| Abd paracentesis w/imaging (49083) |
$821.75 |
$1,643.50 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,242.75 |
$2,485.50 |
1.4× |
| Abdomen Surgery Procedure (22999) |
$1,956.50 |
$3,913 |
8.3× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$6,643.50 |
$13,287 |
0.4× |
| Amniocentesis therapeutic (59001) |
$500.50 |
$1,001 |
1.7× |
| Amputation Finger/Thumb (26951) |
$1,683.50 |
$3,367 |
0.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,264 |
$6,528 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$402 |
$804 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$234.50 |
$469 |
0.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$199.50 |
$399 |
1.3× |
| Application cast elbow finger short arm (29075) |
$258.50 |
$517 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$268 |
$536 |
1.0× |
| Application finger splint static (29130) |
$127.50 |
$255 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$150 |
$300 |
1.0× |
| Application of long leg cast (29345) |
$363.50 |
$727 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$340.50 |
$681 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$133.50 |
$267 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$171 |
$342 |
1.3× |
| Apply Hand/Wrist Cast (29085) |
$211.50 |
$423 |
1.4× |
| Apply long leg splint (29505) |
$159.50 |
$319 |
1.0× |
| Apply short leg cast (29405) |
$350.75 |
$701.50 |
1.3× |
| Apply short leg splint (29515) |
$204 |
$408 |
1.3× |
| Arterial puncture (36600) |
$120.75 |
$241.50 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$369.50 |
$739 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$697.50 |
$1,395 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$455 |
$910 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$399 |
$798 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$294 |
$588 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$9,300 |
$18,600 |
0.6× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$10,295 |
$20,590 |
3.3× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$8,399.75 |
$16,799.50 |
0.7× |
Arthroplasty, radial head; with implant Facility (24366)
unusually low: confirm this is the full procedure |
$5,503.50 |
$11,007 |
0.4× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$13,050 |
$26,100 |
4.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$877.75 |
$1,755.50 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,343.25 |
$4,686.50 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$7,830 |
$15,660 |
2.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,718.63 |
$5,437.25 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,331 |
$10,662 |
1.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,324 |
$10,648 |
0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,509.01 |
$7,018.01 |
0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,744 |
$15,488 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$950 |
$1,900 |
1.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$294 |
$588 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,670 |
$7,340 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$192.50 |
$385 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,262.50 |
$2,525 |
1.4× |
| Biopsy external ear (69100) |
$227 |
$454 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,436.50 |
$4,873 |
1.5× |
| Biopsy Nail Unit Separate Procedure (11755) |
$709 |
$1,418 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,825.25 |
$3,650.50 |
0.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$882 |
$1,764 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$1,755.42 |
$3,510.83 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$2,548 |
$5,096 |
0.7× |
| Bladder Irrigation Simple (51700) |
$405.50 |
$811 |
1.7× |
| Blepharotomy drain absc eyelid (67700) |
$356 |
$712 |
1.2× |
| Blood patch (62273) |
$771 |
$1,542 |
1.1× |
| Blood transfusion service (36430) |
$664 |
$1,328 |
1.6× |
| Bx breast 1st lesion mr imag (19085) |
$2,422 |
$4,844 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$1,577.75 |
$3,155.50 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,404 |
$2,808 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$1,591.25 |
$3,182.50 |
1.0× |
| Cataract surgery complex (66982) |
$3,480 |
$6,960 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$210 |
$420 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$1,369.50 |
$2,739 |
2.0× |
| Change of cystostomy tube simple (51705) |
$240.75 |
$481.50 |
1.0× |
| Chemical cautery tissue (17250) |
$187.50 |
$375 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$369 |
$738 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,916 |
$5,832 |
0.8× |
| Claviculectomy partial (23120) |
$1,545.92 |
$3,091.84 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$341 |
$682 |
1.4× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$286 |
$572 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$341 |
$682 |
1.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$341 |
$682 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$329 |
$658 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$329 |
$658 |
1.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$329 |
$658 |
1.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$329 |
$658 |
1.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$341 |
$682 |
1.4× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$329 |
$658 |
1.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$341 |
$682 |
1.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$329 |
$658 |
1.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,557 |
$3,114 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$341 |
$682 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$291 |
$582 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$422 |
$844 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$278.50 |
$557 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,564.25 |
$3,128.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$657.50 |
$1,315 |
2.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,621 |
$3,242 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$278.50 |
$557 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$229.50 |
$459 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,330.50 |
$4,661 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$320.50 |
$641 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$278.50 |
$557 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,330.50 |
$4,661 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$329 |
$658 |
1.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,142 |
$4,284 |
1.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$329 |
$658 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$278.50 |
$557 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,927.50 |
$3,855 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$341 |
$682 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$329 |
$658 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$329 |
$658 |
1.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$341 |
$682 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,793 |
$3,586 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$329 |
$658 |
1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$355 |
$710 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,965 |
$3,930 |
1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$278.50 |
$557 |
1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,621 |
$3,242 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$291.75 |
$583.50 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$329 |
$658 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$341 |
$682 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$341 |
$682 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$329 |
$658 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,410.50 |
$2,821 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$329 |
$658 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$329 |
$658 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$295.50 |
$591 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$329 |
$658 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$329 |
$658 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$329 |
$658 |
1.4× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$281 |
$562 |
1.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,750.25 |
$3,500.50 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$380 |
$760 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$278.50 |
$557 |
1.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$329 |
$658 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$329 |
$658 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$329 |
$658 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$273 |
$546 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$238 |
$476 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$317 |
$634 |
1.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,088.50 |
$2,177 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,059.50 |
$2,119 |
4.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$341 |
$682 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$280.75 |
$561.50 |
1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,927.50 |
$3,855 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,621 |
$3,242 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,860.25 |
$3,720.50 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$125.75 |
$251.50 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$260.52 |
$521.04 |
0.2× |
| Colonoscopy stoma w/biopsy (44389) |
$756 |
$1,512 |
0.7× |
| Colonoscopy thru stoma (44388) |
$762.50 |
$1,525 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,316.50 |
$2,633 |
1.1× |
| Colonoscopy w/ablation (45388) |
$728.66 |
$1,457.33 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$864.50 |
$1,729 |
0.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$899.76 |
$1,799.51 |
0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$295.75 |
$591.50 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$203 |
$406 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$295.75 |
$591.50 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$292 |
$584 |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$292 |
$584 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$849.50 |
$1,699 |
1.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$3,311 |
$6,622 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$423.50 |
$847 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$156 |
$312 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$156 |
$312 |
1.2× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132)
unusually low: confirm this is the full procedure |
$5,475 |
$10,950 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,635 |
$3,270 |
1.0× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$976.50 |
$1,953 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$173 |
$346 |
1.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,881 |
$5,762 |
0.9× |
| Cystourethroscopy (52000) |
$571 |
$1,142 |
0.9× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$4,834 |
$9,668 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$4,881.67 |
$9,763.33 |
7.2× |
| Debride nail 1-5 (11720) |
$165.25 |
$330.50 |
2.9× |
| Debride nail 6 or more (11721) |
$59.75 |
$119.50 |
1.1× |
| Debride tissue/muscle (11043) |
$922.75 |
$1,845.50 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$479.94 |
$959.88 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,410.50 |
$2,821 |
0.9× |
| Declot vascular device (36593) |
$322.75 |
$645.50 |
1.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,275 |
$4,550 |
1.5× |
| Delivery placenta separate procedure (59414) |
$3,152 |
$6,304 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$1,190.50 |
$2,381 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$7,182 |
$14,364 |
3.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$192.50 |
$385 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$192.50 |
$385 |
1.0× |
| Diagnostic anoscopy (46601) |
$428 |
$856 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$697.50 |
$1,395 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$854 |
$1,708 |
1.0× |
| Dilate Urethra Stricture (53620) |
$673 |
$1,346 |
1.0× |
| Dilate urethra stricture (53621) |
$245.50 |
$491 |
1.0× |
| Dilate urethra stricture (53600) |
$245.50 |
$491 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$156.33 |
$312.66 |
0.2× |
| Drain Spinal Cord Cyst (62268) |
$919.50 |
$1,839 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$355.50 |
$711 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$709.50 |
$1,419 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,667.50 |
$3,335 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$399.75 |
$799.50 |
2.1× |
| Drainage of gum lesion (41800) |
$263.75 |
$527.50 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$2,002 |
$4,004 |
1.3× |
| Drainage of hydrocele (55000) |
$854.50 |
$1,709 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,015.50 |
$4,031 |
1.3× |
| Draw blood off venous device (36591) |
$178 |
$356 |
1.4× |
| Dressing change under anesthesia (15852) |
$780.50 |
$1,561 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$501.50 |
$1,003 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$247 |
$494 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$234 |
$468 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$2,320.50 |
$4,641 |
0.9× |
| Dx gastr intub w/asp spec (43754) |
$402.50 |
$805 |
1.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$945.50 |
$1,891 |
0.5× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,128.50 |
$2,257 |
0.6× |
| Egd control bleeding any (43255) |
$861.08 |
$1,722.17 |
0.5× |
| Egd dilate stricture (43245) |
$732 |
$1,464 |
0.4× |
| Egd flexible foreign body removal (43247) |
$3,873.50 |
$7,747 |
4.5× |
| Egd place gastrostomy tube (43246) |
$1,648.50 |
$3,297 |
0.9× |
| Egd remove lesion snare (43251) |
$427 |
$854 |
0.2× |
| Endometrial Biopsy (58100) |
$195.75 |
$391.50 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$129 |
$258 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,986 |
$3,972 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$684.75 |
$1,369.50 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,448 |
$2,896 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,577.75 |
$3,155.50 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,582 |
$3,164 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$466.50 |
$933 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$2,782 |
$5,564 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$709.50 |
$1,419 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,009 |
$4,018 |
1.3× |
| Exc forearm les sc 3 cm/> (25071) |
$2,067.75 |
$4,135.50 |
1.3× |
| Exc ganglion wrist recurrent (25112) |
$1,927.50 |
$3,855 |
1.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$3,824 |
$7,648 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$794.25 |
$1,588.50 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$402.50 |
$805 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$660 |
$1,320 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,577.75 |
$3,155.50 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,765 |
$5,530 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,070.50 |
$6,141 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,635 |
$3,270 |
1.0× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,228.75 |
$4,457.50 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,393.84 |
$4,787.67 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,856 |
$3,712 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,276.42 |
$4,552.84 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,731 |
$7,462 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,306.25 |
$2,612.50 |
0.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,986 |
$3,972 |
1.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,138.50 |
$4,277 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,152.67 |
$2,305.33 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$833.50 |
$1,667 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,501.50 |
$3,003 |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,047.50 |
$4,095 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,774.50 |
$3,549 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,884.50 |
$5,769 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,547 |
$3,094 |
0.6× |
| Excision Breast Lesion (19125) |
$2,548 |
$5,096 |
0.7× |
| Excision Chalazion Single (67800) |
$369 |
$738 |
1.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,684.50 |
$5,369 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$2,548 |
$5,096 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$964 |
$1,928 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$709.50 |
$1,419 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$715 |
$1,430 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$744 |
$1,488 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$964 |
$1,928 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$659.50 |
$1,319 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$709 |
$1,418 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$684.25 |
$1,368.50 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,391 |
$2,782 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,022.50 |
$4,045 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,576 |
$3,152 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$930.25 |
$1,860.50 |
1.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$872.25 |
$1,744.50 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,576 |
$3,152 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,568.25 |
$3,136.50 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$709.50 |
$1,419 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$709.50 |
$1,419 |
1.0× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,021 |
$2,042 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,577.75 |
$3,155.50 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,146 |
$2,292 |
1.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,105.50 |
$2,211 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,633 |
$3,266 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,576 |
$3,152 |
1.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,015.50 |
$4,031 |
1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,138.50 |
$4,277 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,138.50 |
$4,277 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$1,931 |
$3,862 |
1.2× |
| Fasciectomy Palm Only (26121) |
$1,865.50 |
$3,731 |
0.6× |
| Fetal non-stress test (59025) |
$201.50 |
$403 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,118.25 |
$2,236.50 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$403 |
$806 |
1.0× |
| Fit/Insert Intravag Support Device (57160) |
$203 |
$406 |
1.0× |
| Foreskin manipulation (54450) |
$249.50 |
$499 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$344 |
$688 |
1.7× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$4,823 |
$9,646 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$279.50 |
$559 |
1.2× |
| I&d abscess simple (10060) |
$192.50 |
$385 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,457 |
$4,914 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$872 |
$1,744 |
1.3× |
| I&d submucosal abscess rectum (45005) |
$1,190.50 |
$2,381 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,744 |
$3,488 |
1.1× |
| I&d vulva/perineal abscess (56405) |
$306.50 |
$613 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,635 |
$3,270 |
1.0× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$4,963 |
$9,926 |
0.6× |
| Incise external hemorrhoid (46083) |
$358 |
$716 |
1.5× |
| Incise finger tendon sheath (26055) |
$1,008.58 |
$2,017.17 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$389.50 |
$779 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$872 |
$1,744 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,015.50 |
$4,031 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$402.50 |
$805 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$203 |
$406 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$966 |
$1,932 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$1,275.50 |
$2,551 |
0.8× |
| Incision of eyelid fold (67715) |
$2,356 |
$4,712 |
1.0× |
| Incision of rectal abscess (46040) |
$1,547 |
$3,094 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$440.50 |
$881 |
0.6× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$294 |
$588 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,526 |
$5,052 |
3.0× |
| Inj tendon sheath/ligament (20550) |
$308.50 |
$617 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$536.25 |
$1,072.50 |
1.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,296.16 |
$2,592.33 |
1.5× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$304.50 |
$609 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,334 |
$4,668 |
2.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,396 |
$2,792 |
2.1× |
| Inject Tendon Origin/Insert (20551) |
$287 |
$574 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,789.88 |
$3,579.75 |
2.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,437.50 |
$2,875 |
2.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$352.75 |
$705.50 |
1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$299 |
$598 |
1.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$955.75 |
$1,911.50 |
1.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$871.50 |
$1,743 |
1.3× |
| Injection for identification of sentinel node (38792) |
$1,008.33 |
$2,016.66 |
2.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$285.25 |
$570.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$298.50 |
$597 |
1.0× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$9,390.50 |
$18,781 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$157.50 |
$315 |
1.3× |
| Insert cath pleura w/ image (32557) |
$1,615 |
$3,230 |
1.1× |
| Insert cath pleura w/o image (32556) |
$2,340.50 |
$4,681 |
1.3× |
| Insert Drug Implant Device (11981) |
$166.75 |
$333.50 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,484 |
$4,968 |
0.8× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,469 |
$8,938 |
0.4× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$2,690.50 |
$5,381 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$127.50 |
$255 |
1.0× |
| Insert tunneled cv cath (36561) |
$5,655 |
$11,310 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$124.50 |
$249 |
1.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$2,619.50 |
$5,239 |
0.3× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$3,785.50 |
$7,571 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$2,690.50 |
$5,381 |
0.3× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$2,690.50 |
$5,381 |
0.3× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$4,469 |
$8,938 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,243.25 |
$2,486.50 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,387.50 |
$4,775 |
0.8× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$2,710 |
$5,420 |
0.3× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$2,690.50 |
$5,381 |
0.3× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$227 |
$454 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$338.25 |
$676.50 |
1.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$349 |
$698 |
1.5× |
| Knee Arthroscopy/Surgery (29879) |
$8,410 |
$16,820 |
2.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,055 |
$10,110 |
0.7× |
| Lap ing hernia repair init (49650) |
$19,575 |
$39,150 |
3.4× |
| Laparoscopy appendectomy (44970) |
$8,265 |
$16,530 |
1.4× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$391.50 |
$783 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$240.50 |
$481 |
1.3× |
| Ligation of hemorrhoid(s) (46221) |
$1,274 |
$2,548 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$2,668.75 |
$5,337.50 |
1.7× |
| Manipulation knee joint under general anesthesia (27570) |
$385.25 |
$770.50 |
0.2× |
| Mast mod rad (19307) |
$4,033.34 |
$8,066.67 |
0.6× |
| Mastectomy simple complete (19303) |
$4,362.50 |
$8,725.01 |
0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,131.25 |
$2,262.50 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$489.75 |
$979.50 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$45.25 |
$90.50 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$54.50 |
$109 |
2.0× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,456 |
$2,912 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$550.50 |
$1,101 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$2,831.25 |
$5,662.50 |
4.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$529.50 |
$1,059 |
2.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,314.75 |
$2,629.50 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,623 |
$5,246 |
3.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$895 |
$1,790 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$847 |
$1,694 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,150.25 |
$2,300.50 |
1.7× |
| Occipital Nerve Block (64405) |
$442.75 |
$885.50 |
1.5× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$250 |
$500 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,317.50 |
$4,635 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,639 |
$5,278 |
0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$14,355 |
$28,710 |
2.1× |
| Open Treatment Medial Malleolus Fracture (27766) |
$12,475.75 |
$24,951.50 |
1.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$5,850 |
$11,700 |
0.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$16,095 |
$32,190 |
2.3× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$17,163.50 |
$34,327 |
2.5× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge, not the full procedure |
$2,132.63 |
$4,265.25 |
0.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$21,605 |
$43,210 |
3.1× |
| Open Treatment Proximal Humeral Fracture (23615) |
$21,605 |
$43,210 |
1.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$9,461.25 |
$18,922.50 |
1.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,264 |
$6,528 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$12,180 |
$24,360 |
1.7× |
| Open tx ulnar fx proximal end (24685) |
$13,050 |
$26,100 |
1.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$14,047.75 |
$28,095.50 |
2.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$9,763.34 |
$19,526.67 |
1.4× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$9,497.50 |
$18,995 |
1.4× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$3,350 |
$6,700 |
0.5× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,134 |
$6,268 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,961.50 |
$3,923 |
1.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$5,655 |
$11,310 |
1.8× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$5,800 |
$11,600 |
1.8× |
| Pericardiocentesis W/Imaging (33016) |
$2,526.50 |
$5,053 |
1.7× |
| Perq device breast 1st imag (19281) |
$2,409 |
$4,818 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$239.50 |
$479 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$684.75 |
$1,369.50 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,055 |
$10,110 |
0.7× |
| Perq Vertebral Augmentation (22513) |
$5,055 |
$10,110 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,481.50 |
$6,963 |
1.1× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,481.50 |
$6,963 |
1.1× |
| Picc line placement (36569) |
$1,243.25 |
$2,486.50 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$400.75 |
$801.50 |
0.9× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,187 |
$4,374 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,170.50 |
$6,341 |
0.5× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$6,380 |
$12,760 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$402.50 |
$805 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,273 |
$2,546 |
1.9× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$484 |
$968 |
1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$697.50 |
$1,395 |
1.0× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$1,241 |
$2,482 |
1.4× |
| Reduce testis torsion (54600) |
$3,476.50 |
$6,953 |
1.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$3,617.25 |
$7,234.50 |
0.5× |
| Relocation of skin pocket for pacemaker (33222) |
$1,976.50 |
$3,953 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,146.50 |
$2,293 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,456 |
$2,912 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$709.50 |
$1,419 |
1.0× |
| Removal foreign body intranasal (30300) |
$150.50 |
$301 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,462 |
$2,924 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$88 |
$176 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$78.50 |
$157 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,205 |
$6,410 |
1.0× |
| Removal implant deep (20680) |
$8,523.25 |
$17,046.50 |
3.1× |
| Removal of anal fissure (46200) |
$2,697 |
$5,394 |
1.0× |
| Removal of embedded foreign body, eyelid (67938) |
$356 |
$712 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,190.50 |
$2,381 |
1.0× |
| Removal of finger lesion (26210) |
$1,471.50 |
$2,943 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$507.50 |
$1,015 |
1.2× |
| Removal of iud (58301) |
$292 |
$584 |
1.0× |
| Removal of nail bed (11750) |
$403 |
$806 |
1.0× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$15,805 |
$31,610 |
2.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$198.84 |
$397.66 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$9,376.67 |
$18,753.34 |
6.1× |
| Remove drug implant device (11982) |
$428 |
$856 |
1.0× |
| Remove foreign body from eye (65235) |
$2,349.50 |
$4,699 |
1.1× |
| Remove/Insert Drug Implant (11983) |
$428 |
$856 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$137.25 |
$274.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$150.50 |
$301 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,484 |
$4,968 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$758.50 |
$1,517 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$488.50 |
$977 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$693.75 |
$1,387.50 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$714 |
$1,428 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$719 |
$1,438 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,927.50 |
$3,855 |
1.2× |
| Repair eyelid defect (67916) |
$2,351.50 |
$4,703 |
1.0× |
| Repair hand tendon (26410) |
$1,564.25 |
$3,128.50 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,185 |
$6,370 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$606.50 |
$1,213 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$484 |
$968 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$484 |
$968 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$531.34 |
$1,062.66 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$554 |
$1,108 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$853 |
$1,706 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$484 |
$968 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$501.50 |
$1,003 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$530.83 |
$1,061.66 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$501.50 |
$1,003 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$402.50 |
$805 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$501.50 |
$1,003 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$501.50 |
$1,003 |
1.3× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$7,176 |
$14,352 |
1.3× |
| Repair lead pace-defib dual (33220) |
$2,728 |
$5,456 |
0.8× |
| Repair lead pace-defib one (33218) |
$2,728 |
$5,456 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,890 |
$23,780 |
1.9× |
| Repair of eye wound (65270) |
$2,277.50 |
$4,555 |
1.0× |
| Repair of nail bed (11760) |
$693.75 |
$1,387.50 |
1.0× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$22,910 |
$45,820 |
1.9× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$3,516.25 |
$7,032.50 |
0.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$3,867.50 |
$7,735 |
0.6× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,525.25 |
$5,050.50 |
0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,948.25 |
$13,896.50 |
1.0× |
| Repair Tongue Laceration (41250) |
$507.50 |
$1,015 |
1.2× |
| Repeat control of nosebleed (30906) |
$227 |
$454 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,728 |
$5,456 |
0.8× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,132.63 |
$4,265.25 |
0.7× |
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure |
$5,587.50 |
$11,175 |
0.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$9,525 |
$19,050 |
0.8× |
| Revise spine eltrd perq aray (63663) |
$3,170.50 |
$6,341 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$2,093 |
$4,186 |
1.1× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$6,552 |
$13,104 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$4,550 |
$9,100 |
0.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$6,700 |
$13,400 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,109.50 |
$2,219 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$149.50 |
$299 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,001 |
$2,002 |
0.4× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,031.50 |
$4,063 |
0.9× |
| Rmvl of subq defibrillator (33272) |
$2,728 |
$5,456 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,508 |
$3,016 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$814.75 |
$1,629.50 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$2,957.50 |
$5,915 |
0.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,304.58 |
$4,609.16 |
0.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$3,725 |
$7,450 |
0.6× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure |
$2,457 |
$4,914 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure |
$2,502.50 |
$5,005 |
0.4× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure |
$2,411.50 |
$4,823 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$708 |
$1,416 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,281 |
$2,562 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$579.50 |
$1,159 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$388.25 |
$776.50 |
1.0× |
| Shave skin lesion 0.5 cm/< (11305) |
$427.25 |
$854.50 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$192 |
$384 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,134 |
$6,268 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$276 |
$552 |
1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$202.50 |
$405 |
1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$202.50 |
$405 |
1.1× |
| Sigmoidoscopy w/biopsy (45331) |
$396.50 |
$793 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$762.50 |
$1,525 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$228.25 |
$456.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$234 |
$468 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$266.25 |
$532.50 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$242.50 |
$485 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$234 |
$468 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$266.25 |
$532.50 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$708 |
$1,416 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$708 |
$1,416 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$244.50 |
$489 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$484 |
$968 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$484 |
$968 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$907.50 |
$1,815 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$968.50 |
$1,937 |
1.4× |
| Strapping unna boot (29580) |
$199.50 |
$399 |
1.3× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$341.50 |
$683 |
1.1× |
| Suture infrapatellar tendon primary (27380) |
$7,255.75 |
$14,511.50 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$20,010 |
$40,020 |
2.9× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$10,875 |
$21,750 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$312.50 |
$625 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$3,739.25 |
$7,478.50 |
0.5× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,540 |
$3,080 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,058 |
$4,116 |
1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$6,582.50 |
$13,165 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$737.75 |
$1,475.50 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$484.50 |
$969 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$7,917 |
$15,834 |
1.4× |
| Tnot elbow lateral/medial debride open (24358) |
$2,411.50 |
$4,823 |
0.8× |
| Total hip arthroplasty (27130) |
$6,562.50 |
$13,125 |
0.5× |
| Total Knee Arthroplasty (27447) |
$8,400 |
$16,800 |
0.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$3,175.50 |
$6,351 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$246.50 |
$493 |
1.1× |
| Tracheostomy planned (31600) |
$3,175.50 |
$6,351 |
1.0× |
| Treat humerus fracture (24500) |
$329 |
$658 |
1.4× |
| Treat humerus fracture (23600) |
$329 |
$658 |
1.4× |
| Treat Lower Leg Fracture (27828) |
$14,355 |
$28,710 |
1.2× |
| Treat shoulder blade fx (23575) |
$1,515.75 |
$3,031.50 |
1.0× |
| Treat Thigh Fracture (27246) |
$315.50 |
$631 |
1.3× |
| Treat Thigh Fracture (27245) |
$23,598.25 |
$47,196.50 |
3.4× |
| Treat Thumb Dislocation (26641) |
$238 |
$476 |
1.0× |
| Treat wrist bone fracture (25622) |
$329 |
$658 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$329 |
$658 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$268.75 |
$537.50 |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$329 |
$658 |
1.4× |
| Trim skin lesion (11055) |
$195.25 |
$390.50 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$193.50 |
$387 |
1.0× |
| Trim skin lesions over 4 (11057) |
$247 |
$494 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$59.75 |
$119.50 |
1.1× |
| Tube thoracostomy includes water seal (32551) |
$1,999.50 |
$3,999 |
1.3× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$23,345 |
$46,690 |
1.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,182 |
$4,364 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$740 |
$1,480 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$501.50 |
$1,003 |
1.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$6,643.50 |
$13,287 |
0.5× |
| Unlisted procedure anus (46999) |
$1,912.50 |
$3,825 |
2.1× |
| Unlisted procedure colon (45399) |
$1,401 |
$2,802 |
1.6× |
| Unlisted Procedure Conjunctiva (68399) |
$304 |
$608 |
1.0× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,233.50 |
$12,467 |
27.4× |
| Unlisted procedure nervous system (64999) |
$490.25 |
$980.50 |
1.7× |
| Unlisted Procedure Small Intestine (44799) |
$1,782.50 |
$3,565 |
2.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$201.50 |
$403 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$201.50 |
$403 |
1.0× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,469 |
$8,938 |
0.4× |
| Us urine capacity measure (51798) |
$116.75 |
$233.50 |
2.1× |
| Vaginal delivery only (59409) |
$3,152 |
$6,304 |
1.0× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,205 |
$6,410 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,553.50 |
$3,107 |
0.8× |
| Venipuncture (36415) |
$6 |
$12 |
0.6× |
| Wedge excision skin nail fold (11765) |
$388.75 |
$777.50 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$617.50 |
$1,235 |
1.6× |