75 |
$2,293 |
0.5× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$2,049.75 |
$2,733 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$2,146.50 |
$2,862 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$676.50 |
$902 |
0.2× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure |
$2,946.75 |
$3,929 |
0.4× |
| Repair Tongue Laceration (41250) |
$345 |
$460 |
0.8× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,081.50 |
$1,442 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407)
likely a partial charge, not the full procedure |
$1,249.88 |
$1,666.50 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
unusually low: confirm this is the full procedure |
$2,180.25 |
$2,907 |
0.3× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$1,809 |
$2,412 |
0.6× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,713.75 |
$2,285 |
0.2× |
Repair/graft wrist bone (25440)
unusually low: confirm this is the full procedure |
$3,312 |
$4,416 |
0.5× |
| Repeat control of nosebleed (30906) |
$461.25 |
$615 |
2.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,447.88 |
$1,930.50 |
1.6× |
| Replace Tissue Expander (11970) |
$4,202.25 |
$5,603 |
0.6× |
| Replace tunneled cv cath (36578) |
$1,429.88 |
$1,906.50 |
0.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,605 |
$2,140 |
0.5× |
Resection or transplantation of long tendon of biceps (23440)
likely a partial charge, not the full procedure |
$1,612.50 |
$2,150 |
0.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$3,580.50 |
$4,774 |
0.3× |
| Revise external ear (69300) |
$2,002.50 |
$2,670 |
0.6× |
| Revise Hand/Foot Nerve (64704) |
$1,293.75 |
$1,725 |
0.7× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,314 |
$1,752 |
0.2× |
Revise Lower Leg Tendon (27691)
likely a partial charge, not the full procedure |
$1,644 |
$2,192 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$1,048.50 |
$1,398 |
0.5× |
Revision of arthroplasty, including removal of implant, wrist joint Facility (25449)
unusually low: confirm this is the full procedure |
$2,312.25 |
$3,083 |
0.3× |
Revision of humerus (24400)
likely a partial charge, not the full procedure |
$1,919.25 |
$2,559 |
0.3× |
| Revision of iris (66761) |
$1,019.25 |
$1,359 |
1.9× |
| Revision of lower leg tendon (27685) |
$1,404.75 |
$1,873 |
0.4× |
| Revision of penis (54300) |
$1,463.25 |
$1,951 |
0.4× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure |
$5,466 |
$7,288 |
0.4× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$4,083.75 |
$5,445 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
likely a partial charge, not the full procedure |
$3,886.50 |
$5,182 |
0.2× |
| Revision of urethra (53460) |
$1,177.50 |
$1,570 |
0.3× |
| Revision of urethra (53450) |
$1,056 |
$1,408 |
0.3× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$6,308.25 |
$8,411 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$165 |
$220 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$123 |
$164 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$951.75 |
$1,269 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$711 |
$948 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$650.25 |
$867 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$581.62 |
$775.50 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,788.75 |
$2,385 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,182 |
$1,576 |
0.4× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,634.25 |
$2,179 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,454.25 |
$1,939 |
0.4× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure |
$2,139 |
$2,852 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,454.25 |
$1,939 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,256.25 |
$1,675 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure |
$2,389.50 |
$3,186 |
0.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,733.25 |
$2,311 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$774.75 |
$1,033 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$312 |
$416 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,192.50 |
$1,590 |
2.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$952.50 |
$1,270 |
1.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,352.25 |
$1,803 |
0.9× |
Rpr non-union mtcrpl/phalanx (26546)
unusually low: confirm this is the full procedure |
$2,456.25 |
$3,275 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,163.25 |
$1,551 |
0.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,998.75 |
$2,665 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,791 |
$2,388 |
0.6× |
| Scrotal exploration (55110) |
$910.50 |
$1,214 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$751.50 |
$1,002 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$561 |
$748 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$76.50 |
$102 |
0.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$102.75 |
$137 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$66.75 |
$89 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$108.38 |
$144.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$73.50 |
$98 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$85.12 |
$113.50 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$96.75 |
$129 |
0.2× |
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure |
$1,170.75 |
$1,561 |
0.2× |
| Shoulder arthroscopy (29805) |
$1,014.75 |
$1,353 |
0.3× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,253.75 |
$3,005 |
0.7× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,431.50 |
$3,242 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$81 |
$108 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$92.25 |
$123 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$66.75 |
$89 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$101.62 |
$135.50 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$81 |
$108 |
0.4× |
| Sigmoidoscopy w/biopsy (45331) |
$1,220.25 |
$1,627 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$592.50 |
$790 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$280.50 |
$374 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$323.62 |
$431.50 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$739.50 |
$986 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$333 |
$444 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$406.50 |
$542 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$367.50 |
$490 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$231 |
$308 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$451.50 |
$602 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$346.50 |
$462 |
1.7× |
Sinusotomy frontal; external, simple (trephine operation) Facility (31070)
likely a partial charge, not the full procedure |
$972.75 |
$1,297 |
0.2× |
Sinusotomy, sphenoid, with or without biopsy; Facility (31050)
likely a partial charge, not the full procedure |
$1,605 |
$2,140 |
0.3× |
| Skin splt grft trnk/arm/leg (15100) |
$2,043.38 |
$2,724.50 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$273.75 |
$365 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$329.25 |
$439 |
0.5× |
| Skin Tissue Procedure (17999) |
$51 |
$68 |
0.3× |
| Skin tissue rearrangement (14040) |
$1,209 |
$1,612 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,619.25 |
$2,159 |
0.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,902 |
$2,536 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$289.12 |
$385.50 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$402 |
$536 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$425.25 |
$567 |
1.1× |
| Sphincterotomy anal division sphincter spx (46080) |
$675.75 |
$901 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$364.50 |
$486 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$582.75 |
$777 |
0.8× |
| Spine Surgery Procedure Unlisted (22899) |
$1,081.50 |
$1,442 |
4.4× |
| Strapping ankle (29540) |
$75 |
$100 |
0.5× |
| Strapping hand/finger (29280) |
$63.75 |
$85 |
1.1× |
| Strapping shoulder (29240) |
$77.25 |
$103 |
0.6× |
| Strapping unna boot (29580) |
$65.25 |
$87 |
0.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$175.88 |
$234.50 |
0.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,530.75 |
$2,041 |
0.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,287.75 |
$1,717 |
0.4× |
| Suspension of testis (54640) |
$2,315.25 |
$3,087 |
0.7× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,481.25 |
$1,975 |
0.8× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,736.25 |
$2,315 |
0.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure |
$2,064 |
$2,752 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$2,030.25 |
$2,707 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure |
$2,496.75 |
$3,329 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$273.75 |
$365 |
0.7× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$2,999.62 |
$3,999.50 |
0.4× |
| Tenolysis flexor foot single tendon (28220) |
$1,064.25 |
$1,419 |
0.7× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$775.12 |
$1,033.50 |
0.2× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$376.50 |
$502 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$516 |
$688 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$573.75 |
$765 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$744.38 |
$992.50 |
1.2× |
| Thrombolytic Venous Therapy (37212) |
$1,438.50 |
$1,918 |
0.5× |
| Thyroid biopsy (60100) |
$427.50 |
$570 |
0.6× |
| Thyroidectomy, total or complete (60240) |
$3,904.50 |
$5,206 |
0.7× |
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure |
$2,523 |
$3,364 |
0.4× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357)
likely a partial charge, not the full procedure |
$3,716.25 |
$4,955 |
0.3× |
| Tnot elbow lateral/medial debride open (24358) |
$1,634.25 |
$2,179 |
0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,927.50 |
$2,570 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$885.75 |
$1,181 |
0.3× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,360.25 |
$3,147 |
0.2× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$3,042 |
$4,056 |
0.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$756 |
$1,008 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$827.25 |
$1,103 |
3.5× |
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure |
$1,568.25 |
$2,091 |
0.3× |
| Transurethral resection bladder neck (52500) |
$2,146.50 |
$2,862 |
0.6× |
| Treat Big Toe Fracture (28505) |
$1,650 |
$2,200 |
0.5× |
| Treat clavicle dislocation (23540) |
$366.75 |
$489 |
1.5× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,974.50 |
$3,966 |
0.4× |
| Treat Hand Dislocation (26685) |
$2,359.50 |
$3,146 |
0.7× |
| Treat humerus fracture (24500) |
$577.50 |
$770 |
2.4× |
| Treat humerus fracture (23600) |
$622.50 |
$830 |
2.6× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$2,634 |
$3,512 |
0.4× |
Treat Knee Fracture (27540)
unusually low: confirm this is the full procedure |
$2,355.38 |
$3,140.50 |
0.3× |
| Treat Knee Fracture(S) (27538) |
$798.75 |
$1,065 |
3.3× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,595.75 |
$3,461 |
0.4× |
Treat Lower Leg Fracture (27828)
unusually low: confirm this is the full procedure |
$6,073.12 |
$8,097.50 |
0.5× |
| Treat Metatarsal Fracture (28475) |
$459.75 |
$613 |
1.9× |
Treat radius fracture (24665)
unusually low: confirm this is the full procedure |
$2,343 |
$3,124 |
0.3× |
| Treat shoulder blade fx (23575) |
$596.25 |
$795 |
0.4× |
| Treat Thigh Fracture (27246) |
$240.75 |
$321 |
1.0× |
| Treat Thigh Fracture (27245) |
$3,702.75 |
$4,937 |
0.5× |
| Treat Thumb Dislocation (26641) |
$651 |
$868 |
2.7× |
| Treat thumb fracture (26665) |
$3,005.25 |
$4,007 |
0.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$982.50 |
$1,310 |
0.6× |
| Treat wrist bone fracture (25622) |
$451.50 |
$602 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$507 |
$676 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,340.25 |
$1,787 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$673.50 |
$898 |
2.8× |
| Treatment of anal fissure (46940) |
$255 |
$340 |
0.1× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,515.75 |
$2,021 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,730 |
$3,640 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$798 |
$1,064 |
0.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,777.88 |
$2,370.50 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$453 |
$604 |
1.9× |
| Trim skin lesion (11055) |
$41.62 |
$55.50 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$79.88 |
$106.50 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$42.38 |
$56.50 |
0.7× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,998 |
$2,664 |
0.6× |
| Tubal ligation (58600) |
$888.75 |
$1,185 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$603 |
$804 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,268.38 |
$3,024.50 |
0.8× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure |
$4,047.38 |
$5,396.50 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$631.50 |
$842 |
0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$851.25 |
$1,135 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$461.25 |
$615 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$269.25 |
$359 |
0.7× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$1,072.50 |
$1,430 |
0.1× |
| Tympanostomy (69433) |
$391.50 |
$522 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$592.50 |
$790 |
0.4× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$108.75 |
$145 |
0.5× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$2,838 |
$3,784 |
0.5× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure |
$2,043 |
$2,724 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,587 |
$2,116 |
0.3× |
Unlisted laparoscopy procedure, uterus (58578)
unusually low: confirm this is the full procedure |
$2,205 |
$2,940 |
0.4× |
| Unlisted procedure anus (46999) |
$1,158 |
$1,544 |
1.3× |
| Unlisted procedure arthroscopy (29999) |
$1,680.75 |
$2,241 |
6.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$1,883.25 |
$2,511 |
8.0× |
| Unlisted Procedure External Ear (69399) |
$722.25 |
$963 |
3.1× |
| Unlisted procedure femur or knee (27599) |
$1,262.25 |
$1,683 |
5.2× |
| Unlisted procedure humerus/elbow (24999) |
$1,647 |
$2,196 |
6.8× |
| Unlisted procedure larynx (31599) |
$51 |
$68 |
0.2× |
| Unlisted Procedure Muscskeletal System General (20999) |
$51 |
$68 |
0.2× |
| Unlisted procedure nervous system (64999) |
$418.50 |
$558 |
1.4× |
| Unlisted procedure shoulder (23929) |
$2,763 |
$3,684 |
11.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$51 |
$68 |
0.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$51 |
$68 |
0.1× |
| Unlisted procedure, hands or fingers (26989) |
$2,236.50 |
$2,982 |
9.2× |
| Us urine capacity measure (51798) |
$24.75 |
$33 |
0.4× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$746.25 |
$995 |
0.2× |
| Vaginal delivery only (59409) |
$2,289 |
$3,052 |
0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$2,368.50 |
$3,158 |
0.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$2,172 |
$2,896 |
0.4× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,935.38 |
$2,580.50 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$376.12 |
$501.50 |
0.2× |
| Venipuncture (36415) |
$16.50 |
$22 |
1.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$351 |
$468 |
0.1× |
| Vulvectomy Simple Partial (56620) |
$1,663.50 |
$2,218 |
0.5× |
| Wedge excision skin nail fold (11765) |
$209.25 |
$279 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$762.75 |
$1,017 |
1.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$586.50 |
$782 |
0.8× |