| Abd paracentesis w/imaging (49083) |
$1,049.30 |
— |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,049.30 |
— |
1.2× |
| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845) |
$5,757.54 |
— |
1.2× |
| Ablate inf turbinate submuc (30802) |
$1,765.31 |
— |
1.2× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$15,234.65 |
— |
0.9× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,765.31 |
— |
1.2× |
| Abortion (59841) |
$3,618.91 |
— |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$3,746.79 |
— |
1.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,110.93 |
— |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,152.85 |
— |
1.2× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,110.93 |
— |
1.1× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,110.93 |
— |
1.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,110.93 |
— |
1.1× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,110.93 |
— |
1.1× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$8,281.17 |
— |
1.2× |
| Alveolectomy, including curettage of osteitis or sequestrectomy (41830) |
$3,726.86 |
— |
1.2× |
| Amniocentesis diagnostic (59000) |
$930.57 |
— |
1.1× |
| Amniocentesis therapeutic (59001) |
$371.35 |
— |
1.3× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$3,746.79 |
— |
1.2× |
| Amp thigh thru femur sec closure/scar revision (27594) |
$3,746.79 |
— |
1.2× |
| Amputate hand at wrist (25922) |
$1,860.42 |
— |
1.2× |
| Amputate metacarpal bone (26910) |
$3,746.79 |
— |
1.2× |
| Amputation Finger/Thumb (26951) |
$3,746.79 |
— |
1.2× |
| Amputation follow-up surgery (25929) |
$2,110.93 |
— |
1.1× |
| Amputation follow-up surgery (24925) |
$3,746.79 |
— |
1.2× |
| Amputation follow-up surgery (25907) |
$3,746.79 |
— |
1.2× |
| Amputation follow-up surgery (23921) |
$2,110.93 |
— |
1.1× |
| Amputation metatarsal with toe single (28810) |
$3,746.79 |
— |
1.2× |
| Amputation of finger/thumb (26952) |
$3,746.79 |
— |
1.2× |
| Amputation of penis; partial (54120) |
$4,035.39 |
— |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$3,746.79 |
— |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,746.79 |
— |
1.2× |
| Amputation, foot; transmetatarsal (28805) |
$3,746.79 |
— |
1.2× |
| Analyze infusn pump+reprogram (62368) |
$345.75 |
— |
1.2× |
| Analyze spine infus pump (62367) |
$345.75 |
— |
1.2× |
| Ankle arthroscopy (29899) |
$8,281.17 |
— |
1.2× |
| Ankle arthroscopy/surgery (29892) |
$8,281.17 |
— |
1.2× |
| Ankle arthroscopy/surgery (29894) |
$3,746.79 |
— |
1.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$3,746.79 |
— |
1.2× |
| Ankle scope,part synovectomy (29895) |
$3,746.79 |
— |
1.2× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$3,250.15 |
— |
1.2× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$3,250.15 |
— |
1.2× |
| Anoscopy (46611) |
$1,057.95 |
— |
1.2× |
| Anoscopy Ablation Lesion (46615) |
$3,250.15 |
— |
1.2× |
| Anoscopy control bleeding (46614) |
$1,365.99 |
— |
1.2× |
| Anoscopy diagnostic (46600) |
$147.87 |
— |
1.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,057.95 |
— |
1.2× |
| Anoscopy w/rmvl lesion cautery (46610) |
$3,250.15 |
— |
1.2× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,365.99 |
— |
1.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,365.99 |
— |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,250.15 |
— |
1.2× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,757.54 |
— |
1.2× |
| Anterior Tibial Tubercleplasty (27418) |
$8,281.17 |
— |
1.2× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$1,860.42 |
— |
1.2× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$1,765.31 |
— |
1.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$182.39 |
— |
1.2× |
| Application cast elbow finger short arm (29075) |
$310.87 |
— |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$182.39 |
— |
1.2× |
| Application cast shoulder hand long arm (29065) |
$310.87 |
— |
1.2× |
| Application Cast Shoulder Spica (29055) |
$310.87 |
— |
1.2× |
| Application Finger Splint Dynamic (29131) |
$70.80 |
— |
1.2× |
| Application finger splint static (29130) |
$147.87 |
— |
1.2× |
| Application halo type body cast (29000) |
$310.87 |
— |
1.2× |
| Application Hip Spica Cast 1 Leg (29305) |
$310.87 |
— |
1.2× |
| Application long arm splint shoulder hand (29105) |
$182.39 |
— |
1.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$310.87 |
— |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$182.39 |
— |
1.2× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$15,234.65 |
— |
1.2× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$8,281.17 |
— |
1.2× |
| Application Of Body Cast (29015) |
$310.87 |
— |
1.2× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$310.87 |
— |
1.2× |
| Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) |
$310.87 |
— |
1.2× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$310.87 |
— |
1.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$310.87 |
— |
1.2× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$310.87 |
— |
1.2× |
| Application of long leg cast (29345) |
$310.87 |
— |
1.2× |
| Application of pelvis brace (20662) |
$1,860.42 |
— |
1.2× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$310.87 |
— |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$310.87 |
— |
1.2× |
| Application of shoulder to hip body cast and thigh (29044) |
$182.39 |
— |
1.2× |
| Application of thigh brace (20663) |
$3,746.79 |
— |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$147.87 |
— |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$147.87 |
— |
1.2× |
| Application short leg splint calf foot (29515) |
$182.39 |
— |
1.2× |
| Application, cast; figure-of-eight (29049) |
$310.87 |
— |
1.2× |
| Apply Body Cast,Risser Jacket (29010) |
$310.87 |
— |
1.2× |
| Apply long leg cast brace (29358) |
$310.87 |
— |
1.2× |
| Apply of clubfoot cast (29450) |
$182.39 |
— |
1.2× |
| Apply patella tendon bearing cast (29435) |
$310.87 |
— |
1.2× |
| Apply short leg cast (29405) |
$310.87 |
— |
1.2× |
| Apply short leg cast (29425) |
$310.87 |
— |
1.2× |
| Aqueous shunt to extraocular reservoir (66180) |
$4,706.41 |
— |
0.9× |
| Arrest Epiphyseal Open Distal Fibula (27732) |
$3,746.79 |
— |
1.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$3,746.79 |
— |
1.2× |
| Arterial puncture (36600) |
$147.87 |
— |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,689.67 |
— |
1.2× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$6,361.13 |
— |
1.2× |
| Artery to vein shunt (36835) |
$3,689.67 |
— |
1.2× |
| Artery-vein autograft (36825) |
$6,361.13 |
— |
1.2× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$8,281.17 |
— |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$342.85 |
— |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$800.50 |
— |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$342.85 |
— |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$342.85 |
— |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$342.85 |
— |
1.2× |
| Arthrodesis ankle open (27870) |
$15,234.65 |
— |
1.2× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$15,234.65 |
— |
1.2× |
| Arthrodesis Glenohumeral Joint (23800) |
$8,281.17 |
— |
1.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,281.17 |
— |
1.2× |
| Arthrodesis Pantalar (28705) |
$21,572.14 |
— |
1.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$21,572.14 |
— |
1.3× |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
$15,234.65 |
— |
1.2× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$15,234.65 |
— |
1.2× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other… (26844) |
$8,281.17 |
— |
1.2× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$8,281.17 |
— |
1.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$21,572.14 |
— |
0.8× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$8,281.17 |
— |
1.2× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$21,572.14 |
— |
1.3× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$15,234.65 |
— |
1.2× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
$15,234.65 |
— |
1.2× |
| Arthrodesis; subtalar (28725) |
$15,234.65 |
— |
1.2× |
| Arthroplasty Ankle W/Implant (27702) |
$21,572.14 |
— |
0.8× |
| Arthroplasty elbow w/membrane (24360) |
$8,281.17 |
— |
1.2× |
| Arthroplasty knee fc/tp (27442) |
$15,234.65 |
— |
1.2× |
| Arthroplasty knee tibial plateau (27440) |
$15,234.65 |
— |
1.2× |
| Arthroplasty radial head w/implant (24366) |
$15,234.65 |
— |
1.2× |
| Arthroplasty with prosthetic replacement; distal radius (25441) |
$15,234.65 |
— |
1.2× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) |
$15,234.65 |
— |
1.2× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
$15,234.65 |
— |
1.2× |
| Arthroplasty, patella; with prosthesis (27438) |
$15,234.65 |
— |
1.2× |
| Arthroplasty, patella; without prosthesis (27437) |
$8,281.17 |
— |
1.2× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,281.17 |
— |
1.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$15,234.65 |
— |
1.2× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$1,860.42 |
— |
1.2× |
| Arthroscopy ankle; ext debridem (29898) |
$3,746.79 |
— |
1.2× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$3,746.79 |
— |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,746.79 |
— |
1.2× |
| Arthroscopy of joint (29999) |
$272.98 |
— |
1.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$15,234.65 |
— |
1.2× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy High Cost/Complex Surgery (29900) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$1,860.42 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,746.79 |
— |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,281.17 |
— |
1.2× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) High… (29800) |
$3,746.79 |
— |
1.2× |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
$3,746.79 |
— |
1.2× |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
$3,746.79 |
— |
1.2× |
| Arthrotomy temporomandibular joint (21010) |
$3,726.86 |
— |
1.2× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,860.42 |
— |
1.2× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$1,860.42 |
— |
1.2× |
| Arthrotomy with biopsy; carpometacarpal joint, each (26100) |
$3,746.79 |
— |
1.2× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
$3,746.79 |
— |
1.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$3,746.79 |
— |
1.2× |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
$3,746.79 |
— |
1.2× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$3,746.79 |
— |
1.2× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, elbow; with synovectomy (24102) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$3,746.79 |
— |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$3,746.79 |
— |
1.2× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$8,281.17 |
— |
1.2× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$3,746.79 |
— |
1.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,860.42 |
— |
1.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,746.79 |
— |
1.2× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,746.79 |
— |
1.2× |
| Arthrtomy w/bx interphalangeal joint (28054) |
$3,746.79 |
— |
1.2× |
| Artif insemination,intra-cervical (58321) |
$371.35 |
— |
1.3× |
| Artificial insemination (58322) |
$230.66 |
— |
1.2× |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
$3,689.67 |
— |
1.2× |
| Aspir/inj thyroid cyst (60300) |
$814.42 |
— |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$342.85 |
— |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,357.71 |
— |
1.2× |
| Attach ocular implant (65140) |
$4,475.53 |
— |
1.2× |
| Augmentation cheek bone (21270) |
$6,778.80 |
— |
1.2× |
| Autochondrocyte implant knee (27412) |
$8,281.17 |
— |
1.2× |
| Av fistula revision (36833) |
$6,361.13 |
— |
1.2× |
| Av Fuse Uppr Arm Basilic (36819) |
$6,361.13 |
— |
1.2× |
| Av fusion/forearm vein (36820) |
$6,361.13 |
— |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$231.74 |
— |
1.2× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$6,679.03 |
— |
1.1× |
| Axillary lymphadenectomy; complete (38745) |
$6,679.03 |
— |
1.1× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$8,757.51 |
— |
1.4× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$8,757.51 |
— |
1.4× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$4,004.73 |
— |
0.6× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$11,915.47 |
— |
1.2× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,915.47 |
— |
1.2× |
| Biopsy Bone Open Deep (20245) |
$3,289.16 |
— |
1.2× |
| Biopsy bone open superficial (20240) |
$3,289.16 |
— |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,876.72 |
— |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,876.72 |
— |
1.2× |
| Biopsy Breast Open Incisional (19101) |
$4,412.27 |
— |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$930.57 |
— |
1.1× |
| Biopsy external auditory canal (69105) |
$1,765.31 |
— |
1.2× |
| Biopsy external ear (69100) |
$282.74 |
— |
1.2× |
| Biopsy finger joint lining (26110) |
$1,860.42 |
— |
1.2× |
| Biopsy intranasal (30100) |
$1,765.31 |
— |
1.2× |
| Biopsy muscle deep (20205) |
$3,289.16 |
— |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,876.72 |
— |
1.2× |
| Biopsy Muscle Superficial (20200) |
$1,876.72 |
— |
1.2× |
| Biopsy Nerve (64795) |
$2,234.97 |
— |
1.2× |
| Biopsy of bowel (44100) |
$1,049.30 |
— |
1.2× |
| Biopsy of cornea (65410) |
$2,704.95 |
— |
1.2× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$3,289.16 |
— |
1.2× |
| Biopsy of epididymis (54800) |
$1,876.72 |
— |
1.2× |
| Biopsy of eyelid lining (68100) |
$2,704.95 |
— |
1.2× |
| Biopsy of floor of mouth (41108) |
$1,876.72 |
— |
1.2× |
| Biopsy of lacrimal gland (68510) |
$2,704.95 |
— |
1.2× |
| Biopsy of lip (40490) |
$282.74 |
— |
1.2× |
| Biopsy of mouth lesion (40808) |
$636.89 |
— |
1.2× |
| Biopsy of palate, uvula (42100) |
$1,765.31 |
— |
1.2× |
| Biopsy of penis (54105) |
$3,289.16 |
— |
1.2× |
| Biopsy of penis (54100) |
$1,876.72 |
— |
1.2× |
| Biopsy of prostate (55705) |
$4,035.39 |
— |
1.2× |
| Biopsy of shoulder joint (23100) |
$3,746.79 |
— |
1.2× |
| Biopsy of tear sac (68525) |
$2,704.95 |
— |
1.2× |
| Biopsy of tongue (41100) |
$636.89 |
— |
1.2× |
| Biopsy of urethra (53200) |
$2,357.71 |
— |
1.2× |
| Biopsy of uterus lining (58100) |
$230.66 |
— |
1.2× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$4,412.27 |
— |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,412.27 |
— |
1.2× |
| Biopsy Oropharynx (42800) |
$1,765.31 |
— |
1.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,876.72 |
— |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,876.72 |
— |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$1,765.31 |
— |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$814.42 |
— |
1.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,876.72 |
— |
1.2× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$3,289.16 |
— |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,876.72 |
— |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,876.72 |
— |
1.2× |
| Biopsy soft tissue of back (21920) |
$1,876.72 |
— |
1.2× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,876.72 |
— |
1.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,289.16 |
— |
1.2× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,876.72 |
— |
1.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,289.16 |
— |
1.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,876.72 |
— |
1.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,876.72 |
— |
1.2× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,876.72 |
— |
1.2× |
| Biopsy testis incisional separate procedure (54505) |
$4,035.39 |
— |
1.2× |
| Biopsy Testis Needle Separate Procedure (54500) |
$3,289.16 |
— |
1.2× |
| Biopsy tongue posterior one-third (41105) |
$3,726.86 |
— |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,618.91 |
— |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$930.57 |
— |
1.1× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$3,289.16 |
— |
1.2× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,876.72 |
— |
1.2× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,876.72 |
— |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$4,412.27 |
— |
1.2× |
| Biopsy/removal lymph nodes (38510) |
$4,412.27 |
— |
1.2× |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
$3,726.86 |
— |
1.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$790.73 |
— |
1.2× |
| Bladder Irrigation Simple (51700) |
$286.09 |
— |
1.2× |
| Bladder Scan (51798) |
$70.80 |
— |
1.2× |
| Blepharoplasty lower eyelid (15820) |
$2,110.93 |
— |
1.1× |
| Blepharoplasty upper eyelid (15822) |
$2,110.93 |
— |
1.1× |
| Blood patch (62273) |
$800.50 |
— |
1.2× |
| Blood transfusion service (36430) |
$502.50 |
— |
1.2× |
| Blood/Lymph System Procedure (38999) |
$502.50 |
— |
1.2× |
| Bone graft, any donor area; major or large (20902) |
$8,281.17 |
— |
1.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$8,281.17 |
— |
1.2× |
| Bone marrow aspiration only (38220) |
$1,876.72 |
— |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,876.72 |
— |
1.2× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$800.50 |
— |
1.2× |
| Breast augmentation with implant (19325) |
$10,911.79 |
— |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,964.67 |
— |
1.1× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$7,922.61 |
— |
1.2× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,334.83 |
— |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,964.67 |
— |
1.1× |
| Bronchoscopy bronch stents (31636) |
$7,922.61 |
— |
1.2× |
| Bronchoscopy dilate/fx repr (31630) |
$4,334.83 |
— |
1.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,334.83 |
— |
1.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,964.67 |
— |
1.1× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$7,922.61 |
— |
1.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,964.67 |
— |
1.1× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,964.67 |
— |
1.1× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$472.66 |
— |
1.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,334.83 |
— |
1.2× |
| Bronchoscopy w/tumor excise (31640) |
$4,334.83 |
— |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,964.67 |
— |
1.1× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,964.67 |
— |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,876.72 |
— |
1.2× |
| Bx anorectal wall anal approach (45100) |
$3,250.15 |
— |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$1,876.72 |
— |
1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,876.72 |
— |
1.2× |
| Bx vulva/perineum 1 lesion (56605) |
$930.57 |
— |
1.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,876.72 |
— |
1.2× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$4,412.27 |
— |
1.2× |
| Canthotomy Separate Procedure (67715) |
$2,704.95 |
— |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,746.79 |
— |
1.2× |
| Capsular Contracture Release (23020) |
$3,746.79 |
— |
1.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,746.79 |
— |
1.2× |
| Capsulodesis Mtcarphlngl Joint 2 Digits (26517) |
$3,746.79 |
— |
1.2× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$8,281.17 |
— |
1.2× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$8,281.17 |
— |
1.2× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$1,860.42 |
— |
1.2× |
| Capsulotomy Midtarsal (28264) |
$1,860.42 |
— |
1.2× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$3,746.79 |
— |
1.2× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,860.42 |
— |
1.2× |
| Carpectomy All Bones Proximal Row (25215) |
$3,746.79 |
— |
1.2× |
| Cartilage graft; costochondral (20910) |
$727 |
— |
1.0× |
| Cataract surgery complex (66982) |
$2,697.51 |
— |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$246.89 |
— |
1.2× |
| Catheterization W/Bronchial Brush Biopsy (31717) |
$472.66 |
— |
1.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$371.35 |
— |
1.3× |
| Cautery Cervix Electro/Thermal (57510) |
$3,618.91 |
— |
1.2× |
| Cautery cervix laser ablation (57513) |
$3,618.91 |
— |
1.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,618.91 |
— |
1.2× |
| Cerv artific diskectomy (22856) |
$21,572.14 |
— |
1.3× |
| Cervical lymphadenectomy (complete) (38720) |
$7,548.48 |
— |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$790.73 |
— |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$286.09 |
— |
1.2× |
| Change gastric port open (43888) |
$4,152.85 |
— |
1.2× |
| Chemical Cautery Tissue (17250) |
$231.74 |
— |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$800.50 |
— |
1.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$800.50 |
— |
1.2× |
| Chemodenerv Musc Migraine (64615) |
$342.85 |
— |
1.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$342.85 |
— |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$800.50 |
— |
1.2× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$342.85 |
— |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$342.85 |
— |
1.2× |
| Chest tube placement (32551) |
$1,853.86 |
— |
1.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,357.71 |
— |
1.2× |
| Chorionic villus sampling (59015) |
$930.57 |
— |
1.1× |
| Chromotubation of oviduct, including materials (58350) |
$5,757.54 |
— |
1.2× |
| Ciliary body dstrj cyclophotocoag endoscopic (66711) |
$2,697.51 |
— |
1.2× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,704.95 |
— |
1.2× |
| Circum 28 days or older (54161) |
$2,357.71 |
— |
1.2× |
| Circumcision (54150) |
$2,357.71 |
— |
1.2× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$342.85 |
— |
1.2× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$342.85 |
— |
1.2× |
| Claviculectomy; partial (23120) |
$3,746.79 |
— |
1.2× |
| Claviculectomy; total (23125) |
$3,746.79 |
— |
1.2× |
| Clean out mastoid cavity (69222) |
$636.89 |
— |
1.2× |
| Clearance of tear duct (68530) |
$337.21 |
— |
1.1× |
| Close mastoid fistula (69700) |
$1,765.31 |
— |
1.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,860.42 |
— |
1.2× |
| Close tear duct opening (68761) |
$337.21 |
— |
1.1× |
| Close Tear Duct Opening (68760) |
$337.21 |
— |
1.1× |
| Close tear system fistula (68770) |
$2,704.95 |
— |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$272.98 |
— |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,860.42 |
— |
1.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$272.98 |
— |
1.2× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,765.31 |
— |
1.2× |
| Closed Rx Med Malleolus Fx (27760) |
$272.98 |
— |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,860.42 |
— |
1.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,860.42 |
— |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,860.42 |
— |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$272.98 |
— |
1.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,860.42 |
— |
1.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,860.42 |
— |
1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$272.98 |
— |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$272.98 |
— |
1.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$272.98 |
— |
1.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,860.42 |
— |
1.2× |
| Closed Rx Trimalleolar Fx (27816) |
$272.98 |
— |
1.2× |
| Closed Treat Vert Body Fract (22310) |
$272.98 |
— |
1.2× |
| Closed treat wrist dislocation (25660) |
$272.98 |
— |
1.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$272.98 |
— |
1.2× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,726.86 |
— |
1.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$272.98 |
— |
1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$272.98 |
— |
1.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$272.98 |
— |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$272.98 |
— |
1.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$3,746.79 |
— |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$272.98 |
— |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$272.98 |
— |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$272.98 |
— |
1.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$272.98 |
— |
1.2× |
| Closed Treatment Sternum Fracture (21820) |
$272.98 |
— |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$272.98 |
— |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$272.98 |
— |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,860.42 |
— |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$272.98 |
— |
1.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$272.98 |
— |
1.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$272.98 |
— |
1.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,860.42 |
— |
1.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$272.98 |
— |
1.2× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,765.31 |
— |
1.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,860.42 |
— |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$272.98 |
— |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,860.42 |
— |
1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$636.89 |
— |
1.2× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,778.80 |
— |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$272.98 |
— |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,860.42 |
— |
1.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,765.31 |
— |
1.2× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,765.31 |
— |
1.2× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,726.86 |
— |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$272.98 |
— |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$272.98 |
— |
1.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$272.98 |
— |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,860.42 |
— |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$272.98 |
— |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,860.42 |
— |
1.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$272.98 |
— |
1.2× |
| Closed tx septal&nose fx (21337) |
$3,726.86 |
— |
1.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$272.98 |
— |
1.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$272.98 |
— |
1.2× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$3,746.79 |
— |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,860.42 |
— |
1.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$272.98 |
— |
1.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,765.31 |
— |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$272.98 |
— |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,860.42 |
— |
1.2× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$272.98 |
— |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$272.98 |
— |
1.2× |
| Closure cystostomy separate procedure (51880) |
$4,035.39 |
— |
1.2× |
| Closure of gastrostomy surgical (43870) |
$4,433.13 |
— |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$282.74 |
— |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$636.89 |
— |
1.2× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$3,618.91 |
— |
1.2× |
| Closure of salivary fistula (42600) |
$3,726.86 |
— |
1.2× |
| Closure of urethrovaginal fistula; (57310) |
$8,747.05 |
— |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$272.98 |
— |
1.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$272.98 |
— |
1.2× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,860.42 |
— |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$272.98 |
— |
1.2× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$636.89 |
— |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,860.42 |
— |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$272.98 |
— |
1.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,860.42 |
— |
1.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$272.98 |
— |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,860.42 |
— |
1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$272.98 |
— |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$272.98 |
— |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$272.98 |
— |
1.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,860.42 |
— |
1.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$272.98 |
— |
1.2× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,860.42 |
— |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$272.98 |
— |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$272.98 |
— |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$272.98 |
— |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$272.98 |
— |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$272.98 |
— |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,860.42 |
— |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,860.42 |
— |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$272.98 |
— |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$272.98 |
— |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,860.42 |
— |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$272.98 |
— |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$272.98 |
— |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$272.98 |
— |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$272.98 |
— |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,860.42 |
— |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$272.98 |
— |
1.2× |
| Cltx greater trochanteric fx w/o manj (27246) |
$272.98 |
— |
1.2× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,860.42 |
— |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$272.98 |
— |
1.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,860.42 |
— |
1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$310.87 |
— |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$272.98 |
— |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$272.98 |
— |
1.2× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,726.86 |
— |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$272.98 |
— |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$272.98 |
— |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,860.42 |
— |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$272.98 |
— |
1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,860.42 |
— |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$272.98 |
— |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$272.98 |
— |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$272.98 |
— |
1.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,860.42 |
— |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$272.98 |
— |
1.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,860.42 |
— |
1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$272.98 |
— |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,860.42 |
— |
1.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,746.79 |
— |
1.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$272.98 |
— |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$272.98 |
— |
1.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,860.42 |
— |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,860.42 |
— |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,860.42 |
— |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,860.42 |
— |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$272.98 |
— |
1.2× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,746.79 |
— |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$272.98 |
— |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,860.42 |
— |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$272.98 |
— |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,860.42 |
— |
1.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,746.79 |
— |
1.2× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$5,757.54 |
— |
1.2× |
| Coccygectomy Primary (27080) |
$3,746.79 |
— |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,365.99 |
— |
1.2× |
| Colonoscopy for bleeding (44391) |
$1,365.99 |
— |
1.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,365.99 |
— |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,365.99 |
— |
1.2× |
| Colonoscopy stoma w/snare (44394) |
$1,365.99 |
— |
1.2× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$1,057.95 |
— |
1.2× |
| Colonoscopy thru stoma (44388) |
$1,057.95 |
— |
1.2× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,365.99 |
— |
1.2× |
| Colonoscopy w/fb removal (45379) |
$1,365.99 |
— |
1.2× |
| Colpocentesis (57020) |
$5,757.54 |
— |
1.2× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$8,747.05 |
— |
1.2× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$8,747.05 |
— |
1.2× |
| Colporrhaphy suture injury vagina (57200) |
$3,618.91 |
— |
1.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$371.35 |
— |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$230.66 |
— |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,618.91 |
— |
1.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$3,618.91 |
— |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$371.35 |
— |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$371.35 |
— |
1.3× |
| Colposcopy vulva (56820) |
$230.66 |
— |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$371.35 |
— |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$371.35 |
— |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$930.57 |
— |
1.1× |
| Colpotomy; with exploration (57000) |
$3,618.91 |
— |
1.2× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,365.99 |
— |
1.2× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,365.99 |
— |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,365.99 |
— |
1.2× |
| Complete replacement picc rs&i (36584) |
$1,853.86 |
— |
1.2× |
| Complex Cystometrogram (51726) |
$286.09 |
— |
1.2× |
| Complex Drainage, Wound (10180) |
$3,289.16 |
— |
1.2× |
| Complex Uroflowmetry (51741) |
$363.33 |
— |
1.7× |
| Composite skin graft (15760) |
$2,110.93 |
— |
1.1× |
| Conization of cervix (57520) |
$3,618.91 |
— |
1.2× |
| Conization of cervix (57522) |
$3,618.91 |
— |
1.2× |
| Conjunctival flap total (68362) |
$2,704.95 |
— |
1.2× |
| Construct thumb replacement (26550) |
$3,746.79 |
— |
1.2× |
| Contour of face bone lesion (21029) |
$3,726.86 |
— |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$147.87 |
— |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$147.87 |
— |
1.2× |
| Control nose/throat bleeding (42972) |
$3,726.86 |
— |
1.2× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$282.74 |
— |
1.2× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$636.89 |
— |
1.2× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$3,726.86 |
— |
1.2× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$8,281.17 |
— |
1.2× |
| Cordocentesis (59012) |
$371.35 |
— |
1.3× |
| Corneal transplant (65730) |
$4,706.41 |
— |
1.2× |
| Corneal transplant (65755) |
$4,706.41 |
— |
1.2× |
| Corneal transplant (65710) |
$6,049.97 |
— |
1.2× |
| Corneal transplant (65750) |
$6,049.97 |
— |
1.2× |
| Correct lid retraction (67911) |
$2,704.95 |
— |
1.2× |
| Correction Claw Finger Other Methods (26499) |
$3,746.79 |
— |
1.2× |
| Correction eyelid w/implant (67912) |
$2,704.95 |
— |
1.2× |
| Correction hammertoe (28285) |
$3,746.79 |
— |
1.2× |
| Correction of astigmatism (65772) |
$1,171.94 |
— |
1.2× |
| Correction of astigmatism (65775) |
$2,704.95 |
— |
1.2× |
| Correction of bunion (28298) |
$8,281.17 |
— |
1.2× |
| Correction of bunion (28292) |
$3,746.79 |
— |
1.2× |
| Correction of bunion (28299) |
$8,281.17 |
— |
1.2× |
| Correction of bunion (28297) |
$8,281.17 |
— |
0.7× |
| Correction of inverted nipples (19355) |
$4,412.27 |
— |
1.2× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$1,171.94 |
— |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,746.79 |
— |
1.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,746.79 |
— |
1.2× |
| Cover eye w/membrane suture (65779) |
$4,475.53 |
— |
1.2× |
| Create eardrum opening (69436) |
$1,765.31 |
— |
1.2× |
| Create tear duct drain (68750) |
$4,475.53 |
— |
1.2× |
| Create tear duct drain (68745) |
$4,475.53 |
— |
1.2× |
| Create Tear Sac-Nasal Fistula (68720) |
$4,475.53 |
— |
1.2× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$3,746.79 |
— |
1.2× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$6,361.13 |
— |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$147.87 |
— |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$282.74 |
— |
1.2× |
| Curettage postpartum (59160) |
$3,618.91 |
— |
1.2× |
| Curette/treat cornea (65436) |
$2,704.95 |
— |
1.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,357.71 |
— |
1.2× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$4,035.39 |
— |
1.2× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$5,989.56 |
— |
1.2× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$4,035.39 |
— |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$4,035.39 |
— |
1.2× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$5,989.56 |
— |
1.2× |
| Cysto w/destruction of lesions (52214) |
$4,035.39 |
— |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,035.39 |
— |
1.2× |
| Cysto w/renal stricture tx (52343) |
$4,035.39 |
— |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,357.71 |
— |
1.2× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$4,035.39 |
— |
1.2× |
| Cysto w/ureter stricture tx (52341) |
$4,035.39 |
— |
1.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,035.39 |
— |
1.2× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$4,035.39 |
— |
1.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,035.39 |
— |
1.2× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$4,035.39 |
— |
1.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,989.56 |
— |
1.2× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$5,989.56 |
— |
1.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,989.56 |
— |
1.2× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$10,663.69 |
— |
1.2× |
| Cystoscopy & duct catheter (52010) |
$790.73 |
— |
1.2× |
| Cystoscopy and treatment (52290) |
$2,357.71 |
— |
1.2× |
| Cystoscopy and treatment (52330) |
$4,035.39 |
— |
1.2× |
| Cystoscopy and treatment (52301) |
$4,035.39 |
— |
1.2× |
| Cystoscopy implant stent (52282) |
$4,035.39 |
— |
1.2× |
| Cystoscopy inject material (52327) |
$5,989.56 |
— |
1.2× |
| Cystoscopy stone removal (52325) |
$5,989.56 |
— |
1.2× |
| Cystoscopy w/biopsy (52204) |
$2,357.71 |
— |
1.2× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,357.71 |
— |
1.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,357.71 |
— |
1.2× |
| Cystoscopy,insert ureteral stent (52332) |
$4,035.39 |
— |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,357.71 |
— |
1.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$2,357.71 |
— |
1.2× |
| Cystotomy/cystostomy fulg&/insj radact matrl (51020) |
$4,035.39 |
— |
1.2× |
| Cystourethro cut ejacul duct (52402) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy (52000) |
$790.73 |
— |
1.2× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$790.73 |
— |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy, with internal urethrotomy; female Other Surgical Services (52270) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$2,357.71 |
— |
1.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,035.39 |
— |
1.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$4,035.39 |
— |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$727 |
— |
1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,289.16 |
— |
1.2× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$3,746.79 |
— |
1.2× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$3,746.79 |
— |
1.2× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,746.79 |
— |
1.2× |
| Dcmprn fasct leg post compartment only (27601) |
$3,746.79 |
— |
1.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$814.42 |
— |
1.2× |
| Debride nail 1-5 (11720) |
$70.80 |
— |
1.2× |
| Debride nail 6 or more (11721) |
$70.80 |
— |
1.2× |
| Debride skin musc at fx site (11011) |
$814.42 |
— |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$461.57 |
— |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$727 |
— |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,876.72 |
— |
1.2× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,860.42 |
— |
1.2× |
| Decompress fingers/hand (26037) |
$3,746.79 |
— |
1.2× |
| Decompress forearm 1 space (25023) |
$3,746.79 |
— |
1.2× |
| Decompress forearm 2 spaces (25025) |
$1,860.42 |
— |
1.2× |
| Decompress spinal cord thrc (63064) |
$8,281.17 |
— |
1.2× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$3,746.79 |
— |
1.2× |
| Decompression of forearm (24495) |
$8,281.17 |
— |
1.2× |
| Decompression of leg (27894) |
$3,746.79 |
— |
1.2× |
| Decompression of leg (27892) |
$3,746.79 |
— |
1.2× |
| Decompression of tibia nerve (28035) |
$2,234.97 |
— |
1.2× |
| Decompression; plantar digital nerve (64726) |
$2,234.97 |
— |
1.2× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,234.97 |
— |
1.2× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$2,110.93 |
— |
1.1× |
| Delay flap trunk (15600) |
$4,152.85 |
— |
1.2× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$2,110.93 |
— |
1.1× |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$2,110.93 |
— |
1.1× |
| Denervation of hip joint (27035) |
$3,746.79 |
— |
1.2× |
| Derma-fat-fascia graft (15770) |
$4,152.85 |
— |
1.2× |
| Dermabrasion regional other than face (15782) |
$3,289.16 |
— |
1.2× |
| Dermabrasion segmental face (15781) |
$814.42 |
— |
1.2× |
| Dermabrasion total face (15780) |
$3,289.16 |
— |
1.2× |
| Destr penis lesn,simpl,laser surg (54057) |
$2,110.93 |
— |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,234.97 |
— |
1.2× |
| Destroy internal hemorrhoids (46930) |
$1,365.99 |
— |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,234.97 |
— |
1.2× |
| Destroy nerve of eye muscle (67345) |
$337.21 |
— |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$461.57 |
— |
1.2× |
| Destruc retinal lesn,photocoag (67210) |
$672.85 |
— |
1.3× |
| Destruc retinal lesn,radn implnt (67218) |
$4,475.53 |
— |
1.2× |
| Destruction anal lesion(s) (46924) |
$3,250.15 |
— |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$231.74 |
— |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,055.08 |
— |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,055.08 |
— |
1.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$342.85 |
— |
1.2× |
| Destruction ciliary body (66740) |
$2,704.95 |
— |
1.2× |
| Destruction ciliary body (66700) |
$2,697.51 |
— |
1.2× |
| Destruction ciliary body (66720) |
$2,704.95 |
— |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$2,110.93 |
— |
1.1× |
| Destruction Lesions Vulva Simple (56501) |
$2,110.93 |
— |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$461.57 |
— |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$461.57 |
— |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$461.57 |
— |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$727 |
— |
1.0× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$727 |
— |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$231.74 |
— |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$231.74 |
— |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$231.74 |
— |
1.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$461.57 |
— |
1.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$461.57 |
— |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$231.74 |
— |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$231.74 |
— |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$231.74 |
— |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$231.74 |
— |
1.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$461.57 |
— |
1.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$461.57 |
— |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$231.74 |
— |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,234.97 |
— |
1.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$2,110.93 |
— |
1.1× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$672.85 |
— |
1.3× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$2,234.97 |
— |
1.2× |
| Destruction of growth of rectum (45190) |
$3,250.15 |
— |
1.2× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$337.21 |
— |
1.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$231.74 |
— |
1.2× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$461.57 |
— |
1.2× |
| Destruction of multiple growths of penis (54065) |
$2,110.93 |
— |
1.1× |
| Destruction of skin lesions (17106) |
$461.57 |
— |
1.2× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,618.91 |
— |
1.2× |
| Destruction vaginal lesions simple (57061) |
$3,618.91 |
— |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,057.95 |
— |
1.2× |
| Dil urethra,female,subsequent (53661) |
$147.87 |
— |
1.2× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,365.99 |
— |
1.2× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$4,035.39 |
— |
1.2× |
| Dilate urethra stricture (53620) |
$790.73 |
— |
1.2× |
| Dilate urethra stricture (53621) |
$286.09 |
— |
1.2× |
| Dilate Urethra Stricture (53600) |
$286.09 |
— |
1.2× |
| Dilation & curettage cervical stump (57558) |
$3,618.91 |
— |
1.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,618.91 |
— |
1.2× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$636.89 |
— |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,049.30 |
— |
1.2× |
| Dilation Esophagus Guide Wire (43453) |
$2,202.61 |
— |
1.2× |
| Dilation Nasolacrimal Duct (68801) |
$461.21 |
— |
1.1× |
| Dilation of anal sphincter (45905) |
$1,365.99 |
— |
1.2× |
| Dilation of cervical canal (57800) |
$3,618.91 |
— |
1.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$180.81 |
— |
1.5× |
| Dilation of salivary duct (42650) |
$1,765.31 |
— |
1.2× |
| Dilation of urethra (53665) |
$2,357.71 |
— |
1.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$147.87 |
— |
1.2× |
| Dilation of vagina (57400) |
$3,618.91 |
— |
1.2× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$2,697.51 |
— |
1.2× |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
$8,281.17 |
— |
1.2× |
| Dissection, deep jugular node(s) (38542) |
$6,679.03 |
— |
1.1× |
| Division of stricture of rectum (45150) |
$1,365.99 |
— |
1.2× |
| Divisn plantar fascia/muscle (28250) |
$3,746.79 |
— |
1.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,876.72 |
— |
1.2× |
| Drain hand tendon sheath (26020) |
$3,746.79 |
— |
1.2× |
| Drain lower leg bursa (27604) |
$3,746.79 |
— |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$814.42 |
— |
1.2× |
| Drain outer ear canal lesion (69020) |
$814.42 |
— |
1.2× |
| Drain ovary abscess open (58820) |
$3,618.91 |
— |
1.2× |
| Drain penis lesion (54015) |
$1,876.72 |
— |
1.2× |
| Drain perineal urin leak,complic (53085) |
$2,357.71 |
— |
1.2× |
| Drain perineal urin leak,uncomplic (53080) |
$790.73 |
— |
1.2× |
| Drain shoulder bursa (23031) |
$3,289.16 |
— |
1.2× |
| Drain shoulder lesion (23030) |
$3,289.16 |
— |
1.2× |
| Drain spinal cord cyst (62268) |
$1,055.08 |
— |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$282.74 |
— |
1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$636.89 |
— |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$814.42 |
— |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,876.72 |
— |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$231.74 |
— |
1.2× |
| Drainage mouth roof lesion (42000) |
$282.74 |
— |
1.2× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$636.89 |
— |
1.2× |
| Drainage of abscess; submaxillary, external (42320) |
$636.89 |
— |
1.2× |
| Drainage of deep periurethral abscess (53040) |
$4,035.39 |
— |
1.2× |
| Drainage of deep rectal abscess (45020) |
$3,250.15 |
— |
1.2× |
| Drainage of eye (65815) |
$2,697.51 |
— |
1.2× |
| Drainage of eye (65810) |
$2,697.51 |
— |
1.2× |
| Drainage of eye (65800) |
$2,697.51 |
— |
1.2× |
| Drainage of eyelid abscess (67700) |
$337.21 |
— |
1.1× |
| Drainage of gum lesion (41800) |
$147.87 |
— |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,876.72 |
— |
1.2× |
| Drainage of hydrocele (55000) |
$814.42 |
— |
1.2× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$1,860.42 |
— |
1.2× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$3,289.16 |
— |
1.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$3,289.16 |
— |
1.2× |
| Drainage of mouth lesion (41015) |
$636.89 |
— |
1.2× |
| Drainage of mouth lesion (41017) |
$3,726.86 |
— |
1.2× |
| Drainage of ovarian cyst(s) (58800) |
$3,618.91 |
— |
1.2× |
| Drainage of palm bursas (26030) |
$3,746.79 |
— |
1.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$3,746.79 |
— |
1.2× |
| Drainage of pelvic abscess (45000) |
$1,365.99 |
— |
1.2× |
| Drainage of prostate abscess (55725) |
$4,035.39 |
— |
1.2× |
| Drainage of salivary cyst (42409) |
$3,726.86 |
— |
1.2× |
| Drainage of salivary gland (42305) |
$3,726.86 |
— |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,876.72 |
— |
1.2× |
| Drainage skenes gland abscess (53060) |
$2,357.71 |
— |
1.2× |
| Dressing change under anesthesia (15852) |
$727 |
— |
1.0× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$636.89 |
— |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$461.57 |
— |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$231.74 |
— |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$231.74 |
— |
1.2× |
| Dstl revsc&interval lig uxtr hemo access (36838) |
$6,361.13 |
— |
1.2× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$3,726.86 |
— |
1.2× |
| Dstrj lesion anus simple chemical (46900) |
$461.57 |
— |
1.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$231.74 |
— |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$3,250.15 |
— |
1.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$2,110.93 |
— |
1.1× |
| Dstrj lesion penis simple surg excision (54060) |
$2,110.93 |
— |
1.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$461.57 |
— |
1.2× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$1,055.08 |
— |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$3,289.16 |
— |
1.2× |
| Dynamic cavernosometry (54231) |
$286.09 |
— |
1.2× |
| Eardrum revision (69450) |
$3,726.86 |
— |
1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,202.61 |
— |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,202.61 |
— |
1.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,202.61 |
— |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,049.30 |
— |
1.2× |
| Egd guide wire insertion (43248) |
$1,049.30 |
— |
1.2× |
| Egd injection varices (43243) |
$2,202.61 |
— |
1.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,202.61 |
— |
1.2× |
| Egd place gastrostomy tube (43246) |
$2,202.61 |
— |
1.2× |
| Egd rem tumr/polyp forcep (43250) |
$2,202.61 |
— |
1.2× |
| Egd remove lesion snare (43251) |
$2,202.61 |
— |
1.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,202.61 |
— |
1.2× |
| Egd tube/cath insertion (43241) |
$2,202.61 |
— |
1.2× |
| Egd us exam duodenum/jejunum (43259) |
$2,202.61 |
— |
1.2× |
| Egd us fine needle bx/aspir (43242) |
$2,202.61 |
— |
1.2× |
| Egd Varices Ligation (43244) |
$2,202.61 |
— |
1.2× |
| Egd w/transmural drain cyst (43240) |
$6,597.15 |
— |
1.1× |
| Elbow arthroscopy (29830) |
$3,746.79 |
— |
1.2× |
| Elbow arthroscopy/surgery (29836) |
$8,281.17 |
— |
1.2× |
| Elbow arthroscopy/surgery (29838) |
$3,746.79 |
— |
1.2× |
| Elbow arthroscopy/surgery (29837) |
$3,746.79 |
— |
1.2× |
| Elbow arthroscopy/surgery (29835) |
$3,746.79 |
— |
1.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$345.75 |
— |
1.2× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$345.75 |
— |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$180.81 |
— |
1.5× |
| Endocervical Curettage (57505) |
$930.57 |
— |
1.1× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$5,757.54 |
— |
1.2× |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
$5,757.54 |
— |
1.2× |
| Endoscopic Injection/Implant (51715) |
$4,035.39 |
— |
1.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$3,746.79 |
— |
1.2× |
| Endoscopic us exam esoph (43237) |
$2,202.61 |
— |
1.2× |
| Endoscopy of bowel pouch (44385) |
$1,057.95 |
— |
1.2× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$2,202.61 |
— |
1.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,689.67 |
— |
1.2× |
| Endovenous rf 1st vein (36475) |
$3,689.67 |
— |
1.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,202.61 |
— |
1.2× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,110.93 |
— |
1.1× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,545.70 |
— |
1.3× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,110.93 |
— |
1.1× |
| Epididymectomy bilateral (54861) |
$4,035.39 |
— |
1.2× |
| Epididymectomy unilateral (54860) |
$4,035.39 |
— |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,110.93 |
— |
1.1× |
| Epidural lysis on single day (62264) |
$1,055.08 |
— |
1.2× |
| Epiphyseal Arrest Dist Rad or Ulna (25450) |
$3,746.79 |
— |
1.2× |
| Episiotomy or vaginal repair (59300) |
$3,618.91 |
— |
1.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,433.13 |
— |
1.2× |
| Ercp lithotripsy calculi (43265) |
$6,597.15 |
— |
1.1× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$4,433.13 |
— |
1.2× |
| Ercp sphincter pressure meas (43263) |
$2,202.61 |
— |
1.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,433.13 |
— |
1.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,433.13 |
— |
1.2× |
| Escharotomy initial incision (16035) |
$461.57 |
— |
1.2× |
| Esoph endoscopy dilation (43226) |
$2,202.61 |
— |
1.2× |
| Esoph scope w/submucous inj (43201) |
$2,202.61 |
— |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,049.30 |
— |
1.2× |
| Esophagoscopy flex biopsy (43202) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$1,049.30 |
— |
1.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,049.30 |
— |
1.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy Rigid Balloon (43195) |
$4,433.13 |
— |
1.2× |
| Esophagoscopy w/us needle bx (43232) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$2,202.61 |
— |
1.2× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$2,202.61 |
— |
1.2× |
| Esophagus endoscopy/ligation (43205) |
$2,202.61 |
— |
1.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$2,202.61 |
— |
1.2× |
| Ethmoidectomy Intranasal Anterior (31200) |
$6,778.80 |
— |
1.2× |
| Ethmoidectomy; extranasal total (31205) |
$3,726.86 |
— |
1.2× |
| Ethmoidectomy; intranasal total (31201) |
$1,765.31 |
— |
1.2× |
| Evacuate mole of uterus (59870) |
$3,618.91 |
— |
1.2× |
| Evacuation of subungual hematoma (11740) |
$147.87 |
— |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,876.72 |
— |
1.2× |
| Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) |
$3,746.79 |
— |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,876.72 |
— |
1.2× |
| Exc B1 Cst/B9 Tum W/Agrft Req Sep Inc (27067) |
$8,281.17 |
— |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,876.72 |
— |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,876.72 |
— |
1.2× |
| Exc back les sc < 3 cm (21930) |
$1,876.72 |
— |
1.2× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$6,778.80 |
— |
1.2× |
| Exc coccygeal pressure ulcer (15920) |
$3,289.16 |
— |
1.2× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$3,746.79 |
— |
1.2× |
| Exc excessive skin &subq tissue forearm/hand (15837) |
$3,289.16 |
— |
1.2× |
| Exc face les sbq 2 cm/> (21012) |
$1,876.72 |
— |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$814.42 |
— |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,876.72 |
— |
1.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,876.72 |
— |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,876.72 |
— |
1.2× |
| Exc forearm les sc < 3 cm (25075) |
$1,876.72 |
— |
1.2× |
| Exc frenum labial/buccal (40819) |
$1,765.31 |
— |
1.2× |
| Exc hand les sc < 1.5 cm (26115) |
$1,876.72 |
— |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,035.39 |
— |
1.2× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$2,110.93 |
— |
1.1× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$3,289.16 |
— |
1.2× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$4,152.85 |
— |
1.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,726.86 |
— |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,860.42 |
— |
1.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$3,726.86 |
— |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$3,289.16 |
— |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,234.97 |
— |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,234.97 |
— |
1.2× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$6,778.80 |
— |
1.2× |
| Exc rect tum transanal part (45171) |
$3,250.15 |
— |
1.2× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$2,110.93 |
— |
1.1× |
| Exc Sacr Press Ulc Bone & Suture (15933) |
$3,289.16 |
— |
1.2× |
| Exc shoulder tum deep 5 cm/> (23073) |
$3,289.16 |
— |
1.2× |
| Exc skin abd (15830) |
$7,548.48 |
— |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$814.42 |
— |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$461.57 |
— |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$814.42 |
— |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$814.42 |
— |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,876.72 |
— |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,876.72 |
— |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,289.16 |
— |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,289.16 |
— |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,876.72 |
— |
1.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,876.72 |
— |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,289.16 |
— |
1.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,289.16 |
— |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,876.72 |
— |
1.2× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$3,289.16 |
— |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,289.16 |
— |
1.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,289.16 |
— |
1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,365.99 |
— |
1.2× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$3,726.86 |
— |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$814.42 |
— |
1.2× |
| Exc troc pres ulc & bone flap clos (15953) |
$4,152.85 |
— |
1.2× |
| Exc troc pres ulc & bone prim clo (15951) |
$3,289.16 |
— |
1.2× |
| Exc trochanteric pr ulcer w/skin flap closure (15952) |
$2,110.93 |
— |
1.1× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$1,876.72 |
— |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,876.72 |
— |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,289.16 |
— |
1.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,876.72 |
— |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,876.72 |
— |
1.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,876.72 |
— |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,289.16 |
— |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,876.72 |
— |
1.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,289.16 |
— |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,289.16 |
— |
1.2× |
| Exc urethral diverticulum spx female (53230) |
$5,989.56 |
— |
1.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$4,035.39 |
— |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,746.79 |
— |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,860.42 |
— |
1.2× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$8,281.17 |
— |
1.2× |
| Exchange intraocular lens (66986) |
$2,697.51 |
— |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,202.61 |
— |
1.2× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$2,704.95 |
— |
1.2× |
| Excis jt lining,mc-p jt,each digit (26135) |
$3,746.79 |
— |
1.2× |
| Excis Labyrinth W Mastoidectomy (69910) |
$6,778.80 |
— |
1.2× |
| Excis lesn,palete/uvula-flap clos (42107) |
$6,778.80 |
— |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,860.42 |
— |
1.2× |
| Excis uppr jaw cyst w/repair (21049) |
$6,778.80 |
— |
1.2× |
| Excise cutaneous neurofibroma (64788) |
$2,234.97 |
— |
1.2× |
| Excise excess skin & tissue (15839) |
$3,289.16 |
— |
1.2× |
| Excise excess skin fat pad (15838) |
$3,289.16 |
— |
1.2× |
| Excise excess skin tissue,thigh (15832) |
$3,289.16 |
— |
1.2× |
| Excise excessive skin arm (15836) |
$3,289.16 |
— |
1.2× |
| Excise excessive skin buttck (15835) |
$3,289.16 |
— |
1.2× |
| Excise excessive skin hip (15834) |
$3,289.16 |
— |
1.2× |
| Excise excessive skin leg (15833) |
$3,289.16 |
— |
1.2× |
| Excise Inferior Turbinate (30130) |
$3,726.86 |
— |
1.2× |
| Excise lesion testis (54512) |
$4,035.39 |
— |
1.2× |
| Excise lwr jaw cyst w/repair (21047) |
$6,778.80 |
— |
1.2× |
| Excise Neurofibroma Extensive (64792) |
$7,710.95 |
— |
2.3× |
| Excise oral mucosa for graft (40818) |
$636.89 |
— |
1.2× |
| Excise parotid gland/lesion (42410) |
$6,778.80 |
— |
1.2× |
| Excise parotid gland/lesion (42425) |
$6,778.80 |
— |
1.2× |
| Excise parotid gland/lesion (42420) |
$6,778.80 |
— |
1.2× |
| Excise pharynx lesion (42808) |
$3,726.86 |
— |
1.2× |
| Excise/repair mouth lesion (40812) |
$1,765.31 |
— |
1.2× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$3,726.86 |
— |
1.2× |
| Excision bone cyst/bnign tumor superficial (27065) |
$8,281.17 |
— |
1.2× |
| Excision brach clft cyst,superficial (42810) |
$3,726.86 |
— |
1.2× |
| Excision Breast Lesion (19125) |
$4,412.27 |
— |
1.2× |
| Excision Chalazion Single (67800) |
$337.21 |
— |
1.1× |
| Excision constricting tissue (26596) |
$3,746.79 |
— |
1.2× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,746.79 |
— |
1.2× |
| Excision exostosis(es), external auditory canal (69140) |
$6,778.80 |
— |
1.2× |
| Excision external ear partial simple repair (69110) |
$3,289.16 |
— |
1.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$3,289.16 |
— |
1.2× |
| Excision hand/finger tendon (26415) |
$3,746.79 |
— |
1.2× |
| Excision hidradenitis axillary complex repair (11451) |
$3,289.16 |
— |
1.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$3,289.16 |
— |
1.2× |
| Excision hydrocele bilateral (55041) |
$4,004.73 |
— |
1.2× |
| Excision lacrimal gland xcpt tumor total (68500) |
$4,475.53 |
— |
1.2× |
| Excision Lactiferous Duct Fistula (19112) |
$4,412.27 |
— |
1.2× |
| Excision lesion mouth roof (42104) |
$3,726.86 |
— |
1.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,765.31 |
— |
1.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$814.42 |
— |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$814.42 |
— |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$461.57 |
— |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$814.42 |
— |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$814.42 |
— |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$814.42 |
— |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$814.42 |
— |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$814.42 |
— |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,876.72 |
— |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,876.72 |
— |
1.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$814.42 |
— |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$814.42 |
— |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,876.72 |
— |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,876.72 |
— |
1.2× |
| Excision malignant tumor mandible (21044) |
$6,778.80 |
— |
1.2× |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
$6,778.80 |
— |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,250.15 |
— |
1.2× |
| Excision of bartholin's gland or cyst (56740) |
$3,618.91 |
— |
1.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$814.42 |
— |
1.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$814.42 |
— |
1.2× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$6,778.80 |
— |
1.2× |
| Excision of bone lower jaw (21025) |
$6,778.80 |
— |
1.2× |
| Excision of bulbourethral gland (53250) |
$4,035.39 |
— |
1.2× |
| Excision of chalazion; multiple, different lids (67805) |
$337.21 |
— |
1.1× |
| Excision of Epiphyseal Bar (20150) |
$3,746.79 |
— |
1.2× |
| Excision of facial bone(s) (21026) |
$6,778.80 |
— |
1.2× |
| Excision of fibrous tuberosities, dentoalveolar structures (41822) |
$1,765.31 |
— |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,860.42 |
— |
1.2× |
| Excision of gum flap (41821) |
$1,765.31 |
— |
1.2× |
| Excision of gum lesion (41828) |
$1,765.31 |
— |
1.2× |
| Excision of gum lesion (41827) |
$6,778.80 |
— |
1.2× |
| Excision of hydrocele; unilateral (55040) |
$4,004.73 |
— |
1.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,171.94 |
— |
1.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$3,726.86 |
— |
1.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,746.79 |
— |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$3,726.86 |
— |
1.2× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$3,726.86 |
— |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,876.72 |
— |
1.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,876.72 |
— |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,860.42 |
— |
1.2× |
| Excision of lingual tonsil (42870) |
$6,778.80 |
— |
1.2× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$3,726.86 |
— |
1.2× |
| Excision of local lesion of epididymis (54830) |
$4,035.39 |
— |
1.2× |
| Excision of maxillary torus palatinus (21032) |
$3,726.86 |
— |
1.2× |
| Excision of mouth lesion (41116) |
$3,726.86 |
— |
1.2× |
| Excision of mouth lesion (40816) |
$3,726.86 |
— |
1.2× |
| Excision of nail fold toe (11765) |
$461.57 |
— |
1.2× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,234.97 |
— |
1.2× |
| Excision of neuroma; sciatic nerve (64786) |
$7,710.95 |
— |
2.3× |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
$6,778.80 |
— |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,289.16 |
— |
1.2× |
| Excision of rib partial (21600) |
$8,281.17 |
— |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,365.99 |
— |
1.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$3,289.16 |
— |
1.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,289.16 |
— |
1.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,357.71 |
— |
1.2× |
| Excision of sublingual gland (42450) |
$6,778.80 |
— |
1.2× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$3,726.86 |
— |
1.2× |
| Excision of submandibular (submaxillary) gland (42440) |
$6,778.80 |
— |
1.2× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,860.42 |
— |
1.2× |
| Excision of thyroglossal duct cyst or sinus; recurrent (60281) |
$6,679.03 |
— |
1.1× |
| Excision of tongue lesion (41112) |
$3,726.86 |
— |
1.2× |
| Excision of tongue lesion (41114) |
$3,726.86 |
— |
1.2× |
| Excision of tonsil tags (42860) |
$3,726.86 |
— |
1.2× |
| Excision of tracheal tumor or carcinoma; cervical (31785) |
$6,778.80 |
— |
1.2× |
| Excision of Umbilicus (49250) |
$4,004.73 |
— |
1.2× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$6,679.03 |
— |
1.1× |
| Excision of urethral diverticulum (separate procedure); male Other Surgical Services (53235) |
$5,989.56 |
— |
1.2× |
| Excision of vaginal cyst or tumor (57135) |
$3,618.91 |
— |
1.2× |
| Excision of vaginal septum (57130) |
$3,618.91 |
— |
1.2× |
| Excision olecranon bursa (24105) |
$3,746.79 |
— |
1.2× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical… (27357) |
$8,281.17 |
— |
1.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$1,860.42 |
— |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,746.79 |
— |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
$8,281.17 |
— |
1.2× |
| Excision or fulguration; Skene's glands (53270) |
$4,035.39 |
— |
1.2× |
| Excision or fulguration; urethral caruncle (53265) |
$2,357.71 |
— |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,289.16 |
— |
1.2× |
| Excision Prepatellar Bursa (27340) |
$3,746.79 |
— |
1.2× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$4,152.85 |
— |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,289.16 |
— |
1.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,746.79 |
— |
1.2× |
| Excision torus mandibularis (21031) |
$3,726.86 |
— |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,876.72 |
— |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,876.72 |
— |
1.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,860.42 |
— |
1.2× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$3,726.86 |
— |
1.2× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,860.42 |
— |
1.2× |
| Excision, nasal polyp(s), simple (30110) |
$1,765.31 |
— |
1.2× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,876.72 |
— |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,289.16 |
— |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,876.72 |
— |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,289.16 |
— |
1.2× |
| Excision,ben tumor,mandible,intra-oral (21046) |
$6,778.80 |
— |
1.2× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$6,778.80 |
— |
1.2× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,746.79 |
— |
1.2× |
| Excision/curettage cyst/tumor femur w/allograft (27356) |
$15,234.65 |
— |
1.2× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$3,746.79 |
— |
1.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$3,746.79 |
— |
1.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,726.86 |
— |
1.2× |
| Excision/fulguration urethral prolapse (53275) |
$4,035.39 |
— |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$3,726.86 |
— |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,110.93 |
— |
1.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,860.42 |
— |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$1,876.72 |
— |
1.2× |
| Explor ankle jt+tenosynovectomy (27626) |
$3,746.79 |
— |
1.2× |
| Exploration behind upper jaw (31040) |
$6,778.80 |
— |
1.2× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$4,004.73 |
— |
1.2× |
| Exploration maxillary sinus (31030) |
$6,778.80 |
— |
1.2× |
| Exploration maxillary sinus (31020) |
$3,726.86 |
— |
1.2× |
| Exploration of ankle joint (27612) |
$3,746.79 |
— |
1.2× |
| Exploration Of Foot Joint (28020) |
$3,746.79 |
— |
1.2× |
| Exploration of frontal sinus (31075) |
$6,778.80 |
— |
1.2× |
| Exploration of frontal sinus (31070) |
$6,778.80 |
— |
1.2× |
| Exploration of hip joint (27033) |
$8,281.17 |
— |
1.2× |
| Exploration of knee joint (27310) |
$3,746.79 |
— |
1.2× |
| Exploration of sinuses (31090) |
$6,778.80 |
— |
1.2× |
| Exploration penetrating wound spx chest (20101) |
$2,110.93 |
— |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,876.72 |
— |
1.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$636.89 |
— |
1.2× |
| Exploratory shoulder surgery (23044) |
$3,746.79 |
— |
1.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,746.79 |
— |
1.2× |
| Explore eye socket,drainage (67405) |
$2,704.95 |
— |
1.2× |
| Explore eye socket,remv f.b. (67413) |
$2,704.95 |
— |
1.2× |
| Explore inner ear (69806) |
$6,778.80 |
— |
1.2× |
| Explore inner ear (69805) |
$6,778.80 |
— |
1.2× |
| Explore sinus remove polyps (31032) |
$6,778.80 |
— |
1.2× |
| Explore treat shoulder joint (23107) |
$8,281.17 |
— |
1.2× |
| Explore/biopsy eye socket (67400) |
$4,475.53 |
— |
1.2× |
| Explore/biopsy eye socket (67450) |
$4,475.53 |
— |
1.2× |
| Explore/drain eye socket (67440) |
$4,475.53 |
— |
1.2× |
| Explore/irrigate tear ducts (68840) |
$337.21 |
— |
1.1× |
| Explore/treat ankle joint (27620) |
$3,746.79 |
— |
1.2× |
| Explore/treat ankle joint (27610) |
$3,746.79 |
— |
1.2× |
| Explore/treat elbow joint (24101) |
$3,746.79 |
— |
1.2× |
| Explore/treat eye socket (67420) |
$4,475.53 |
— |
1.2× |
| Explore/treat eye socket (67430) |
$4,475.53 |
— |
1.2× |
| Explore/treat hand joint (26070) |
$1,860.42 |
— |
1.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,860.42 |
— |
1.2× |
| Explr/decompress eye socket (67414) |
$4,475.53 |
— |
1.2× |
| Explr/decompress eye socket (67445) |
$4,475.53 |
— |
1.2× |
| Exposure of prostate, any approach, for insertion of radioactive substance; (55860) |
$5,989.56 |
— |
1.2× |
| Extensive ear canal surgery (69150) |
$6,778.80 |
— |
1.2× |
| Extensive mastoid surgery (69511) |
$6,778.80 |
— |
1.2× |
| Extensive mastoid surgery (69530) |
$6,778.80 |
— |
1.2× |
| Extensive surgery of throat (42842) |
$6,778.80 |
— |
1.2× |
| Extern drain prostate absc,simple (55720) |
$4,035.39 |
— |
1.2× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$1,860.42 |
— |
1.2× |
| Extraction of lens (66940) |
$2,697.51 |
— |
1.2× |
| Extraction of lens (66920) |
$2,697.51 |
— |
1.2× |
| Extraction of lens (66930) |
$4,706.41 |
— |
1.2× |
| Eye surgery procedure (67299) |
$2,697.51 |
— |
1.2× |
| Eye surgery procedure (66999) |
$2,697.51 |
— |
1.2× |
| Face bone graft (21210) |
$6,778.80 |
— |
1.2× |
| Fascia lata graft; by stripper (20920) |
$2,110.93 |
— |
1.1× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$3,746.79 |
— |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$3,746.79 |
— |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$3,746.79 |
— |
1.2× |
| Fasciotomy palmar open partial (26045) |
$3,746.79 |
— |
1.2× |
| Fasciotomy palmar percutaneous (26040) |
$1,860.42 |
— |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,746.79 |
— |
1.2× |
| Fetal Contraction Stress Test (59020) |
$230.66 |
— |
1.2× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$371.35 |
— |
1.3× |
| Fetal non-stress test (59025) |
$230.66 |
— |
1.2× |
| Fetal Scalp Blood Sampling (59030) |
$371.35 |
— |
1.3× |
| Fetal shunt placement w/us (59076) |
$371.35 |
— |
1.3× |
| Fill contour defct <1cc (11950) |
$231.74 |
— |
1.2× |
| Filleted finger/toe flap (14350) |
$2,110.93 |
— |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$814.42 |
— |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$814.42 |
— |
1.2× |
| Fine needle aspiration orbital contents (67415) |
$2,704.95 |
— |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$461.57 |
— |
1.2× |
| Finger tendon transfer (26497) |
$3,746.79 |
— |
1.2× |
| Fitting of diaphragm/cap (57170) |
$230.66 |
— |
1.2× |
| Fix ectropion,entensv lid repair (67917) |
$2,704.95 |
— |
1.2× |
| Fixation of knee joint (27570) |
$1,860.42 |
— |
1.2× |
| Fixation of shoulder (23700) |
$1,860.42 |
— |
1.2× |
| Fixation of shoulder blade (23400) |
$8,281.17 |
— |
1.2× |
| Flap; neurovascular pedicle (15750) |
$4,152.85 |
— |
1.2× |
| Flexor-plasty elbow w/extensor advancement (24331) |
$8,281.17 |
— |
1.2× |
| Fluid pressure muscle (20950) |
$814.42 |
— |
1.2× |
| Follow-up surgery of eye (66250) |
$2,704.95 |
— |
1.2× |
| Forehead flap w/vasc pedicle (15731) |
$4,152.85 |
— |
1.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,726.86 |
— |
1.2× |
| Frenulotomy of penis (54164) |
$2,357.71 |
— |
1.2× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$2,110.93 |
— |
1.1× |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
$4,152.85 |
— |
1.2× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$2,110.93 |
— |
1.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,110.93 |
— |
1.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,110.93 |
— |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,110.93 |
— |
1.1× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,110.93 |
— |
1.1× |
| Fuse hand bones with graft (25825) |
$8,281.17 |
— |
1.2× |
| Fusion Finger Joint (26860) |
$3,746.79 |
— |
1.2× |
| Fusion of elbow joint (24800) |
$8,281.17 |
— |
1.2× |
| Fusion of finger tendons (26474) |
$1,860.42 |
— |
1.2× |
| Fusion of foot bones (28715) |
$15,234.65 |
— |
1.2× |
| Fusion of foot bones (28730) |
$15,234.65 |
— |
1.2× |
| Fusion of foot bones (28735) |
$15,234.65 |
— |
1.2× |
| Fusion of foot bones (28740) |
$8,281.17 |
— |
1.2× |
| Fusion of hand bones (25820) |
$8,281.17 |
— |
1.2× |
| Fusion of hand joint (26843) |
$8,281.17 |
— |
1.2× |
| Fusion of knuckle (26850) |
$8,281.17 |
— |
1.2× |
| Fusion of knuckle joint (26516) |
$3,746.79 |
— |
1.2× |
| Fusion of knuckle joints (26518) |
$8,281.17 |
— |
1.2× |
| Fusion of knuckle with graft (26852) |
$8,281.17 |
— |
1.2× |
| Fusion of shoulder joint (23802) |
$15,234.65 |
— |
1.2× |
| Fusion of spermatic ducts (54900) |
$2,357.71 |
— |
1.2× |
| Fusion of spermatic ducts (54901) |
$4,035.39 |
— |
1.2× |
| Fusion of thumb (26841) |
$8,281.17 |
— |
1.2× |
| Fusion of toes (28280) |
$3,746.79 |
— |
1.2× |
| Fusion of wrist joint (25800) |
$8,281.17 |
— |
1.2× |
| Fusion radioulnar jnt/ulna (25830) |
$8,281.17 |
— |
1.2× |
| Fusion/graft of elbow joint (24802) |
$15,234.65 |
— |
1.2× |
| Fusion/graft of finger joint (26862) |
$3,746.79 |
— |
1.2× |
| Fusion/graft of wrist joint (25805) |
$8,281.17 |
— |
1.2× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only (43886) |
$4,152.85 |
— |
1.2× |
| Gastrocnemius Recession (27687) |
$3,746.79 |
— |
1.2× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,202.61 |
— |
1.2× |
| Genioplasty Augmentation (21120) |
$6,778.80 |
— |
1.2× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$3,726.86 |
— |
1.2× |
| Glaucoma surgery (66160) |
$2,697.51 |
— |
1.2× |
| Glaucoma surgery (66155) |
$4,706.41 |
— |
1.2× |
| Glaucoma surgery (66170) |
$2,697.51 |
— |
1.2× |
| Glaucoma surgery (66150) |
$4,706.41 |
— |
1.2× |
| Glossectomy; less than one-half tongue (41120) |
$6,778.80 |
— |
1.2× |
| Graft ear crtlg autogenous nose/ear (21235) |
$6,778.80 |
— |
1.2× |
| Grf facial nrv palyss fr muscle flap microsurg (15842) |
$2,110.93 |
— |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$814.42 |
— |
1.2× |
| Gum graft (41870) |
$1,765.31 |
— |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,281.17 |
— |
1.2× |
| Hand tendon pulley reconstruction (26500) |
$8,281.17 |
— |
1.2× |
| Hand tendon reconstruction (26502) |
$3,746.79 |
— |
1.2× |
| Harvest eye tissue alograft (68371) |
$2,704.95 |
— |
1.2× |
| Hemiepiphyseal Arrest (24470) |
$3,746.79 |
— |
1.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,746.79 |
— |
1.2× |
| Hemorrhoidectomy (46255) |
$3,250.15 |
— |
1.2× |
| Hemorrhoidectomy external complete (46250) |
$3,250.15 |
— |
1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$3,250.15 |
— |
1.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,250.15 |
— |
1.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$3,250.15 |
— |
1.2× |
| Hip arthro w/fb removal (29861) |
$8,281.17 |
— |
1.2× |
| Hymenotomy Simple Incision (56442) |
$3,618.91 |
— |
1.2× |
| Hyoid myotomy and suspension (21685) |
$6,778.80 |
— |
1.2× |
| Hypospad repr,2nd stage,free graft (54316) |
$10,663.69 |
— |
1.2× |
| Hysteroscopy ablation (58563) |
$5,757.54 |
— |
1.2× |
| Hysteroscopy biopsy (58558) |
$3,618.91 |
— |
1.2× |
| Hysteroscopy dx sep proc (58555) |
$3,618.91 |
— |
1.2× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$5,757.54 |
— |
1.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,618.91 |
— |
1.2× |
| Hysteroscopy resect septum (58560) |
$5,757.54 |
— |
1.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,757.54 |
— |
1.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$3,726.86 |
— |
1.2× |
| I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr (42725) |
$6,778.80 |
— |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$282.74 |
— |
1.2× |
| I&d abscess simple (10060) |
$231.74 |
— |
1.2× |
| I&d below fascia foot 1 bursal space (28002) |
$1,860.42 |
— |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,289.16 |
— |
1.2× |
| I&d deep absc neck/chst+rib cut (21502) |
$3,746.79 |
— |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,289.16 |
— |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,357.71 |
— |
1.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,746.79 |
— |
1.2× |
| I&d forearm/wrist bursa (25031) |
$1,860.42 |
— |
1.2× |
| I&d mouth/tong extra,masticator (41018) |
$1,765.31 |
— |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,746.79 |
— |
1.2× |
| I&d perianal abscess superficial (46050) |
$1,057.95 |
— |
1.2× |
| I&d pilonidal cyst simple (10080) |
$814.42 |
— |
1.2× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$3,250.15 |
— |
1.2× |
| I&d submucosal abscess rectum (45005) |
$1,365.99 |
— |
1.2× |
| I&d thyroglossal duct cyst infected (60000) |
$1,765.31 |
— |
1.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,876.72 |
— |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,289.16 |
— |
1.2× |
| I&d vaginal hematoma, non-ob (57023) |
$3,289.16 |
— |
1.2× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,049.30 |
— |
1.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,049.30 |
— |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$1,876.72 |
— |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$1,876.72 |
— |
1.2× |
| Immediate breast prosthesis (19340) |
$7,548.48 |
— |
1.0× |
| Implant eye drug system (67027) |
$18,270.21 |
— |
1.4× |
| Implant neuroelectrodes (63650) |
$7,916.64 |
— |
1.3× |
| Implant neuroelectrodes (64580) |
$25,322.01 |
— |
1.4× |
| Implant Removal Elbow Joint (24160) |
$3,746.79 |
— |
1.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$7,710.95 |
— |
0.9× |
| Impltj revj/rpsg ithcl/edrl cath w/lam (62351) |
$8,281.17 |
— |
1.2× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$20,644.08 |
— |
1.2× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$20,644.08 |
— |
1.2× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$15,768.15 |
— |
1.5× |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
$3,746.79 |
— |
1.2× |
| Incise corneo-vitreal adhesions,eye (65880) |
$4,706.41 |
— |
1.2× |
| Incise diaphragm nerve (64746) |
$2,234.97 |
— |
1.2× |
| Incise finger tendon sheath (26055) |
$1,860.42 |
— |
1.2× |
| Incise hip/thigh nerve (64763) |
$2,234.97 |
— |
1.2× |
| Incise inner ear (69801) |
$1,765.31 |
— |
1.2× |
| Incise inner eye adhesions (65875) |
$2,697.51 |
— |
1.2× |
| Incise inner eye adhesions (65865) |
$2,697.51 |
— |
1.2× |
| Incise inner eye adhesns,laser (65860) |
$672.85 |
— |
1.3× |
| Incise inner eye strands (67030) |
$2,697.51 |
— |
1.2× |
| Incise sperm duct pouch (55600) |
$2,357.71 |
— |
1.2× |
| Incise wrist/forearm tendon (25290) |
$3,746.79 |
— |
1.2× |
| Incise/drain eyelid lining (68020) |
$1,171.94 |
— |
1.2× |
| Incise/drain tear gland (68400) |
$1,171.94 |
— |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$461.57 |
— |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,289.16 |
— |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$814.42 |
— |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,876.72 |
— |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$461.57 |
— |
1.2× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$3,746.79 |
— |
1.2× |
| Incision and drainage of abscess of pelvis (57010) |
$3,618.91 |
— |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$230.66 |
— |
1.2× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$3,289.16 |
— |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$371.35 |
— |
1.3× |
| Incision bone cortex foot (28005) |
$3,746.79 |
— |
1.2× |
| Incision bone cortex hand/finger (26034) |
$1,860.42 |
— |
1.2× |
| Incision bone cortex shoulder area (23035) |
$1,860.42 |
— |
1.2× |
| Incision drainage of lacrimal sac (68420) |
$2,704.95 |
— |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,860.42 |
— |
1.2× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$7,916.64 |
— |
1.3× |
| Incision labial frenum frenotomy (40806) |
$636.89 |
— |
1.2× |
| Incision of achilles tendon (27605) |
$1,860.42 |
— |
1.2× |
| Incision of collarbone joint (23106) |
$3,746.79 |
— |
1.2× |
| Incision of eardrum (69421) |
$3,726.86 |
— |
1.2× |
| Incision of eardrum (69420) |
$282.74 |
— |
1.2× |
| Incision of eye (66172) |
$2,697.51 |
— |
1.2× |
| Incision of eye (65850) |
$2,697.51 |
— |
1.2× |
| Incision of heel bone (28300) |
$8,281.17 |
— |
1.2× |
| Incision of iris (66500) |
$2,697.51 |
— |
1.2× |
| Incision of iris (66505) |
$2,697.51 |
— |
1.2× |
| Incision of lingual frenum (41010) |
$1,765.31 |
— |
1.2× |
| Incision of lymph channels (38308) |
$4,412.27 |
— |
1.2× |
| Incision of metatarsal (28308) |
$3,746.79 |
— |
1.2× |
| Incision of metatarsal (28307) |
$8,281.17 |
— |
1.2× |
| Incision of metatarsals (28309) |
$8,281.17 |
— |
1.2× |
| Incision of rectal abscess (46045) |
$3,250.15 |
— |
1.2× |
| Incision of rectal abscess (46040) |
$1,365.99 |
— |
1.2× |
| Incision of thigh tendons (27392) |
$3,746.79 |
— |
1.2× |
| Incision of thigh tendons (27307) |
$3,746.79 |
— |
1.2× |
| Incision of tibia (27705) |
$8,281.17 |
— |
1.2× |
| Incision of tibia & fibula (27709) |
$15,234.65 |
— |
1.2× |
| Incision of urethra (53010) |
$5,989.56 |
— |
1.2× |
| Incision of urethra (53025) |
$2,357.71 |
— |
1.2× |
| Incision of urethra (53000) |
$2,357.71 |
— |
1.2× |
| Incision of urethra (53020) |
$2,357.71 |
— |
1.2× |
| Incision of wrist capsule (25085) |
$3,746.79 |
— |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$286.09 |
— |
1.2× |
| Incision&drainage bursa foot (28001) |
$1,876.72 |
— |
1.2× |
| Incision, anal septum (infant) (46070) |
$3,250.15 |
— |
1.2× |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
$3,746.79 |
— |
1.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$337.21 |
— |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$727 |
— |
1.0× |
| Induced abortion by d&c (59840) |
$3,618.91 |
— |
1.2× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$7,548.48 |
— |
1.2× |
| Inj neurolytic subarachnoid (62280) |
$1,055.08 |
— |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,055.08 |
— |
1.2× |
| Inj subq fill material 1.1-5.0 (11951) |
$727 |
— |
1.0× |
| Inj subq fill material >10cc (11954) |
$727 |
— |
1.0× |
| Inj tendon sheath/ligament (20550) |
$342.85 |
— |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,055.08 |
— |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,055.08 |
— |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$800.50 |
— |
1.2× |
| Inject 5th nerv-2,3 div,f.ovale (64605) |
$2,234.97 |
— |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,055.08 |
— |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$342.85 |
— |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$392.02 |
— |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,055.08 |
— |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,055.08 |
— |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$800.50 |
— |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,055.08 |
— |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$800.50 |
— |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,055.08 |
— |
1.2× |
| Inject Nerv Blck,Pudendal (64430) |
$1,055.08 |
— |
1.2× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,055.08 |
— |
1.2× |
| Inject scleros soln in hemorrhoids (46500) |
$1,057.95 |
— |
1.2× |
| Inject Sinus Tract Theraputic (20500) |
$1,765.31 |
— |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$342.85 |
— |
1.2× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,055.08 |
— |
1.2× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,055.08 |
— |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$800.50 |
— |
1.2× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,055.08 |
— |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$800.50 |
— |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$342.85 |
— |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$800.50 |
— |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,055.08 |
— |
1.2× |
| Injection for identification of sentinel node (38792) |
$477.42 |
— |
1.2× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,055.08 |
— |
1.2× |
| Injection peyronie disease (54200) |
$286.09 |
— |
1.2× |
| Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar (62292) |
$2,234.97 |
— |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$342.85 |
— |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$342.85 |
— |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$342.85 |
— |
1.2× |
| Injection treatment of nerve (64600) |
$1,055.08 |
— |
1.2× |
| Injection treatment of nose (30200) |
$636.89 |
— |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$342.85 |
— |
1.2× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$800.50 |
— |
1.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$342.85 |
— |
1.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$342.85 |
— |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$231.74 |
— |
1.2× |
| Injection,ant chamber,eye,air/liquid (66020) |
$2,697.51 |
— |
1.2× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$2,697.51 |
— |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,055.08 |
— |
1.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,055.08 |
— |
1.2× |
| Ins endovas vena cava filtr (37191) |
$6,361.13 |
— |
1.2× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$12,360.61 |
— |
1.2× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$12,360.61 |
— |
1.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$12,360.61 |
— |
1.2× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$12,360.61 |
— |
1.2× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$9,834.16 |
— |
1.2× |
| Ins vag brachytx device (57156) |
$371.35 |
— |
1.3× |
| Insert 1 electrode pm-defib (33216) |
$9,834.16 |
— |
1.2× |
| Insert and remove bone pin (20650) |
$3,746.79 |
— |
1.2× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$4,706.41 |
— |
1.2× |
| Insert Bladder Cath Complex (51703) |
$180.81 |
— |
1.5× |
| Insert cannula,art-ven revisn (36815) |
$6,361.13 |
— |
1.2× |
| Insert cervical dilator (59200) |
$371.35 |
— |
1.3× |
| Insert eye socket implant (67550) |
$4,475.53 |
— |
1.2× |
| Insert nasal septal button (30220) |
$1,765.31 |
— |
1.2× |
| Insert non-tunnel cv cath (36556) |
$3,689.67 |
— |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,689.67 |
— |
1.2× |
| Insert ocular implant (65135) |
$4,475.53 |
— |
1.2× |
| Insert ocular implant (65130) |
$4,475.53 |
— |
1.2× |
| Insert pacing lead & connect (33224) |
$12,360.61 |
— |
1.2× |
| Insert pessary/other device (57160) |
$230.66 |
— |
1.2× |
| Insert picc cath (36569) |
$1,853.86 |
— |
1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,853.86 |
— |
1.2× |
| Insert picvad cath (36570) |
$3,689.67 |
— |
1.2× |
| Insert tandem cuff (53444) |
$23,349.81 |
— |
1.2× |
| Insert Temp Bladder Cath (51702) |
$147.87 |
— |
1.2× |
| Insert tun ip cath perc (49418) |
$4,004.73 |
— |
1.2× |
| Insert tunneled cv cath (36561) |
$3,689.67 |
— |
1.2× |
| Insert Tunneled Cv Cath With Pump (36563) |
$6,361.13 |
— |
1.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,361.13 |
— |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$147.87 |
— |
1.2× |
| Insert/ preplace infusn pump,nonprogram (62361) |
$20,644.08 |
— |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,004.73 |
— |
1.2× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$25,322.01 |
— |
0.9× |
| Insertion of cannula (36810) |
$3,689.67 |
— |
1.2× |
| Insertion of cannula (36800) |
$6,361.13 |
— |
1.2× |
| Insertion of device to close opening of voice box using an endoscope (31527) |
$4,334.83 |
— |
1.2× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$21,572.14 |
— |
1.3× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$2,202.61 |
— |
1.2× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$4,004.73 |
— |
1.2× |
| Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) |
$3,746.79 |
— |
1.2× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$25,322.01 |
— |
1.4× |
| Insertion palate prosthesis (42281) |
$6,778.80 |
— |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,853.86 |
— |
1.2× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$6,361.13 |
— |
1.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,757.54 |
— |
1.2× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,834.16 |
— |
1.2× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$27,285.06 |
— |
1.3× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$2,697.51 |
— |
1.2× |
| Insj multi-component inflatable penile prosth (54405) |
$23,349.81 |
— |
1.2× |
| Insj penile prosthesis non-inflatable semi-rigid (54400) |
$14,859.26 |
— |
1.2× |
| Insj penile prosthesos inflatable self-contained (54401) |
$23,349.81 |
— |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,689.67 |
— |
1.2× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$15,234.65 |
— |
1.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,689.67 |
— |
1.2× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,689.67 |
— |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,689.67 |
— |
1.2× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,911.79 |
— |
1.4× |
| Insj/rplcmt defib w/lead(s) (33249) |
$38,082.29 |
— |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,834.16 |
— |
1.2× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,834.16 |
— |
1.2× |
| Insrt/redo spine n generator (63685) |
$35,944.44 |
— |
1.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$286.09 |
— |
1.2× |
| Interdental wiring (21497) |
$1,765.31 |
— |
1.2× |
| Intracapsular cataract extraction (66983) |
$2,697.51 |
— |
1.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$636.89 |
— |
1.2× |
| Intraoral i&d tongue/floor masticator space (41009) |
$636.89 |
— |
1.2× |
| Intraoral i&d tongue/floor sublngl dp sprmlhyd (41006) |
$1,765.31 |
— |
1.2× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$282.74 |
— |
1.2× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,765.31 |
— |
1.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,726.86 |
— |
1.2× |
| Intro Gastrointestinal Tube (44500) |
$1,049.30 |
— |
1.2× |
| Intro windpipe wire/tube (31730) |
$1,964.67 |
— |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$282.74 |
— |
1.2× |
| Irrigate corpora cavernosa for priapism (54220) |
$286.09 |
— |
1.2× |
| Irrigate vagina w meds (57150) |
$70.80 |
— |
1.2× |
| Irrigation maxillary sinus (31000) |
$282.74 |
— |
1.2× |
| Island pedicle flap graft (15740) |
$2,110.93 |
— |
1.1× |
| IV injection test vascular flow flap/graft (15860) |
$461.21 |
— |
1.1× |
| Kidney endoscopy (50575) |
$5,989.56 |
— |
1.2× |
| Kidney endoscopy (50572) |
$790.73 |
— |
1.2× |
| Kidney endoscopy (50553) |
$5,989.56 |
— |
1.2× |
| Kidney endoscopy (50570) |
$4,035.39 |
— |
1.2× |
| Kidney endoscopy (50551) |
$5,989.56 |
— |
1.2× |
| Kidney endoscopy & biopsy (50555) |
$10,663.69 |
— |
1.2× |
| Kidney endoscopy & biopsy (50574) |
$4,035.39 |
— |
1.2× |
| Kidney endoscopy & treatment (50580) |
$5,989.56 |
— |
1.2× |
| Knee arthroscopy/surgery (29887) |
$8,281.17 |
— |
1.2× |
| Knee arthroscopy/surgery (29883) |
$3,746.79 |
— |
1.2× |
| Knee arthroscopy/surgery (29885) |
$8,281.17 |
— |
1.2× |
| Knee arthroscopy/surgery (29876) |
$3,746.79 |
— |
1.2× |
| Knee arthroscopy/surgery (29851) |
$1,860.42 |
— |
1.2× |
| Knee arthroscopy/surgery (29886) |
$3,746.79 |
— |
1.2× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$8,281.17 |
— |
1.2× |
| Labyrinthectomy; transcanal (69905) |
$6,778.80 |
— |
1.2× |
| Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) |
$8,281.17 |
— |
1.2× |
| Lam W/O Ffd > 2 Vrt Seg Thrc (63016) |
$8,281.17 |
— |
1.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$8,281.17 |
— |
1.2× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$25,322.01 |
— |
1.4× |
| Laminectomy w/o ffd 1/2 vert seg thoracic (63003) |
$8,281.17 |
— |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$8,281.17 |
— |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$8,281.17 |
— |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$8,281.17 |
— |
1.2× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$8,281.17 |
— |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$8,281.17 |
— |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,281.17 |
— |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$8,281.17 |
— |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$8,281.17 |
— |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,281.17 |
— |
1.2× |
| Laminotomy single cervical (63040) |
$8,281.17 |
— |
1.2× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$8,281.17 |
— |
1.2× |
| Lap ing hernia repair init (49650) |
$6,679.03 |
— |
1.1× |
| Lap insert tunnel ip cath (49324) |
$6,679.03 |
— |
1.1× |
| Lap jejunostomy (44186) |
$6,679.03 |
— |
1.1× |
| Laparo ligate spermatic vein (55550) |
$6,679.03 |
— |
1.1× |
| Laparo sling operation (51992) |
$6,679.03 |
— |
1.1× |
| Laparo-myomectomy complex (58546) |
$11,915.47 |
— |
1.2× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
$11,915.47 |
— |
1.2× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$11,915.47 |
— |
1.2× |
| Laparoscopy appendectomy (44970) |
$6,679.03 |
— |
1.1× |
| Laparoscopy biopsy (49321) |
$6,679.03 |
— |
1.1× |
| Laparoscopy fimbrioplasty (58672) |
$6,679.03 |
— |
1.1× |
| Laparoscopy gastrostomy (43653) |
$6,679.03 |
— |
1.1× |
| Laparoscopy lymphadenectomy (38572) |
$11,915.47 |
— |
1.2× |
| Laparoscopy orchiopexy (54692) |
$6,679.03 |
— |
1.1× |
| Laparoscopy Remove Adnexa (58661) |
$6,679.03 |
— |
1.1× |
| Laparoscopy salpingostomy (58673) |
$11,915.47 |
— |
1.2× |
| Laparoscopy surgical orchiectomy (54690) |
$6,679.03 |
— |
1.1× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$11,915.47 |
— |
1.2× |
| Laparoscopy tubal block (58671) |
$6,679.03 |
— |
1.1× |
| Laparoscopy Tubal Cautery (58670) |
$6,679.03 |
— |
1.1× |
| Laparoscopy w/lysis of adhesions (58660) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$11,915.47 |
— |
1.2× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,915.47 |
— |
1.2× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$11,915.47 |
— |
1.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$4,433.13 |
— |
1.2× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$11,915.47 |
— |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$11,915.47 |
— |
1.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective (43652) |
$6,679.03 |
— |
1.1× |
| Laparoscopy, surgical; urethral suspension for stress incontinence (51990) |
$6,679.03 |
— |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,679.03 |
— |
1.1× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$4,433.13 |
— |
1.2× |
| Laps pelvic lymphadec (38573) |
$11,915.47 |
— |
1.2× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$11,915.47 |
— |
1.2× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$11,915.47 |
— |
1.2× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,679.03 |
— |
1.1× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$6,679.03 |
— |
1.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,679.03 |
— |
1.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$11,915.47 |
— |
1.2× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,679.03 |
— |
1.1× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$6,679.03 |
— |
1.1× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,334.83 |
— |
1.2× |
| Laryngoscop w/arytenoidectom (31560) |
$7,922.61 |
— |
1.2× |
| Laryngoscope w/vc inj (31570) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy Direct Aspiration (31515) |
$472.66 |
— |
1.3× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$229.29 |
— |
1.2× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$1,964.67 |
— |
1.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$472.66 |
— |
1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$472.66 |
— |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$229.29 |
— |
1.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$229.29 |
— |
1.2× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$472.66 |
— |
1.3× |
| Laryngoscopy indirect with biopsy (31510) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy w/exc of tumor (31540) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy w/fb & op scope (31531) |
$4,334.83 |
— |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,964.67 |
— |
1.1× |
| Laryngoscopy w/wo tracheoscopy dx newborn (31520) |
$472.66 |
— |
1.3× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$1,964.67 |
— |
1.1× |
| Laryngoscopy with biopsy (31576) |
$1,964.67 |
— |
1.1× |
| Laryngoscopy,dirct,op scop,remv ary (31561) |
$7,922.61 |
— |
1.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,964.67 |
— |
1.1× |
| Larynscop w/tumr exc + scope (31541) |
$4,334.83 |
— |
1.2× |
| Laser repair to improve eye fluid flow (65855) |
$672.85 |
— |
1.3× |
| Laser surgery, anal lesion(s) (46917) |
$3,250.15 |
— |
1.2× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$672.85 |
— |
1.3× |
| Laser treatment of retina (67039) |
$4,706.41 |
— |
1.2× |
| Laser treatment of retina (67040) |
$4,706.41 |
— |
1.2× |
| Laser vaporization surgery prostate, complete (52648) |
$5,989.56 |
— |
1.2× |
| Late closure of wound (13160) |
$2,110.93 |
— |
0.6× |
| Lateral canthopexy (21282) |
$3,726.86 |
— |
1.2× |
| Lateral retinacular release open (27425) |
$3,746.79 |
— |
1.2× |
| Lavage by cannulation; sphenoid sinus (31002) |
$1,765.31 |
— |
1.2× |
| Lefort i-3/> piece w/o graft (21143) |
$6,778.80 |
— |
1.2× |
| Lengthen metacarpal/finger (26568) |
$8,281.17 |
— |
1.2× |
| Lengthen radius & ulna (25393) |
$8,281.17 |
— |
1.2× |
| Lengthen radius or ulna (25391) |
$15,234.65 |
— |
1.2× |
| Lengthening Hamstring Tendon Single (27393) |
$8,281.17 |
— |
1.2× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
$8,281.17 |
— |
1.2× |
| Lengthening of hand tendon (26478) |
$3,746.79 |
— |
1.2× |
| Lengthening of thigh tendons (27395) |
$3,746.79 |
— |
1.2× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$3,746.79 |
— |
1.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$8,281.17 |
— |
1.2× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$15,234.65 |
— |
1.2× |
| Ligate leg veins radical (37760) |
$3,689.67 |
— |
1.2× |
| Ligation arteries; ethmoidal (30915) |
$3,689.67 |
— |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,057.95 |
— |
1.2× |
| Ligation of salivary duct (42665) |
$3,726.86 |
— |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$1,876.72 |
— |
1.2× |
| Ligation upper jaw artery (30920) |
$3,689.67 |
— |
1.2× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$3,689.67 |
— |
1.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,035.39 |
— |
1.2× |
| Lithotripsy (50590) |
$4,035.39 |
— |
1.2× |
| Liver Biopsy (47000) |
$1,876.72 |
— |
1.2× |
| Lower jaw bone graft (21215) |
$6,778.80 |
— |
1.2× |
| Lsh uterus 250 g or less (58541) |
$11,915.47 |
— |
1.2× |
| Lysis Intranasal Synechia (30560) |
$636.89 |
— |
1.2× |
| Lysis of labial adhesions (56441) |
$3,618.91 |
— |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,357.71 |
— |
1.2× |
| Male sling procedure (53440) |
$14,859.26 |
— |
1.2× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,746.79 |
— |
1.2× |
| Manipulation finger joint under anes each joint (26340) |
$1,860.42 |
— |
1.2× |
| Manipulation of spine (22505) |
$1,860.42 |
— |
1.2× |
| Manipulation, elbow, under anesthesia (24300) |
$1,860.42 |
— |
1.2× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$1,860.42 |
— |
1.2× |
| Manipulation, wrist, under anesthesia (25259) |
$1,860.42 |
— |
1.2× |
| Marsup Bartholin Gland Cyst (56440) |
$3,618.91 |
— |
1.2× |
| Marsupialization of urethral diverticulum, male or female Other Surgical Services (53240) |
$4,035.39 |
— |
1.2× |
| Mast mod rad (19307) |
$7,548.48 |
— |
1.2× |
| Mastectomy gynecomastia (19300) |
$4,412.27 |
— |
1.2× |
| Mastectomy simple complete (19303) |
$7,548.48 |
— |
1.2× |
| Mastoidectomy (69502) |
$6,778.80 |
— |
1.2× |
| Mastoidectomy (69501) |
$6,778.80 |
— |
1.2× |
| Mastoidectomy; modified radical (69505) |
$6,778.80 |
— |
1.2× |
| Mastopexy (19316) |
$7,548.48 |
— |
1.2× |
| Maxillary impression for palatal prosthesis (42280) |
$636.89 |
— |
1.2× |
| Maxillofacial fixation (21100) |
$6,778.80 |
— |
1.2× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$4,152.85 |
— |
1.2× |
| Measure Kidney Pressure Thru Tube (50396) |
$790.73 |
— |
1.2× |
| Measure Ureter Press,Indwell Cath (50686) |
$180.81 |
— |
1.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,853.86 |
— |
1.2× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,689.67 |
— |
1.2× |
| Metatarsectomy (28140) |
$3,746.79 |
— |
1.2× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$3,726.86 |
— |
1.2× |
| Middle ear surgery proc unlisted (69799) |
$282.74 |
— |
1.2× |
| Multiple Punctures Anterior Cornea (65600) |
$2,704.95 |
— |
1.2× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$4,152.85 |
— |
1.2× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$4,152.85 |
— |
1.2× |
| Muscle transfer shoulder/arm (23395) |
$8,281.17 |
— |
1.2× |
| Muscle-skin graft arm (15736) |
$2,110.93 |
— |
1.1× |
| Muscle-skin graft trunk (15734) |
$4,152.85 |
— |
1.2× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$8,281.17 |
— |
1.2× |
| Musculoskeletal surgery (20999) |
$272.98 |
— |
1.2× |
| Myelography Lumbar Injection (62305) |
$926.82 |
— |
1.2× |
| Myelography Lumbar Injection (62304) |
$926.82 |
— |
1.2× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$3,618.91 |
— |
1.2× |
| Myringoplasty (69620) |
$3,726.86 |
— |
1.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$229.29 |
— |
1.2× |
| Nasal sinus therapy (30210) |
$1,765.31 |
— |
1.2× |
| Nasal surgery procedure (30999) |
$282.74 |
— |
1.2× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$472.66 |
— |
1.3× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$1,964.67 |
— |
1.1× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$4,334.83 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,964.67 |
— |
1.1× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression (31292) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus endoscopy, surgical; with optic nerve decompression (31294) |
$7,922.61 |
— |
1.2× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$4,334.83 |
— |
1.2× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,964.67 |
— |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,964.67 |
— |
1.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,922.61 |
— |
1.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,922.61 |
— |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$461.21 |
— |
1.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$286.09 |
— |
1.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,057.95 |
— |
1.2× |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
$4,035.39 |
— |
1.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,860.42 |
— |
1.2× |
| Nerve palsy fascial graft (15840) |
$4,152.85 |
— |
1.2× |
| Nerve palsy muscle graft (15841) |
$4,152.85 |
— |
1.2× |
| Nerve repair w/allograft (64910) |
$7,710.95 |
— |
0.9× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$7,710.95 |
— |
0.9× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$2,234.97 |
— |
1.2× |
| Neuroplasty Brachial Plexus,Open (64713) |
$2,234.97 |
— |
1.2× |
| Neuroplasty digital 1/both same digit (64702) |
$2,234.97 |
— |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$2,234.97 |
— |
1.2× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,234.97 |
— |
1.2× |
| Nipple exploration (19110) |
$4,412.27 |
— |
1.2× |
| Nipple/areola reconstruction (19350) |
$4,412.27 |
— |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,055.08 |
— |
1.2× |
| Njx Arterial Occlusion Arven Malfrmj Spinal (62294) |
$1,055.08 |
— |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$286.09 |
— |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,055.08 |
— |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$800.50 |
— |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$800.50 |
— |
1.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$461.57 |
— |
1.2× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$7,922.61 |
— |
1.2× |
| Occlude fallopian tube(s) (58615) |
$3,618.91 |
— |
1.2× |
| Ocular photodynamic ther (67221) |
$672.85 |
— |
1.3× |
| Ocular reconst transplant (65781) |
$6,049.97 |
— |
1.2× |
| Ocular reconst transplant (65782) |
$4,475.53 |
— |
1.2× |
| Ocular reconst transplant (65780) |
$4,475.53 |
— |
1.2× |
| Open bone biopsy (20251) |
$8,281.17 |
— |
1.2× |
| Open bone biopsy (20250) |
$3,746.79 |
— |
1.2× |
| Open nasoethmoid fx w/ fixj (21339) |
$6,778.80 |
— |
1.2× |
| Open nasoethmoid fx w/o fixj (21338) |
$6,778.80 |
— |
1.2× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$8,281.17 |
— |
1.2× |
| Open rx carpal bone fx,each bone (25645) |
$3,746.79 |
— |
1.2× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$8,281.17 |
— |
1.2× |
| Open rx mandible fx+dental fix (21462) |
$6,778.80 |
— |
1.2× |
| Open rx mandible fx+extern fix (21454) |
$6,778.80 |
— |
1.2× |
| Open thrombect av fistula (36831) |
$6,361.13 |
— |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,281.17 |
— |
1.2× |
| Open Treatment Coccygeal Fracture (27202) |
$3,746.79 |
— |
1.2× |
| Open Treatment Humeral Condylar Fracture (24579) |
$15,234.65 |
— |
1.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,746.79 |
— |
1.2× |
| Open Treatment Lunate Dislocation (25695) |
$8,281.17 |
— |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,281.17 |
— |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$8,281.17 |
— |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$8,281.17 |
— |
1.2× |
| Open treatment of acute shoulder dislocation (23660) |
$8,281.17 |
— |
1.2× |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
$15,234.65 |
— |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,281.17 |
— |
1.2× |
| Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (21356) |
$6,778.80 |
— |
1.2× |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
$8,281.17 |
— |
1.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$15,234.65 |
— |
1.2× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$3,726.86 |
— |
1.2× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); with wiring and/or local fixation (21346) |
$6,778.80 |
— |
1.2× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$8,281.17 |
— |
1.2× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$8,281.17 |
— |
1.2× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) |
$8,281.17 |
— |
1.2× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$15,234.65 |
— |
1.2× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$8,281.17 |
— |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$8,281.17 |
— |
1.2× |
| Open treatment of ulnar styloid fracture (25652) |
$8,281.17 |
— |
1.2× |
| Open treatment palatal/maxillary fracture (21422) |
$6,778.80 |
— |
1.2× |
| Open Treatment Radial Shaft Fracture (25515) |
$8,281.17 |
— |
1.2× |
| Open treatment talus fracture (28445) |
$8,281.17 |
— |
1.2× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$8,281.17 |
— |
1.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,746.79 |
— |
1.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,281.17 |
— |
1.2× |
| Open Tx Depressed Malar Fracture (21360) |
$6,778.80 |
— |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,746.79 |
— |
1.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$8,281.17 |
— |
1.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,746.79 |
— |
1.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$15,234.65 |
— |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$3,746.79 |
— |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,746.79 |
— |
1.2× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$3,746.79 |
— |
1.2× |
| Open tx nose fx uncomplicatd (21325) |
$3,726.86 |
— |
1.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,281.17 |
— |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$8,281.17 |
— |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,746.79 |
— |
1.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$15,234.65 |
— |
1.2× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$8,281.17 |
— |
1.2× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$15,234.65 |
— |
1.2× |
| Open tx septal fx w/wo stabj (21336) |
$3,746.79 |
— |
1.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$8,281.17 |
— |
1.2× |
| Opn tx orbit fx w/implant (21407) |
$6,778.80 |
— |
1.2× |
| Opn tx orbit fx w/o implant (21406) |
$6,778.80 |
— |
1.2× |
| Opponensplasty Hypothenar Musc Tr (26494) |
$3,746.79 |
— |
1.2× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$3,746.79 |
— |
1.2× |
| Optic Nerve Decompression (67570) |
$4,475.53 |
— |
1.2× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$15,234.65 |
— |
1.2× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$15,234.65 |
— |
1.2× |
| Optx mndblr fx wo ntrdntl (21461) |
$6,778.80 |
— |
1.2× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$6,778.80 |
— |
1.2× |
| Orbital implant removal/revision (67560) |
$4,475.53 |
— |
1.2× |
| Orbitotomy w/o bone flap w/removal lesion (67412) |
$2,704.95 |
— |
1.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,004.73 |
— |
1.2× |
| Orchiectomy, partial (54522) |
$4,035.39 |
— |
1.2× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$3,746.79 |
— |
1.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,746.79 |
— |
1.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,746.79 |
— |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$3,746.79 |
— |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,746.79 |
— |
1.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,746.79 |
— |
1.2× |
| Osteochondral allograft, knee, open (27415) |
$15,234.65 |
— |
1.2× |
| Osteoplasty humerus (24420) |
$8,281.17 |
— |
1.2× |
| Osteoplasty, carpal bone, shortening (25394) |
$3,746.79 |
— |
1.2× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) (21208) |
$6,778.80 |
— |
1.2× |
| Osteoplasty, facial bones; reduction (21209) |
$6,778.80 |
— |
1.2× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$8,281.17 |
— |
1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$8,281.17 |
— |
1.2× |
| Osteotomy Clavicle W Bone Graft (23485) |
$15,234.65 |
— |
1.2× |
| Osteotomy Fibula (27707) |
$3,746.79 |
— |
1.2× |
| Osteotomy Metacarpal Each (26565) |
$3,746.79 |
— |
1.2× |
| Osteotomy midtarsal,autograft (28305) |
$8,281.17 |
— |
1.2× |
| Osteotomy Phalanx Finger Each (26567) |
$3,746.79 |
— |
1.2× |
| Osteotomy Radius Distal Third (25350) |
$8,281.17 |
— |
1.2× |
| Osteotomy talus (28302) |
$8,281.17 |
— |
1.2× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$8,281.17 |
— |
1.2× |
| Ovarian cystectomy (58925) |
$5,757.54 |
— |
1.2× |
| Palatop cl palate soft&/hard palate only (42200) |
$6,778.80 |
— |
1.2× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$6,778.80 |
— |
1.2× |
| Palatoplasty cleft palate major revj (42215) |
$6,778.80 |
— |
1.2× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$5,757.54 |
— |
1.2× |
| Paravaginal defect repair vaginal approach (57285) |
$8,747.05 |
— |
1.2× |
| Parotid duct diversion (42510) |
$3,726.86 |
— |
1.2× |
| Parotid duct diversion (42509) |
$6,778.80 |
— |
1.2× |
| Parotid duct divert,bilat (42507) |
$6,778.80 |
— |
1.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,746.79 |
— |
1.2× |
| Partial excision bone clavicle (23180) |
$8,281.17 |
— |
1.2× |
| Partial Excision Bone Fibula (27641) |
$3,746.79 |
— |
1.2× |
| Partial Excision Bone Humerus (24140) |
$3,746.79 |
— |
1.2× |
| Partial excision bone metacarpal (26230) |
$3,746.79 |
— |
1.2× |
| Partial Excision Bone Olecranon Process (24147) |
$3,746.79 |
— |
1.2× |
| Partial excision bone proximal humerus (23184) |
$8,281.17 |
— |
1.2× |
| Partial Excision Bone Radial Head/Neck (24145) |
$8,281.17 |
— |
1.2× |
| Partial Excision Bone Radius (25151) |
$3,746.79 |
— |
1.2× |
| Partial excision bone scapula (23182) |
$8,281.17 |
— |
1.2× |
| Partial excision bone talus/calcaneus (28120) |
$3,746.79 |
— |
1.2× |
| Partial Excision Bone Tibia (27640) |
$3,746.79 |
— |
1.2× |
| Partial Excision Bone Ulna (25150) |
$3,746.79 |
— |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,860.42 |
— |
1.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$3,746.79 |
— |
1.2× |
| Partial excision of lip (40520) |
$3,726.86 |
— |
1.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,860.42 |
— |
1.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,618.91 |
— |
1.2× |
| Partial Removal Foot Fascia (28060) |
$3,746.79 |
— |
1.2× |
| Partial removal of lip (40530) |
$3,726.86 |
— |
1.2× |
| Partial removal of pharynx (42890) |
$6,778.80 |
— |
1.2× |
| Partial removal of rib (21610) |
$3,746.79 |
— |
1.2× |
| Partial removal of scapula (23190) |
$3,746.79 |
— |
1.2× |
| Partial removal of thyroid (60220) |
$6,679.03 |
— |
1.1× |
| Partial removal of ulna (25119) |
$3,746.79 |
— |
1.2× |
| Partial removal tear gland (68505) |
$4,475.53 |
— |
1.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,679.03 |
— |
1.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,746.79 |
— |
1.2× |
| Pelvic exam under anesthesia (57410) |
$3,618.91 |
— |
1.2× |
| Penile Plethysmography (54240) |
$363.33 |
— |
1.7× |
| Penile Venous Occlusive Procedure (37790) |
$4,035.39 |
— |
1.2× |
| Penis plastic surgery (54360) |
$4,035.39 |
— |
1.2× |
| Penis study (54250) |
$286.09 |
— |
1.2× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$10,663.69 |
— |
1.2× |
| Perc sk fix metatarsal fx w manip (28476) |
$3,746.79 |
— |
1.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$12,734.37 |
— |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$814.42 |
— |
1.2× |
| Percutaneous diskectomy (62287) |
$2,234.97 |
— |
1.2× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,281.17 |
— |
1.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$3,746.79 |
— |
1.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,746.79 |
— |
1.2× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$3,746.79 |
— |
1.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,746.79 |
— |
1.2× |
| Percutaneous Tx Malar Area Fracture (21355) |
$3,726.86 |
— |
1.2× |
| Peri-implant capsulectomy breast complete (19371) |
$4,412.27 |
— |
1.2× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,618.91 |
— |
1.2× |
| Perirectal injection of sclerosing solution for prolapse, (45520) |
$1,057.95 |
— |
1.2× |
| Perq tx mndblr fx xtrnl fixj (21452) |
$6,778.80 |
— |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,281.17 |
— |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,281.17 |
— |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,746.79 |
— |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,746.79 |
— |
1.2× |
| Phalangectomy toe each toe (28150) |
$3,746.79 |
— |
1.2× |
| Phleb Veins - Extrem 20+ (37766) |
$3,689.67 |
— |
1.2× |
| Photopheresis, extracorporeal (36522) |
$5,356.92 |
— |
1.3× |
| Pin finger fracture each (26756) |
$3,746.79 |
— |
1.2× |
| Pin hand dislocation (26676) |
$3,746.79 |
— |
1.2× |
| Pin knuckle dislocation (26706) |
$3,746.79 |
— |
1.2× |
| Pin radioulnar dislocation (25671) |
$3,746.79 |
— |
1.2× |
| Place ndl musc/tis for rt (20555) |
$3,746.79 |
— |
1.2× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$5,757.54 |
— |
1.2× |
| Placement of seton (46020) |
$3,250.15 |
— |
1.2× |
| Plastic repair of canaliculi (68700) |
$2,704.95 |
— |
1.2× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500) |
$6,778.80 |
— |
1.2× |
| Plastic Repair Of Urethrocele (57230) |
$3,618.91 |
— |
1.2× |
| Plmt expandable cath brst following prtl mast (19296) |
$10,911.79 |
— |
1.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,357.71 |
— |
1.2× |
| Plmt radthx brachytx brst following prtl mast (19298) |
$7,548.48 |
— |
0.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,035.39 |
— |
1.2× |
| Positional change of finger (26555) |
$8,281.17 |
— |
1.2× |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
$3,746.79 |
— |
1.2× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$4,035.39 |
— |
1.2× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$5,989.56 |
— |
1.2× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$4,334.83 |
— |
1.2× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,697.51 |
— |
1.2× |
| Pr sperm washing artificial insemination (58323) |
$230.66 |
— |
1.2× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$3,746.79 |
— |
1.2× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$6,679.03 |
— |
1.1× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$6,679.03 |
— |
1.1× |
| Prepare face/oral prosthesis (21085) |
$282.74 |
— |
1.2× |
| Preputial Stretching (54450) |
$286.09 |
— |
1.2× |
| Probe nasolacrimal duct (68810) |
$337.21 |
— |
1.1× |
| Probe nasolacrimal duct (68815) |
$2,704.95 |
— |
1.2× |
| Probe nasolacrimal duct (68811) |
$2,704.95 |
— |
1.2× |
| Probe nl duct w/balloon (68816) |
$2,704.95 |
— |
1.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,365.99 |
— |
1.2× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,365.99 |
— |
1.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,250.15 |
— |
1.2× |
| Proctosigmoidoscopy (45303) |
$1,365.99 |
— |
1.2× |
| Proctosigmoidoscopy ablate (45320) |
$3,250.15 |
— |
1.2× |
| Proctosigmoidoscopy removal (45308) |
$3,250.15 |
— |
1.2× |
| Proctosigmoidoscopy removal (45315) |
$1,365.99 |
— |
1.2× |
| Proctosigmoidoscopy w/bx (45305) |
$1,365.99 |
— |
1.2× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$3,250.15 |
— |
1.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,057.95 |
— |
1.2× |
| Proctosigmoidoscopy,Transendo Stent (45327) |
$6,597.15 |
— |
1.1× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$672.85 |
— |
1.3× |
| Prostatectomy (turp) (52601) |
$5,989.56 |
— |
1.2× |
| Prostatic microwave thermotx (53850) |
$4,035.39 |
— |
1.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$814.42 |
— |
1.2× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$7,916.64 |
— |
1.3× |
| Prq impltj neurostimulator eltrd cranial nerve (64553) |
$15,768.15 |
— |
1.5× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$7,916.64 |
— |
1.3× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$3,746.79 |
— |
1.2× |
| Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) |
$8,281.17 |
— |
1.2× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,746.79 |
— |
1.2× |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
$3,746.79 |
— |
1.2× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$8,281.17 |
— |
1.2× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$8,281.17 |
— |
1.2× |
| Prq Skel Fixj Tarsl Dislc Xcp Talotarsal W/Manj (28546) |
$1,860.42 |
— |
1.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$8,281.17 |
— |
1.2× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$6,679.03 |
— |
1.1× |
| Punch biopsy skin single lesion (11104) |
$461.57 |
— |
1.2× |
| Punch graft hair transplant 1-15 punch grafts (15775) |
$461.57 |
— |
1.2× |
| Punch graft hair transplant >15 punch grafts (15776) |
$461.57 |
— |
1.2× |
| Puncture Aspiration (10160) |
$461.57 |
— |
1.2× |
| Puncture/clear windpipe (31612) |
$3,726.86 |
— |
1.2× |
| Pvb thoracic single inj site (64461) |
$800.50 |
— |
1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$8,281.17 |
— |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,860.42 |
— |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,746.79 |
— |
1.2× |
| Rad resec prox/mid phalanx (26260) |
$3,746.79 |
— |
1.2× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$3,289.16 |
— |
1.2× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,289.16 |
— |
1.2× |
| Rad resect tumor soft tissue thigh/knee <5cm (27329) |
$3,289.16 |
— |
1.2× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$3,289.16 |
— |
1.2× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$3,289.16 |
— |
1.2× |
| Radial styloidectomy (25230) |
$3,746.79 |
— |
1.2× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$8,281.17 |
— |
1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
$3,289.16 |
— |
1.2× |
| Radical resection of tumor, radius or ulna (25170) |
$8,281.17 |
— |
1.2× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
$3,746.79 |
— |
1.2× |
| Radical Resection Tumor Metacarpal (26250) |
$3,746.79 |
— |
1.2× |
| Radical Resection Tumor Metatarsal (28173) |
$3,746.79 |
— |
1.2× |
| Radical resection tumor phalanx or toe (28175) |
$1,860.42 |
— |
1.2× |
| Radical resection tumor radial head/neck (24152) |
$8,281.17 |
— |
1.2× |
| Radical resection tumor-shaft-or distal humerus 24150 (24150) |
$8,281.17 |
— |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,234.97 |
— |
1.2× |
| Rcnst condyle mandibular prt (21248) |
$6,778.80 |
— |
1.2× |
| Rcnstj Dislc Patella W/Patellectomy (27424) |
$8,281.17 |
— |
1.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$8,281.17 |
— |
1.2× |
| Realignment extensor tendon hand each tendon (26437) |
$3,746.79 |
— |
1.2× |
| Realignment of hand (25335) |
$3,746.79 |
— |
1.2× |
| Rebuild eardrum structures (69637) |
$6,778.80 |
— |
1.2× |
| Rebuild eardrum structures (69633) |
$6,778.80 |
— |
1.2× |
| Rebuild eardrum structures (69632) |
$6,778.80 |
— |
1.2× |
| Rebuild eardrum structures (69636) |
$6,778.80 |
— |
1.2× |
| Rebuild outer ear canal (69320) |
$6,778.80 |
— |
1.2× |
| Rebuild outer ear canal (69310) |
$6,778.80 |
— |
1.2× |
| Reconstr disloc patella w mscl adv (27422) |
$8,281.17 |
— |
1.2× |
| Reconstruc Ant Male Urethra (53410) |
$5,989.56 |
— |
1.2× |
| Reconstruc Eyelid,<2/3,One Stage (67971) |
$2,704.95 |
— |
1.2× |
| Reconstruc Eyelid,Second Stage (67975) |
$2,704.95 |
— |
1.2× |
| Reconstruc toe deform,soft tissue (28313) |
$3,746.79 |
— |
1.2× |
| Reconstruct cleft palate (42220) |
$6,778.80 |
— |
1.2× |
| Reconstruct cleft palate (42205) |
$3,726.86 |
— |
1.2× |
| Reconstruct cleft palate (42210) |
$6,778.80 |
— |
1.2× |
| Reconstruct cleft palate (42225) |
$6,778.80 |
— |
1.2× |
| Reconstruct elbow joint (24362) |
$15,234.65 |
— |
1.2× |
| Reconstruct elbow joint (24361) |
$21,572.14 |
— |
1.3× |
| Reconstruct extra finger (26587) |
$3,746.79 |
— |
1.2× |
| Reconstruct finger joint (26545) |
$3,746.79 |
— |
1.2× |
| Reconstruct head of radius (24365) |
$15,234.65 |
— |
1.2× |
| Reconstruct lip with flap (40525) |
$3,726.86 |
— |
1.2× |
| Reconstruct lip with flap (40527) |
$6,778.80 |
— |
1.2× |
| Reconstruct of mandibular rami a/o body sagittal splt; w/o internal rigid fix (21195) |
$6,778.80 |
— |
1.2× |
| Reconstruct of mandibular rami, horiz, vert, "c", or "l" osteotomy;w/o graft (21193) |
$6,778.80 |
— |
1.2× |
| Reconstruct Shoulder Joint (23470) |
$15,234.65 |
— |
1.2× |
| Reconstruct ulna/radioulnar (25337) |
$8,281.17 |
— |
1.2× |
| Reconstruct upper jaw bone (21206) |
$6,778.80 |
— |
1.2× |
| Reconstruct urethra stage 1 (53420) |
$5,989.56 |
— |
1.2× |
| Reconstruct urethra stage 2 (53425) |
$5,989.56 |
— |
1.2× |
| Reconstruct urethra/penis (54352) |
$5,989.56 |
— |
1.2× |
| Reconstruct wrist joint (25442) |
$21,572.14 |
— |
1.3× |
| Reconstruct wrist joint (25444) |
$15,234.65 |
— |
1.2× |
| Reconstruct wrist joint (25443) |
$8,281.17 |
— |
1.2× |
| Reconstruct wrist joint (25445) |
$8,281.17 |
— |
1.2× |
| Reconstruction cleft foot (28360) |
$8,281.17 |
— |
1.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$3,746.79 |
— |
1.2× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$8,281.17 |
— |
1.2× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$15,234.65 |
— |
1.2× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$6,778.80 |
— |
1.2× |
| Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft (21142) |
$6,778.80 |
— |
1.2× |
| Reconstruction of anus (46753) |
$3,250.15 |
— |
1.2× |
| Reconstruction of chin (21121) |
$3,726.86 |
— |
1.2× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$8,281.17 |
— |
1.2× |
| Reconstruction of eyelid (67973) |
$2,704.95 |
— |
1.2× |
| Reconstruction of eyelid (67974) |
$4,475.53 |
— |
1.2× |
| Reconstruction of jaw (21245) |
$6,778.80 |
— |
1.2× |
| Reconstruction of jaw (21249) |
$6,778.80 |
— |
1.2× |
| Reconstruction of jaw (21246) |
$6,778.80 |
— |
1.2× |
| Reconstruction of jaw joint (21243) |
$21,572.14 |
— |
0.8× |
| Reconstruction of jaw joint (21240) |
$6,778.80 |
— |
1.2× |
| Reconstruction of jaw joint (21242) |
$6,778.80 |
— |
1.2× |
| Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) |
$6,778.80 |
— |
1.2× |
| Reconstruction of mouth (40845) |
$6,778.80 |
— |
1.2× |
| Reconstruction of mouth (40842) |
$6,778.80 |
— |
1.2× |
| Reconstruction of nail bed with graft (11762) |
$2,110.93 |
— |
1.1× |
| Reconstruction of nose (30400) |
$6,778.80 |
— |
1.2× |
| Reconstruction of throat (42950) |
$6,778.80 |
— |
1.2× |
| Reconstruction of urethra (54324) |
$4,035.39 |
— |
1.2× |
| Reconstruction of urethra (54322) |
$4,035.39 |
— |
1.2× |
| Reconstruction of urethra (54326) |
$4,035.39 |
— |
1.2× |
| Reconstruction of urethra (53430) |
$5,989.56 |
— |
1.2× |
| Reconstruction of urethra (54308) |
$5,989.56 |
— |
1.2× |
| Reconstruction of urethra (54312) |
$4,035.39 |
— |
1.2× |
| Reconstruction of urethra (54318) |
$4,035.39 |
— |
1.2× |
| Reconstruction Toe Polydactyly (28344) |
$3,746.79 |
— |
1.2× |
| Reconstruction tongue fold (41520) |
$3,726.86 |
— |
1.2× |
| Reconstruction, knee (27429) |
$15,234.65 |
— |
1.2× |
| Reduce testis torsion (54600) |
$4,035.39 |
— |
1.2× |
| Reduction of Large Breast (19318) |
$7,548.48 |
— |
1.2× |
| Reduction of rectal prolapse (45900) |
$1,057.95 |
— |
1.2× |
| Reforearm tend/musc,exten,second (25272) |
$3,746.79 |
— |
1.2× |
| Reinforce clavicle (23490) |
$8,281.17 |
— |
1.2× |
| Reinforce eye wall (67250) |
$2,704.95 |
— |
1.2× |
| Reinforce humerus (24498) |
$15,234.65 |
— |
1.2× |
| Reinforce radius (25490) |
$8,281.17 |
— |
1.2× |
| Reinforce radius and ulna (25492) |
$3,746.79 |
— |
1.2× |
| Reinforce shoulder bones (23491) |
$15,234.65 |
— |
1.2× |
| Reinforce tibia (27745) |
$8,281.17 |
— |
1.2× |
| Reinforce ulna (25491) |
$15,234.65 |
— |
1.2× |
| Reinforce/graft eye wall (67255) |
$4,706.41 |
— |
1.2× |
| Reinsert ocular implant (65150) |
$4,475.53 |
— |
1.2× |
| Reinsert ocular implant (65155) |
$4,475.53 |
— |
1.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$8,281.17 |
— |
1.2× |
| Release elbow joint (24006) |
$3,746.79 |
— |
1.2× |
| Release encircling material posterior segment (67115) |
$4,706.41 |
— |
1.2× |
| Release eye tissue (67343) |
$2,704.95 |
— |
1.2× |
| Release forearm/hand exten tendon (26449) |
$3,746.79 |
— |
1.2× |
| Release i-p jt contracture (26525) |
$1,860.42 |
— |
1.2× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$3,746.79 |
— |
1.2× |
| Release middle ear bone (69650) |
$3,726.86 |
— |
1.2× |
| Release of big toe (28240) |
$3,746.79 |
— |
1.2× |
| Release of eye fluid (67015) |
$2,697.51 |
— |
1.2× |
| Release of lower leg tendons (27681) |
$3,746.79 |
— |
1.2× |
| Release palm contracture (26121) |
$3,746.79 |
— |
1.2× |
| Release thumb contracture (26508) |
$3,746.79 |
— |
1.2× |
| Release wrist/forearm tendon (25295) |
$3,746.79 |
— |
1.2× |
| Release/Recession Hamstring Proximal (27097) |
$3,746.79 |
— |
1.2× |
| Relieve inner eye pressure (65820) |
$4,706.41 |
— |
1.2× |
| Relocation of skin pocket for pacemaker (33222) |
$2,110.93 |
— |
1.1× |
| Removal Anal Seton Other Marker (46030) |
$1,365.99 |
— |
1.2× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$23,349.81 |
— |
1.2× |
| Removal Cyst Hygroma Neurovasc Diss (38555) |
$7,548.48 |
— |
1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,289.16 |
— |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$1,876.72 |
— |
1.2× |
| Removal foreign body foot deep (28192) |
$1,876.72 |
— |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$814.42 |
— |
1.2× |
| Removal foreign body jawbone (41806) |
$1,765.31 |
— |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,876.72 |
— |
1.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,746.79 |
— |
1.2× |
| Removal foreign body pharynx (42809) |
$461.21 |
— |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,289.16 |
— |
1.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,726.86 |
— |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70.80 |
— |
1.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,618.91 |
— |
1.2× |
| Removal Implant Deep (20680) |
$3,289.16 |
— |
1.2× |
| Removal Implant From Finger/Hand (26320) |
$1,876.72 |
— |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,876.72 |
— |
1.2× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,545.70 |
— |
1.3× |
| Removal Intact Mammary Implant (19328) |
$4,412.27 |
— |
1.2× |
| Removal neck/armpit lesion (38550) |
$4,412.27 |
— |
1.2× |
| Removal of adenoids (42835) |
$3,726.86 |
— |
1.2× |
| Removal of adenoids (42831) |
$3,726.86 |
— |
1.2× |
| Removal of adenoids (42830) |
$3,726.86 |
— |
1.2× |
| Removal of adenoids (42836) |
$3,726.86 |
— |
1.2× |
| Removal of anal fissure (46200) |
$3,250.15 |
— |
1.2× |
| Removal of ankle implant (27704) |
$3,746.79 |
— |
1.2× |
| Removal of anorectal lesion (45108) |
$3,250.15 |
— |
1.2× |
| Removal of arm foreign body (24200) |
$1,876.72 |
— |
1.2× |
| Removal of bone lesion (23140) |
$3,746.79 |
— |
1.2× |
| Removal of bone lesion (23146) |
$8,281.17 |
— |
1.2× |
| Removal of bone lesion (23145) |
$3,746.79 |
— |
1.2× |
| Removal of calcium deposits (23000) |
$3,289.16 |
— |
1.2× |
| Removal of cervix (57530) |
$5,757.54 |
— |
1.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,860.42 |
— |
1.2× |
| Removal of external ear (69120) |
$6,778.80 |
— |
1.2× |
| Removal of eye (65110) |
$4,475.53 |
— |
1.2× |
| Removal of eye (65101) |
$4,475.53 |
— |
1.2× |
| Removal of eye lesion (65400) |
$1,171.94 |
— |
1.2× |
| Removal of fascia for graft (20922) |
$2,110.93 |
— |
1.1× |
| Removal of finger lesion (26210) |
$1,860.42 |
— |
1.2× |
| Removal of fixation device (20665) |
$461.21 |
— |
1.1× |
| Removal of foot joint lining (28070) |
$8,281.17 |
— |
1.2× |
| Removal of foreign body in scrotum (55120) |
$2,357.71 |
— |
1.2× |
| Removal of frontal sinus (31080) |
$6,778.80 |
— |
1.2× |
| Removal of frontal sinus (31084) |
$6,778.80 |
— |
1.2× |
| Removal of frontal sinus (31086) |
$6,778.80 |
— |
1.2× |
| Removal of head of humerus (23195) |
$8,281.17 |
— |
1.2× |
| Removal of Head of Radius (24130) |
$3,746.79 |
— |
1.2× |
| Removal of heel bone (28118) |
$3,746.79 |
— |
1.2× |
| Removal of heel spur (28119) |
$3,746.79 |
— |
1.2× |
| Removal of hip bone lesion (27066) |
$3,746.79 |
— |
1.2× |
| Removal of humerus lesion (23150) |
$3,746.79 |
— |
1.2× |
| Removal of humerus lesion (23156) |
$8,281.17 |
— |
1.2× |
| Removal of humerus lesion (23155) |
$8,281.17 |
— |
1.2× |
| Removal of implanted material, anterior segment of eye (65920) |
$2,697.51 |
— |
1.2× |
| Removal of intranasal lesion (30118) |
$3,726.86 |
— |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$371.35 |
— |
1.3× |
| Removal of iris (66625) |
$2,697.51 |
— |
1.2× |
| Removal of iris (66635) |
$2,697.51 |
— |
1.2× |
| Removal of iris (66605) |
$2,697.51 |
— |
1.2× |
| Removal of iris (66630) |
$2,697.51 |
— |
1.2× |
| Removal of ischial bursa (27060) |
$8,281.17 |
— |
1.2× |
| Removal of jaw joint (21050) |
$6,778.80 |
— |
1.2× |
| Removal of kidney stone (50081) |
$10,663.69 |
— |
1.2× |
| Removal of knee cartilage (27333) |
$3,746.79 |
— |
1.2× |
| Removal of knee cartilage (27332) |
$3,746.79 |
— |
1.2× |
| Removal of kneecap (27350) |
$8,281.17 |
— |
1.2× |
| Removal of larynx lesion (31300) |
$3,726.86 |
— |
1.2× |
| Removal of leg veins/lesion (37735) |
$3,689.67 |
— |
1.2× |
| Removal of lens lesion (66830) |
$2,697.51 |
— |
1.2× |
| Removal of lens material (66840) |
$2,697.51 |
— |
1.2× |
| Removal of lens material (66852) |
$4,706.41 |
— |
1.2× |
| Removal of nail bed (11750) |
$461.57 |
— |
1.2× |
| Removal of neck wrinkles (15825) |
$4,152.85 |
— |
1.2× |
| Removal of nose (30160) |
$6,778.80 |
— |
1.2× |
| Removal of nose lesion (30125) |
$6,778.80 |
— |
1.2× |
| Removal of nose lesion (30124) |
$1,765.31 |
— |
1.2× |
| Removal of nose polyp(s) (30115) |
$3,726.86 |
— |
1.2× |
| Removal of ocular implant (65175) |
$4,475.53 |
— |
1.2× |
| Removal of palm tendon each (26170) |
$1,860.42 |
— |
1.2× |
| Removal Of Peritoneal-Venous Shunt (49429) |
$3,689.67 |
— |
1.2× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$2,202.61 |
— |
1.2× |
| Removal of residual cervix (57550) |
$5,757.54 |
— |
1.2× |
| Removal of salivary stone (42330) |
$3,726.86 |
— |
1.2× |
| Removal of salivary stone (42335) |
$3,726.86 |
— |
1.2× |
| Removal of salivary stone (42340) |
$3,726.86 |
— |
1.2× |
| Removal of sesamoid bone (28315) |
$3,746.79 |
— |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$231.74 |
— |
1.2× |
| Removal of skin wrinkles (15829) |
$4,152.85 |
— |
1.2× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$2,202.61 |
— |
1.2× |
| Removal of sperm cord lesion (55520) |
$4,035.39 |
— |
1.2× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,234.97 |
— |
1.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,938.59 |
— |
1.2× |
| Removal of suture from anus (46754) |
$3,250.15 |
— |
1.2× |
| Removal of tail bone ulcer (15922) |
$4,152.85 |
— |
1.2× |
| Removal of tear sac (68520) |
$4,475.53 |
— |
1.2× |
| Removal of testis (54520) |
$4,035.39 |
— |
1.2× |
| Removal of thyroid (60271) |
$6,778.80 |
— |
1.2× |
| Removal of thyroid lesion (60200) |
$6,679.03 |
— |
1.1× |
| Removal of tonsils (42825) |
$6,778.80 |
— |
1.2× |
| Removal of tonsils (42826) |
$3,726.86 |
— |
1.2× |
| Removal of urethra (53210) |
$4,035.39 |
— |
1.2× |
| Removal of urethra (53215) |
$5,989.56 |
— |
1.2× |
| Removal of wrist bone (25210) |
$3,746.79 |
— |
1.2× |
| Removal of wrist prosthesis (25251) |
$3,746.79 |
— |
1.2× |
| Removal of wrist prosthesis (25250) |
$1,860.42 |
— |
1.2× |
| Removal or relocation of corneal conjunctiva (65420) |
$2,704.95 |
— |
1.2× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,704.95 |
— |
1.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,618.91 |
— |
1.2× |
| Removal ppm generator only (33233) |
$9,834.16 |
— |
1.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,110.93 |
— |
1.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,689.67 |
— |
1.2× |
| Removal,Blood Clot,Ant Segment,Eye (65930) |
$2,697.51 |
— |
1.2× |
| Remove & graft wrist lesion (25136) |
$8,281.17 |
— |
1.2× |
| Remove & graft wrist lesion (25135) |
$8,281.17 |
— |
1.2× |
| Remove anal fist 2 stage (46285) |
$3,250.15 |
— |
1.2× |
| Remove anal fist subq (46270) |
$3,250.15 |
— |
1.2× |
| Remove bladder stone (52318) |
$4,035.39 |
— |
1.2× |
| Remove by ligat int hem grp (46945) |
$3,250.15 |
— |
1.2× |
| Remove by ligat int hem grps (46946) |
$3,250.15 |
— |
1.2× |
| Remove cerclage suture (59871) |
$3,618.91 |
— |
1.2× |
| Remove cervix repair bowel (57556) |
$5,757.54 |
— |
1.2× |
| Remove cervix/repair vagina (57555) |
$5,757.54 |
— |
1.2× |
| Remove collar bone lesion (23170) |
$3,746.79 |
— |
1.2× |
| Remove coronoid process (21070) |
$6,778.80 |
— |
1.2× |
| Remove digit nerve lesion (64776) |
$2,234.97 |
— |
1.2× |
| Remove ear lesion (69540) |
$1,765.31 |
— |
1.2× |
| Remove ear lesion (69552) |
$6,778.80 |
— |
1.2× |
| Remove ear lesion (69550) |
$6,778.80 |
— |
1.2× |
| Remove elbow lesion (24120) |
$3,746.79 |
— |
1.2× |
| Remove eye implant material (67120) |
$2,697.51 |
— |
1.2× |
| Remove eye implant material (67121) |
$2,697.51 |
— |
1.2× |
| Remove eye lesion (66130) |
$2,704.95 |
— |
1.2× |
| Remove eye lesion (65900) |
$2,697.51 |
— |
1.2× |
| Remove eye/attach implant (65105) |
$4,475.53 |
— |
1.2× |
| Remove eye/insert implant (65103) |
$4,475.53 |
— |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$337.21 |
— |
1.1× |
| Remove eyelid lesion(s) (67808) |
$2,704.95 |
— |
1.2× |
| Remove eyelid lesions (67801) |
$1,171.94 |
— |
1.2× |
| Remove eyelid lining lesion (68115) |
$2,704.95 |
— |
1.2× |
| Remove eyelid lining lesion (68130) |
$2,704.95 |
— |
1.2× |
| Remove eyelid lining lesion (68135) |
$2,704.95 |
— |
1.2× |
| Remove femur lesion (27355) |
$3,746.79 |
— |
1.2× |
| Remove femur lesion/bursa (27062) |
$3,746.79 |
— |
1.2× |
| Remove finger bone (26185) |
$1,860.42 |
— |
1.2× |
| Remove forearm bone lesion (25145) |
$3,746.79 |
— |
1.2× |
| Remove foreign body from eye (65265) |
$2,697.51 |
— |
1.2× |
| Remove foreign body from eye (65235) |
$2,697.51 |
— |
1.2× |
| Remove foreign body from eye (65210) |
$461.21 |
— |
1.1× |
| Remove foreign body from eye (65260) |
$2,697.51 |
— |
1.2× |
| Remove hip pressure sore (15941) |
$3,289.16 |
— |
1.2× |
| Remove hip pressure sore (15945) |
$2,110.93 |
— |
1.1× |
| Remove humerus lesion (23174) |
$8,281.17 |
— |
1.2× |
| Remove humerus lesion (24110) |
$3,746.79 |
— |
1.2× |
| Remove in/ex hem groups 2+ (46260) |
$3,250.15 |
— |
1.2× |
| Remove in/ex hem grp w/fistu (46258) |
$3,250.15 |
— |
1.2× |
| Remove in/ex hem grps w/fist (46262) |
$3,250.15 |
— |
1.2× |
| Remove iris and lesion (66600) |
$4,706.41 |
— |
1.2× |
| Remove jaw joint cartilage (21060) |
$6,778.80 |
— |
1.2× |
| Remove knee cyst (27347) |
$3,746.79 |
— |
1.2× |
| Remove knee joint lining (27335) |
$8,281.17 |
— |
1.2× |
| Remove mastoid air cells (69670) |
$6,778.80 |
— |
1.2× |
| Remove middle ear nerve (69676) |
$3,726.86 |
— |
1.2× |
| Remove muti-comp penis pros (54406) |
$4,035.39 |
— |
1.2× |
| Remove ocular contents (65091) |
$4,475.53 |
— |
1.2× |
| Remove palate/lesion (42120) |
$6,778.80 |
— |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,289.16 |
— |
1.2× |
| Remove prostate regrowth (52630) |
$5,989.56 |
— |
1.2× |
| Remove radius head implant (24164) |
$3,746.79 |
— |
1.2× |
| Remove renal tube w/fluoro (50389) |
$790.73 |
— |
1.2× |
| Remove sacrum pressure sore (15937) |
$2,110.93 |
— |
1.1× |
| Remove sacrum pressure sore (15935) |
$4,152.85 |
— |
1.2× |
| Remove shoulder blade lesion (23172) |
$3,746.79 |
— |
1.2× |
| Remove shoulder foreign body (23330) |
$1,876.72 |
— |
1.2× |
| Remove shoulder joint lining (23105) |
$8,281.17 |
— |
1.2× |
| Remove skin nerve lesion (64774) |
$2,234.97 |
— |
1.2× |
| Remove sperm pouch lesion (55680) |
$4,035.39 |
— |
1.2× |
| Remove spinal canal catheter (62355) |
$2,234.97 |
— |
1.2× |
| Remove spinal cord lesion (63600) |
$2,234.97 |
— |
1.2× |
| Remove spine infusion device (62365) |
$7,710.95 |
— |
2.3× |
| Remove tear gland lesion (68550) |
$4,475.53 |
— |
1.2× |
| Remove tear gland lesion (68540) |
$2,704.95 |
— |
1.2× |
| Remove thigh pressure sore (15956) |
$2,110.93 |
— |
1.1× |
| Remove thigh pressure sore (15958) |
$4,152.85 |
— |
1.2× |
| Remove thyroid duct lesion (60280) |
$6,679.03 |
— |
1.1× |
| Remove tissue expander (11971) |
$3,289.16 |
— |
1.2× |
| Remove tumor hip/pelvis (27049) |
$3,289.16 |
— |
1.2× |
| Remove vagina tissue part (57107) |
$3,618.91 |
— |
1.2× |
| Remove vagina wall partial (57106) |
$3,618.91 |
— |
1.2× |
| Remove vc lesion scope/graft (31546) |
$7,922.61 |
— |
1.2× |
| Remove vc lesion w/scope (31545) |
$4,334.83 |
— |
1.2× |
| Remove wrist joint cartilage (25107) |
$3,746.79 |
— |
1.2× |
| Remove wrist joint implant (25449) |
$8,281.17 |
— |
1.2× |
| Remove wrist tendon lesion (25111) |
$1,860.42 |
— |
1.2× |
| Remove/graft bone lesion (24115) |
$8,281.17 |
— |
1.2× |
| Remove/graft bone lesion (24126) |
$8,281.17 |
— |
1.2× |
| Remove/graft bone lesion (24116) |
$8,281.17 |
— |
1.2× |
| Remove/graft bone lesion (26205) |
$8,281.17 |
— |
1.2× |
| Remove/graft bone lesion (24125) |
$3,746.79 |
— |
1.2× |
| Remove/graft foot lesion (28102) |
$8,281.17 |
— |
1.2× |
| Remove/graft foot lesion (28107) |
$8,281.17 |
— |
1.2× |
| Remove/graft foot lesion (28103) |
$8,281.17 |
— |
1.2× |
| Remove/graft forearm lesion (25126) |
$3,746.79 |
— |
1.2× |
| Remove/graft forearm lesion (25125) |
$1,860.42 |
— |
1.2× |
| Remove/graft leg bone lesion (27637) |
$8,281.17 |
— |
1.2× |
| Remove/revise male sling (53442) |
$5,989.56 |
— |
1.2× |
| Remv cartilage for graft nasal (20912) |
$4,152.85 |
— |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,876.72 |
— |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$147.87 |
— |
1.2× |
| Remv for.body deep penile tiss (54115) |
$3,289.16 |
— |
1.2× |
| Renal biopsy (50200) |
$1,876.72 |
— |
1.2× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
$10,663.69 |
— |
1.2× |
| Renal ndsc nephros/pyelostomy fulg&/inc w/wo bi (50557) |
$10,663.69 |
— |
1.2× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,989.56 |
— |
1.2× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$3,618.91 |
— |
1.2× |
| Repair achilles tendon (27650) |
$8,281.17 |
— |
1.2× |
| Repair anal fistula (46288) |
$3,250.15 |
— |
1.2× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$3,746.79 |
— |
1.2× |
| Repair arm tendon/muscle (24341) |
$8,281.17 |
— |
1.2× |
| Repair arm/leg nerve (64857) |
$7,710.95 |
— |
2.3× |
| Repair bladder-vagina lesion (57320) |
$5,757.54 |
— |
1.2× |
| Repair brow defect (67900) |
$2,704.95 |
— |
1.2× |
| Repair Choanal Atresia Intranasal (30540) |
$6,778.80 |
— |
1.2× |
| Repair Choanal Atresia Transpalatine (30545) |
$6,778.80 |
— |
1.2× |
| Repair cleft hand deformity (26580) |
$3,746.79 |
— |
1.2× |
| Repair cleft lip/nasal (40701) |
$6,778.80 |
— |
1.2× |
| Repair cleft lip/nasal (40720) |
$3,726.86 |
— |
1.2× |
| Repair cleft lip/nasal (40702) |
$6,778.80 |
— |
1.2× |
| Repair cleft lip/nasal (40761) |
$6,778.80 |
— |
1.2× |
| Repair cleft lip/nasal (40700) |
$6,778.80 |
— |
1.2× |
| Repair clitoris (56805) |
$3,618.91 |
— |
1.2× |
| Repair collat ankle ligmnt,secondary (27698) |
$8,281.17 |
— |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$727 |
— |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$727 |
— |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$461.57 |
— |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$727 |
— |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$727 |
— |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$727 |
— |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$727 |
— |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$727 |
— |
1.0× |
| Repair detached retina (67105) |
$672.85 |
— |
1.3× |
| Repair detached retina (67110) |
$2,697.51 |
— |
1.2× |
| Repair dislocated jaw (21490) |
$3,726.86 |
— |
1.2× |
| Repair eardrum structures (69635) |
$6,778.80 |
— |
1.2× |
| Repair ectropion suture (67914) |
$2,704.95 |
— |
1.2× |
| Repair elbow deb/attch open (24359) |
$3,746.79 |
— |
1.2× |
| Repair elbow perc (24357) |
$3,746.79 |
— |
1.2× |
| Repair entropion excision tarsal wedge (67923) |
$2,704.95 |
— |
1.2× |
| Repair Entropion Suture (67921) |
$2,704.95 |
— |
1.2× |
| Repair exten tendon,dist,open,grft (26434) |
$3,746.79 |
— |
1.2× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$3,746.79 |
— |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,860.42 |
— |
1.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,746.79 |
— |
1.2× |
| Repair eyelid defect (67916) |
$2,704.95 |
— |
1.2× |
| Repair eyelid defect (67902) |
$4,475.53 |
— |
1.2× |
| Repair eyelid defect (67908) |
$2,704.95 |
— |
1.2× |
| Repair eyelid defect (67906) |
$4,475.53 |
— |
1.2× |
| Repair eyelid defect (67904) |
$2,704.95 |
— |
1.2× |
| Repair eyelid defect (67903) |
$2,704.95 |
— |
1.2× |
| Repair eyelid defect (67901) |
$2,704.95 |
— |
1.2× |
| Repair eyelid defect (67924) |
$2,704.95 |
— |
1.2× |
| Repair eyelid wound (67930) |
$2,704.95 |
— |
1.2× |
| Repair finger tendon (26432) |
$1,860.42 |
— |
1.2× |
| Repair finger tendon (26433) |
$3,746.79 |
— |
1.2× |
| Repair finger/hand tendon (26350) |
$3,746.79 |
— |
1.2× |
| Repair finger/hand tendon (26373) |
$3,746.79 |
— |
1.2× |
| Repair finger/hand tendon (26370) |
$3,746.79 |
— |
1.2× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$3,746.79 |
— |
1.2× |
| Repair foot dislocation (28585) |
$8,281.17 |
— |
1.2× |
| Repair forearm tendon sheath (25275) |
$3,746.79 |
— |
1.2× |
| Repair forearm tendon/muscle (25270) |
$3,746.79 |
— |
1.2× |
| Repair forearm tendon/muscle (25274) |
$3,746.79 |
— |
1.2× |
| Repair forearm tendon/muscle (25260) |
$3,746.79 |
— |
1.2× |
| Repair forearm tendon/muscle (25265) |
$3,746.79 |
— |
1.2× |
| Repair gum (41872) |
$3,726.86 |
— |
1.2× |
| Repair hallux rigidus (28289) |
$3,746.79 |
— |
1.2× |
| Repair hand joint with graft (26542) |
$3,746.79 |
— |
1.2× |
| Repair hand tendon (26410) |
$1,860.42 |
— |
1.2× |
| Repair humerus with graft (24435) |
$15,234.65 |
— |
1.2× |
| Repair incomplete circumcision (54163) |
$2,357.71 |
— |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,004.73 |
— |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,004.73 |
— |
1.2× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,004.73 |
— |
1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,004.73 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$461.57 |
— |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$461.57 |
— |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$727 |
— |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$461.57 |
— |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$461.57 |
— |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$727 |
— |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,110.93 |
— |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$461.57 |
— |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$461.57 |
— |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$461.57 |
— |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$727 |
— |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$461.57 |
— |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,110.93 |
— |
1.1× |
| Repair intrinsic muscles of hand (26591) |
$3,746.79 |
— |
1.2× |
| Repair iris & ciliary body (66682) |
$2,697.51 |
— |
1.2× |
| Repair iris & ciliary body (66680) |
$2,697.51 |
— |
1.2× |
| Repair kneecap tendon (27380) |
$8,281.17 |
— |
1.2× |
| Repair Laceration Palate </2 Cm (42180) |
$636.89 |
— |
1.2× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,778.80 |
— |
1.2× |
| Repair lead pace-defib dual (33220) |
$4,545.70 |
— |
1.3× |
| Repair lead pace-defib one (33218) |
$4,545.70 |
— |
1.3× |
| Repair lower leg epiphyses (27734) |
$3,746.79 |
— |
1.2× |
| Repair lower leg tendons (27676) |
$8,281.17 |
— |
1.2× |
| Repair lumbar hernia (49540) |
$6,679.03 |
— |
1.1× |
| Repair Macrodactylia Each Digit (26590) |
$1,860.42 |
— |
1.2× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$8,281.17 |
— |
1.2× |
| Repair middle ear structures (69667) |
$3,726.86 |
— |
1.2× |
| Repair middle ear structures (69666) |
$3,726.86 |
— |
1.2× |
| Repair mouth/nose fistula (30600) |
$6,778.80 |
— |
1.2× |
| Repair multi-comp penis pros (54408) |
$5,989.56 |
— |
1.2× |
| Repair nasal septal perforations (30630) |
$3,726.86 |
— |
1.2× |
| Repair nasal vestibular stenosis (30465) |
$6,778.80 |
— |
1.2× |
| Repair nonunion hand (26546) |
$8,281.17 |
— |
1.2× |
| Repair nonunion radius/ulna w autogrft (25405) |
$8,281.17 |
— |
1.2× |
| Repair of anal fistula with fibrin glue (46706) |
$3,250.15 |
— |
1.2× |
| Repair of anal sphincter (46750) |
$3,250.15 |
— |
1.2× |
| Repair of anal sphincter (46760) |
$3,250.15 |
— |
1.2× |
| Repair of ankle ligament (27695) |
$8,281.17 |
— |
1.2× |
| Repair of arm tendon (24320) |
$8,281.17 |
— |
1.2× |
| Repair of biceps tendon (24340) |
$8,281.17 |
— |
1.2× |
| Repair of defect with autograft; radius OR ulna (25425) |
$8,281.17 |
— |
1.2× |
| Repair of eardrum structures (69631) |
$6,778.80 |
— |
1.2× |
| Repair of ectropion; thermocauterization (67915) |
$2,704.95 |
— |
1.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$5,757.54 |
— |
1.2× |
| Repair of entropion; thermocauterization (67922) |
$2,704.95 |
— |
1.2× |
| Repair of eye socket wound (65290) |
$4,475.53 |
— |
1.2× |
| Repair of eye wound (65280) |
$6,049.97 |
— |
1.2× |
| Repair of eye wound (65286) |
$2,697.51 |
— |
1.2× |
| Repair of eye wound (65275) |
$4,475.53 |
— |
1.2× |
| Repair of eye wound (65285) |
$6,049.97 |
— |
1.2× |
| Repair of eye wound (65272) |
$2,704.95 |
— |
1.2× |
| Repair of facial nerve (64865) |
$7,710.95 |
— |
2.3× |
| Repair of foot bones (28320) |
$15,234.65 |
— |
1.2× |
| Repair Of Foot Tendon (28208) |
$3,746.79 |
— |
1.2× |
| Repair of hammertoe (28286) |
$3,746.79 |
— |
1.2× |
| Repair of humerus (24430) |
$15,234.65 |
— |
1.2× |
| Repair of hydrocele (55060) |
$4,035.39 |
— |
1.2× |
| Repair of knee cartilage (27403) |
$8,281.17 |
— |
1.2× |
| Repair of knee ligament (27407) |
$8,281.17 |
— |
1.2× |
| Repair of knee ligaments (27409) |
$8,281.17 |
— |
1.2× |
| Repair of leg epiphyses (27742) |
$3,746.79 |
— |
1.2× |
| Repair of leg nerve (64840) |
$7,710.95 |
— |
0.9× |
| Repair of leg tendon each (27664) |
$8,281.17 |
— |
1.2× |
| Repair of leg tendon each (27665) |
$8,281.17 |
— |
1.2× |
| Repair of leg tendon each (27658) |
$3,746.79 |
— |
1.2× |
| Repair of nail bed (11760) |
$727 |
— |
1.0× |
| Repair of nasal septum (30520) |
$3,726.86 |
— |
1.2× |
| Repair of nasolabial fistula (42260) |
$6,778.80 |
— |
1.2× |
| Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular))(includes obtaining graft and necessary… (25431) |
$8,281.17 |
— |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,281.17 |
— |
1.2× |
| Repair of penis (54440) |
$4,035.39 |
— |
1.2× |
| Repair of rectocele (45560) |
$3,250.15 |
— |
1.2× |
| Repair of rectum (45505) |
$3,250.15 |
— |
1.2× |
| Repair of rectum (45500) |
$3,250.15 |
— |
1.2× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$2,697.51 |
— |
1.2× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$8,281.17 |
— |
1.2× |
| Repair of shoulder (23420) |
$8,281.17 |
— |
1.2× |
| Repair of sperm duct (55400) |
$4,035.39 |
— |
1.2× |
| Repair of thigh musc (27385) |
$8,281.17 |
— |
1.2× |
| Repair of tibia (27720) |
$8,281.17 |
— |
1.2× |
| Repair of urethra defect (53520) |
$5,989.56 |
— |
1.2× |
| Repair of urethra injury (53515) |
$5,989.56 |
— |
1.2× |
| Repair of urethra injury (53502) |
$4,035.39 |
— |
1.2× |
| Repair of vagina (57260) |
$5,757.54 |
— |
1.2× |
| Repair of vagina (56800) |
$3,618.91 |
— |
1.2× |
| Repair of web finger (26562) |
$3,746.79 |
— |
1.2× |
| Repair of web finger (26560) |
$1,860.42 |
— |
1.2× |
| Repair of web finger (26561) |
$3,746.79 |
— |
1.2× |
| Repair of windpipe defect (31825) |
$3,726.86 |
— |
1.2× |
| Repair oro-maxillary fistula (30580) |
$6,778.80 |
— |
1.2× |
| Repair palate (42235) |
$6,778.80 |
— |
1.2× |
| Repair penis (54385) |
$2,357.71 |
— |
1.2× |
| Repair penis (54380) |
$2,357.71 |
— |
1.2× |
| Repair radius & ulna (25415) |
$8,281.17 |
— |
1.2× |
| Repair rectum & vagina (57250) |
$5,757.54 |
— |
1.2× |
| Repair retinal detach cplx (67113) |
$6,049.97 |
— |
1.2× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$4,706.41 |
— |
1.2× |
| Repair rotator cuff acute (23410) |
$8,281.17 |
— |
1.2× |
| Repair salivary duct (42505) |
$6,778.80 |
— |
1.2× |
| Repair sciatic nerve (64858) |
$2,234.97 |
— |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,281.17 |
— |
1.2× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$8,281.17 |
— |
1.2× |
| Repair shoulder capsule (23466) |
$8,281.17 |
— |
1.2× |
| Repair shoulder capsule (23465) |
$8,281.17 |
— |
1.2× |
| Repair shoulder capsule (23450) |
$8,281.17 |
— |
1.2× |
| Repair symblepharon (68340) |
$2,704.95 |
— |
1.2× |
| Repair Tongue Laceration (41250) |
$461.21 |
— |
1.1× |
| Repair tooth socket (41874) |
$3,726.86 |
— |
1.2× |
| Repair tympanic membrane (69610) |
$1,765.31 |
— |
1.2× |
| Repair umbilical lesion (49600) |
$4,004.73 |
— |
1.2× |
| Repair vagina/perineum (57210) |
$3,618.91 |
— |
1.2× |
| Repair webbed toe(s) (28345) |
$1,860.42 |
— |
1.2× |
| Repair wrist joints (25447) |
$3,746.79 |
— |
1.2× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$3,746.79 |
— |
1.2× |
| Repair, fascial defect of leg (27656) |
$3,746.79 |
— |
1.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$8,281.17 |
— |
1.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,746.79 |
— |
1.2× |
| Repair/graft achilles tendon (27652) |
$8,281.17 |
— |
1.2× |
| Repair/graft eye lesion (66225) |
$6,049.97 |
— |
1.2× |
| Repair/graft finger tendon (26428) |
$3,746.79 |
— |
1.2× |
| Repair/graft flex foot tendon (28202) |
$8,281.17 |
— |
1.2× |
| Repair/graft hand tendon (26358) |
$8,281.17 |
— |
1.2× |
| Repair/graft hand tendon (26392) |
$8,281.17 |
— |
1.2× |
| Repair/graft hand tendon (26352) |
$8,281.17 |
— |
1.2× |
| Repair/graft hand tendon (26372) |
$8,281.17 |
— |
1.2× |
| Repair/graft radius & ulna (25426) |
$3,746.79 |
— |
1.2× |
| Repair/graft radius & ulna (25420) |
$8,281.17 |
— |
1.2× |
| Repair/graft wrist bone (25440) |
$8,281.17 |
— |
1.2× |
| Repair/revise wrist joint (25320) |
$8,281.17 |
— |
1.2× |
| Repair/transpose nerve (64856) |
$7,710.95 |
— |
0.9× |
| Replace duod/jej tube perc (49451) |
$1,049.30 |
— |
1.2× |
| Replace elbow joint (24363) |
$21,572.14 |
— |
1.3× |
| Replace eye fluid (67025) |
$2,697.51 |
— |
1.2× |
| Replace Tissue Expander (11970) |
$8,281.17 |
— |
1.2× |
| Replace,penile prosthesis infected (54417) |
$14,859.26 |
— |
0.7× |
| Reposition gastrostomy tube (43761) |
$286.09 |
— |
1.2× |
| Reposition pacing-defib lead (33215) |
$3,689.67 |
— |
1.2× |
| Repositioning io lens prosthesis req inc spx (66825) |
$2,697.51 |
— |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,746.79 |
— |
1.2× |
| Rerepair fem hernia blocked (49557) |
$4,004.73 |
— |
1.2× |
| Rerepair fem hernia reduce (49555) |
$4,004.73 |
— |
1.2× |
| Rerepair ing hernia blocked (49521) |
$8,757.51 |
— |
1.4× |
| Rerepair ing hernia reduce (49520) |
$4,004.73 |
— |
1.2× |
| Resect arm/elbow tum < 5 cm (24077) |
$3,289.16 |
— |
1.2× |
| Resect distal finger tumor (26262) |
$1,860.42 |
— |
1.2× |
| Resect enlarged toe (28341) |
$3,746.79 |
— |
1.2× |
| Resect enlarged toe tissue (28340) |
$3,746.79 |
— |
1.2× |
| Resect face/scalp tum < 2 cm (21015) |
$3,289.16 |
— |
1.2× |
| Resect forearm/wrist tum<3cm (25077) |
$3,289.16 |
— |
1.2× |
| Resect Inferior Turbinate (30140) |
$3,726.86 |
— |
1.2× |
| Resect leg/ankle tum < 5 cm (27615) |
$3,289.16 |
— |
1.2× |
| Resect shoulder tumor < 5 cm (23077) |
$3,289.16 |
— |
1.2× |
| Resection of elbow joint (arthrectomy) (24155) |
$3,746.79 |
— |
1.2× |
| Resection of scrotum (55150) |
$4,035.39 |
— |
1.2× |
| Resection or transplantation of long tendon of biceps (23440) |
$8,281.17 |
— |
1.2× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$3,746.79 |
— |
1.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,746.79 |
— |
1.2× |
| Revis reconst shoulder joint (23473) |
$15,234.65 |
— |
1.2× |
| Revise abdomen-venous shunt (49426) |
$4,004.73 |
— |
1.2× |
| Revise aqueous shunt eye (66185) |
$2,697.51 |
— |
1.2× |
| Revise arm/leg nerve (64708) |
$2,234.97 |
— |
1.2× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$4,475.53 |
— |
1.2× |
| Revise cornea with implant (65770) |
$14,350.34 |
— |
1.0× |
| Revise external ear (69300) |
$3,726.86 |
— |
1.2× |
| Revise eye muscle (67311) |
$2,704.95 |
— |
1.2× |
| Revise eye muscle (67314) |
$2,704.95 |
— |
1.2× |
| Revise eye muscle(s) (67318) |
$2,704.95 |
— |
1.2× |
| Revise eye with implant (65093) |
$4,475.53 |
— |
1.2× |
| Revise eyelashes (67835) |
$2,704.95 |
— |
1.2× |
| Revise eyelashes (67825) |
$337.21 |
— |
1.1× |
| Revise Eyelashes,Forceps (67820) |
$147.87 |
— |
1.2× |
| Revise eyelid defect (67909) |
$2,704.95 |
— |
1.2× |
| Revise eyelid lining (68330) |
$2,697.51 |
— |
1.2× |
| Revise eyelid lining (68360) |
$4,475.53 |
— |
1.2× |
| Revise finger joint (26535) |
$3,746.79 |
— |
1.2× |
| Revise finger joint each (26140) |
$1,860.42 |
— |
1.2× |
| Revise hand/finger tendon (26390) |
$8,281.17 |
— |
1.2× |
| Revise hernia & sperm veins (55540) |
$4,004.73 |
— |
1.2× |
| Revise knuckle joint (26530) |
$8,281.17 |
— |
1.2× |
| Revise knuckle with implant (26531) |
$8,281.17 |
— |
1.2× |
| Revise leg vein (37700) |
$3,689.67 |
— |
1.2× |
| Revise low back nerve(s) (64714) |
$2,234.97 |
— |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,234.97 |
— |
1.2× |
| Revise middle ear & mastoid (69642) |
$6,778.80 |
— |
1.2× |
| Revise middle ear & mastoid (69646) |
$6,778.80 |
— |
1.2× |
| Revise middle ear & mastoid (69644) |
$6,778.80 |
— |
1.2× |
| Revise middle ear & mastoid (69643) |
$6,778.80 |
— |
1.2× |
| Revise middle ear & mastoid (69645) |
$6,778.80 |
— |
1.2× |
| Revise middle ear & mastoid (69641) |
$6,778.80 |
— |
1.2× |
| Revise middle ear bone (69661) |
$6,778.80 |
— |
1.2× |
| Revise middle ear bone (69662) |
$6,778.80 |
— |
1.2× |
| Revise middle ear bone (69660) |
$6,778.80 |
— |
1.2× |
| Revise ocular implant (65125) |
$2,704.95 |
— |
1.2× |
| Revise palsy hand tendon(s) (25315) |
$8,281.17 |
— |
1.2× |
| Revise palsy hand tendon(s) (25316) |
$8,281.17 |
— |
1.2× |
| Revise penis/urethra (54328) |
$4,035.39 |
— |
1.2× |
| Revise radius & ulna (25375) |
$3,746.79 |
— |
1.2× |
| Revise radius & ulna (25365) |
$15,234.65 |
— |
1.2× |
| Revise radius or ulna (25370) |
$3,746.79 |
— |
1.2× |
| Revise spermatic cord veins (55535) |
$8,757.51 |
— |
1.4× |
| Revise tear duct opening (68705) |
$337.21 |
— |
1.1× |
| Revise thumb tendon (26490) |
$3,746.79 |
— |
1.2× |
| Revise thumb tendon (26496) |
$3,746.79 |
— |
1.2× |
| Revise two eye muscles (67316) |
$2,704.95 |
— |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,234.97 |
— |
1.2× |
| Revise ulnar nerve at wrist (64719) |
$2,234.97 |
— |
1.2× |
| Revise urethra stage 2 (53405) |
$5,989.56 |
— |
1.2× |
| Revise Urethra, 1st Stage (53400) |
$5,989.56 |
— |
1.2× |
| Revise vag graft via vagina (57295) |
$3,618.91 |
— |
1.2× |
| Revise Vagina for Intersec State (57335) |
$5,757.54 |
— |
1.2× |
| Revise wrist joint (25332) |
$3,746.79 |
— |
1.2× |
| Revise wrist/forearm tendon (25280) |
$3,746.79 |
— |
1.2× |
| Revise/graft eyelid lining (68328) |
$2,704.95 |
— |
1.2× |
| Revise/graft eyelid lining (68320) |
$2,704.95 |
— |
1.2× |
| Revise/graft eyelid lining (68335) |
$4,475.53 |
— |
1.2× |
| Revise/graft eyelid lining (68325) |
$4,475.53 |
— |
1.2× |
| Revise/implant finger joint (26536) |
$8,281.17 |
— |
1.2× |
| Revise/remove neuroelectrode (61880) |
$3,938.59 |
— |
1.2× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$15,768.15 |
— |
1.5× |
| Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) |
$6,778.80 |
— |
1.2× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services (69602) |
$6,778.80 |
— |
1.2× |
| Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services (69603) |
$6,778.80 |
— |
1.2× |
| Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services (69604) |
$6,778.80 |
— |
1.2× |
| Revision of ankle joint (27700) |
$8,281.17 |
— |
1.2× |
| Revision of arm muscles (24330) |
$8,281.17 |
— |
1.2× |
| Revision of arm tendon (24310) |
$3,746.79 |
— |
1.2× |
| Revision of big toe (28310) |
$8,281.17 |
— |
1.2× |
| Revision of cervix (57720) |
$3,618.91 |
— |
1.2× |
| Revision of cervix (57700) |
$3,618.91 |
— |
1.2× |
| Revision of collar bone (23480) |
$8,281.17 |
— |
1.2× |
| Revision of colostomy simple (44340) |
$4,152.85 |
— |
1.2× |
| Revision of cranial nerve (64716) |
$2,234.97 |
— |
1.2× |
| Revision of eyelid (67950) |
$2,704.95 |
— |
1.2× |
| Revision of eyelid (67880) |
$2,704.95 |
— |
1.2× |
| Revision of eyelid (67882) |
$2,704.95 |
— |
1.2× |
| Revision of eyelid (67961) |
$2,704.95 |
— |
1.2× |
| Revision of eyelid (67999) |
$337.21 |
— |
1.1× |
| Revision of eyelid (21280) |
$3,726.86 |
— |
1.2× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$2,704.95 |
— |
1.2× |
| Revision of foot (28116) |
$3,746.79 |
— |
1.2× |
| Revision of foot and ankle (28262) |
$8,281.17 |
— |
1.2× |
| Revision of humerus (24400) |
$8,281.17 |
— |
1.2× |
| Revision of humerus (24410) |
$15,234.65 |
— |
1.2× |
| Revision of infusion pump (36261) |
$4,545.70 |
— |
1.3× |
| Revision of iris (66761) |
$672.85 |
— |
1.3× |
| Revision of iris (66762) |
$672.85 |
— |
1.3× |
| Revision of leg vein (37780) |
$3,689.67 |
— |
1.2× |
| Revision of lower eyelid (15821) |
$2,110.93 |
— |
1.1× |
| Revision of lower leg tendon (27685) |
$3,746.79 |
— |
1.2× |
| Revision of neck muscle (21700) |
$8,281.17 |
— |
1.2× |
| Revision of nose (30430) |
$6,778.80 |
— |
1.2× |
| Revision of nose (30460) |
$6,778.80 |
— |
1.2× |
| Revision of nose (30435) |
$6,778.80 |
— |
1.2× |
| Revision of nose (30450) |
$6,778.80 |
— |
1.2× |
| Revision of penis (54435) |
$4,035.39 |
— |
1.2× |
| Revision of penis (54300) |
$4,035.39 |
— |
1.2× |
| Revision of penis (54420) |
$4,035.39 |
— |
1.2× |
| Revision of penis (54304) |
$4,035.39 |
— |
1.2× |
| Revision of radius (25355) |
$3,746.79 |
— |
1.2× |
| Revision of reconstructed breast (19380) |
$7,548.48 |
— |
1.2× |
| Revision of scrotum (55180) |
$5,989.56 |
— |
1.2× |
| Revision of scrotum (55175) |
$4,035.39 |
— |
1.2× |
| Revision of testis (54660) |
$5,989.56 |
— |
1.2× |
| Revision of toe (28312) |
$3,746.79 |
— |
1.2× |
| Revision of tracheostomy scar (31830) |
$3,726.86 |
— |
1.2× |
| Revision of ulna (25360) |
$8,281.17 |
— |
1.2× |
| Revision of upper eyelid (15823) |
$2,110.93 |
— |
1.1× |
| Revision of urethra (53460) |
$4,035.39 |
— |
1.2× |
| Revision of urethra (57220) |
$5,757.54 |
— |
1.2× |
| Revision of urethra (53450) |
$4,035.39 |
— |
1.2× |
| Revision of wrist joint (25455) |
$3,746.79 |
— |
1.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,938.59 |
— |
1.2× |
| Revision peri-implant capsule breast (19370) |
$4,412.27 |
— |
1.2× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$7,916.64 |
— |
1.3× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$3,938.59 |
— |
1.2× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$4,152.85 |
— |
1.2× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$6,361.13 |
— |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,938.59 |
— |
1.2× |
| Rhinectomy Partial (30150) |
$6,778.80 |
— |
1.2× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$6,778.80 |
— |
1.2× |
| Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) |
$6,778.80 |
— |
1.2× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$6,778.80 |
— |
1.2× |
| Rhytidectomy forehead (15824) |
$2,110.93 |
— |
1.1× |
| Rhytidectomy; Cheek, Chin, & Neck (15828) |
$4,152.85 |
— |
1.2× |
| Rhytidectomy; glabellar frown lines Other Surgical Services (15826) |
$4,152.85 |
— |
1.2× |
| Rib cartilage graft (21230) |
$6,778.80 |
— |
1.2× |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
$23,349.81 |
— |
1.2× |
| Rmvl & rplcmt non-nfltbl/nfltbl penile prosthesi (54416) |
$23,349.81 |
— |
1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,765.31 |
— |
1.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$636.89 |
— |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,049.30 |
— |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$461.21 |
— |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$147.87 |
— |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,365.99 |
— |
1.2× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,765.31 |
— |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,289.16 |
— |
1.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,289.16 |
— |
1.2× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$4,035.39 |
— |
1.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$4,412.27 |
— |
1.2× |
| Rmvl Synth Rod & Insj Xtnsr Tdn Grf H/F Ea Rod (26416) |
$3,746.79 |
— |
1.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,545.70 |
— |
1.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,545.70 |
— |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,853.86 |
— |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$727.18 |
— |
1.2× |
| Rmvl vitreous ant appr partial removal (67005) |
$2,697.51 |
— |
1.2× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$2,697.51 |
— |
1.2× |
| Rnl ndsc nfrot fulguration &/incision w/wo bx (50576) |
$10,663.69 |
— |
1.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,689.67 |
— |
1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,853.86 |
— |
1.2× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,689.67 |
— |
1.2× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$6,361.13 |
— |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,689.67 |
— |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,689.67 |
— |
1.2× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$8,757.51 |
— |
1.4× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,746.79 |
— |
1.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,853.86 |
— |
1.2× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$8,281.17 |
— |
1.2× |
| Rpr hern preemie reduc (49491) |
$6,679.03 |
— |
1.1× |
| Rpr ing hern premie blocked (49492) |
$4,004.73 |
— |
1.2× |
| Rpr ing hernia baby blocked (49496) |
$4,004.73 |
— |
1.2× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,004.73 |
— |
1.2× |
| Rpr ing hernia init blocked (49501) |
$4,004.73 |
— |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$727 |
— |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$282.74 |
— |
1.2× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$2,704.95 |
— |
1.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$282.74 |
— |
1.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$636.89 |
— |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$636.89 |
— |
1.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,765.31 |
— |
1.2× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$8,281.17 |
— |
1.2× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$8,281.17 |
— |
1.2× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,706.41 |
— |
1.2× |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
$8,281.17 |
— |
1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$727.18 |
— |
1.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,746.79 |
— |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,746.79 |
— |
1.2× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,689.67 |
— |
1.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,853.86 |
— |
1.2× |
| S bowel endoscope w/stent (44379) |
$6,597.15 |
— |
1.1× |
| Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) |
$6,597.15 |
— |
1.1× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$2,202.61 |
— |
1.2× |
| Scrotal exploration (55110) |
$4,035.39 |
— |
1.2× |
| Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) |
$8,281.17 |
— |
1.2× |
| Secondary urethral surgery (54340) |
$4,035.39 |
— |
1.2× |
| Secondary urethral surgery (54344) |
$10,663.69 |
— |
1.2× |
| Secondary urethral surgery (54348) |
$5,989.56 |
— |
1.2× |
| Septal/Other Intranasal Dermatoplasty (30620) |
$6,778.80 |
— |
1.2× |
| Sequestrectomy olecranon process (24138) |
$8,281.17 |
— |
1.2× |
| Sequestrectomy radial head or neck (24136) |
$3,746.79 |
— |
1.2× |
| Sequestrectomy Shaft/Distal Humerus (24134) |
$8,281.17 |
— |
1.2× |
| Sever cranial nerve (64771) |
$2,234.97 |
— |
1.2× |
| Severing ads ant seg incal spx ant synechiae (65870) |
$2,697.51 |
— |
1.2× |
| Severing of tarsorrhaphy (67710) |
$1,171.94 |
— |
1.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,057.95 |
— |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,365.99 |
— |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$231.74 |
— |
1.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,746.79 |
— |
1.2× |
| Shorten radius & ulna (25392) |
$8,281.17 |
— |
1.2× |
| Shortening of tendon, flexor, hand or finger, each tendon (26479) |
$3,746.79 |
— |
1.2× |
| Shoulder arthroscopy (29805) |
$3,746.79 |
— |
1.2× |
| Shoulder joint surgery (23101) |
$3,746.79 |
— |
1.2× |
Shoulder prosthesis removal (23334)
unusually low: confirm this is the full procedure |
$3,289.16 |
— |
0.5× |
| Sigmoidoscopy & decompress (45337) |
$1,057.95 |
— |
1.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,365.99 |
— |
1.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,057.95 |
— |
1.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,365.99 |
— |
1.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,057.95 |
— |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,057.95 |
— |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,365.99 |
— |
1.2× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,365.99 |
— |
1.2× |
| Simple biopsy of growth of throat behind nose (42804) |
$3,726.86 |
— |
1.2× |
| Simple Cystometrogram (51725) |
$286.09 |
— |
1.2× |
| Simple destruction of growth of penis using electric current (54055) |
$2,110.93 |
— |
1.1× |
| Simple drainage of abscess of saliva gland (42300) |
$1,765.31 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$461.57 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$231.74 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$231.74 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$461.57 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$231.74 |
— |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$231.74 |
— |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$231.74 |
— |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$231.74 |
— |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$231.74 |
— |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$231.74 |
— |
1.2× |
| Sinus endo w/balloon dil (31296) |
$7,922.61 |
— |
1.2× |
| Sinus endo w/balloon dil (31297) |
$7,922.61 |
— |
1.2× |
| Sinusotomy Sphenoid W/WO Biopsy (31050) |
$6,778.80 |
— |
1.2× |
| Skin and muscle repair face (15845) |
$4,152.85 |
— |
1.2× |
| Skin Pedicle Flap Trunk (15570) |
$2,110.93 |
— |
1.1× |
| Skin pinch graft (15050) |
$727 |
— |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$2,110.93 |
— |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,110.93 |
— |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,110.93 |
— |
3.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,152.85 |
— |
2.1× |
| Skin Tissue Procedure (17999) |
$231.74 |
— |
1.2× |
| Skin tissue rearrangement (14040) |
$2,110.93 |
— |
1.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,152.85 |
— |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$2,110.93 |
— |
1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,757.54 |
— |
1.2× |
| Slitting of prepuce (54001) |
$2,357.71 |
— |
1.2× |
| Slitting of prepuce (54000) |
$4,035.39 |
— |
1.2× |
| Small Bowel Endoscopy (44373) |
$2,202.61 |
— |
1.2× |
| Small bowel endoscopy (44366) |
$2,202.61 |
— |
1.2× |
| Small bowel endoscopy (44364) |
$2,202.61 |
— |
1.2× |
| Small bowel endoscopy (44376) |
$2,202.61 |
— |
1.2× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,202.61 |
— |
1.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,202.61 |
— |
1.2× |
| Small bowel endoscopy/biopsy (44377) |
$2,202.61 |
— |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$231.74 |
— |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$461.57 |
— |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$461.57 |
— |
1.2× |
| Snip incision lacrimal punctum (68440) |
$337.21 |
— |
1.1× |
| Sphenoid sinus surgery (31051) |
$6,778.80 |
— |
1.2× |
| Sphincterotomy (46080) |
$3,250.15 |
— |
1.2× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
$3,250.15 |
— |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$800.50 |
— |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$800.50 |
— |
1.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,689.67 |
— |
1.2× |
| Stimulus evoked response (51792) |
$70.80 |
— |
1.2× |
| Stop growth prox/dist tibia/fibula (27740) |
$3,746.79 |
— |
1.2× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$4,475.53 |
— |
1.2× |
| Strapping ankle (29540) |
$182.39 |
— |
1.2× |
| Strapping elbow/wrist (29260) |
$70.80 |
— |
1.2× |
| Strapping hand/finger (29280) |
$70.80 |
— |
1.2× |
| Strapping Hip (29520) |
$147.87 |
— |
1.2× |
| Strapping knee (29530) |
$147.87 |
— |
1.2× |
| Strapping shoulder (29240) |
$147.87 |
— |
1.2× |
| Strapping thorax (29200) |
$182.39 |
— |
1.2× |
| Strapping toes (29550) |
$70.80 |
— |
1.2× |
| Strapping unna boot (29580) |
$182.39 |
— |
1.2× |
| Strtctc Stimj Spi Cord Prq Spx N/Flwd Ot (63610) |
$2,234.97 |
— |
1.2× |
| Subconjunctival injection (68200) |
$461.21 |
— |
1.1× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) |
$727 |
— |
1.0× |
| Submucosal ablation of the tongue base, radiofrequency, one or more sites, per session (41530) |
$3,726.86 |
— |
1.2× |
| Suction assisted lipectomy head & neck (15876) |
$4,152.85 |
— |
1.2× |
| Suction assisted lipectomy lower extremity (15879) |
$4,152.85 |
— |
1.2× |
| Suction assisted lipectomy upper extremity (15878) |
$2,110.93 |
— |
1.1× |
| Suction assisted lipectomy; trunk (15877) |
$4,152.85 |
— |
1.2× |
| Suprahyoid lymphadenectomy (38700) |
$7,548.48 |
— |
1.2× |
| Surgery/speech prosthesis (31611) |
$3,726.86 |
— |
1.2× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,726.86 |
— |
1.2× |
| Surgical opening of throat (42955) |
$1,765.31 |
— |
1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,250.15 |
— |
1.2× |
| Suspension of testis (54640) |
$4,004.73 |
— |
1.2× |
| Suspension of testis (54620) |
$4,035.39 |
— |
1.2× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$8,281.17 |
— |
1.2× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$7,710.95 |
— |
2.3× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,234.97 |
— |
1.2× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,704.95 |
— |
1.2× |
| Suture facial nerve extracranial (64864) |
$7,710.95 |
— |
0.9× |
| Suture of 1 nerve ulnar motor (64836) |
$7,710.95 |
— |
2.3× |
| Suture of 1 nerve; median motor thenar (64835) |
$7,710.95 |
— |
2.3× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$8,281.17 |
— |
1.2× |
| Suture of; brachial plexus (64861) |
$2,234.97 |
— |
1.2× |
| Suture of; lumbar plexus (64862) |
$7,710.95 |
— |
2.3× |
| Suture pharynx for wound or injury (42900) |
$1,765.31 |
— |
1.2× |
| Suture/repair testicular injury (54670) |
$4,035.39 |
— |
1.2× |
| Synovectomy carpometacarpal joint (26130) |
$3,746.79 |
— |
1.2× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$3,746.79 |
— |
1.2× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$3,746.79 |
— |
1.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,860.42 |
— |
1.2× |
| Synovectomy; metatarsophalangeal joint, each (28072) |
$3,746.79 |
— |
1.2× |
| Talectomy (astragalectomy) (28130) |
$8,281.17 |
— |
1.2× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$727 |
— |
1.0× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$727 |
— |
1.0× |
| Temporary Closure Eyelids Suture (67875) |
$1,171.94 |
— |
1.2× |
| Tendon excision palm/finger (26145) |
$1,860.42 |
— |
1.2× |
| Tendon graft, from a distance (20924) |
$8,281.17 |
— |
1.2× |
| Tendon lengthening (26476) |
$3,746.79 |
— |
1.2× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$3,746.79 |
— |
1.2× |
| Tendon shortening (26477) |
$3,746.79 |
— |
1.2× |
| Tenodesis long tendon biceps (23430) |
$8,281.17 |
— |
1.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$3,746.79 |
— |
1.2× |
| Tenodesis Wrist Extensors Fingers (25301) |
$3,746.79 |
— |
1.2× |
| Tenodesis Wrist Flexors Fingers (25300) |
$3,746.79 |
— |
1.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,746.79 |
— |
1.2× |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
$3,746.79 |
— |
1.2× |
| Tenolysis extensor foot single tendon (28225) |
$3,746.79 |
— |
1.2× |
| Tenolysis flexor foot multiple tendons (28222) |
$3,746.79 |
— |
1.2× |
| Tenolysis flexor foot single tendon (28220) |
$1,860.42 |
— |
1.2× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$3,746.79 |
— |
1.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,860.42 |
— |
1.2× |
| Tenolysis Triceps (24332) |
$3,746.79 |
— |
1.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$3,746.79 |
— |
1.2× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$3,746.79 |
— |
1.2× |
| Tenotomy Adductor Hip Open (27001) |
$3,746.79 |
— |
1.2× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,860.42 |
— |
1.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,746.79 |
— |
1.2× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$3,746.79 |
— |
1.2× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,860.42 |
— |
1.2× |
| Tenotomy percutaneous single each digit (26060) |
$1,860.42 |
— |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,860.42 |
— |
1.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$3,746.79 |
— |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$8,281.17 |
— |
1.2× |
| Tenotomy shoulder multiple thru same incision (23406) |
$8,281.17 |
— |
1.2× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services (27003) |
$8,281.17 |
— |
1.2× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$1,860.42 |
— |
1.2× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,860.42 |
— |
1.2× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$3,746.79 |
— |
1.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,860.42 |
— |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,860.42 |
— |
1.2× |
| Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) |
$3,746.79 |
— |
1.2× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,356.92 |
— |
1.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,776.05 |
— |
1.2× |
| Ther Apheresis,Platelets (36513) |
$502.50 |
— |
1.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,776.05 |
— |
1.2× |
| Ther Apheresis,White Blood Cells (36511) |
$1,776.05 |
— |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$727.18 |
— |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$727.18 |
— |
1.2× |
| Thoracoscopy dx mediastinal space w/biopsy spx (32606) |
$6,679.03 |
— |
1.1× |
| Thoracoscopy dx pericardial sac w/biopsy spx (32604) |
$11,915.47 |
— |
1.2× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,679.03 |
— |
1.1× |
| Throat Surgery Procedure (42999) |
$282.74 |
— |
1.2× |
| Thumb fusion with graft (26820) |
$8,281.17 |
— |
1.2× |
| Thyroid biopsy (60100) |
$814.42 |
— |
1.2× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$6,778.80 |
— |
1.2× |
| Thyroidectomy, total or complete (60240) |
$6,679.03 |
— |
1.1× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,778.80 |
— |
1.2× |
| Tibial arthroscopy/surgery (29855) |
$8,281.17 |
— |
1.2× |
| Tibial arthroscopy/surgery (29856) |
$15,234.65 |
— |
1.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,110.93 |
— |
1.1× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,110.93 |
— |
1.1× |
| Tissue expander placement breast reconstruction (19357) |
$20,398.22 |
— |
1.5× |
| Tongue and mouth surg unlisted (41599) |
$282.74 |
— |
1.2× |
| Tongue to lip surgery (41510) |
$3,726.86 |
— |
1.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,726.86 |
— |
1.2× |
| Total knee arthroplasty (27447) |
$15,234.65 |
— |
1.2× |
| Total thyroid lobectomy unilateral (60225) |
$6,679.03 |
— |
1.1× |
| Tr Paraspi Musc Hip Fasc/Tdn Xtn Grf (27105) |
$3,746.79 |
— |
1.2× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$8,281.17 |
— |
1.2× |
| Trach Tube Change (31502) |
$282.74 |
— |
1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$636.89 |
— |
1.2× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$6,778.80 |
— |
1.2× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$3,726.86 |
— |
1.2× |
| Tracheostomy planned (31600) |
$3,726.86 |
— |
1.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$371.35 |
— |
1.3× |
| Transcatheter biopsy (37200) |
$6,361.13 |
— |
1.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; facial nerve, differential or complete Other Surgical Services (64742) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services (64738) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; infraorbital nerve Other Surgical Services (64734) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; lingual nerve Other Surgical Services (64740) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; mental nerve Other Surgical Services (64736) |
$2,234.97 |
— |
1.2× |
| Transection or avulsion of; supraorbital nerve Other Surgical Services (64732) |
$2,234.97 |
— |
1.2× |
| Transection/avulsion greater occipital nerve (64744) |
$2,234.97 |
— |
1.2× |
| Transfer Any Pedicle Flap Any Location (15650) |
$2,110.93 |
— |
1.1× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Other Surgical… (27100) |
$8,281.17 |
— |
1.2× |
| Transfer Iliopsoas Femoral Neck (27111) |
$3,746.79 |
— |
1.2× |
| Transfer of iliopsoas muscle (27110) |
$8,281.17 |
— |
1.2× |
| Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) |
$3,746.79 |
— |
1.2× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$3,746.79 |
— |
1.2× |
| Transfer tendon to pelvis (27098) |
$3,746.79 |
— |
1.2× |
| Transfer Tendon/Muscle Hamstrings Femur (27400) |
$8,281.17 |
— |
1.2× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$4,706.41 |
— |
1.2× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$8,281.17 |
— |
1.2× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$8,281.17 |
— |
1.2× |
| Transplant forearm tendon (25312) |
$3,746.79 |
— |
1.2× |
| Transplant forearm tendon (25310) |
$3,746.79 |
— |
1.2× |
| Transplant hand tendon (26480) |
$3,746.79 |
— |
1.2× |
| Transplant/graft hand tendon (26483) |
$3,746.79 |
— |
1.2× |
| Transplant/graft palm tendon (26489) |
$3,746.79 |
— |
1.2× |
| Transplant/transfer thigh xtnsr to flxr 1 tendon (27396) |
$8,281.17 |
— |
1.2× |
| Transplantation testis to thigh (54680) |
$4,035.39 |
— |
1.2× |
| Transplants of thigh tendons (27397) |
$8,281.17 |
— |
1.2× |
| Transurethral incision of prostate (52450) |
$4,035.39 |
— |
1.2× |
| Transurethral resection of bladder neck (52500) |
$4,035.39 |
— |
1.2× |
| Treat ankle dislocation (27848) |
$8,281.17 |
— |
1.2× |
| Treat ankle dislocation (27846) |
$8,281.17 |
— |
1.2× |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
$6,778.80 |
— |
1.2× |
| Treat clavicle dislocation (23530) |
$8,281.17 |
— |
1.2× |
| Treat clavicle dislocation (23532) |
$8,281.17 |
— |
1.2× |
| Treat clavicle dislocation (23552) |
$8,281.17 |
— |
1.2× |
| Treat dislocation/fracture (23670) |
$8,281.17 |
— |
1.2× |
| Treat dislocation/fracture (23680) |
$15,234.65 |
— |
1.2× |
| Treat ectopic pregnancy (59151) |
$6,679.03 |
— |
1.1× |
| Treat elbow dislocation (24615) |
$8,281.17 |
— |
1.2× |
| Treat elbow fracture (24586) |
$15,234.65 |
— |
1.2× |
| Treat elbow fracture (24635) |
$8,281.17 |
— |
1.2× |
| Treat elbow fracture (24587) |
$15,234.65 |
— |
1.2× |
| Treat eyelid lesion (67850) |
$1,171.94 |
— |
1.2× |
| Treat finger dislocation (26775) |
$310.87 |
— |
1.2× |
| Treat Finger Fracture Each (26727) |
$3,746.79 |
— |
1.2× |
| Treat forearm bone lesion (25035) |
$8,281.17 |
— |
1.2× |
| Treat fracture of radius (25526) |
$8,281.17 |
— |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$272.98 |
— |
1.2× |
| Treat fracture radius/ulna (25575) |
$8,281.17 |
— |
1.2× |
| Treat fx distal radial (25606) |
$3,746.79 |
— |
1.2× |
| Treat fx rad extra-articul (25607) |
$8,281.17 |
— |
1.2× |
| Treat hand dislocation (26685) |
$3,746.79 |
— |
1.2× |
| Treat hand dislocation (26686) |
$3,746.79 |
— |
1.2× |
| Treat heel fracture (28415) |
$8,281.17 |
— |
1.2× |
| Treat humerus fracture (23630) |
$8,281.17 |
— |
1.2× |
| Treat humerus fracture (24500) |
$272.98 |
— |
1.2× |
| Treat humerus fracture (24577) |
$1,860.42 |
— |
1.2× |
| Treat humerus fracture (24566) |
$1,860.42 |
— |
1.2× |
| Treat humerus fracture (23616) |
$21,572.14 |
— |
1.3× |
| Treat humerus fracture (23600) |
$272.98 |
— |
1.2× |
| Treat knee fracture (27532) |
$3,746.79 |
— |
1.2× |
| Treat kneecap dislocation (27566) |
$8,281.17 |
— |
1.2× |
| Treat knuckle dislocation (26715) |
$3,746.79 |
— |
1.2× |
| Treat lower jaw fracture (21465) |
$6,778.80 |
— |
1.2× |
| Treat lower leg fracture (27826) |
$8,281.17 |
— |
1.2× |
| Treat lower leg fracture (27828) |
$15,234.65 |
— |
1.2× |
| Treat Lower Leg Fracture (27827) |
$15,234.65 |
— |
1.2× |
| Treat Metatarsal Fracture (28475) |
$272.98 |
— |
1.2× |
| Treat midfoot fracture (28456) |
$8,281.17 |
— |
1.2× |
| Treat penis lesion graft (54111) |
$5,989.56 |
— |
1.2× |
| Treat penis lesion graft (54112) |
$10,663.69 |
— |
1.2× |
| Treat radius fracture (24665) |
$8,281.17 |
— |
1.2× |
| Treat scapula fracture (23585) |
$8,281.17 |
— |
1.2× |
| Treat sesamoid bone fracture (28531) |
$8,281.17 |
— |
1.2× |
| Treat thumb fracture (26650) |
$3,746.79 |
— |
1.2× |
| Treat thumb fracture (26665) |
$3,746.79 |
— |
1.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,860.42 |
— |
1.2× |
| Treat toe fracture (28525) |
$3,746.79 |
— |
1.2× |
| Treat ulnar fracture (24685) |
$8,281.17 |
— |
1.2× |
| Treat Vaginal Bleeding (57180) |
$230.66 |
— |
1.2× |
| Treat wrist bone fracture (25635) |
$1,860.42 |
— |
1.2× |
| Treat wrist bone fracture (25622) |
$272.98 |
— |
1.2× |
| Treat Wrist Bone Fracture (25630) |
$272.98 |
— |
1.2× |
| Treat wrist fracture (25685) |
$8,281.17 |
— |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,860.42 |
— |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$272.98 |
— |
1.2× |
| Treatment extensive retinopathy photocoagulation (67228) |
$672.85 |
— |
1.3× |
| Treatment mouth roof lesion (42160) |
$3,726.86 |
— |
1.2× |
| Treatment of anal fissure (46942) |
$1,057.95 |
— |
1.2× |
| Treatment of anal fissure (46940) |
$3,250.15 |
— |
1.2× |
| Treatment of ankle fracture (27822) |
$8,281.17 |
— |
1.2× |
| Treatment of ankle fracture (28436) |
$8,281.17 |
— |
1.2× |
| Treatment of ankle fracture (27792) |
$8,281.17 |
— |
1.2× |
| Treatment of bone cyst (20615) |
$814.42 |
— |
1.2× |
| Treatment of broken upper or lower jaw bone (21445) |
$6,778.80 |
— |
1.2× |
| Treatment of choroid lesion (67220) |
$672.85 |
— |
1.3× |
| Treatment of eyelid lesions (68040) |
$337.21 |
— |
1.1× |
| Treatment of fibula fracture (27784) |
$8,281.17 |
— |
1.2× |
| Treatment of foot infection (28003) |
$3,746.79 |
— |
1.2× |
| Treatment of gum lesion (41850) |
$1,765.31 |
— |
1.2× |
| Treatment of heel fracture (28406) |
$8,281.17 |
— |
1.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,618.91 |
— |
1.2× |
| Treatment of nose fracture (21330) |
$6,778.80 |
— |
1.2× |
| Treatment of nose fracture (21340) |
$3,726.86 |
— |
1.2× |
| Treatment of penis lesion (54205) |
$5,989.56 |
— |
1.2× |
| Treatment of penis lesion (54110) |
$4,035.39 |
— |
1.2× |
| Treatment of retina (67141) |
$337.21 |
— |
1.1× |
| Treatment of retinal lesion (67227) |
$4,475.53 |
— |
1.2× |
| Treatment of retinal lesion (67208) |
$337.21 |
— |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$272.98 |
— |
1.2× |
| Treatment of tibia fracture (27759) |
$15,234.65 |
— |
1.2× |
| Treatment of tibia fracture (27756) |
$8,281.17 |
— |
1.2× |
| Treatment of urethra lesion (53260) |
$4,035.39 |
— |
1.2× |
| Treatment of urethra lesion (53220) |
$4,035.39 |
— |
1.2× |
| Trim skin lesion (11055) |
$231.74 |
— |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$231.74 |
— |
1.2× |
| Trim skin lesions over 4 (11057) |
$231.74 |
— |
1.2× |
| Trurl drainage prostatic abscess (52700) |
$4,035.39 |
— |
1.2× |
| Trurl dstrj prstate tiss rf thermoth (53852) |
$4,035.39 |
— |
1.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$4,035.39 |
— |
1.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,250.15 |
— |
1.2× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$15,234.65 |
— |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,618.91 |
— |
1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,618.91 |
— |
1.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,860.42 |
— |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,860.42 |
— |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$727 |
— |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$461.57 |
— |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,860.42 |
— |
1.2× |
| Tympanostomy (69433) |
$636.89 |
— |
1.2× |
| Umbilical cord occlud w/us (59072) |
$371.35 |
— |
1.3× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$282.74 |
— |
1.2× |
| Unlisted laparoscopic procedure liver (47379) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopic procedure, ureter (50949) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, appendix (44979) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, bladder (51999) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, rectum (45499) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, stomach (43659) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,679.03 |
— |
1.1× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,679.03 |
— |
1.1× |
| Unlisted procedure accessory sinuses (31299) |
$282.74 |
— |
1.2× |
| Unlisted procedure anus (46999) |
$1,057.95 |
— |
1.2× |
| Unlisted Procedure Breast (19499) |
$4,412.27 |
— |
1.2× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$282.74 |
— |
1.2× |
| Unlisted Procedure Endocrine System (60699) |
$6,679.03 |
— |
1.1× |
| Unlisted Procedure External Ear (69399) |
$282.74 |
— |
1.2× |
| Unlisted procedure femur or knee (27599) |
$272.98 |
— |
1.2× |
| Unlisted procedure foot or toes (28899) |
$272.98 |
— |
1.2× |
| Unlisted procedure humerus/elbow (24999) |
$272.98 |
— |
1.2× |
| Unlisted procedure lacrimal system (68899) |
$337.21 |
— |
1.1× |
| Unlisted procedure larynx (31599) |
$282.74 |
— |
1.2× |
| Unlisted procedure leg/ankle (27899) |
$272.98 |
— |
1.2× |
| Unlisted Procedure Lungs & Pleura (32999) |
$727.18 |
— |
1.2× |
| Unlisted procedure neck or thorax (21899) |
$282.74 |
— |
1.2× |
| Unlisted Procedure Nervous System (64999) |
$342.85 |
— |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$272.98 |
— |
1.2× |
| Unlisted Procedure Rectum (45999) |
$1,057.95 |
— |
1.2× |
| Unlisted procedure shoulder (23929) |
$272.98 |
— |
1.2× |
| Unlisted Procedure Small Intestine (44799) |
$1,049.30 |
— |
1.2× |
| Unlisted procedure spine (22899) |
$272.98 |
— |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$727.18 |
— |
1.2× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$272.98 |
— |
1.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,049.30 |
— |
1.2× |
| Unlisted procedure, extraocular muscle Other Surgical Services (67399) |
$337.21 |
— |
1.1× |
| Unlisted procedure, forearm or wrist (25999) |
$272.98 |
— |
1.2× |
| Unlisted procedure, stomach (43999) |
$1,049.30 |
— |
1.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$230.66 |
— |
1.2× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$12,360.61 |
— |
1.2× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$4,433.13 |
— |
1.2× |
| Ureter endoscopy (50970) |
$4,035.39 |
— |
1.2× |
| Ureter endoscopy & treatment (50980) |
$5,989.56 |
— |
1.2× |
| Ureter endoscopy & treatment (50957) |
$5,989.56 |
— |
1.2× |
| Ureter endoscopy & treatment (50976) |
$5,989.56 |
— |
1.2× |
| Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) |
$5,989.56 |
— |
1.2× |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
$4,035.39 |
— |
1.2× |
| Ureteral endoscopy via ureterostomy (50951) |
$4,035.39 |
— |
1.2× |
| Ureteral endoscopy via ureterostomy w/biopsy (50955) |
$5,989.56 |
— |
1.2× |
| Ureteral endoscopy via ureterot w/o imaging w/bx (50974) |
$5,989.56 |
— |
1.2× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$4,035.39 |
— |
1.2× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$5,989.56 |
— |
1.2× |
| Urethrorrhaphy sutr urethral wound/inj perineal (53510) |
$5,989.56 |
— |
1.2× |
| Urine Flow Measurement (51736) |
$147.87 |
— |
1.2× |
| Urology Surgery Procedure (53899) |
$286.09 |
— |
1.2× |
| Uvulectomy excision uvula (42140) |
$3,726.86 |
— |
1.2× |
| Vag hyst w/enterocele repair (58270) |
$5,757.54 |
— |
1.2× |
| Vaginal hysterectomy (58260) |
$5,757.54 |
— |
1.2× |
| Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of… (58292) |
$8,747.05 |
— |
1.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,757.54 |
— |
1.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
$5,757.54 |
— |
1.2× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$3,618.91 |
— |
1.2× |
| Vasc embolize/occlude venous (37241) |
$12,734.37 |
— |
1.1× |
| Vasectomy (55250) |
$2,357.71 |
— |
1.2× |
| Vasotomy cannulization w/wo vas inc uni/bi spx (55200) |
$4,035.39 |
— |
1.2× |
| Venipuncture (36415) |
$11.48 |
— |
1.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,726.86 |
— |
1.2× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$3,726.86 |
— |
1.2× |
| Vestibuloplasty Anterior (40840) |
$6,778.80 |
— |
1.2× |
| Vestibuloplasty Posterior Bilateral (40843) |
$6,778.80 |
— |
1.2× |
| Vestibuloplasty; entire arch (40844) |
$6,778.80 |
— |
1.2× |
| Vit for macular pucker (67041) |
$4,706.41 |
— |
1.2× |
| Vit for membrane dissect (67043) |
$4,706.41 |
— |
1.2× |
| Vitrectomy mechanical pars plana (67036) |
$4,706.41 |
— |
1.2× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,706.41 |
— |
1.2× |
| Vulvectomy simple partial (56620) |
$3,618.91 |
— |
1.2× |
| Vulvectomy simple; complete (56625) |
$3,618.91 |
— |
1.2× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$8,747.05 |
— |
1.2× |
| Wound Prep F/N/Hf/G (15004) |
$727 |
— |
1.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,110.93 |
— |
3.0× |
| Wrist arthroscop,excis triang cart (29846) |
$3,746.79 |
— |
1.2× |
| Wrist arthroscop,part synovect (29844) |
$3,746.79 |
— |
1.2× |
| Wrist arthroscopy (29843) |
$3,746.79 |
— |
1.2× |
| Wrist arthroscopy (29840) |
$3,746.79 |
— |
1.2× |
| Wrist arthroscopy/surgery (29847) |
$8,281.17 |
— |
1.2× |
| Wrist arthroscopy/surgery (29845) |
$3,746.79 |
— |
1.2× |
| Wrist replacement (25446) |
$21,572.14 |
— |
1.3× |
| Xfer single deep low leg tendon (27691) |
$8,281.17 |
— |
1.2× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$6,361.13 |
— |
1.2× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,853.86 |
— |
1.2× |
| Xtroral i&d absc cst/hmtma floor mouth subment (41016) |
$6,778.80 |
— |
1.2× |