| Abd paracentesis w/imaging (49083) |
$1,189.50 |
$1,586 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$767.62 |
$1,023.50 |
0.8× |
| Ablate inf turbinate submuc (30802) |
$523.50 |
$698 |
0.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$366.75 |
$489 |
0.2× |
| Acne surgery (10040) |
$184.50 |
$246 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$607.50 |
$810 |
0.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,355.25 |
$1,807 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,683 |
$2,244 |
0.8× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$688.50 |
$918 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,299 |
$1,732 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,564.50 |
$2,086 |
0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,461 |
$1,948 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,547.25 |
$2,063 |
0.5× |
| Amputation Finger/Thumb (26951) |
$1,136.25 |
$1,515 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$908.25 |
$1,211 |
0.3× |
| Amputation foot transmetarsal (28805) |
$1,238.25 |
$1,651 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$424.50 |
$566 |
0.1× |
| Amputation thigh through femur any level (27590) |
$1,355.25 |
$1,807 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$535.50 |
$714 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$560.25 |
$747 |
0.2× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,551.75 |
$2,069 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$1,116.75 |
$1,489 |
0.3× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$975.75 |
$1,301 |
0.3× |
| Anoscopy Ablation Lesion (46615) |
$273 |
$364 |
0.1× |
| Anoscopy diagnostic (46600) |
$174 |
$232 |
1.3× |
| Anoscopy w/control bleeding (46614) |
$249.75 |
$333 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$433.50 |
$578 |
0.4× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$528 |
$704 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$182.25 |
$243 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) likely a partial charge, not the full procedure |
$1,195.50 |
$1,594 |
0.2× |
Anterior tibial tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,419.75 |
$1,893 |
0.2× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,110.75 |
$1,481 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$160.50 |
$214 |
1.0× |
| Application cast elbow finger short arm (29075) |
$103.88 |
$138.50 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$93.75 |
$125 |
0.3× |
| Application finger splint static (29130) |
$72.75 |
$97 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$137.25 |
$183 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$147 |
$196 |
0.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$205.50 |
$274 |
0.7× |
| Application of long leg cast (29345) |
$239.25 |
$319 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$192.75 |
$257 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$108 |
$144 |
0.8× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,022.25 |
$1,363 |
0.1× |
| Application, cast; figure-of-eight Facility (29049) |
$151.50 |
$202 |
0.5× |
| Apply Hand/Wrist Cast (29085) |
$93 |
$124 |
0.6× |
| Apply long leg splint (29505) |
$142.50 |
$190 |
0.8× |
| Apply short leg cast (29405) |
$134.25 |
$179 |
0.5× |
| Apply short leg cast (29425) |
$129 |
$172 |
0.4× |
| Apply short leg splint (29515) |
$81.38 |
$108.50 |
0.5× |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) likely a partial charge, not the full procedure |
$1,611 |
$2,148 |
0.3× |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Facility (66179) likely a partial charge, not the full procedure |
$246 |
$328 |
0.0× |
| Arterial puncture (36600) |
$194.25 |
$259 |
1.4× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$1,327.50 |
$1,770 |
0.1× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$730.50 |
$974 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$280.50 |
$374 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$198.75 |
$265 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$280.50 |
$374 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$256.50 |
$342 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$211.88 |
$282.50 |
0.7× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$1,751.25 |
$2,335 |
0.1× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$872.25 |
$1,163 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$798 |
$1,064 |
0.1× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$987.75 |
$1,317 |
0.3× |
Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$1,966.50 |
$2,622 |
0.1× |
Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$1,608.75 |
$2,145 |
0.1× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) likely a partial charge, not the full procedure |
$1,338.75 |
$1,785 |
0.2× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) likely a partial charge, not the full procedure |
$1,180.50 |
$1,574 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) likely a partial charge, not the full procedure |
$1,324.50 |
$1,766 |
0.2× |
Arthrodesis; subtalar (28725) unusually low: confirm this is the full procedure |
$6,622.12 |
$8,829.50 |
0.5× |
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$1,639.50 |
$2,186 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$1,436.25 |
$1,915 |
0.1× |
| Arthroplasty interphalangeal joint each (26535) |
$741 |
$988 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,416.75 |
$1,889 |
0.4× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) likely a partial charge, not the full procedure |
$648 |
$864 |
0.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$987 |
$1,316 |
0.3× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,119 |
$1,492 |
0.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$849 |
$1,132 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,059 |
$1,412 |
0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,155 |
$1,540 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$559.50 |
$746 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$855 |
$1,140 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$810 |
$1,080 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,107 |
$1,476 |
0.3× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,146.75 |
$1,529 |
0.3× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,191.75 |
$1,589 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,002 |
$1,336 |
0.3× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887) likely a partial charge, not the full procedure |
$1,286.25 |
$1,715 |
0.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$878.25 |
$1,171 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$904.50 |
$1,206 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$555.75 |
$741 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,440 |
$1,920 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,185.75 |
$1,581 |
0.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$908.25 |
$1,211 |
0.1× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,839 |
$2,452 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,033.50 |
$1,378 |
0.3× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,797 |
$2,396 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$1,037.25 |
$1,383 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,834.50 |
$2,446 |
0.2× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$666 |
$888 |
0.2× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$1,193.25 |
$1,591 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$817.50 |
$1,090 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,228.50 |
$1,638 |
0.4× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) likely a partial charge, not the full procedure |
$1,800.75 |
$2,401 |
0.2× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$919.50 |
$1,226 |
0.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$954.75 |
$1,273 |
0.3× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) likely a partial charge, not the full procedure |
$1,311 |
$1,748 |
0.2× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,173 |
$1,564 |
0.3× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,680.75 |
$2,241 |
0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,062.75 |
$1,417 |
0.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$765.75 |
$1,021 |
0.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$671.25 |
$895 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$781.50 |
$1,042 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$834 |
$1,112 |
0.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$706.50 |
$942 |
0.2× |
| Artificial Insemination Intra-Uterine (58322) |
$150.75 |
$201 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$259.50 |
$346 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$192.75 |
$257 |
0.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$360.38 |
$480.50 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$402.75 |
$537 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$118.50 |
$158 |
0.6× |
| Biopsy bone open deep (20245) |
$597.75 |
$797 |
0.2× |
| Biopsy bone open superficial (20240) |
$144.75 |
$193 |
0.0× |
| Biopsy bone trocar/needle deep (20225) |
$4,526.25 |
$6,035 |
2.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,363.50 |
$1,818 |
0.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$370.50 |
$494 |
0.4× |
| Biopsy External Auditory Canal (69105) |
$237 |
$316 |
0.1× |
| Biopsy external ear (69100) |
$292.50 |
$390 |
1.2× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$610.50 |
$814 |
0.2× |
| Biopsy intranasal (30100) |
$261 |
$348 |
0.2× |
| Biopsy Nail Unit Separate Procedure (11755) |
$228 |
$304 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$570.75 |
$761 |
0.1× |
| Biopsy of lip (40490) |
$285 |
$380 |
1.2× |
| Biopsy of mouth lesion (40808) |
$1,289.62 |
$1,719.50 |
2.3× |
| Biopsy of penis (54100) |
$336 |
$448 |
0.2× |
| Biopsy of urethra (53200) |
$303 |
$404 |
0.1× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
$969.75 |
$1,293 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$574.50 |
$766 |
0.1× |
| Biopsy soft tissue back,superf (21920) |
$434.25 |
$579 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$428.25 |
$571 |
0.3× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$963.75 |
$1,285 |
0.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$378.75 |
$505 |
0.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$468.75 |
$625 |
0.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$270.75 |
$361 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$198.75 |
$265 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$165 |
$220 |
0.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$522.75 |
$697 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$753 |
$1,004 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$896.25 |
$1,195 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$329.62 |
$439.50 |
0.5× |
| Bladder Irrigation Simple (51700) |
$127.50 |
$170 |
0.5× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$981 |
$1,308 |
0.5× |
| Blepharoplasty, Upper Eyelid (15822) |
$1,461.75 |
$1,949 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$470.62 |
$627.50 |
1.4× |
| Blood patch (62273) |
$342.38 |
$456.50 |
0.5× |
| Blood transfusion service (36430) |
$767.25 |
$1,023 |
1.7× |
| Blood/Lymph System Procedure (38999) |
$617.25 |
$823 |
1.4× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) likely a partial charge, not the full procedure |
$690 |
$920 |
0.1× |
| Bone marrow aspiration only (38220) |
$283.50 |
$378 |
0.2× |
| Bone Marrow Biopsy (38221) |
$265.50 |
$354 |
0.2× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$581.25 |
$775 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$408.75 |
$545 |
0.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$839.25 |
$1,119 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$513.75 |
$685 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,048.50 |
$1,398 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$368.25 |
$491 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$763.50 |
$1,018 |
0.4× |
| Canthoplasty (67950) |
$1,584.75 |
$2,113 |
0.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,815 |
$2,420 |
0.5× |
| Capsular contracture release (23020) |
$1,620 |
$2,160 |
0.5× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$958.12 |
$1,277.50 |
0.6× |
| Cartilage graft; nasal septum Facility (20912) |
$1,049.25 |
$1,399 |
0.3× |
| Cataract surgery complex (66982) |
$1,323.75 |
$1,765 |
0.6× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$297 |
$396 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$250.50 |
$334 |
0.3× |
| Change of cystostomy tube simple (51705) |
$160.12 |
$213.50 |
0.6× |
| Chemical cautery tissue (17250) |
$202.88 |
$270.50 |
1.0× |
| Chemodenerv Eccrine Glands (64650) |
$136.50 |
$182 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$232.50 |
$310 |
0.7× |
Chromotubation oviduct (58350) likely a partial charge, not the full procedure |
$294.75 |
$393 |
0.1× |
| Circum 28 days or older (54161) |
$336.75 |
$449 |
0.2× |
| Circumcision (54150) |
$261 |
$348 |
0.1× |
| Circumcision Neonate (54160) |
$373.50 |
$498 |
0.5× |
| Claviculectomy partial (23120) |
$999.75 |
$1,333 |
0.3× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$384 |
$512 |
1.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$267 |
$356 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$916.50 |
$1,222 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$774.75 |
$1,033 |
3.0× |
| Closed Rx Radial Shaft Fx (25500) |
$473.25 |
$631 |
1.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$587.25 |
$783 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$516 |
$688 |
2.0× |
| Closed treat wrist dislocation (25660) |
$708.75 |
$945 |
2.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$315.75 |
$421 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$171.75 |
$229 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$421.50 |
$562 |
1.7× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$649.50 |
$866 |
0.4× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,294.50 |
$1,726 |
0.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$559.50 |
$746 |
2.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$549 |
$732 |
2.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$483.75 |
$645 |
1.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$406.50 |
$542 |
1.6× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$367.50 |
$490 |
1.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$830.25 |
$1,107 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$835.50 |
$1,114 |
3.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$554.25 |
$739 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$642.75 |
$857 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$799.50 |
$1,066 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$331.50 |
$442 |
1.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,386.75 |
$1,849 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,037.25 |
$1,383 |
4.1× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$1,720.50 |
$2,294 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$247.50 |
$330 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$462.75 |
$617 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$831 |
$1,108 |
3.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$637.50 |
$850 |
2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$751.50 |
$1,002 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$445.50 |
$594 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$859.50 |
$1,146 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$881.25 |
$1,175 |
0.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$396 |
$528 |
1.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$390 |
$520 |
1.5× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$631.50 |
$842 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$198 |
$264 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$495.75 |
$661 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$446.25 |
$595 |
1.8× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$167.62 |
$223.50 |
0.5× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$242.25 |
$323 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$318.75 |
$425 |
1.3× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$270.75 |
$361 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$690.75 |
$921 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$465.75 |
$621 |
1.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$741.75 |
$989 |
2.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$842.25 |
$1,123 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$634.50 |
$846 |
0.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$341.25 |
$455 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$585 |
$780 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$724.50 |
$966 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$312 |
$416 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$453.75 |
$605 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$315.75 |
$421 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$330 |
$440 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$535.50 |
$714 |
0.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$872.25 |
$1,163 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,165.50 |
$1,554 |
0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$895.50 |
$1,194 |
3.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$823.50 |
$1,098 |
3.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,301.25 |
$1,735 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$302.25 |
$403 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$242.25 |
$323 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$236.25 |
$315 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$184.50 |
$246 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,146 |
$1,528 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$540.75 |
$721 |
2.1× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$588 |
$784 |
2.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$927 |
$1,236 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$794.25 |
$1,059 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$173.25 |
$231 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$381.75 |
$509 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$479.25 |
$639 |
1.9× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$567.75 |
$757 |
2.2× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$816.75 |
$1,089 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$553.50 |
$738 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$504.75 |
$673 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$718.50 |
$958 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$567 |
$756 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$267 |
$356 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$493.50 |
$658 |
1.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$576.75 |
$769 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$691.50 |
$922 |
2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$522 |
$696 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,112.25 |
$1,483 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$130.88 |
$174.50 |
0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$732 |
$976 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$942.75 |
$1,257 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,052.25 |
$1,403 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$915 |
$1,220 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$555 |
$740 |
2.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$77.62 |
$103.50 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$741 |
$988 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$802.50 |
$1,070 |
0.6× |
| Colonoscopy thru stoma (44388) |
$516 |
$688 |
0.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$718.50 |
$958 |
0.6× |
| Colonoscopy w/ablation (45388) |
$4,870.50 |
$6,494 |
3.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$699.75 |
$933 |
0.6× |
Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,368 |
$1,824 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$544.50 |
$726 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$279.75 |
$373 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$120 |
$160 |
0.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$264 |
$352 |
0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$304.50 |
$406 |
0.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$144 |
$192 |
0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$288 |
$384 |
0.3× |
Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,473.75 |
$1,965 |
0.3× |
| Complex Cystometrogram (51726) |
$365.25 |
$487 |
1.4× |
| Complex Uroflowmetry (51741) |
$20.25 |
$27 |
0.1× |
| Conization of cervix (57522) |
$489 |
$652 |
0.1× |
| Constj Tracheoesophgl Fstl&Insj Sp Prosth (31611) |
$982.50 |
$1,310 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$306 |
$408 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$385.50 |
$514 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$192 |
1.0× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$280.50 |
$374 |
0.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$935.25 |
$1,247 |
0.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) likely a partial charge, not the full procedure |
$1,642.50 |
$2,190 |
0.1× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415) likely a partial charge, not the full procedure |
$1,192.50 |
$1,590 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$618.38 |
$824.50 |
0.4× |
Corneal transplant (65710) unusually low: confirm this is the full procedure |
$1,951.50 |
$2,602 |
0.4× |
| Correction hammertoe (28285) |
$539.25 |
$719 |
0.2× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,441.50 |
$1,922 |
0.2× |
| Correction of bunion (28292) |
$728.25 |
$971 |
0.2× |
Correction of bunion (28299) likely a partial charge, not the full procedure |
$1,015.50 |
$1,354 |
0.1× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$1,796.25 |
$2,395 |
0.1× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$140.25 |
$187 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,553.25 |
$2,071 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,114.50 |
$1,486 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$432 |
$576 |
3.1× |
| Curettage postpartum (59160) |
$410.25 |
$547 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$557.25 |
$743 |
0.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$609 |
$812 |
0.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,446 |
$1,928 |
0.4× |
| Cysto w/destruction of lesions (52214) |
$1,383.75 |
$1,845 |
0.4× |
| Cysto w/insert ureteral stent (52332) |
$859.50 |
$1,146 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$791.25 |
$1,055 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$1,827 |
$2,436 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$549.75 |
$733 |
0.3× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,278 |
$1,704 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$495.75 |
$661 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$288 |
$384 |
0.1× |
| Cystourethroscopy (52000) |
$647.25 |
$863 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$754.50 |
$1,006 |
0.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$2,042.25 |
$2,723 |
0.6× |
| Cystourethroscopy with biopsy (52204) |
$1,330.12 |
$1,773.50 |
0.6× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$754.50 |
$1,006 |
1.0× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) unusually low: confirm this is the full procedure |
$2,256.75 |
$3,009 |
0.4× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$898.50 |
$1,198 |
0.2× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$1,251.75 |
$1,669 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$138 |
$184 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,148.25 |
$1,531 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$804 |
$1,072 |
1.1× |
| Debride nail 1-5 (11720) |
$36.75 |
$49 |
0.6× |
| Debride nail 6 or more (11721) |
$48.75 |
$65 |
0.8× |
| Debride skin musc at fx site (11011) |
$927.75 |
$1,237 |
1.3× |
| Debride tissue/muscle (11043) |
$609 |
$812 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$158.25 |
$211 |
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) |
$513 |
$684 |
0.3× |
| Declot vascular device (36593) |
$432 |
$576 |
1.3× |
| Decompression of lower leg (27600) |
$694.50 |
$926 |
0.2× |
| Decompression Of Tibia Nerve (28035) |
$528.75 |
$705 |
0.3× |
| Decompression; plantar digital nerve Facility (64726) |
$462 |
$616 |
0.2× |
| Delivery placenta separate procedure (59414) |
$158.25 |
$211 |
0.0× |
| Destroy internal hemorrhoids (46930) |
$363 |
$484 |
0.3× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$90 |
$120 |
0.0× |
| Destruction anal lesion(s) (46924) |
$912 |
$1,216 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$300.75 |
$401 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$186.75 |
$249 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$177 |
$236 |
0.2× |
| Destruction Lesions Vulva Extensive (56515) |
$538.12 |
$717.50 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$833.25 |
$1,111 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$214.50 |
$286 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$239.25 |
$319 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$411.75 |
$549 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$750.38 |
$1,000.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$160.50 |
$214 |
0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$188.25 |
$251 |
0.9× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$292.88 |
$390.50 |
1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$347.25 |
$463 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$431.25 |
$575 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$233.25 |
$311 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$256.50 |
$342 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$177 |
$236 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$315.75 |
$421 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$437.62 |
$583.50 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$242.25 |
$323 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$117 |
$156 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,542.75 |
$2,057 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$341.62 |
$455.50 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$167.25 |
$223 |
0.1× |
| Destruction of skin lesions (17106) |
$550.50 |
$734 |
1.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$194.25 |
$259 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$100.50 |
$134 |
0.5× |
| Destruction Vaginal Lesions Extensive (57065) |
$394.88 |
$526.50 |
0.1× |
| Destruction Vaginal Lesions Simple (57061) |
$140.25 |
$187 |
0.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$914.25 |
$1,219 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$174 |
$232 |
0.2× |
| Dil urethra,female,subsequent (53661) |
$132 |
$176 |
1.0× |
| Dilate Urethra Stricture (53620) |
$281.25 |
$375 |
0.4× |
| Dilate urethra stricture (53621) |
$265.50 |
$354 |
1.0× |
| Dilate urethra stricture (53600) |
$167.25 |
$223 |
0.6× |
| Dilation and curettage (58120) |
$479.25 |
$639 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$288 |
$384 |
0.3× |
| Dilation Nasolacrimal Duct (68801) |
$113.62 |
$151.50 |
0.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$135.75 |
$181 |
1.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$155.25 |
$207 |
1.1× |
Dissection, deep jugular node(s) Facility (38542) likely a partial charge, not the full procedure |
$882.75 |
$1,177 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$270.75 |
$361 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$228 |
$304 |
0.7× |
| Drainage external auditory canal abscess (69020) |
$388.50 |
$518 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$317.25 |
$423 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$387.38 |
$516.50 |
1.9× |
| Drainage of gum lesion (41800) |
$497.25 |
$663 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$394.50 |
$526 |
0.2× |
| Drainage of hydrocele (55000) |
$201 |
$268 |
0.3× |
| Drainage of salivary gland (42305) |
$726.75 |
$969 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$381 |
$508 |
0.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$946.50 |
$1,262 |
0.3× |
| Draw blood off venous device (36591) |
$96.75 |
$129 |
0.7× |
| Dressing change under anesthesia (15852) |
$80.25 |
$107 |
0.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$747.75 |
$997 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$329.25 |
$439 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$276.75 |
$369 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$139.50 |
$186 |
0.7× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$440.25 |
$587 |
0.1× |
| Dstrj lesion anus simple chemical (46900) |
$402 |
$536 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$245.25 |
$327 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$498 |
$664 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$438.75 |
$585 |
0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$227.25 |
$303 |
0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$163.50 |
$218 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$1,343.25 |
$1,791 |
0.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$423.75 |
$565 |
0.2× |
Ear Cartilage Graft (21235) likely a partial charge, not the full procedure |
$1,319.25 |
$1,759 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,207.50 |
$1,610 |
0.6× |
| Egd control bleeding any (43255) |
$1,108.50 |
$1,478 |
0.6× |
| Egd dilate stricture (43245) |
$1,098.75 |
$1,465 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$732.75 |
$977 |
0.4× |
| Egd flexible foreign body removal (43247) |
$627 |
$836 |
0.7× |
| Egd guide wire insertion (43248) |
$762 |
$1,016 |
0.8× |
| Egd place gastrostomy tube (43246) |
$345 |
$460 |
0.2× |
| Egd remove lesion snare (43251) |
$805.50 |
$1,074 |
0.4× |
| Egd tube/cath insertion (43241) |
$243 |
$324 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$86.25 |
$115 |
0.6× |
| Endocervical Curettage (57505) |
$219 |
$292 |
0.2× |
| Endometrial Biopsy (58100) |
$276.75 |
$369 |
1.3× |
| Endoscopic plantar fasciotomy (29893) |
$639 |
$852 |
0.2× |
| Enterorrhaphy single perforation (44602) |
$2,419.50 |
$3,226 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$486.75 |
$649 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$365.25 |
$487 |
0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$408.75 |
$545 |
0.4× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$272.25 |
$363 |
0.1× |
| Esophagoscopy rigid trnso dx (43191) |
$279 |
$372 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$572.25 |
$763 |
0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$650.25 |
$867 |
0.3× |
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) likely a partial charge, not the full procedure |
$990 |
$1,320 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$90.75 |
$121 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$711.75 |
$949 |
0.4× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,148.25 |
$1,531 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$882.75 |
$1,177 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$213.75 |
$285 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$358.50 |
$478 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$417.75 |
$557 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$422.62 |
$563.50 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$439.50 |
$586 |
0.6× |
| Exc back les sc < 3 cm (21930) |
$837 |
$1,116 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$1,018.88 |
$1,358.50 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$235.50 |
$314 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$433.88 |
$578.50 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,167.75 |
$1,557 |
0.7× |
| Exc ganglion wrist recurrent (25112) |
$662.25 |
$883 |
0.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$198.75 |
$265 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$470.25 |
$627 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$724.50 |
$966 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$903 |
$1,204 |
0.3× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$699.75 |
$933 |
0.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$779.25 |
$1,039 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,038 |
$1,384 |
0.4× |
Exc skin abd (15830) likely a partial charge, not the full procedure |
$1,814.25 |
$2,419 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$596.25 |
$795 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$257.25 |
$343 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$331.50 |
$442 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$489 |
$652 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$815.25 |
$1,087 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$637.88 |
$850.50 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$538.50 |
$718 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$956.25 |
$1,275 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$586.88 |
$782.50 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$633.75 |
$845 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$413.25 |
$551 |
0.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$426 |
$568 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$898.50 |
$1,198 |
0.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$904.50 |
$1,206 |
0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$765 |
$1,020 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,268.25 |
$1,691 |
0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$889.50 |
$1,186 |
0.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$981 |
$1,308 |
0.6× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$885 |
$1,180 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$927.75 |
$1,237 |
0.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,263 |
$1,684 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,306.88 |
$1,742.50 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$967.50 |
$1,290 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$884.25 |
$1,179 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$775.50 |
$1,034 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$833.25 |
$1,111 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$861.75 |
$1,149 |
0.5× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,170.75 |
$1,561 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$470.25 |
$627 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,254 |
$1,672 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$665.62 |
$887.50 |
0.4× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,193.25 |
$1,591 |
0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,880.62 |
$2,507.50 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$905.25 |
$1,207 |
0.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$750.75 |
$1,001 |
0.5× |
| Exchange intraocular lens (66986) |
$1,505.25 |
$2,007 |
0.6× |
| Excis Pterygium (65420) |
$789 |
$1,052 |
0.3× |
| Excise cutaneous neurofibroma (64788) |
$688.50 |
$918 |
0.3× |
| Excise Inferior Turbinate (30130) |
$960.75 |
$1,281 |
0.3× |
| Excise/repair mouth lesion (40812) |
$965.62 |
$1,287.50 |
0.6× |
| Excision Aural Polyp (69540) |
$462 |
$616 |
0.3× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$510.75 |
$681 |
0.1× |
| Excision Breast Lesion (19125) |
$952.50 |
$1,270 |
0.2× |
| Excision Chalazion Single (67800) |
$193.50 |
$258 |
0.6× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,167.75 |
$1,557 |
0.3× |
| Excision external ear partial simple repair (69110) |
$780.75 |
$1,041 |
0.3× |
Excision Facial Bone (21026) likely a partial charge, not the full procedure |
$969.75 |
$1,293 |
0.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$755.62 |
$1,007.50 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$529.50 |
$706 |
0.3× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,242.75 |
$1,657 |
1.2× |
| Excision lesion meniscus/capsule knee (27347) |
$901.50 |
$1,202 |
0.3× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$583.50 |
$778 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$430.50 |
$574 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$345 |
$460 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$387 |
$516 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$416.25 |
$555 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$354 |
$472 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$381 |
$508 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$351.75 |
$469 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$402.75 |
$537 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$469.50 |
$626 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$537.75 |
$717 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$683.25 |
$911 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$409.12 |
$545.50 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$388.50 |
$518 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$291.38 |
$388.50 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$505.50 |
$674 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$572.25 |
$763 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$500.25 |
$667 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$134.25 |
$179 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$233.25 |
$311 |
0.3× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$2,027.25 |
$2,703 |
0.7× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) likely a partial charge, not the full procedure |
$1,135.50 |
$1,514 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$921.38 |
$1,228.50 |
0.6× |
| Excision of hydrocele unilateral (55040) |
$2,039.25 |
$2,719 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$326.25 |
$435 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$783 |
$1,044 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$396.75 |
$529 |
0.2× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$339 |
$452 |
0.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$666.75 |
$889 |
0.3× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) likely a partial charge, not the full procedure |
$1,794.75 |
$2,393 |
0.3× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) unusually low: confirm this is the full procedure |
$2,016.75 |
$2,689 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$592.12 |
$789.50 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$387.75 |
$517 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$643.50 |
$858 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$335.25 |
$447 |
0.3× |
| Excision of tongue lesion (41112) |
$567.75 |
$757 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$477 |
$636 |
0.1× |
| Excision olecranon bursa (24105) |
$603.75 |
$805 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,035.75 |
$1,381 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$855 |
$1,140 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,045.50 |
$1,394 |
0.3× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) likely a partial charge, not the full procedure |
$666.75 |
$889 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) likely a partial charge, not the full procedure |
$876 |
$1,168 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) likely a partial charge, not the full procedure |
$1,311.75 |
$1,749 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,242.75 |
$1,657 |
0.4× |
| Excision prepatellar bursa (27340) |
$635.25 |
$847 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$764.25 |
$1,019 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$808.50 |
$1,078 |
0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$849 |
$1,132 |
0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$672 |
$896 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$720.75 |
$961 |
0.4× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,194.75 |
$1,593 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$827.25 |
$1,103 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,509.75 |
$2,013 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$433.50 |
$578 |
0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$685.50 |
$914 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,937.25 |
$2,583 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$790.50 |
$1,054 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$804.75 |
$1,073 |
0.3× |
| Excision; trochanteric bursa or calcification (27062) |
$992.25 |
$1,323 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$874.50 |
$1,166 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$710.25 |
$947 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$803.25 |
$1,071 |
0.5× |
| Exploration of knee joint (27310) |
$1,547.25 |
$2,063 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$983.25 |
$1,311 |
0.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$572.25 |
$763 |
0.2× |
| Explore/irrigate tear ducts (68840) |
$234.75 |
$313 |
0.7× |
| Explore/Treat Elbow Joint (24101) |
$857.25 |
$1,143 |
0.3× |
| Explore/Treat Knee Joint (27331) |
$811.50 |
$1,082 |
0.2× |
| External cephalic version (59412) |
$235.50 |
$314 |
0.1× |
| Fasciectomy Palm Only (26121) |
$1,022.25 |
$1,363 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$893.25 |
$1,191 |
0.3× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$996 |
$1,328 |
0.3× |
| Fasciotomy foot and/or toe (28008) |
$741.75 |
$989 |
0.2× |
| Fasciotomy Iliotibial Open (27305) |
$1,057.50 |
$1,410 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$465.75 |
$621 |
0.1× |
| Fasciotomy, hip or thigh, any type (27025) |
$1,561.50 |
$2,082 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$827.25 |
$1,103 |
0.2× |
| Fetal non-stress test (59025) |
$297.38 |
$396.50 |
1.4× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$816 |
$1,088 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$785.25 |
$1,047 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$668.62 |
$891.50 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$356.25 |
$475 |
0.8× |
| Fit/Insert Intravag Support Device (57160) |
$117 |
$156 |
0.6× |
| Fitting of diaphragm/cap (57170) |
$120.75 |
$161 |
0.6× |
| Fix Entropion,Extensv Lid Repair (67924) |
$1,172.25 |
$1,563 |
0.5× |
| Fixation of shoulder (23700) |
$193.50 |
$258 |
0.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$496.50 |
$662 |
0.7× |
| Forehead flap w/vasc pedicle (15731) |
$1,797.75 |
$2,397 |
0.5× |
| Foreskin manipulation (54450) |
$132 |
$176 |
0.5× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,168.50 |
$1,558 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,574.25 |
$2,099 |
0.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,690.50 |
$2,254 |
0.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,304.25 |
$1,739 |
0.6× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,420.50 |
$1,894 |
0.7× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$839.25 |
$1,119 |
0.1× |
Fusion of thumb (26841) likely a partial charge, not the full procedure |
$1,350.75 |
$1,801 |
0.2× |
| Fusion of toes (28280) |
$880.50 |
$1,174 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$39 |
$52 |
0.2× |
| Gastrocnemius recession (27687) |
$777 |
$1,036 |
0.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,335.50 |
$3,114 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,212.75 |
$1,617 |
0.6× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,039.50 |
$1,386 |
0.3× |
| Guide Cathet Fluid Drainage (10030) |
$1,138.88 |
$1,518.50 |
1.6× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,281.75 |
$1,709 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,221.75 |
$1,629 |
0.4× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$1,926.75 |
$2,569 |
0.1× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$711 |
$948 |
0.2× |
| Hemorrhoidectomy (46255) |
$682.12 |
$909.50 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$822.75 |
$1,097 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$90.75 |
$121 |
0.0× |
| Hysteroscopy biopsy (58558) |
$2,328 |
$3,104 |
0.7× |
Hysteroscopy removal leiomyomata (58561) likely a partial charge, not the full procedure |
$963.75 |
$1,285 |
0.2× |
| Hysteroscopy w endometrial ablation (58563) |
$3,295.50 |
$4,394 |
0.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$671.25 |
$895 |
0.2× |
| I&d abscess simple (10060) |
$232.88 |
$310.50 |
1.1× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$756.75 |
$1,009 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,731 |
$2,308 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$366.75 |
$489 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,013.25 |
$1,351 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,119.75 |
$1,493 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$559.12 |
$745.50 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$497.25 |
$663 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$492 |
$656 |
0.3× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$302.25 |
$403 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$219 |
$292 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$503.25 |
$671 |
0.3× |
| Incise external hemorrhoid (46083) |
$327 |
$436 |
1.3× |
| Incise finger tendon sheath (26055) |
$545.25 |
$727 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$249 |
$332 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$909 |
$1,212 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$514.50 |
$686 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$495 |
$660 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$389.25 |
$519 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$265.50 |
$354 |
1.3× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$825.75 |
$1,101 |
0.3× |
| Incision and drainage perianal abscess superficial (46050) |
$372.75 |
$497 |
0.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$644.25 |
$859 |
0.2× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$606.75 |
$809 |
0.2× |
| Incision Drainage Lacrimal Sac (68420) |
$585 |
$780 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$930 |
$1,240 |
0.6× |
| Incision of conjunctiva, drainage of cyst (68020) |
$208.50 |
$278 |
0.2× |
| Incision of eardrum (69421) |
$280.50 |
$374 |
0.1× |
| Incision of eardrum (69420) |
$337.12 |
$449.50 |
1.4× |
| Incision of labial frenum (frenotomy) (40806) |
$2,530.50 |
$3,374 |
4.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$354 |
$472 |
0.2× |
| Incision of rectal abscess (46045) |
$750.75 |
$1,001 |
0.3× |
| Incision of rectal abscess (46040) |
$748.50 |
$998 |
0.6× |
| Incision of urethra (53020) |
$187.50 |
$250 |
0.1× |
Incision of windpipe (31610) likely a partial charge, not the full procedure |
$1,755.75 |
$2,341 |
0.3× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$630 |
$840 |
0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$206.62 |
$275.50 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$255.75 |
$341 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$124.50 |
$166 |
0.6× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$231.75 |
$309 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,754.25 |
$2,339 |
1.9× |
| Inj tendon sheath/ligament (20550) |
$93.75 |
$125 |
0.3× |
| Inj therapeutic carpal tunnel (20526) |
$207.38 |
$276.50 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$756.75 |
$1,009 |
0.8× |
| Inject Intravitreal Pharmcologic (67028) |
$171 |
$228 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$756.75 |
$1,009 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$457.12 |
$609.50 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$252.75 |
$337 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$102 |
$136 |
0.3× |
| Inject/treat eye socket (67500) |
$417 |
$556 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$239.25 |
$319 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$181.50 |
$242 |
0.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$391.50 |
$522 |
1.2× |
| Injection anesthetic agent femoral nerve single (64447) |
$663 |
$884 |
0.9× |
| Injection into skin lesions (11900) |
$177.75 |
$237 |
0.9× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$219.75 |
$293 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$96.75 |
$129 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$199.88 |
$266.50 |
0.6× |
| Injection(s) spider veins (36468) |
$332.62 |
$443.50 |
0.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$190.12 |
$253.50 |
0.9× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$898.50 |
$1,198 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$175.12 |
$233.50 |
1.3× |
| Insert cath pleura w/o image (32556) |
$1,130.25 |
$1,507 |
0.6× |
| Insert cervical dilator (59200) |
$150.75 |
$201 |
0.5× |
| Insert Drug Implant Device (11981) |
$172.50 |
$230 |
1.3× |
| Insert gastrostomy tube percutaneous (49440) |
$1,581 |
$2,108 |
0.8× |
Insert heart pm ventricular (33207) likely a partial charge, not the full procedure |
$826.50 |
$1,102 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,360.88 |
$1,814.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$84.75 |
$113 |
0.6× |
| Insert tunneled cv cath (36561) |
$1,815.75 |
$2,421 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$134.25 |
$179 |
1.0× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$1,089 |
$1,452 |
0.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,399.25 |
$11,199 |
1.0× |
| Insj picc rs&i 5 yr+ (36573) |
$683.25 |
$911 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,198.25 |
$2,931 |
0.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$571.50 |
$762 |
0.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$269.25 |
$359 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$274.50 |
$366 |
1.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$360 |
$480 |
1.4× |
| Keratoplasty (corneal transplant); endothelial Facility (65756) |
$1,323.75 |
$1,765 |
0.3× |
| Knee Arthroscopy/Surgery (29874) |
$920.25 |
$1,227 |
0.3× |
| Knee Arthroscopy/Surgery (29879) |
$1,132.50 |
$1,510 |
0.3× |
| Labyrinthotomy Transcanal (69801) |
$539.25 |
$719 |
0.3× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$753 |
$1,004 |
0.1× |
Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$2,984.25 |
$3,979 |
0.3× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,037.25 |
$1,383 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$600 |
$800 |
0.1× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$633 |
$844 |
0.1× |
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,119 |
$1,492 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,590 |
$2,120 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,968 |
$2,624 |
0.2× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) likely a partial charge, not the full procedure |
$2,065.50 |
$2,754 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,758 |
$2,344 |
0.4× |
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 |
$2,262.75 |
$3,017 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,239.75 |
$1,653 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$366.75 |
$489 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,165.50 |
$1,554 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$566.25 |
$755 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,224 |
$1,632 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$643.50 |
$858 |
0.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$445.50 |
$594 |
0.1× |
| Laryngoscopy Direct Aspiration (31515) |
$350.25 |
$467 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$121.50 |
$162 |
0.6× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$358.50 |
$478 |
1.7× |
| Laryngoscopy w/biopsy (31535) |
$337.50 |
$450 |
0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$338.25 |
$451 |
0.2× |
| Late closure of wound (13160) |
$953.62 |
$1,271.50 |
0.3× |
| Lateral retinacular release open (27425) |
$768.75 |
$1,025 |
0.2× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$420 |
$560 |
0.1× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,218 |
$1,624 |
0.2× |
| Ligation or biopsy temporal artery (37609) |
$530.25 |
$707 |
0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$605.25 |
$807 |
0.2× |
| Lip shave (40500) |
$500.25 |
$667 |
0.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,421 |
$3,228 |
0.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,660.50 |
$2,214 |
0.5× |
| Liver Biopsy (47000) |
$601.12 |
$801.50 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$569.25 |
$759 |
0.3× |
| Manipulat Palm Cord Post Inj (26341) |
$258.38 |
$344.50 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$148.50 |
$198 |
0.1× |
| Manipulation, wrist, under anesthesia (25259) |
$999.75 |
$1,333 |
0.6× |
| Marsupialization Bartholins Gland Cyst (56440) |
$311.25 |
$415 |
0.1× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,075.25 |
$2,767 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$939 |
$1,252 |
0.2× |
| Mastectomy partial (19301) |
$1,131 |
$1,508 |
0.3× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,651.50 |
$2,202 |
0.2× |
| Metatarsectomy (28140) |
$1,055.25 |
$1,407 |
0.3× |
| Mohs 1 stage h/n/hf/g (17311) |
$657.75 |
$877 |
0.9× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$616.50 |
$822 |
0.8× |
| Myelography Lumbar Injection (62304) |
$1,231.88 |
$1,642.50 |
1.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,896.75 |
$2,529 |
2.3× |
| Myringoplasty (69620) |
$1,457.25 |
$1,943 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$243 |
$324 |
0.3× |
| N Block Inj, Plantar Digit (64455) |
$240.38 |
$320.50 |
0.8× |
| Nasal endoscopy dx (31231) |
$114.75 |
$153 |
0.6× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) likely a partial charge, not the full procedure |
$986.25 |
$1,315 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$654 |
$872 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) likely a partial charge, not the full procedure |
$426 |
$568 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$284.25 |
$379 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$285.75 |
$381 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$461.25 |
$615 |
0.3× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) likely a partial charge, not the full procedure |
$1,053 |
$1,404 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure |
$1,068 |
$1,424 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$70.50 |
$94 |
0.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$651 |
$868 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$871.50 |
$1,162 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24.75 |
$33 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$39.75 |
$53 |
1.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$744 |
$992 |
0.4× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$498.75 |
$665 |
0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$495.75 |
$661 |
1.2× |
| Njx aa&/strd sciatic nerve (64445) |
$434.62 |
$579.50 |
0.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$169.50 |
$226 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$736.50 |
$982 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,038.38 |
$1,384.50 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$890.62 |
$1,187.50 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$593.25 |
$791 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$490.50 |
$654 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,075.50 |
$1,434 |
1.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$331.50 |
$442 |
0.8× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) likely a partial charge, not the full procedure |
$978 |
$1,304 |
0.1× |
| Occipital Nerve Block (64405) |
$123 |
$164 |
0.4× |
Omntc epiploectomy rescj omentum spx (49255) likely a partial charge, not the full procedure |
$1,345.50 |
$1,794 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$1,716 |
$2,288 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$759.75 |
$1,013 |
0.1× |
Open treatment calcaneal fracture (28415) likely a partial charge, not the full procedure |
$1,915.50 |
$2,554 |
0.3× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$1,100.25 |
$1,467 |
0.1× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$599.25 |
$799 |
0.1× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$942.75 |
$1,257 |
0.1× |
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) unusually low: confirm this is the full procedure |
$3,225 |
$4,300 |
0.4× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$980.25 |
$1,307 |
0.1× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) likely a partial charge, not the full procedure |
$1,368.75 |
$1,825 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,233 |
$1,644 |
0.2× |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) unusually low: confirm this is the full procedure |
$2,099.25 |
$2,799 |
0.3× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$1,647.75 |
$2,197 |
0.1× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) likely a partial charge, not the full procedure |
$1,653.75 |
$2,205 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$2,843.25 |
$3,791 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$1,701 |
$2,268 |
0.1× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$823.50 |
$1,098 |
0.1× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) likely a partial charge, not the full procedure |
$2,121.75 |
$2,829 |
0.1× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$1,277.25 |
$1,703 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,146 |
$1,528 |
0.2× |
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) likely a partial charge, not the full procedure |
$577.50 |
$770 |
0.1× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$1,896 |
$2,528 |
0.6× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) likely a partial charge, not the full procedure |
$1,459.50 |
$1,946 |
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 |
$1,677 |
$2,236 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$1,065 |
$1,420 |
0.1× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,064.25 |
$1,419 |
0.1× |
Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$1,248.75 |
$1,665 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,512.75 |
$2,017 |
0.1× |
Open treatment talus fracture (28445) likely a partial charge, not the full procedure |
$1,774.50 |
$2,366 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$807.75 |
$1,077 |
0.1× |
Open tx acute shoulder dislocation (23660) likely a partial charge, not the full procedure |
$1,286.25 |
$1,715 |
0.2× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$1,268.25 |
$1,691 |
0.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$997.50 |
$1,330 |
0.3× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$3,389.25 |
$4,519 |
0.5× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,107 |
$1,476 |
0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$855 |
$1,140 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,199.25 |
$1,599 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,032 |
$1,376 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,481.25 |
$1,975 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$981.75 |
$1,309 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,014.75 |
$1,353 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,078.50 |
$1,438 |
0.1× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$858.75 |
$1,145 |
0.1× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,118.25 |
$1,491 |
0.1× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,410.75 |
$1,881 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,794.75 |
$2,393 |
0.2× |
Optx dstl radl x-artic fx/epiphysl sep (25607) likely a partial charge, not the full procedure |
$1,258.50 |
$1,678 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,082.50 |
$4,110 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$1,532.25 |
$2,043 |
0.1× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$2,574.75 |
$3,433 |
0.3× |
| Ostectomy calcaneus (28118) |
$1,027.50 |
$1,370 |
0.3× |
| Ostectomy complete 1st metatarsal head (28111) |
$835.50 |
$1,114 |
0.2× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,005.75 |
$1,341 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$834.75 |
$1,113 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$792.75 |
$1,057 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,042.50 |
$1,390 |
0.3× |
Osteot shrt corrj prox phalanx 1st toe (28310) likely a partial charge, not the full procedure |
$959.25 |
$1,279 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$608.25 |
$811 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$572.25 |
$763 |
0.2× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$645.75 |
$861 |
0.1× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$819 |
$1,092 |
0.1× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) likely a partial charge, not the full procedure |
$1,169.25 |
$1,559 |
0.2× |
P-mastectomy w/ln removal (19302) likely a partial charge, not the full procedure |
$1,554.75 |
$2,073 |
0.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,503.75 |
$2,005 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$1,540.50 |
$2,054 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$1,067.25 |
$1,423 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$1,132.50 |
$1,510 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,158.75 |
$1,545 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$597.75 |
$797 |
0.2× |
| Partial excision bone tibia (27640) |
$823.50 |
$1,098 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,138.12 |
$1,517.50 |
0.7× |
| Partial excision of lip (40520) |
$844.50 |
$1,126 |
0.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$842.25 |
$1,123 |
0.5× |
| Partial hymenectomy or revision (56700) |
$336.75 |
$449 |
0.1× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,206.75 |
$1,609 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$819 |
$1,092 |
0.2× |
Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$1,117.50 |
$1,490 |
0.1× |
| Pelvic examination under anesthesia (other than local) (57410) |
$182.25 |
$243 |
0.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$907.50 |
$1,210 |
1.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) likely a partial charge, not the full procedure |
$1,557 |
$2,076 |
0.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$769.50 |
$1,026 |
0.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$819 |
$1,092 |
0.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$833.25 |
$1,111 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$410.25 |
$547 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$620.62 |
$827.50 |
0.8× |
| Perq device breast 1st imag (19281) |
$442.88 |
$590.50 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$226.50 |
$302 |
0.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,134 |
$1,512 |
0.3× |
| Picc line placement (36569) |
$178.88 |
$238.50 |
0.1× |
| Place Cath Subclavian Art (36225) |
$2,761.50 |
$3,682 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$170.25 |
$227 |
0.4× |
| Placement of seton (46020) |
$1,646.25 |
$2,195 |
0.6× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,167 |
$1,556 |
0.2× |
| Probe nasolacrimal duct (68810) |
$183.75 |
$245 |
0.6× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Facility (68811) |
$227.25 |
$303 |
0.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$209.25 |
$279 |
0.2× |
| Proctosigmoid w/biopsy (45305) |
$274.50 |
$366 |
0.2× |
| Prostate Saturation Sampling (55706) |
$750.75 |
$1,001 |
0.2× |
| Prostatic microwave thermotx (53850) |
$2,919 |
$3,892 |
0.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$719.25 |
$959 |
0.2× |
| Prq skel fixj metar fx w/manj (28476) |
$626.25 |
$835 |
0.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$804 |
$1,072 |
0.2× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,607.25 |
$2,143 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$817.50 |
$1,090 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$279 |
$372 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$208.50 |
$278 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$152.25 |
$203 |
0.4× |
| Puncture/clear windpipe (31612) |
$86.25 |
$115 |
0.0× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$1,704.75 |
$2,273 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$1,763.25 |
$2,351 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$1,203.75 |
$1,605 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$2,294.25 |
$3,059 |
0.8× |
| Radical resection of tumor, femur or knee Facility (27365) |
$4,303.50 |
$5,738 |
1.3× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$898.50 |
$1,198 |
0.3× |
Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$1,273.50 |
$1,698 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$667.50 |
$890 |
0.1× |
| Reconstruct Finger Joint (26548) |
$1,762.50 |
$2,350 |
0.5× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$2,060.25 |
$2,747 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,274.25 |
$1,699 |
0.2× |
| Reconstruction Toe Polydactyly (28344) |
$726.75 |
$969 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) likely a partial charge, not the full procedure |
$1,328.25 |
$1,771 |
0.2× |
| Release elbow joint (24006) |
$1,392 |
$1,856 |
0.4× |
| Release muscles of hand (26593) |
$1,631.25 |
$2,175 |
0.5× |
| Release wrist/forearm tendon (25295) |
$899.25 |
$1,199 |
0.3× |
| Relieve pressure on nerve(s) (64722) |
$614.25 |
$819 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,023.75 |
$1,365 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$532.50 |
$710 |
0.3× |
| Removal foreign body foot deep (28192) |
$448.88 |
$598.50 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$296.62 |
$395.50 |
0.4× |
| Removal foreign body intranasal (30300) |
$321 |
$428 |
2.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$452.25 |
$603 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,055.25 |
$1,407 |
0.3× |
| Removal foreign body pharynx (42809) |
$183 |
$244 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$386.25 |
$515 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$35.25 |
$47 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.62 |
$107.50 |
1.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$320.25 |
$427 |
0.1× |
| Removal implant deep (20680) |
$370.50 |
$494 |
0.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$857.25 |
$1,143 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$246 |
$328 |
0.3× |
| Removal of adenoids (42831) |
$516.75 |
$689 |
0.2× |
| Removal of adenoids (42830) |
$384.75 |
$513 |
0.1× |
| Removal of anal fissure (46200) |
$786 |
$1,048 |
0.3× |
| Removal of arm foreign body (24200) |
$414.75 |
$553 |
0.2× |
Removal of bone for graft (20902) likely a partial charge, not the full procedure |
$484.50 |
$646 |
0.1× |
Removal of cervix (57530) likely a partial charge, not the full procedure |
$623.25 |
$831 |
0.1× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$255 |
$340 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$765 |
$1,020 |
2.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$587.25 |
$783 |
0.5× |
| Removal of finger lesion (26210) |
$759 |
$1,012 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$108.75 |
$145 |
0.2× |
| Removal of heel spur (28119) |
$897 |
$1,196 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$313.50 |
$418 |
0.5× |
| Removal of iris (66625) |
$608.25 |
$811 |
0.3× |
| Removal of iud (58301) |
$296.62 |
$395.50 |
0.9× |
| Removal of nail bed (11750) |
$394.12 |
$525.50 |
0.9× |
| Removal of salivary stone (42330) |
$1,723.50 |
$2,298 |
0.5× |
| Removal of sesamoid bone (28315) |
$824.25 |
$1,099 |
0.2× |
| Removal Of Tendon Lesion (27630) |
$938.25 |
$1,251 |
0.3× |
| Removal of testis (54520) |
$589.50 |
$786 |
0.2× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$418.50 |
$558 |
0.1× |
| Removal of tonsils (42826) |
$462.75 |
$617 |
0.1× |
| Removal of wrist bone (25210) |
$837 |
$1,116 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$152.25 |
$203 |
0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$225.75 |
$301 |
0.3× |
| Removal, under anesthesia, of external fixation system (20694) |
$726.75 |
$969 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$123 |
$164 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$54.75 |
$73 |
0.2× |
| Remove anal fist subq (46270) |
$893.25 |
$1,191 |
0.3× |
| Remove drug implant device (11982) |
$200.25 |
$267 |
0.4× |
| Remove elbow lesion (24120) |
$909.75 |
$1,213 |
0.3× |
| Remove ext hem groups 2+ (46250) |
$818.25 |
$1,091 |
0.3× |
| Remove Lower Leg Bone Lesion (27635) |
$577.50 |
$770 |
0.2× |
| Remove Pilonidal Cyst Exten (11771) |
$1,026 |
$1,368 |
0.3× |
| Remove Tendon Sheath Lesion (26160) |
$969.75 |
$1,293 |
0.6× |
| Remove vagina gland lesion (56740) |
$529.50 |
$706 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$384.38 |
$512.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$137.25 |
$183 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$58.12 |
$77.50 |
0.4× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$653.25 |
$871 |
0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,346.25 |
$1,795 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$443.62 |
$591.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$520.50 |
$694 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$659.25 |
$879 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$805.50 |
$1,074 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$636.38 |
$848.50 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$446.25 |
$595 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$700.88 |
$934.50 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$611.25 |
$815 |
0.8× |
| Repair Ectropion Extensive (67917) |
$186.75 |
$249 |
0.1× |
| Repair Entropion Suture (67921) |
$833.25 |
$1,111 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,011 |
$1,348 |
0.6× |
| Repair eyelid defect (67923) |
$1,020 |
$1,360 |
0.4× |
| Repair eyelid defect (67904) |
$1,243.50 |
$1,658 |
0.5× |
| Repair eyelid wound (67930) |
$620.25 |
$827 |
0.3× |
Repair Fibula Nonunion (27726) likely a partial charge, not the full procedure |
$1,641 |
$2,188 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,078.50 |
$1,438 |
0.3× |
| Repair hand tendon (26410) |
$982.50 |
$1,310 |
0.6× |
| Repair incomplete circumcision (54163) |
$469.50 |
$626 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$991.50 |
$1,322 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,090.50 |
$1,454 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$995.25 |
$1,327 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,013.25 |
$1,351 |
0.3× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$1,046.25 |
$1,395 |
0.3× |
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 |
$408 |
$544 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$459 |
$612 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$514.50 |
$686 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$359.62 |
$479.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$376.50 |
$502 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$690 |
$920 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$426 |
$568 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$331.50 |
$442 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$629.25 |
$839 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,417.88 |
$1,890.50 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$381.75 |
$509 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$474.38 |
$632.50 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$510 |
$680 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$732 |
$976 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$548.25 |
$731 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,393.12 |
$1,857.50 |
0.7× |
Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$1,023.75 |
$1,365 |
0.1× |
| Repair Lower Leg Tendons (27675) |
$838.50 |
$1,118 |
0.2× |
Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$1,166.25 |
$1,555 |
0.2× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345) likely a partial charge, not the full procedure |
$1,644 |
$2,192 |
0.2× |
| Repair nasal septal perforations (30630) |
$1,236.75 |
$1,649 |
0.4× |
Repair Nasal Stenosis (30465) unusually low: confirm this is the full procedure |
$2,218.50 |
$2,958 |
0.4× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,428 |
$1,904 |
0.2× |
Repair of foot bones (28320) likely a partial charge, not the full procedure |
$1,047.75 |
$1,397 |
0.1× |
| Repair of hammertoe (28286) |
$765 |
$1,020 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,101 |
$1,468 |
0.1× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$600 |
$800 |
0.1× |
| Repair of leg tendon each (27658) |
$630.75 |
$841 |
0.2× |
| Repair of nail bed (11760) |
$330 |
$440 |
0.4× |
| Repair of nasal septum (30520) |
$1,355.25 |
$1,807 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$1,374.75 |
$1,833 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) likely a partial charge, not the full procedure |
$1,460.25 |
$1,947 |
0.2× |
Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,665 |
$2,220 |
0.2× |
| Repair of urethra injury (53502) |
$831 |
$1,108 |
0.2× |
| Repair of web finger (26560) |
$1,033.50 |
$1,378 |
0.6× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,034 |
$2,712 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,091.25 |
$1,455 |
0.3× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$811.50 |
$1,082 |
0.1× |
Repair salivary duct (42505) likely a partial charge, not the full procedure |
$834 |
$1,112 |
0.1× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,218.75 |
$1,625 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$484.50 |
$646 |
0.1× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,273.50 |
$1,698 |
0.2× |
| Repair Tongue Laceration (41250) |
$473.25 |
$631 |
1.0× |
| Repair tympanic membrane (69610) |
$519.75 |
$693 |
0.3× |
| Repair webbed toe(s) (28345) |
$888.75 |
$1,185 |
0.5× |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
$1,732.50 |
$2,310 |
0.5× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$768 |
$1,024 |
0.1× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) likely a partial charge, not the full procedure |
$2,179.50 |
$2,906 |
0.3× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) unusually low: confirm this is the full procedure |
$2,511.75 |
$3,349 |
0.3× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$1,339.50 |
$1,786 |
0.2× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) likely a partial charge, not the full procedure |
$954.75 |
$1,273 |
0.1× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$810.75 |
$1,081 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) likely a partial charge, not the full procedure |
$1,091.25 |
$1,455 |
0.1× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) likely a partial charge, not the full procedure |
$1,079.25 |
$1,439 |
0.1× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) likely a partial charge, not the full procedure |
$606.75 |
$809 |
0.1× |
Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,136.25 |
$1,515 |
0.2× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$1,397.25 |
$1,863 |
0.2× |
Repair/revise wrist joint (25320) likely a partial charge, not the full procedure |
$2,166 |
$2,888 |
0.3× |
| Repeat control of nosebleed (30906) |
$404.25 |
$539 |
1.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,206.75 |
$1,609 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,476.75 |
$1,969 |
1.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$208.50 |
$278 |
0.8× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$707.25 |
$943 |
0.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,209.75 |
$1,613 |
0.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$3,969 |
$5,292 |
0.3× |
| Revise finger/toe nerve (64702) |
$859.50 |
$1,146 |
0.4× |
| Revise Hand/Foot Nerve (64704) |
$549.75 |
$733 |
0.3× |
Revise knuckle with implant (26531) likely a partial charge, not the full procedure |
$1,072.50 |
$1,430 |
0.1× |
Revise Lower Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,273.50 |
$1,698 |
0.2× |
| Revise Lower Leg Tendons (27686) |
$93 |
$124 |
0.0× |
| Revise ulnar nerve at elbow (64718) |
$1,017 |
$1,356 |
0.5× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
$1,671 |
$2,228 |
0.7× |
Revision of arthroplasty, including removal of implant, wrist joint Facility (25449) likely a partial charge, not the full procedure |
$2,236.50 |
$2,982 |
0.3× |
| Revision of foot (28116) |
$1,305.75 |
$1,741 |
0.4× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,718.25 |
$2,291 |
0.5× |
| Revision of iris (66761) |
$504 |
$672 |
0.9× |
| Revision of lower leg tendon (27685) |
$660.75 |
$881 |
0.2× |
| Revision of toe (28312) |
$1,095 |
$1,460 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) likely a partial charge, not the full procedure |
$2,395.50 |
$3,194 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) likely a partial charge, not the full procedure |
$2,994.75 |
$3,993 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$3,421.50 |
$4,562 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138) likely a partial charge, not the full procedure |
$2,997.75 |
$3,997 |
0.2× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) unusually low: confirm this is the full procedure |
$2,279.25 |
$3,039 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$139.88 |
$186.50 |
1.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$78.38 |
$104.50 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$617.25 |
$823 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$485.25 |
$647 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$268.12 |
$357.50 |
0.4× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$1,656.75 |
$2,209 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$571.50 |
$762 |
2.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,677 |
$2,236 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,383 |
$1,844 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$634.50 |
$846 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,185.75 |
$1,581 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,059 |
$1,412 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$780.75 |
$1,041 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,062 |
$1,416 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$882 |
$1,176 |
0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$577.50 |
$770 |
0.4× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$803.25 |
$1,071 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$860.25 |
$1,147 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$862.50 |
$1,150 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$787.50 |
$1,050 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$845.25 |
$1,127 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$842.25 |
$1,123 |
0.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,235.25 |
$1,647 |
0.4× |
| Scrotal exploration (55110) |
$663.75 |
$885 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$281.25 |
$375 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$168.75 |
$225 |
0.4× |
| Shave skin lesion 0.5 cm/< (11305) |
$177 |
$236 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$195 |
$260 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$227.25 |
$303 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$142.50 |
$190 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$243 |
$324 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$259.50 |
$346 |
0.6× |
Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$939 |
$1,252 |
0.1× |
| Shoulder arthroscopy (29805) |
$803.25 |
$1,071 |
0.2× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,025.25 |
$1,367 |
0.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,003.50 |
$1,338 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$231 |
$308 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$200.25 |
$267 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$204 |
$272 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$260.25 |
$347 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$237 |
$316 |
1.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$4,598.25 |
$6,131 |
3.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$891 |
$1,188 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$529.50 |
$706 |
0.6× |
| Sigmoidoscopy w/biopsy (45331) |
$275.25 |
$367 |
0.3× |
| Simple Cystometrogram (51725) |
$268.50 |
$358 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$299.62 |
$399.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$187.50 |
$250 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$195 |
$260 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$613.12 |
$817.50 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$144.75 |
$193 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$378 |
$504 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$402.38 |
$536.50 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$304.88 |
$406.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$423.38 |
$564.50 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$337.50 |
$450 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$942 |
$1,256 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$774.38 |
$1,032.50 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,314.38 |
$1,752.50 |
0.6× |
| Skin Tissue Procedure (17999) |
$722.25 |
$963 |
3.5× |
| Skin tissue rearrangement (14040) |
$1,238.25 |
$1,651 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,281 |
$1,708 |
0.6× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$1,449.75 |
$1,933 |
0.3× |
| Slitting of prepuce (54001) |
$330 |
$440 |
0.2× |
| Small bowel endoscopy (44366) |
$411 |
$548 |
0.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$270.75 |
$361 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$322.12 |
$429.50 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$205.12 |
$273.50 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$341.25 |
$455 |
0.8× |
| Snip incision lacrimal punctum (68440) |
$136.12 |
$181.50 |
0.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$459.75 |
$613 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$331.50 |
$442 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$827.25 |
$1,103 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$751.50 |
$1,002 |
0.2× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) likely a partial charge, not the full procedure |
$1,696.50 |
$2,262 |
0.3× |
| Strapping ankle (29540) |
$75.75 |
$101 |
0.5× |
| Strapping elbow or wrist (29260) |
$27.75 |
$37 |
0.5× |
| Strapping shoulder (29240) |
$52.50 |
$70 |
0.4× |
| Strapping toes (29550) |
$75.75 |
$101 |
1.2× |
| Strapping unna boot (29580) |
$82.50 |
$110 |
0.5× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Facility (41530) |
$698.25 |
$931 |
0.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$320.25 |
$427 |
0.1× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705) likely a partial charge, not the full procedure |
$312.75 |
$417 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$987 |
$1,316 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$941.25 |
$1,255 |
0.3× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,032 |
$1,376 |
0.1× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,008 |
$1,344 |
0.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,047 |
$1,396 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$191.25 |
$255 |
0.5× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,275 |
$1,700 |
0.2× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$725.25 |
$967 |
0.2× |
| Tenotomy flexor finger open each tendon (26455) |
$720 |
$960 |
0.4× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$412.50 |
$550 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$877.88 |
$1,170.50 |
0.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$774.75 |
$1,033 |
0.2× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,129.50 |
$1,506 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$658.50 |
$878 |
0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$539.25 |
$719 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$230.62 |
$307.50 |
0.4× |
| Thyroid biopsy (60100) |
$405 |
$540 |
0.6× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) unusually low: confirm this is the full procedure |
$1,866 |
$2,488 |
0.3× |
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,669.50 |
$2,226 |
0.3× |
Tibial Arthroscopy/Surgery (29855) likely a partial charge, not the full procedure |
$1,339.50 |
$1,786 |
0.2× |
| Tnot elbow lateral/medial debride open (24358) |
$900.75 |
$1,201 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,132.50 |
$1,510 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$550.50 |
$734 |
0.2× |
Total hip arthroplasty (27130) likely a partial charge, not the full procedure |
$2,739 |
$3,652 |
0.2× |
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$1,338.75 |
$1,785 |
0.1× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$553.50 |
$738 |
0.2× |
Tracheostoma revision; complex, with flap rotation Facility (31614) likely a partial charge, not the full procedure |
$1,304.25 |
$1,739 |
0.2× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$783 |
$1,044 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$575.25 |
$767 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$579.75 |
$773 |
0.4× |
| Tracheostomy planned (31600) |
$527.25 |
$703 |
0.2× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) likely a partial charge, not the full procedure |
$1,173 |
$1,564 |
0.2× |
| Transplant hand tendon (26480) |
$1,299.75 |
$1,733 |
0.4× |
Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,518 |
$2,024 |
0.3× |
| Treat Big Toe Fracture (28505) |
$1,134 |
$1,512 |
0.3× |
| Treat clavicle dislocation (23540) |
$395.25 |
$527 |
1.6× |
| Treat clavicle fracture (23505) |
$578.62 |
$771.50 |
0.3× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$1,997.25 |
$2,663 |
0.2× |
| Treat humerus fracture (24500) |
$355.50 |
$474 |
1.4× |
| Treat humerus fracture (23600) |
$375.38 |
$500.50 |
1.5× |
| Treat knee fracture (27532) |
$1,053 |
$1,404 |
0.3× |
Treat Knee Fracture (27535) likely a partial charge, not the full procedure |
$807.75 |
$1,077 |
0.1× |
| Treat Knee Fracture(S) (27538) |
$814.50 |
$1,086 |
3.2× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,290.75 |
$1,721 |
0.2× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$2,260.50 |
$3,014 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$438 |
$584 |
1.7× |
| Treat pleurodesis w/agent (32560) |
$438 |
$584 |
0.7× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,119.75 |
$1,493 |
0.1× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,697.25 |
$2,263 |
0.2× |
| Treat Thigh Fracture (27246) |
$795.75 |
$1,061 |
3.1× |
Treat Thigh Fracture (27245) likely a partial charge, not the full procedure |
$1,205.25 |
$1,607 |
0.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$735 |
$980 |
0.4× |
| Treat wrist bone fracture (25622) |
$519.75 |
$693 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$528.75 |
$705 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$809.25 |
$1,079 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$633 |
$844 |
2.5× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$1,392.75 |
$1,857 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) likely a partial charge, not the full procedure |
$2,092.50 |
$2,790 |
0.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$704.25 |
$939 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$700.50 |
$934 |
0.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,592.25 |
$2,123 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$360 |
$480 |
1.4× |
| Trim skin lesion (11055) |
$69.75 |
$93 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$85.50 |
$114 |
0.4× |
| Trim skin lesions over 4 (11057) |
$122.25 |
$163 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$40.50 |
$54 |
0.7× |
| Tubal ligation (58600) |
$633 |
$844 |
0.2× |
| Tube thoracostomy includes water seal (32551) |
$796.88 |
$1,062.50 |
0.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$813.75 |
$1,085 |
0.3× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,683 |
$2,244 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$586.50 |
$782 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$357 |
$476 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$661.50 |
$882 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$604.12 |
$805.50 |
1.4× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$1,812.75 |
$2,417 |
0.1× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) unusually low: confirm this is the full procedure |
$2,595.75 |
$3,461 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) unusually low: confirm this is the full procedure |
$2,703.75 |
$3,605 |
0.4× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) likely a partial charge, not the full procedure |
$1,635 |
$2,180 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) unusually low: confirm this is the full procedure |
$1,995 |
$2,660 |
0.3× |
| Tympanostomy (69433) |
$237.75 |
$317 |
0.4× |
| Tympanostomy general anesthesia (69436) |
$289.50 |
$386 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,014 |
$1,352 |
0.3× |
| Unlisted Procedure Muscskeletal System General (20999) |
$1,263 |
$1,684 |
5.0× |
| Unlisted procedure, stomach (43999) |
$3,943.50 |
$5,258 |
4.2× |
| Us urine capacity measure (51798) |
$101.25 |
$135 |
1.7× |
| Vaginal delivery only (59409) |
$1,396.50 |
$1,862 |
0.4× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$1,827.75 |
$2,437 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,052.25 |
$1,403 |
0.5× |
| Venipuncture (36415) |
$36.75 |
$49 |
3.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$282.75 |
$377 |
0.1× |
| Wedge excision skin nail fold (11765) |
$188.62 |
$251.50 |
0.4× |
| Windowing of cast (29730) |
$105 |
$140 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$678.75 |
$905 |
1.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$596.25 |
$795 |
0.8× |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) likely a partial charge, not the full procedure |
$806.25 |
$1,075 |
0.1× |