| Abd paracentesis w/imaging (49083) |
$575.25 |
$885 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$547.30 |
$842 |
0.6× |
| Ablate inf turbinate submuc (30802) |
$304.85 |
$469 |
0.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$226.20 |
$348 |
0.2× |
| Abltj 1/> lvr tum prq rf (47382) |
$3,762.85 |
$5,789 |
0.7× |
| Acne Surgery (10040) |
$174.20 |
$268 |
0.9× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$956.80 |
$1,472 |
0.3× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,533.35 |
$2,359 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,010.10 |
$1,554 |
0.5× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,111.50 |
$1,710 |
0.6× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$684.45 |
$1,053 |
0.1× |
| Amp thigh thru femur sec closure/scar revision (27594) |
$1,103.70 |
$1,698 |
0.4× |
| Amputate Thigh,Re-Amputatn (27596) |
$1,137.50 |
$1,750 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,036.10 |
$1,594 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$855.40 |
$1,316 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$2,079.68 |
$3,199.50 |
0.7× |
| Amputation of finger/thumb (26952) |
$1,002.30 |
$1,542 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,273.35 |
$1,959 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$279.50 |
$430 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,052.05 |
$3,157 |
0.7× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$1,082.25 |
$1,665 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,164.15 |
$1,791 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,457.95 |
$2,243 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,043.25 |
$1,605 |
0.3× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Other Surgical Services (27591) |
$2,177.18 |
$3,349.50 |
0.7× |
| Analyze infusn pump+reprogram (62368) |
$192.72 |
$296.50 |
0.7× |
| Analyze spine infus pump (62367) |
$183.95 |
$283 |
0.6× |
Ankle arthroscopy/surgery (29892)
likely a partial charge, not the full procedure |
$992.55 |
$1,527 |
0.1× |
| Ankle arthroscopy/surgery (29894) |
$782.60 |
$1,204 |
0.3× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,038.70 |
$1,598 |
0.3× |
| Ankle scope,part synovectomy (29895) |
$728 |
$1,120 |
0.2× |
| Anoscopy Ablation Lesion (46615) |
$149.50 |
$230 |
0.1× |
| Anoscopy control bleeding (46614) |
$98.80 |
$152 |
0.1× |
| Anoscopy diagnostic (46600) |
$103.35 |
$159 |
0.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$130 |
$200 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$171.60 |
$264 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,054.30 |
$1,622 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,033.50 |
$1,590 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$109.20 |
$168 |
0.7× |
| Application cast elbow finger short arm (29075) |
$273 |
$420 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$161.85 |
$249 |
0.6× |
| Application finger splint static (29130) |
$95.22 |
$146.50 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$145.60 |
$224 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$297.70 |
$458 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$162.50 |
$250 |
1.1× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$1,732.25 |
$2,665 |
0.1× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$924.95 |
$1,423 |
0.1× |
| Application of long leg cast (29345) |
$224.25 |
$345 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$231.72 |
$356.50 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$130 |
$200 |
1.0× |
| Application short leg splint calf foot (29515) |
$124.15 |
$191 |
0.8× |
| Apply short leg cast (29405) |
$131.95 |
$203 |
0.5× |
| Apply short leg cast (29425) |
$189.80 |
$292 |
0.7× |
| Arterial puncture (36600) |
$141.70 |
$218 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$123.50 |
$190 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$416 |
$640 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$179.40 |
$276 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$157.30 |
$242 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$143.65 |
$221 |
0.5× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$1,513.85 |
$2,329 |
0.1× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$497.25 |
$765 |
0.1× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$1,837.55 |
$2,827 |
0.1× |
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure |
$1,257.75 |
$1,935 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$863.85 |
$1,329 |
0.1× |
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge, not the full procedure |
$2,104.70 |
$3,238 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
likely a partial charge, not the full procedure |
$707.85 |
$1,089 |
0.0× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$1,162.85 |
$1,789 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,245.75 |
$3,455 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,515.80 |
$2,332 |
0.2× |
| Arthroscopy ankle; ext debridem (29898) |
$872.30 |
$1,342 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$956.15 |
$1,471 |
0.3× |
| Arthroscopy of joint (29999) |
$446.55 |
$687 |
1.9× |
| Arthroscopy subtalar joint (29906) |
$1,013.35 |
$1,559 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$764.40 |
$1,176 |
0.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$613.60 |
$944 |
0.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,023.75 |
$1,575 |
0.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$961.35 |
$1,479 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$794.95 |
$1,223 |
0.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$830.05 |
$1,277 |
0.3× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
likely a partial charge, not the full procedure |
$1,970.15 |
$3,031 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$767 |
$1,180 |
0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$826.15 |
$1,271 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$869.05 |
$1,337 |
0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,066.65 |
$1,641 |
0.3× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,370.85 |
$2,109 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,581.45 |
$2,433 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$887.90 |
$1,366 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$809.25 |
$1,245 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,012.70 |
$1,558 |
0.3× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,545.70 |
$2,378 |
0.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$878.15 |
$1,351 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,599.65 |
$2,461 |
0.2× |
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure |
$1,153.75 |
$1,775 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$1,590.22 |
$2,446.50 |
0.5× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$715 |
$1,100 |
0.2× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$1,265.55 |
$1,947 |
0.4× |
Arthrs hip debridement/shaving articular crtlg (29862)
likely a partial charge, not the full procedure |
$1,214.20 |
$1,868 |
0.2× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$1,207.05 |
$1,857 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$468.65 |
$721 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$494 |
$760 |
0.2× |
| Aspir/inj thyroid cyst (60300) |
$418.60 |
$644 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$102.70 |
$158 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$234.65 |
$361 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$176.80 |
$272 |
0.9× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$1,085.50 |
$1,670 |
0.2× |
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure |
$1,339.65 |
$2,061 |
0.2× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$169 |
$260 |
0.1× |
| Biopsy Bone Open Deep (20245) |
$541.45 |
$833 |
0.2× |
| Biopsy bone open superficial (20240) |
$221.65 |
$341 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$575.25 |
$885 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$352.95 |
$543 |
0.2× |
| Biopsy Breast Open Incisional (19101) |
$2,256.80 |
$3,472 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$549.25 |
$845 |
0.6× |
| Biopsy external auditory canal (69105) |
$873.28 |
$1,343.50 |
0.6× |
| Biopsy external ear (69100) |
$162.82 |
$250.50 |
0.7× |
| Biopsy muscle deep (20205) |
$247 |
$380 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$924.62 |
$1,422.50 |
0.6× |
| Biopsy Nerve (64795) |
$295.75 |
$455 |
0.2× |
| Biopsy of floor of mouth (41108) |
$947.05 |
$1,457 |
0.6× |
| Biopsy of mouth lesion (40808) |
$354.25 |
$545 |
0.7× |
| Biopsy of nail unit (11755) |
$422.50 |
$650 |
0.6× |
| Biopsy of palate, uvula (42100) |
$908.38 |
$1,397.50 |
0.6× |
| Biopsy of penis (54105) |
$327.60 |
$504 |
0.1× |
| Biopsy of penis (54100) |
$976.62 |
$1,502.50 |
0.6× |
| Biopsy of tongue (41100) |
$368.55 |
$567 |
0.7× |
| Biopsy of uterus lining (58100) |
$177.45 |
$273 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$406.25 |
$625 |
0.1× |
| Biopsy Oropharynx (42800) |
$913.90 |
$1,406 |
0.6× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,061.78 |
$1,633.50 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,755 |
$2,700 |
1.1× |
| Biopsy Salivary Gland Incisional (42405) |
$357.50 |
$550 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$416.98 |
$641.50 |
0.6× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$643.50 |
$990 |
0.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,009.12 |
$1,552.50 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$1,002.62 |
$1,542.50 |
0.6× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,755 |
$2,700 |
1.1× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,000.35 |
$1,539 |
0.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$631.80 |
$972 |
0.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,020.50 |
$1,570 |
0.7× |
| Biopsy tongue posterior one-third (41105) |
$3,523 |
$2,839.50 |
1.1× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$220.35 |
$339 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$542.75 |
$835 |
0.6× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$551.85 |
$849 |
0.2× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,030.58 |
$1,585.50 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$694.85 |
$1,069 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$667.55 |
$1,027 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$434.20 |
$668 |
0.7× |
| Bladder Irrigation Simple (51700) |
$177.45 |
$273 |
0.7× |
| Bladder Scan (51798) |
$45.82 |
$70.50 |
0.8× |
| Blood patch (62273) |
$467.68 |
$719.50 |
0.7× |
| Blood transfusion service (36430) |
$487.50 |
$750 |
1.2× |
Bone graft, any donor area; major or large (20902)
likely a partial charge, not the full procedure |
$430.95 |
$663 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$282.75 |
$435 |
0.0× |
| Bone Marrow Biopsy (38221) |
$937.30 |
$1,442 |
0.6× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$420.55 |
$647 |
0.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$234.65 |
$361 |
0.1× |
| Bronch ebus samplng 1/2 node (31652) |
$375.70 |
$578 |
0.1× |
| Bronch ebus samplng 3/> node (31653) |
$414.70 |
$638 |
0.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$232.70 |
$358 |
0.1× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$312 |
$480 |
0.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$328.25 |
$505 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$273 |
$420 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$286 |
$440 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$258.70 |
$398 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$230.75 |
$355 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$304.85 |
$469 |
0.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$236.60 |
$364 |
0.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$943.80 |
$1,452 |
0.6× |
| Bx anorectal wall anal approach (45100) |
$474.50 |
$730 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,377.68 |
$2,119.50 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,140.10 |
$1,754 |
0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$934.38 |
$1,437.50 |
0.6× |
| Bx prst8 trct us guided (55707) |
$213.20 |
$328 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$539.82 |
$830.50 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$944.45 |
$1,453 |
0.6× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$737.10 |
$1,134 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$499.20 |
$768 |
0.2× |
| Capsular Contracture Release (23020) |
$1,563.90 |
$2,406 |
0.5× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,008.80 |
$1,552 |
0.3× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$274.30 |
$422 |
0.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$243.75 |
$375 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$183.62 |
$282.50 |
0.8× |
| Change Ureter Stent, Percut (50382) |
$395.85 |
$609 |
0.2× |
| Chemical Cautery Tissue (17250) |
$133.90 |
$206 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$461.18 |
$709.50 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$261.30 |
$402 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$250.90 |
$386 |
0.9× |
| Chemodenerv trunk musc 6/> (64647) |
$478.08 |
$735.50 |
0.7× |
| Chest tube placement (32551) |
$972.72 |
$1,496.50 |
0.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$92.30 |
$142 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$174.52 |
$268.50 |
0.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,167.10 |
$3,334 |
0.6× |
| Chromotubation of oviduct, including materials (58350) |
$143 |
$220 |
0.0× |
| Circum 28 days or older (54161) |
$318.50 |
$490 |
0.2× |
| Claviculectomy; partial (23120) |
$906.75 |
$1,395 |
0.3× |
| Clean out mastoid cavity (69222) |
$390 |
$600 |
0.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$401.05 |
$617 |
1.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$531.05 |
$817 |
2.3× |
| Closed Rx Med Malleolus Fx (27760) |
$464.75 |
$715 |
2.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$874.90 |
$1,346 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$937.95 |
$1,443 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$506.68 |
$779.50 |
2.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$960.05 |
$1,477 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$749.45 |
$1,153 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$488.15 |
$751 |
2.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$436.15 |
$671 |
1.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Rx Trimalleolar Fx (27816) |
$455 |
$700 |
1.9× |
| Closed Treat Vert Body Fract (22310) |
$456.30 |
$702 |
1.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,523 |
$2,822.50 |
1.1× |
| Closed treatment of broken top of shin bone at knee (27538) |
$600.60 |
$924 |
2.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$374.08 |
$575.50 |
1.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$361.08 |
$555.50 |
1.5× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$759.85 |
$1,169 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$316.55 |
$487 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$705.25 |
$1,085 |
3.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$438.10 |
$674 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$370.18 |
$569.50 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$262.60 |
$404 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$845.65 |
$1,301 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$461.50 |
$710 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$353.60 |
$544 |
1.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$262.60 |
$404 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$307.45 |
$473 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$870.35 |
$1,339 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$681.85 |
$1,049 |
2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$262.60 |
$404 |
1.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$454.35 |
$699 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$374.40 |
$576 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$886.60 |
$1,364 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$368.55 |
$567 |
1.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$262.60 |
$404 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$405.60 |
$624 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$369.85 |
$569 |
1.6× |
| Closure of gastrostomy surgical (43870) |
$1,137.50 |
$1,750 |
0.3× |
| Closure of vagina (57120) |
$832 |
$1,280 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$349.70 |
$538 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$635.05 |
$977 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$262.60 |
$404 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$249.60 |
$384 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$249.60 |
$384 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$576.22 |
$886.50 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$433.55 |
$667 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$486.20 |
$748 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$294.45 |
$453 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$525.20 |
$808 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$956.15 |
$1,471 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$262.60 |
$404 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$322.40 |
$496 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$242.78 |
$373.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$223.28 |
$343.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,147.58 |
$1,765.50 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$460.20 |
$708 |
2.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$581.75 |
$895 |
2.5× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$673.40 |
$1,036 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$262.60 |
$404 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$233.35 |
$359 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$262.60 |
$404 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$262.60 |
$404 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$455 |
$700 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$434.85 |
$669 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$371.80 |
$572 |
1.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$296.40 |
$456 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$262.60 |
$404 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$513.50 |
$790 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$293.15 |
$451 |
1.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$913.25 |
$1,405 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$262.60 |
$404 |
1.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$737.75 |
$1,135 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$466.05 |
$717 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$663.65 |
$1,021 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$202.80 |
$312 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$948.35 |
$1,459 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,041.30 |
$1,602 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,267.50 |
$1,950 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$647.08 |
$995.50 |
2.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$393.90 |
$606 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$918.45 |
$1,413 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$880.10 |
$1,354 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$425.10 |
$654 |
0.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$417.30 |
$642 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$289.90 |
$446 |
0.3× |
| Colonoscopy stoma w/snare (44394) |
$373.75 |
$575 |
0.3× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$239.85 |
$369 |
0.2× |
| Colonoscopy thru stoma (44388) |
$262.60 |
$404 |
0.3× |
| Colonoscopy w/ablation (45388) |
$445.90 |
$686 |
0.4× |
| Colonoscopy w/band ligation (45398) |
$386.75 |
$595 |
0.3× |
| Colonoscopy w/fb removal (45379) |
$396.50 |
$610 |
0.3× |
| Colonoscopy w/resection (45390) |
$519.35 |
$799 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure |
$1,088.75 |
$1,675 |
0.2× |
| Colporrhaphy suture injury vagina (57200) |
$510.25 |
$785 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$217.75 |
$335 |
0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$180.70 |
$278 |
0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$286.65 |
$441 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$248.95 |
$383 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$235.30 |
$362 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$251.55 |
$387 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$245.05 |
$377 |
0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$588.25 |
$905 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$429 |
$660 |
0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$416 |
$640 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$384.15 |
$591 |
0.3× |
| Complex Drainage, Wound (10180) |
$430.95 |
$663 |
0.2× |
| Conization of cervix (57520) |
$455 |
$700 |
0.1× |
| Conization of cervix (57522) |
$396.50 |
$610 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$194.35 |
$299 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$199.55 |
$307 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$117 |
$180 |
0.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$410.48 |
$631.50 |
0.8× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$773.50 |
$1,190 |
0.2× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure |
$2,497.95 |
$3,843 |
0.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,262.62 |
$1,942.50 |
0.8× |
| Correction hammertoe (28285) |
$878.48 |
$1,351.50 |
0.3× |
| Correction of bunion (28292) |
$1,084.20 |
$1,668 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,122.90 |
$3,266 |
0.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$909.35 |
$1,399 |
0.3× |
| Create eardrum opening (69436) |
$365.62 |
$562.50 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$155.35 |
$239 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$228.80 |
$352 |
1.0× |
| Curettage postpartum (59160) |
$292.50 |
$450 |
0.1× |
| Curette/treat cornea (65435) |
$1,059.50 |
$1,630 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$326.62 |
$502.50 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$338 |
$520 |
0.1× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$640.25 |
$985 |
0.1× |
| Cysto w/destruction of lesions (52214) |
$292.50 |
$450 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$403 |
$620 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,235.98 |
$1,901.50 |
0.6× |
| Cysto w/ureter stricture tx (52341) |
$464.75 |
$715 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$578.50 |
$890 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$604.50 |
$930 |
0.2× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$643.50 |
$990 |
0.2× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$682.50 |
$1,050 |
0.1× |
Cysto/pyeloscopy rescj pelvic tumor (52355)
likely a partial charge, not the full procedure |
$715 |
$1,100 |
0.1× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$1,014 |
$1,560 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$955.50 |
$1,470 |
0.2× |
Cystolithotomy w rem stone wo vn res (51050)
likely a partial charge, not the full procedure |
$757.25 |
$1,165 |
0.1× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,196 |
$1,840 |
0.1× |
| Cystoscopy and treatment (52290) |
$396.50 |
$610 |
0.2× |
| Cystoscopy and treatment (52330) |
$429 |
$660 |
0.1× |
Cystoscopy stone removal (52325)
likely a partial charge, not the full procedure |
$526.50 |
$810 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$234 |
$360 |
0.1× |
| Cystoscopy w/complex removal stone & stent (52315) |
$448.50 |
$690 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,234.35 |
$1,899 |
0.6× |
| Cystoscopy,insert ureteral stent (52332) |
$390 |
$600 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$468 |
$720 |
0.2× |
| Cystourethroscopy (52000) |
$470.28 |
$723.50 |
0.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$276.25 |
$425 |
0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$344.50 |
$530 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$468 |
$720 |
0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$403 |
$620 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$432.25 |
$665 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$266.50 |
$410 |
0.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$494 |
$760 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$468 |
$720 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$341.58 |
$525.50 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,034.80 |
$1,592 |
0.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$752.70 |
$1,158 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$703.95 |
$1,083 |
1.0× |
| Debride nail 1-5 (11720) |
$55.90 |
$86 |
1.0× |
| Debride nail 6 or more (11721) |
$52.32 |
$80.50 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$185.90 |
$286 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$198.25 |
$305 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$363.35 |
$559 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$488.80 |
$752 |
0.3× |
| Declot vascular device (36593) |
$351 |
$540 |
1.1× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893)
likely a partial charge, not the full procedure |
$918.45 |
$1,413 |
0.1× |
| Decompression of tibia nerve (28035) |
$536.90 |
$826 |
0.3× |
| Delivery placenta separate procedure (59414) |
$3,307.20 |
$2,657.50 |
1.1× |
| Destr penis lesn,simpl,laser surg (54057) |
$152.75 |
$235 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,398.48 |
$2,151.50 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,391.98 |
$2,141.50 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$295.75 |
$455 |
0.8× |
| Destruction anal lesion(s) (46924) |
$289.25 |
$445 |
0.1× |
| Destruction benign lesions 15 or more (17111) |
$174.85 |
$269 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$172.25 |
$265 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$399.10 |
$614 |
0.5× |
| Destruction Lesions Vulva Extensive (56515) |
$1,331.85 |
$2,049 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$1,196.98 |
$1,841.50 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$297.05 |
$457 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$311.68 |
$479.50 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$615.22 |
$946.50 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$179.72 |
$276.50 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$199.22 |
$306.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$208.98 |
$321.50 |
1.1× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$346.12 |
$532.50 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$177.78 |
$273.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$184.92 |
$284.50 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$194.35 |
$299 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$208.98 |
$321.50 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$329.88 |
$507.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$251.55 |
$387 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$163.15 |
$251 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,267.18 |
$1,949.50 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$179.08 |
$275.50 |
0.9× |
| Destruction of multiple growths of penis (54065) |
$276.25 |
$425 |
0.1× |
| Destruction of skin lesions (17106) |
$419.25 |
$645 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$104 |
$160 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$444.92 |
$684.50 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$99.45 |
$153 |
0.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$290.55 |
$447 |
0.3× |
| Dilate urethra stricture (53620) |
$577.52 |
$888.50 |
0.9× |
| Dilate Urethra Stricture (53600) |
$193.38 |
$297.50 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$364 |
$560 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$130 |
$200 |
0.2× |
| Dilation of anal sphincter (45905) |
$269.75 |
$415 |
0.2× |
| Dilation of cervical canal (57800) |
$3,307.20 |
$5,088 |
1.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$135.85 |
$209 |
1.1× |
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045)
unusually low: confirm this is the full procedure |
$1,602.25 |
$2,465 |
0.3× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
likely a partial charge, not the full procedure |
$1,248 |
$1,920 |
0.2× |
| Drain hand tendon sheath (26020) |
$858 |
$1,320 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$479.05 |
$737 |
0.7× |
| Drain outer ear canal lesion (69020) |
$480.35 |
$739 |
0.7× |
| Drain penis lesion (54015) |
$470.60 |
$724 |
0.3× |
| Drain shoulder lesion (23030) |
$391.95 |
$603 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$75.40 |
$116 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$286.65 |
$441 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$761.80 |
$1,172 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$218.72 |
$336.50 |
1.1× |
| Drainage mouth roof lesion (42000) |
$248.62 |
$382.50 |
1.1× |
| Drainage of deep rectal abscess (45020) |
$887.90 |
$1,366 |
0.3× |
| Drainage of eyelid abscess (67700) |
$337.35 |
$519 |
1.1× |
| Drainage of gum lesion (41800) |
$155.35 |
$239 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$263.25 |
$405 |
0.2× |
| Drainage of hydrocele (55000) |
$446.22 |
$686.50 |
0.7× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$312.65 |
$481 |
0.1× |
| Drainage of salivary cyst (42409) |
$1,939.28 |
$2,983.50 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$1,010.75 |
$1,555 |
0.6× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$666.25 |
$1,025 |
0.2× |
| Draw blood off venous device (36591) |
$86.78 |
$133.50 |
0.7× |
| Dressing change under anesthesia (15852) |
$74.75 |
$115 |
0.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$437.78 |
$673.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$323.38 |
$497.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$197.60 |
$304 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$150.48 |
$231.50 |
0.8× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0349U) |
$1,206.40 |
$1,856 |
1.6× |
| Dry Needling 3+ Muscles (20561) |
$35.10 |
$54 |
1.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$247 |
$380 |
0.1× |
| Dstrj lesion anus simple surg excision (46922) |
$1,533.35 |
$2,359 |
0.6× |
| Dstrj lesion penis simple surg excision (54060) |
$1,201.85 |
$1,849 |
0.6× |
| Dx bone marrow bx & aspir (38222) |
$3,086.85 |
$2,474.50 |
1.1× |
| Eardrum revision (69450) |
$2,174.90 |
$3,346 |
0.7× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$390.65 |
$601 |
0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$380.90 |
$586 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$260 |
$400 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$294.45 |
$453 |
0.2× |
| Egd flexible foreign body removal (43247) |
$298.35 |
$459 |
0.3× |
| Egd guide wire insertion (43248) |
$276.25 |
$425 |
0.3× |
| Egd injection varices (43243) |
$382.20 |
$588 |
0.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$373.75 |
$575 |
0.2× |
| Egd place gastrostomy tube (43246) |
$334.75 |
$515 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$285.35 |
$439 |
0.2× |
| Egd remove lesion snare (43251) |
$329.55 |
$507 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$339.30 |
$522 |
0.2× |
| Egd tube/cath insertion (43241) |
$241.80 |
$372 |
0.1× |
| Egd Varices Ligation (43244) |
$403 |
$620 |
0.2× |
| Elbow arthroscopy/surgery (29837) |
$790.40 |
$1,216 |
0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$201.18 |
$309.50 |
0.7× |
| Endocervical Curettage (57505) |
$572.98 |
$881.50 |
0.7× |
| Endoscopic Injection/Implant (51715) |
$325 |
$500 |
0.1× |
| Enterorrhaphy single perforation (44602) |
$2,272.40 |
$3,496 |
0.6× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,638.35 |
$4,059 |
0.7× |
| Epididymectomy unilateral (54860) |
$646.10 |
$994 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$237.25 |
$365 |
0.1× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$767.65 |
$1,181 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$538.20 |
$828 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$617.50 |
$950 |
0.2× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$606.45 |
$933 |
0.2× |
| Ercp remove forgn body duct (43275) |
$625.95 |
$963 |
0.3× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$799.50 |
$1,230 |
0.1× |
| Ercp W/Biopsy Single/Multiple (43261) |
$563.55 |
$867 |
0.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$594.75 |
$915 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$224.90 |
$346 |
0.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$211.25 |
$325 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$139.75 |
$215 |
0.2× |
| Evacuate mole of uterus (59870) |
$827.45 |
$1,273 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$98.48 |
$151.50 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$819 |
$1,260 |
0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$659.75 |
$1,015 |
0.4× |
| Exc abd les sc 3 cm/> (22903) |
$1,892.80 |
$2,912 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$643.50 |
$990 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$848.90 |
$1,306 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,001 |
$1,540 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,020.50 |
$1,570 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,166.75 |
$1,795 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,049.75 |
$1,615 |
0.4× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure |
$1,201.20 |
$1,848 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$533 |
$820 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$459.22 |
$706.50 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,018.88 |
$1,567.50 |
0.6× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,088.75 |
$1,675 |
0.7× |
| Exc forearm les sc 3 cm/> (25071) |
$1,213.88 |
$1,867.50 |
0.8× |
| Exc forearm les sc < 3 cm (25075) |
$822.90 |
$1,266 |
0.5× |
| Exc frenum labial/buccal (40819) |
$975.98 |
$1,501.50 |
0.7× |
| Exc hand les sc < 1.5 cm (26115) |
$523.25 |
$805 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$630.50 |
$970 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$1,854.12 |
$2,852.50 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$419.25 |
$645 |
0.3× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$180.05 |
$277 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$833.30 |
$1,282 |
0.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,128.40 |
$1,736 |
0.6× |
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
unusually low: confirm this is the full procedure |
$2,385.82 |
$3,670.50 |
0.4× |
| Exc Rect Tum Transanal Full (45172) |
$1,293.50 |
$1,990 |
0.5× |
| Exc rect tum transanal part (45171) |
$962 |
$1,480 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,755 |
$2,700 |
1.1× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,085.50 |
$1,670 |
0.4× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,813.50 |
$2,790 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$243.75 |
$375 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$237.25 |
$365 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$467.35 |
$719 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$511.55 |
$787 |
0.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,057.88 |
$1,627.50 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,005.88 |
$1,547.50 |
0.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,800.18 |
$2,769.50 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,762.80 |
$2,712 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,074.12 |
$1,652.50 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,061.12 |
$1,632.50 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,858.68 |
$2,859.50 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$468 |
$720 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,132.62 |
$1,742.50 |
0.7× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,812.52 |
$2,788.50 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$663 |
$1,020 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,794 |
$2,760 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$787.15 |
$1,211 |
0.7× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$391.30 |
$602 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$439.72 |
$676.50 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$787.15 |
$1,211 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,171.30 |
$1,802 |
0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$630.50 |
$970 |
0.4× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$815.75 |
$1,255 |
0.5× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$835.90 |
$1,286 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$858 |
$1,320 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$855.40 |
$1,316 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,139.12 |
$1,752.50 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$676 |
$1,040 |
0.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$735.15 |
$1,131 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$487.50 |
$750 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,158.95 |
$1,783 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,897.68 |
$2,919.50 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,118 |
$1,720 |
0.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$572 |
$880 |
0.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$984.75 |
$1,515 |
0.4× |
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure |
$975 |
$1,500 |
0.2× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$565.50 |
$870 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$527.80 |
$812 |
0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$430.30 |
$662 |
0.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,004.60 |
$3,084 |
0.6× |
| Exchange nephrostomy cath (50435) |
$1,265.55 |
$1,947 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$973.05 |
$1,497 |
0.6× |
| Excise cutaneous neurofibroma (64788) |
$630.50 |
$970 |
0.3× |
| Excise excess skin & tissue (15839) |
$1,371.50 |
$2,110 |
0.5× |
| Excise Inferior Turbinate (30130) |
$884.32 |
$1,360.50 |
0.3× |
Excise parotid gland/lesion (42410)
likely a partial charge, not the full procedure |
$988 |
$1,520 |
0.2× |
Excise parotid gland/lesion (42420)
unusually low: confirm this is the full procedure |
$2,613 |
$4,020 |
0.5× |
| Excise pharynx lesion (42808) |
$1,889.22 |
$2,906.50 |
0.6× |
| Excise/repair mouth lesion (40812) |
$962.65 |
$1,481 |
0.7× |
| Excision brach clft cyst,superficial (42810) |
$631.80 |
$972 |
0.2× |
| Excision Breast Lesion (19125) |
$728 |
$1,120 |
0.2× |
| Excision external ear partial simple repair (69110) |
$500.50 |
$770 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$442 |
$680 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$513.50 |
$790 |
0.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$383.50 |
$590 |
0.1× |
| Excision lesion mouth roof (42104) |
$200.85 |
$309 |
0.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$935.68 |
$1,439.50 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$490.42 |
$754.50 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$494.98 |
$761.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$346.12 |
$532.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$550.55 |
$847 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$566.80 |
$872 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$475.48 |
$731.50 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$518.05 |
$797 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$540.80 |
$832 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,105 |
$1,700 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$191.75 |
$295 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$513.18 |
$789.50 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$531.05 |
$817 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,046.50 |
$1,610 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$383.50 |
$590 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$279.50 |
$430 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$1,966.90 |
$3,026 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$478.72 |
$736.50 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$509.92 |
$784.50 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$607.75 |
$935 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$546 |
$840 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$370.50 |
$570 |
0.4× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$572 |
$880 |
0.2× |
| Excision of lesion of tongue without closure (41110) |
$191.75 |
$295 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$276.25 |
$425 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$195 |
$300 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,099.80 |
$1,692 |
0.7× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$559 |
$860 |
0.2× |
| Excision of local lesion of epididymis (54830) |
$598 |
$920 |
0.2× |
| Excision of mouth lesion (41116) |
$1,925.62 |
$2,962.50 |
0.6× |
| Excision of nail fold toe (11765) |
$256.75 |
$395 |
0.7× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$711.75 |
$1,095 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$292.50 |
$450 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$730.28 |
$1,123.50 |
0.6× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$399.75 |
$615 |
0.1× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$520 |
$800 |
0.3× |
| Excision of tongue lesion (41112) |
$397.15 |
$611 |
0.1× |
| Excision of Umbilicus (49250) |
$939.25 |
$1,445 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure |
$1,023.75 |
$1,575 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$1,798.22 |
$2,766.50 |
0.6× |
| Excision of vaginal septum (57130) |
$266.50 |
$410 |
0.1× |
| Excision olecranon bursa (24105) |
$600.60 |
$924 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$698.75 |
$1,075 |
0.5× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,341.60 |
$2,064 |
0.4× |
| Excision or fulguration; Skene's glands (53270) |
$295.75 |
$455 |
0.1× |
| Excision or fulguration; urethral caruncle (53265) |
$300.30 |
$462 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$905.45 |
$1,393 |
0.3× |
| Excision Prepatellar Bursa (27340) |
$560.30 |
$862 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$564.52 |
$868.50 |
0.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,107.60 |
$1,704 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,314.62 |
$2,022.50 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$804.70 |
$1,238 |
0.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$562.25 |
$865 |
0.4× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$239.85 |
$369 |
0.1× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,060.15 |
$1,631 |
0.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$822.25 |
$1,265 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$403 |
$620 |
0.3× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$512.85 |
$789 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$656.50 |
$1,010 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$742.30 |
$1,142 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$1,183 |
$1,820 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,394.25 |
$2,145 |
0.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,067.30 |
$1,642 |
0.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$676.65 |
$1,041 |
0.2× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$752.70 |
$1,158 |
0.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$624.65 |
$961 |
0.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,372.85 |
$5,189 |
1.1× |
Expl retroperitoneum w/wo bx spx (49010)
likely a partial charge, not the full procedure |
$1,362.40 |
$2,096 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$1,119.62 |
$1,722.50 |
0.7× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$1,138.80 |
$1,752 |
0.3× |
| Exploration Of Foot Joint (28020) |
$550.55 |
$847 |
0.2× |
| Exploration of knee joint (27310) |
$1,097.85 |
$1,689 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$888.55 |
$1,367 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$904.80 |
$1,392 |
1.8× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$783.90 |
$1,206 |
0.3× |
Explore parathyroid glands (60500)
likely a partial charge, not the full procedure |
$1,539.85 |
$2,369 |
0.3× |
| Explore/treat ankle joint (27620) |
$1,015.95 |
$1,563 |
0.3× |
| Explore/treat ankle joint (27610) |
$1,489.80 |
$2,292 |
0.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$614.25 |
$945 |
0.4× |
| External Cephalic Version (59412) |
$1,802.78 |
$2,773.50 |
0.6× |
| Fasciotomy foot and/or toe (28008) |
$458.90 |
$706 |
0.1× |
| Fasciotomy Iliotibial Open (27305) |
$725.40 |
$1,116 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,253.20 |
$1,928 |
0.4× |
| Fetal non-stress test (59025) |
$131.95 |
$203 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$436.48 |
$671.50 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$154.05 |
$237 |
0.4× |
| Fixation of knee joint (27570) |
$228.80 |
$352 |
0.1× |
| Fixation of shoulder (23700) |
$293.15 |
$451 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$151.45 |
$233 |
0.7× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$269.10 |
$414 |
0.1× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$986.05 |
$1,517 |
0.5× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,257.10 |
$1,934 |
0.6× |
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure |
$1,184.95 |
$1,823 |
0.2× |
| Fusion Finger Joint (26860) |
$905.45 |
$1,393 |
0.3× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$1,404.65 |
$2,161 |
0.1× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$1,090.05 |
$1,677 |
0.1× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$1,390.35 |
$2,139 |
0.2× |
Fusion of hand bones (25820)
likely a partial charge, not the full procedure |
$969.80 |
$1,492 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$324.35 |
$499 |
1.6× |
| Gastrocnemius Recession (27687) |
$679.90 |
$1,046 |
0.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,185.95 |
$3,363 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,121.25 |
$1,725 |
0.6× |
Glossectomy; less than one-half tongue (41120)
likely a partial charge, not the full procedure |
$1,480.05 |
$2,277 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$4,219.80 |
$6,492 |
0.6× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$1,744.60 |
$2,684 |
0.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$557.70 |
$858 |
0.2× |
| Hemorrhoidectomy (46255) |
$562.25 |
$865 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$503.75 |
$775 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$830.70 |
$1,278 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$672.75 |
$1,035 |
0.3× |
| Hymenotomy Simple Incision (56442) |
$72.80 |
$112 |
0.0× |
| Hysteroscopy ablation (58563) |
$535.60 |
$824 |
0.1× |
| Hysteroscopy biopsy (58558) |
$1,928.88 |
$2,967.50 |
0.6× |
| Hysteroscopy dx sep proc (58555) |
$297.05 |
$457 |
0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$455 |
$700 |
0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$583.05 |
$897 |
0.1× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,058.55 |
$3,167 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$277.88 |
$427.50 |
1.2× |
| I&d abscess simple (10060) |
$193.70 |
$298 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,082.25 |
$1,665 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,283.10 |
$1,974 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,028.30 |
$1,582 |
0.3× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,012.70 |
$1,558 |
0.3× |
| I&d perianal abscess superficial (46050) |
$572.98 |
$881.50 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$457.60 |
$704 |
0.7× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$757.25 |
$1,165 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$264.55 |
$407 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$997.10 |
$1,534 |
0.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$97.50 |
$150 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,031.88 |
$1,587.50 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$1,048.45 |
$1,613 |
0.7× |
| Implant neuroelectrodes (63650) |
$3,765.45 |
$5,793 |
0.6× |
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure |
$580.45 |
$893 |
0.0× |
| Incise finger tendon sheath (26055) |
$434.85 |
$669 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$333.45 |
$513 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$598 |
$920 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$512.85 |
$789 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$414.70 |
$638 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$279.50 |
$430 |
0.7× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$895.05 |
$1,377 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$192.08 |
$295.50 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$258.05 |
$397 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$516.10 |
$794 |
0.3× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$1,069.25 |
$1,645 |
0.2× |
| Incision labial frenum frenotomy (40806) |
$309.08 |
$475.50 |
0.6× |
| Incision of eardrum (69421) |
$345.15 |
$531 |
0.1× |
| Incision of eardrum (69420) |
$309.40 |
$476 |
1.4× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$976.30 |
$1,502 |
0.1× |
| Incision of lingual frenum (41010) |
$853.45 |
$1,313 |
0.6× |
| Incision of rectal abscess (46040) |
$1,026.68 |
$1,579.50 |
0.9× |
Incision of urethra (53010)
likely a partial charge, not the full procedure |
$447.85 |
$689 |
0.1× |
| Incision of urethra (53020) |
$162.50 |
$250 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$226.85 |
$349 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$441.68 |
$679.50 |
0.6× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$981.50 |
$1,510 |
2.4× |
| Initial tx 1st degree burn local tx (16000) |
$213.20 |
$328 |
1.1× |
| Inj dupuytren cord w/enzyme (20527) |
$142.35 |
$219 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$640.25 |
$985 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$132.60 |
$204 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$576.55 |
$887 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$895.05 |
$1,377 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$485.55 |
$747 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$572 |
$880 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$77.35 |
$119 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$570.70 |
$878 |
0.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$527.80 |
$812 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$544.70 |
$838 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$159.90 |
$246 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$535.92 |
$824.50 |
0.6× |
| Inject Nerv Blck,Pudendal (64430) |
$599.95 |
$923 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$143 |
$220 |
0.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$590.85 |
$909 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$349.05 |
$537 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$495.30 |
$762 |
0.7× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$588.25 |
$905 |
0.7× |
| Injection aa&/strd suprascapular nerve (64418) |
$243.10 |
$374 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$326.30 |
$502 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$144.30 |
$222 |
0.2× |
| Injection for identification of sentinel node (38792) |
$286.98 |
$441.50 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87.75 |
$135 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$94.90 |
$146 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$219.05 |
$337 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$281.45 |
$433 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$241.15 |
$371 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$86.45 |
$133 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$2,376.40 |
$3,656 |
0.8× |
| Ins cath ren art 1st unilat (36251) |
$1,903.85 |
$2,929 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$3,149.90 |
$4,846 |
0.6× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$5,940.02 |
$9,138.50 |
0.6× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$6,100.58 |
$9,385.50 |
0.6× |
| Insert 1 electrode pm-defib (33216) |
$4,681.30 |
$7,202 |
0.6× |
| Insert and remove bone pin (20650) |
$248.95 |
$383 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$168.02 |
$258.50 |
1.4× |
| Insert Drug Implant Device (11981) |
$141.70 |
$218 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,775.15 |
$2,731 |
0.6× |
| Insert pacing lead & connect (33224) |
$6,612.45 |
$10,173 |
0.7× |
| Insert pessary/other device (57160) |
$146.58 |
$225.50 |
0.8× |
| Insert picc cath (36569) |
$914.55 |
$1,407 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,673.10 |
$2,574 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$94.58 |
$145.50 |
0.7× |
| Insert tun ip cath perc (49418) |
$2,059.52 |
$3,168.50 |
0.6× |
| Insert tunneled cv cath (36561) |
$1,958.45 |
$3,013 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141.70 |
$218 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,079.68 |
$3,199.50 |
0.6× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$396.50 |
$610 |
0.2× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$436.80 |
$672 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$902.85 |
$1,389 |
0.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,793.20 |
$13,528 |
1.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,690.40 |
$7,216 |
0.6× |
Insj inflatable urethral/bladder neck sphincter (53445)
likely a partial charge, not the full procedure |
$1,212.25 |
$1,865 |
0.1× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$1,345.50 |
$2,070 |
0.1× |
Insj penile prosthesos inflatable self-contained (54401)
likely a partial charge, not the full procedure |
$1,056.25 |
$1,625 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,933.42 |
$2,974.50 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,898.65 |
$2,921 |
0.6× |
| Insj/rplcmt defib w/lead(s) (33249) |
$34,892 |
$27,970 |
1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,793.20 |
$6,983 |
1.1× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$567.45 |
$873 |
0.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$365.95 |
$563 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,523 |
$5,420 |
1.1× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,673.10 |
$2,574 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$975.65 |
$775.50 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$276.58 |
$425.50 |
1.2× |
| Irrigate corpora cavernosa for priapism (54220) |
$217.75 |
$335 |
0.9× |
| Knee arthroscopy/surgery (29876) |
$1,010.75 |
$1,555 |
0.3× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$11,838.78 |
$18,213.50 |
0.6× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,028.62 |
$1,582.50 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$962 |
$1,480 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$550.55 |
$847 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,569.75 |
$2,415 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$1,579.50 |
$2,430 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$588.25 |
$905 |
0.1× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$591.50 |
$910 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,088.75 |
$1,675 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$523.90 |
$806 |
0.1× |
Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when… (55868)
likely a partial charge, not the full procedure |
$1,740.05 |
$2,677 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,475.50 |
$2,270 |
0.3× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770)
likely a partial charge, not the full procedure |
$1,801.80 |
$2,772 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$1,467.70 |
$2,258 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,486.25 |
$3,825 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,271.40 |
$1,956 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge, not the full procedure |
$1,628.25 |
$2,505 |
0.2× |
Laparoscopy, surgical; ablation of renal cysts (50541)
likely a partial charge, not the full procedure |
$1,488.50 |
$2,290 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,147.90 |
$1,766 |
0.2× |
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure |
$2,405 |
$3,700 |
0.2× |
Laparoscopy, surgical; pyeloplasty (50544)
likely a partial charge, not the full procedure |
$2,015 |
$3,100 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$890.50 |
$1,370 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,144 |
$1,760 |
0.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$1,541.80 |
$2,372 |
0.4× |
Laps surg bilateral total pelvic lmphadectomy (38571)
likely a partial charge, not the full procedure |
$1,069.25 |
$1,645 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$598 |
$920 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,433.25 |
$2,205 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,249.30 |
$1,922 |
0.2× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$1,417 |
$2,180 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$158.60 |
$244 |
0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$310.38 |
$477.50 |
0.8× |
| Laryngoscopy w/biopsy (31535) |
$289.90 |
$446 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$321.75 |
$495 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$369.20 |
$568 |
0.1× |
| Laryngoscopy with biopsy (31576) |
$1,037.40 |
$1,596 |
0.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$247 |
$380 |
0.1× |
| Larynscop w/tumr exc + scope (31541) |
$393.25 |
$605 |
0.1× |
| Laser surgery, anal lesion(s) (46917) |
$214.50 |
$330 |
0.1× |
Laser vaporization surgery prostate, complete (52648)
likely a partial charge, not the full procedure |
$1,111.50 |
$1,710 |
0.2× |
| Late closure of wound (13160) |
$1,264.25 |
$1,945 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$299.65 |
$461 |
0.3× |
| Ligation Of Neck Artery (37615) |
$837.85 |
$1,289 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$1,043.25 |
$1,605 |
0.7× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,426.75 |
$2,195 |
0.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$568.75 |
$875 |
0.2× |
| Lithotripsy (50590) |
$919.75 |
$1,415 |
0.3× |
| Liver Biopsy (47000) |
$960.38 |
$1,477.50 |
0.6× |
| Lyse Chest Fibrin Init Day (32561) |
$113.75 |
$175 |
0.2× |
| Lysis Intranasal Synechia (30560) |
$209.95 |
$323 |
0.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,271.72 |
$1,956.50 |
0.6× |
Male sling procedure (53440)
likely a partial charge, not the full procedure |
$1,212.25 |
$1,865 |
0.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$185.90 |
$286 |
0.8× |
| Manipulation Ankle Under General Anesthesia (27860) |
$246.35 |
$379 |
0.1× |
| Manipulation finger joint under anes each joint (26340) |
$531.05 |
$817 |
0.3× |
| Manipulation, wrist, under anesthesia (25259) |
$643.50 |
$990 |
0.4× |
| Marsup Bartholin Gland Cyst (56440) |
$289.25 |
$445 |
0.1× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$1,914.90 |
$2,946 |
0.3× |
| Mastectomy gynecomastia (19300) |
$973.05 |
$1,497 |
0.3× |
| Mastectomy partial (19301) |
$1,046.50 |
$1,610 |
0.3× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,436.50 |
$2,210 |
0.2× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,379 |
$3,660 |
0.4× |
| Musculoskeletal surgery (20999) |
$578.50 |
$890 |
2.5× |
| Myelography Lumbar Injection (62305) |
$508.62 |
$782.50 |
0.7× |
| Myelography Lumbar Injection (62304) |
$699.72 |
$1,076.50 |
0.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$506.35 |
$779 |
0.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$506.35 |
$779 |
0.7× |
| Myringoplasty (69620) |
$2,137.52 |
$3,288.50 |
0.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$156 |
$240 |
0.8× |
| Nasal surgery procedure (30999) |
$600.60 |
$924 |
2.7× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$850.20 |
$1,308 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$612.30 |
$942 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288)
likely a partial charge, not the full procedure |
$540.15 |
$831 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$415.35 |
$639 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$427.70 |
$658 |
0.3× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$745.88 |
$1,147.50 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$376.35 |
$579 |
0.2× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$1,153.42 |
$1,774.50 |
0.2× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,060.80 |
$1,632 |
0.2× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,001.32 |
$1,540.50 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$270.72 |
$416.50 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28.60 |
$44 |
1.0× |
| Neuroeltrd stim post tibial (64566) |
$188.50 |
$290 |
0.6× |
| Neuroplasty Brachial Plexus,Open (64713) |
$1,225.25 |
$1,885 |
0.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$920.40 |
$1,416 |
0.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$501.80 |
$772 |
0.3× |
| Nipple exploration (19110) |
$542.10 |
$834 |
0.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$530.08 |
$815.50 |
0.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$282.75 |
$435 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,804.45 |
$3,045 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$614.25 |
$945 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$462.80 |
$712 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$455 |
$700 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$202.80 |
$312 |
0.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$489.78 |
$753.50 |
0.7× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,261 |
$1,940 |
0.2× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$6,581.25 |
$10,125 |
2.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$695.50 |
$1,070 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$1,184.30 |
$1,822 |
0.2× |
| Open rx carpal bone fx,each bone (25645) |
$858 |
$1,320 |
0.3× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,238.90 |
$1,906 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,145.30 |
$1,762 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$908.05 |
$1,397 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$838.50 |
$1,290 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$887.25 |
$1,365 |
0.1× |
Open treatment of acute shoulder dislocation (23660)
likely a partial charge, not the full procedure |
$902.20 |
$1,388 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,114.75 |
$1,715 |
0.2× |
Open treatment of distal radioulnar dislocation, acute or chronic (25676)
likely a partial charge, not the full procedure |
$945.75 |
$1,455 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$1,446.25 |
$2,225 |
0.1× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,782.95 |
$2,743 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge, not the full procedure |
$1,448.85 |
$2,229 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$1,491.75 |
$2,295 |
0.1× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge, not the full procedure |
$1,116.70 |
$1,718 |
0.2× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,318.20 |
$2,028 |
0.1× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$1,057.55 |
$1,627 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,128.40 |
$1,736 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,773.85 |
$2,729 |
0.3× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,342.90 |
$2,066 |
0.2× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$1,340.30 |
$2,062 |
0.1× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$1,470.30 |
$2,262 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$936.65 |
$1,441 |
0.1× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$963.30 |
$1,482 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,003.60 |
$1,544 |
0.1× |
Open treatment talus fracture (28445)
likely a partial charge, not the full procedure |
$1,558.70 |
$2,398 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$783.25 |
$1,205 |
0.3× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$1,573.65 |
$2,421 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$742.30 |
$1,142 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$820.30 |
$1,262 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$861.25 |
$1,325 |
0.3× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,055.60 |
$1,624 |
0.2× |
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615)
likely a partial charge, not the full procedure |
$1,231.75 |
$1,895 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$890.50 |
$1,370 |
0.3× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,368.25 |
$2,105 |
0.1× |
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574)
likely a partial charge, not the full procedure |
$1,012.70 |
$1,558 |
0.1× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$1,097.85 |
$1,689 |
0.1× |
| Open tx septal fx w/wo stabj (21336) |
$959.40 |
$1,476 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$950.95 |
$1,463 |
0.1× |
| Open/Perq Place Stent Same (37238) |
$12,266.15 |
$9,797 |
1.1× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$6,501.30 |
$10,002 |
0.6× |
Optx fem shft fx w/insj imed implt w/wo screw (27506)
likely a partial charge, not the full procedure |
$1,999.40 |
$3,076 |
0.3× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$1,551.55 |
$2,387 |
0.1× |
Optx hum fx wo ntrcndylr xtn (24545)
likely a partial charge, not the full procedure |
$1,388.40 |
$2,136 |
0.1× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,088.75 |
$1,675 |
0.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$812.50 |
$1,250 |
0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,055.95 |
$3,163 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,972.75 |
$3,035 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$445.25 |
$685 |
0.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$682.50 |
$1,050 |
0.2× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$606.45 |
$933 |
0.1× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$1,476.15 |
$2,271 |
0.1× |
| Osteotomy Phalanx Finger Each (26567) |
$1,069.25 |
$1,645 |
0.3× |
Osteotomy Radius Distal Third (25350)
likely a partial charge, not the full procedure |
$1,527.82 |
$2,350.50 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$922.35 |
$1,419 |
0.1× |
| Ovarian cystectomy (58925) |
$1,212.25 |
$1,865 |
0.3× |
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145)
likely a partial charge, not the full procedure |
$1,054.30 |
$1,622 |
0.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,348.75 |
$2,075 |
0.4× |
| Partial Excision Bone Fibula (27641) |
$980.20 |
$1,508 |
0.3× |
| Partial excision bone metacarpal (26230) |
$1,136.85 |
$1,749 |
0.4× |
Partial excision bone scapula (23182)
likely a partial charge, not the full procedure |
$1,038.70 |
$1,598 |
0.2× |
| Partial excision bone talus/calcaneus (28120) |
$742.30 |
$1,142 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$681.85 |
$1,049 |
0.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$655.85 |
$1,009 |
0.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$746.20 |
$1,148 |
0.5× |
| Partial Removal Foot Fascia (28060) |
$537.55 |
$827 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,121.25 |
$1,725 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,987.38 |
$3,057.50 |
0.6× |
| Pelvic exam under anesthesia (57410) |
$169.65 |
$261 |
0.1× |
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080)
likely a partial charge, not the full procedure |
$1,404 |
$2,160 |
0.2× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$3,467.10 |
$5,334 |
0.6× |
| Perc sk fix metatarsal fx w manip (28476) |
$574.60 |
$884 |
0.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$447.52 |
$688.50 |
0.7× |
| Percut Mech Thrombectomy, Venous (37187) |
$6,792.18 |
$10,449.50 |
0.6× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,355.90 |
$2,086 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$674.05 |
$1,037 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$720.85 |
$1,109 |
0.2× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$902.85 |
$1,389 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$733.85 |
$1,129 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,027 |
$1,580 |
0.7× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$425.75 |
$655 |
0.1× |
| Peritoneal Lavage (49084) |
$178.75 |
$275 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$599.30 |
$922 |
0.9× |
| Perq device breast 1st imag (19281) |
$955.82 |
$1,470.50 |
0.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,673.10 |
$2,574 |
1.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$201.50 |
$310 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$172.25 |
$265 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$439.72 |
$676.50 |
0.7× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure |
$769.60 |
$1,184 |
0.1× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$735.15 |
$1,131 |
0.1× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,055.62 |
$3,162.50 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,075.45 |
$3,193 |
0.7× |
| Pin finger fracture each (26756) |
$635.70 |
$978 |
0.2× |
| Pin radioulnar dislocation (25671) |
$820.95 |
$1,263 |
0.3× |
| Place Cath Subclavian Art (36225) |
$1,935.70 |
$2,978 |
0.6× |
| Place Cath Thoracic Aorta (36221) |
$1,835.28 |
$2,823.50 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$475.15 |
$731 |
1.1× |
| Placement of seton (46020) |
$373.75 |
$575 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,352 |
$2,080 |
0.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,242.80 |
$1,912 |
0.6× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,070.25 |
$3,185 |
0.6× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$955.50 |
$1,470 |
0.3× |
| PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) |
$1,079 |
$1,660 |
0.3× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$389.35 |
$599 |
0.1× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$406.90 |
$626 |
0.1× |
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679)
likely a partial charge, not the full procedure |
$666.25 |
$1,025 |
0.1× |
| Preputial Stretching (54450) |
$97.50 |
$150 |
0.4× |
| Prim art mech thrombectomy (37184) |
$19,477.90 |
$15,554 |
1.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$91 |
$140 |
0.1× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187)
likely a partial charge, not the full procedure |
$1,536.60 |
$2,364 |
0.2× |
Prostatectomy (turp) (52601)
likely a partial charge, not the full procedure |
$1,352 |
$2,080 |
0.3× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$732.22 |
$1,126.50 |
0.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$416 |
$640 |
0.1× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$264.55 |
$407 |
0.1× |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
$497.25 |
$765 |
0.2× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
likely a partial charge, not the full procedure |
$1,179.75 |
$1,815 |
0.2× |
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure |
$1,009.45 |
$1,553 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$195 |
$300 |
0.5× |
| Puncture Aspiration (10160) |
$201.50 |
$310 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$412.10 |
$634 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$3,081 |
$4,740 |
1.1× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$739.05 |
$1,137 |
0.1× |
Rebuild outer ear canal (69310)
unusually low: confirm this is the full procedure |
$2,508.68 |
$3,859.50 |
0.4× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$1,112.15 |
$1,711 |
0.2× |
| Reconstruct finger joint (26545) |
$1,089.40 |
$1,676 |
0.4× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$1,860.95 |
$2,863 |
0.2× |
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure |
$1,327.95 |
$2,043 |
0.2× |
Reconstruct wrist joint (25445)
likely a partial charge, not the full procedure |
$1,082.25 |
$1,665 |
0.2× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
likely a partial charge, not the full procedure |
$1,118.65 |
$1,721 |
0.2× |
| Reconstruction tongue fold (41520) |
$380.90 |
$586 |
0.1× |
| Reduce testis torsion (54600) |
$1,096.88 |
$1,687.50 |
0.3× |
| Reduction of rectal prolapse (45900) |
$988.65 |
$1,521 |
1.1× |
| Reforearm tend/musc,exten,second (25272) |
$839.80 |
$1,292 |
0.3× |
| Reinforce shoulder bones (23491) |
$7,604.68 |
$11,699.50 |
0.6× |
Reinforce tibia (27745)
likely a partial charge, not the full procedure |
$1,131 |
$1,740 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,161.55 |
$1,787 |
0.2× |
| Release palm contracture (26121) |
$898.95 |
$1,383 |
0.3× |
| Relocation of skin pocket for pacemaker (33222) |
$1,367.92 |
$2,104.50 |
0.7× |
| Rem endovas vena cava filter (37193) |
$1,949.02 |
$2,998.50 |
0.7× |
| Removal Anal Seton Other Marker (46030) |
$146.25 |
$225 |
0.1× |
| Removal fb intranasal (30300) |
$166.08 |
$255.50 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,685.45 |
$2,593 |
1.1× |
| Removal foreign body foot deep (28192) |
$503.75 |
$775 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$399.75 |
$615 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$343.85 |
$529 |
0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$971.75 |
$1,495 |
0.3× |
| Removal foreign body pharynx (42809) |
$336.70 |
$518 |
0.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$313.30 |
$482 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.22 |
$86.50 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$92.95 |
$143 |
1.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$270.40 |
$416 |
0.1× |
| Removal Implant Deep (20680) |
$647.40 |
$996 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$220.35 |
$339 |
0.1× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,163.52 |
$3,328.50 |
0.6× |
| Removal of adenoids (42835) |
$297.05 |
$457 |
0.1× |
| Removal of adenoids (42830) |
$326.30 |
$502 |
0.1× |
| Removal of anal fissure (46200) |
$524.55 |
$807 |
0.2× |
| Removal of arm foreign body (24200) |
$432.90 |
$666 |
0.3× |
| Removal of bone lesion (23140) |
$859.30 |
$1,322 |
0.3× |
| Removal of calcium deposits (23000) |
$547.95 |
$843 |
0.2× |
| Removal of cervix (57530) |
$575.25 |
$885 |
0.1× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$521.95 |
$803 |
0.3× |
| Removal of finger lesion (26210) |
$671.45 |
$1,033 |
0.4× |
| Removal of foreign body in scrotum (55120) |
$539.50 |
$830 |
0.3× |
| Removal of heel bone (28118) |
$628.55 |
$967 |
0.2× |
| Removal of heel spur (28119) |
$544.05 |
$837 |
0.2× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure |
$2,381.60 |
$3,664 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$460.20 |
$708 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$260.32 |
$400.50 |
0.9× |
Removal of kidney stone (50081)
likely a partial charge, not the full procedure |
$2,063.75 |
$3,175 |
0.2× |
| Removal of knee cartilage (27332) |
$997.10 |
$1,534 |
0.3× |
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488)
likely a partial charge, not the full procedure |
$1,850.55 |
$2,847 |
0.2× |
| Removal of nail bed (11750) |
$271.05 |
$417 |
0.7× |
| Removal of nose polyp(s) (30115) |
$980.85 |
$1,509 |
0.3× |
| Removal of salivary stone (42330) |
$1,888.25 |
$2,905 |
0.6× |
| Removal of sesamoid bone (28315) |
$489.45 |
$753 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$139.75 |
$215 |
0.7× |
| Removal of sperm cord lesion (55520) |
$721.50 |
$1,110 |
0.2× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$510.25 |
$785 |
0.3× |
| Removal of testis (54520) |
$529.75 |
$815 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$403.65 |
$621 |
0.1× |
| Removal of tonsils (42826) |
$393.25 |
$605 |
0.1× |
| Removal of wrist bone (25210) |
$739.70 |
$1,138 |
0.2× |
| Removal ppm generator only (33233) |
$8,667.75 |
$6,958 |
1.1× |
| Removal subq cardiac rhythm monitor (33286) |
$439.08 |
$675.50 |
0.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$96.20 |
$148 |
0.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,851.85 |
$2,849 |
0.6× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$357.50 |
$550 |
0.2× |
| Remove anal fist 2 stage (46285) |
$653.90 |
$1,006 |
0.2× |
| Remove anal fist subq (46270) |
$620.75 |
$955 |
0.2× |
| Remove bladder stone (52318) |
$770.25 |
$1,185 |
0.2× |
| Remove drug implant device (11982) |
$247 |
$380 |
0.6× |
| Remove elbow lesion (24120) |
$798.85 |
$1,229 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$337.35 |
$519 |
1.1× |
| Remove femur lesion (27355) |
$911.30 |
$1,402 |
0.3× |
| Remove femur lesion/bursa (27062) |
$702 |
$1,080 |
0.2× |
| Remove foreign body from eye (65210) |
$475.15 |
$731 |
1.1× |
| Remove in/ex hem groups 2+ (46260) |
$757.25 |
$1,165 |
0.3× |
| Remove intrvas foreign body (37197) |
$1,934.08 |
$2,975.50 |
0.6× |
| Remove muti-comp penis pros (54406) |
$1,173.25 |
$1,805 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$694.20 |
$1,068 |
0.3× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$643.50 |
$990 |
0.1× |
| Remove skin nerve lesion (64774) |
$645.45 |
$993 |
0.3× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$696.80 |
$1,072 |
0.1× |
| Remove wrist joint cartilage (25107) |
$923.65 |
$1,421 |
0.3× |
| Remove wrist tendon lesion (25111) |
$503.75 |
$775 |
0.3× |
| Remove&replace pm gen singl (33227) |
$4,846.40 |
$7,456 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$218.40 |
$336 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$160.55 |
$247 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$141.70 |
$218 |
1.1× |
| Remv&replc cvd gen dual lead (33263) |
$28,376.40 |
$43,656 |
1.3× |
| Remv&replc cvd gen mult lead (33264) |
$34,892 |
$53,680 |
1.2× |
| Remv&replc cvd gen sing lead (33262) |
$28,376.40 |
$43,656 |
1.3× |
| Remv&replc pm gen dual lead (33228) |
$5,839.28 |
$8,983.50 |
0.6× |
| Remv&replc pm gen mult leads (33229) |
$20,466.55 |
$31,487 |
1.1× |
| Renal biopsy (50200) |
$199.55 |
$307 |
0.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$984.75 |
$1,515 |
0.1× |
| Repair anorectal fistula w/plug (46707) |
$783.25 |
$1,205 |
0.3× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,116.70 |
$1,718 |
0.2× |
| Repair bladder-vagina lesion (57320) |
$877.50 |
$1,350 |
0.2× |
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure |
$1,535.95 |
$2,363 |
0.3× |
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure |
$961.35 |
$1,479 |
0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$604.50 |
$930 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$670.80 |
$1,032 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$416 |
$640 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$568.75 |
$875 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$507 |
$780 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$531.38 |
$817.50 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$785.85 |
$1,209 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$594.42 |
$914.50 |
0.8× |
| Repair elbow deb/attch open (24359) |
$994.50 |
$1,530 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$947.05 |
$1,457 |
0.6× |
| Repair finger/hand tendon (26350) |
$1,103.70 |
$1,698 |
0.4× |
| Repair forearm tendon sheath (25275) |
$1,008.15 |
$1,551 |
0.3× |
| Repair hallux rigidus (28289) |
$689 |
$1,060 |
0.2× |
| Repair hand joint with graft (26542) |
$1,587.30 |
$2,442 |
0.5× |
| Repair hand tendon (26410) |
$915.85 |
$1,409 |
0.6× |
| Repair incomplete circumcision (54163) |
$1,286.35 |
$1,979 |
0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,010.75 |
$1,555 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$920.40 |
$1,416 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$936 |
$1,440 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$352.62 |
$542.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$378.62 |
$582.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$390 |
$600 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$354.90 |
$546 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$432.25 |
$665 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$429 |
$660 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$337.02 |
$518.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$375.38 |
$577.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$561.92 |
$864.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,192.45 |
$3,373 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$407.88 |
$627.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$338 |
$520 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$370.50 |
$570 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$432.90 |
$666 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$381.88 |
$587.50 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$731.25 |
$1,125 |
0.4× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$931.45 |
$1,433 |
0.1× |
Repair nonunion hand (26546)
likely a partial charge, not the full procedure |
$1,542.45 |
$2,373 |
0.2× |
Repair nonunion radius/ulna w autogrft (25405)
likely a partial charge, not the full procedure |
$1,566.50 |
$2,410 |
0.2× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$725.40 |
$1,116 |
0.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,201.20 |
$1,848 |
0.2× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$900.90 |
$1,386 |
0.1× |
Repair of eardrum structures (69631)
unusually low: confirm this is the full procedure |
$1,943.18 |
$2,989.50 |
0.3× |
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure |
$1,435.85 |
$2,209 |
0.2× |
| Repair Of Foot Tendon (28208) |
$495.30 |
$762 |
0.2× |
Repair of knee cartilage (27403)
likely a partial charge, not the full procedure |
$965.90 |
$1,486 |
0.1× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$543.40 |
$836 |
0.1× |
| Repair of leg tendon each (27658) |
$553.15 |
$851 |
0.2× |
| Repair of nail bed (11760) |
$281.45 |
$433 |
0.4× |
| Repair of nasal septum (30520) |
$1,017.90 |
$1,566 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400)
likely a partial charge, not the full procedure |
$1,204.45 |
$1,853 |
0.2× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724)
likely a partial charge, not the full procedure |
$1,879.15 |
$2,891 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,320.15 |
$2,031 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$904.80 |
$1,392 |
0.1× |
Repair of tibia (27720)
likely a partial charge, not the full procedure |
$1,307.15 |
$2,011 |
0.2× |
| Repair of traumatic corporeal tear(s) (54437) |
$1,085.50 |
$1,670 |
0.3× |
| Repair of vagina (57260) |
$1,307.15 |
$2,011 |
0.3× |
| Repair rectum & vagina (57250) |
$1,060.15 |
$1,631 |
0.2× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,270.10 |
$1,954 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,071.85 |
$1,649 |
0.2× |
| Repair Tongue Laceration (41250) |
$354.58 |
$545.50 |
0.8× |
| Repair tympanic membrane (69610) |
$663.98 |
$1,021.50 |
0.5× |
Repair uro sphincter (53449)
likely a partial charge, not the full procedure |
$981.50 |
$1,510 |
0.1× |
| Repair wrist joints (25447) |
$1,245.40 |
$1,916 |
0.4× |
| Repair, fascial defect of leg (27656) |
$787.80 |
$1,212 |
0.3× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470)
likely a partial charge, not the full procedure |
$1,764.10 |
$2,714 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,012.70 |
$1,558 |
0.1× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$488.80 |
$752 |
0.2× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,028.95 |
$1,583 |
0.1× |
Repair/graft flex foot tendon (28202)
likely a partial charge, not the full procedure |
$647.40 |
$996 |
0.1× |
Repair/graft wrist bone (25440)
likely a partial charge, not the full procedure |
$1,152.45 |
$1,773 |
0.2× |
| Reposition gastrostomy tube (43761) |
$163.15 |
$251 |
0.7× |
| Reposition pacing-defib lead (33215) |
$1,927.90 |
$2,966 |
0.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,068.60 |
$1,644 |
0.3× |
| Rerepair fem hernia reduce (49555) |
$913.90 |
$1,406 |
0.3× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,147.90 |
$1,766 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,516.12 |
$2,332.50 |
0.4× |
| Resect Inferior Turbinate (30140) |
$410.48 |
$631.50 |
0.1× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$2,484.95 |
$3,823 |
0.2× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,704 |
$4,160 |
0.2× |
| Revise arm/leg nerve (64708) |
$774.15 |
$1,191 |
0.4× |
| Revise hernia & sperm veins (55540) |
$1,256.78 |
$1,933.50 |
0.4× |
| Revise median n/carpal tunnel surg (64721) |
$1,002.30 |
$1,542 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$923 |
$1,420 |
0.5× |
| Revise ulnar nerve at wrist (64719) |
$627.25 |
$965 |
0.3× |
Revise Urethra, 1st Stage (53400)
likely a partial charge, not the full procedure |
$1,290.25 |
$1,985 |
0.3× |
| Revise vag graft via vagina (57295) |
$783.90 |
$1,206 |
0.3× |
| Revision of cervix (57720) |
$517.40 |
$796 |
0.2× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,894.75 |
$2,915 |
0.6× |
| Revision of foot (28116) |
$885.30 |
$1,362 |
0.3× |
| Revision of lower leg tendon (27685) |
$698.10 |
$1,074 |
0.2× |
| Revision of penis (54420) |
$3,745.95 |
$5,763 |
1.1× |
| Revision of scrotum (55175) |
$581.75 |
$895 |
0.2× |
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
likely a partial charge, not the full procedure |
$2,191.15 |
$3,371 |
0.2× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge, not the full procedure |
$2,939.95 |
$4,523 |
0.2× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
likely a partial charge, not the full procedure |
$2,276.30 |
$3,502 |
0.2× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$2,643.55 |
$4,067 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$2,098.20 |
$3,228 |
0.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$575.90 |
$886 |
0.2× |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
likely a partial charge, not the full procedure |
$698.75 |
$1,075 |
0.1× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$339.95 |
$523 |
0.1× |
| Revj clst comp rcnstj in-depth spx (44345) |
$1,680.25 |
$2,585 |
0.5× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$949 |
$1,460 |
0.3× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$1,217.45 |
$1,873 |
0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$227.50 |
$350 |
0.1× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$3,089.78 |
$4,753.50 |
0.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$2,965.95 |
$4,563 |
0.5× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
likely a partial charge, not the full procedure |
$1,384.50 |
$2,130 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$475.15 |
$731 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$141.70 |
$218 |
1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$364 |
$560 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$740.35 |
$1,139 |
0.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,337.72 |
$3,596.50 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,457.98 |
$3,781.50 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$998.72 |
$1,536.50 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$443.30 |
$682 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$364 |
$560 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$136.50 |
$210 |
0.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$328.25 |
$505 |
0.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$107.90 |
$166 |
0.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$486.20 |
$748 |
0.2× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$653.90 |
$1,006 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,163.50 |
$1,790 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$893.75 |
$1,375 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$741 |
$1,140 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$532.35 |
$819 |
0.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$997.10 |
$1,534 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$891.15 |
$1,371 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$656.50 |
$1,010 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,039.35 |
$1,599 |
0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$313.30 |
$482 |
0.2× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$728 |
$1,120 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$785.85 |
$1,209 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$252.20 |
$388 |
1.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$618.15 |
$951 |
2.7× |
Rpr non/malunion metarsal w/wo bone graft (28322)
likely a partial charge, not the full procedure |
$867.10 |
$1,334 |
0.1× |
| Scrotal exploration (55110) |
$624 |
$960 |
0.2× |
Sequestrectomy olecranon process (24138)
likely a partial charge, not the full procedure |
$1,027.65 |
$1,581 |
0.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$100.75 |
$155 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$221 |
$340 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$145.60 |
$224 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$138.45 |
$213 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$148.20 |
$228 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$156.98 |
$241.50 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$276.25 |
$425 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$156 |
$240 |
0.4× |
| Shldr arthroscop,lyse adhesns (29825) |
$878.15 |
$1,351 |
0.3× |
| Shoulder arthroscopy (29805) |
$707.20 |
$1,088 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$149.50 |
$230 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$203.12 |
$312.50 |
1.1× |
| Sigmoidoscopy & decompress (45337) |
$188.50 |
$290 |
0.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$263.25 |
$405 |
0.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$195 |
$300 |
0.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$126.75 |
$195 |
0.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$117.65 |
$181 |
0.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$156 |
$240 |
0.2× |
| Sigmoidoscopy w/fb removal (45332) |
$173.55 |
$267 |
0.2× |
| Simple biopsy of growth of throat behind nose (42804) |
$1,854.78 |
$2,853.50 |
0.6× |
| Simple destruction of growth of penis using electric current (54055) |
$1,189.18 |
$1,829.50 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$432.25 |
$665 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$152.42 |
$234.50 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$156 |
$240 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$432.25 |
$665 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$169.32 |
$260.50 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$213.20 |
$328 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$289.25 |
$445 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$170.30 |
$262 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$237.90 |
$366 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$213.20 |
$328 |
1.1× |
| Skin splt grft trnk/arm/leg (15100) |
$1,124.50 |
$1,730 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,028.30 |
$1,582 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,019.52 |
$1,568.50 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,049.45 |
$3,153 |
1.0× |
| Skin Tissue Procedure (17999) |
$765.70 |
$1,178 |
4.0× |
| Skin tissue rearrangement (14040) |
$1,174.55 |
$1,807 |
0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,173.25 |
$1,805 |
0.2× |
| Slitting of prepuce (54001) |
$1,222.98 |
$1,881.50 |
0.6× |
| Small bowel endoscopy (44366) |
$330.20 |
$508 |
0.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$241.15 |
$371 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$208.65 |
$321 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$432.25 |
$665 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$432.25 |
$665 |
1.1× |
| Sphincterotomy (46080) |
$253.50 |
$390 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$437.45 |
$673 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$750.10 |
$1,154 |
1.1× |
| Strapping ankle (29540) |
$43.55 |
$67 |
0.3× |
| Strapping elbow/wrist (29260) |
$54.28 |
$83.50 |
1.0× |
| Strapping hand/finger (29280) |
$46.15 |
$71 |
0.8× |
| Strapping knee (29530) |
$46.15 |
$71 |
0.4× |
| Strapping shoulder (29240) |
$48.75 |
$75 |
0.4× |
| Strapping thorax (29200) |
$49.40 |
$76 |
0.3× |
| Strapping toes (29550) |
$63.05 |
$97 |
1.1× |
| Strapping unna boot (29580) |
$114.40 |
$176 |
0.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$284.70 |
$438 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$654.55 |
$1,007 |
0.2× |
| Suspension of testis (54640) |
$1,150.50 |
$1,770 |
0.3× |
| Suspension of testis (54620) |
$481 |
$740 |
0.1× |
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386)
likely a partial charge, not the full procedure |
$1,318.85 |
$2,029 |
0.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,068.60 |
$1,644 |
0.6× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381)
likely a partial charge, not the full procedure |
$1,227.20 |
$1,888 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$887.25 |
$1,365 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$156 |
$240 |
0.4× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$30,641 |
$47,140 |
1.1× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$20,466.55 |
$16,320.50 |
1.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,069.92 |
$3,184.50 |
0.7× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,153.10 |
$1,774 |
0.2× |
| Tenolysis extensor foot single tendon (28225) |
$393.90 |
$606 |
0.1× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$627.25 |
$965 |
0.2× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$1,067.30 |
$1,642 |
0.3× |
| Tenotomy adductor hip percutaneous spx (27000) |
$591.50 |
$910 |
0.4× |
| Tenotomy elbow lateral/medial debride open (24358) |
$793 |
$1,220 |
0.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$410.15 |
$631 |
0.3× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$670.80 |
$1,032 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,035.78 |
$1,593.50 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$364 |
$560 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$408.20 |
$628 |
0.7× |
| Throat Surgery Procedure (42999) |
$252.20 |
$388 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$351 |
$540 |
1.1× |
| Thyroid biopsy (60100) |
$436.80 |
$672 |
0.6× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$1,462.50 |
$2,250 |
0.3× |
Tibial arthroscopy/surgery (29855)
likely a partial charge, not the full procedure |
$1,168.05 |
$1,797 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$468.65 |
$721 |
0.1× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$1,921.40 |
$2,956 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,880.15 |
$4,431 |
0.2× |
Total thyroid lobectomy unilateral (60225)
likely a partial charge, not the full procedure |
$1,478.75 |
$2,275 |
0.3× |
| Trach Tube Change (31502) |
$55.25 |
$85 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$618.15 |
$951 |
2.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,074.12 |
$1,652.50 |
0.7× |
| Tracheostomy planned (31600) |
$632.45 |
$973 |
0.2× |
| Transplant/graft hand tendon (26483) |
$1,292.20 |
$1,988 |
0.4× |
| Transurethral incision of prostate (52450) |
$754 |
$1,160 |
0.2× |
| Transurethral resection of bladder neck (52500) |
$786.50 |
$1,210 |
0.2× |
Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance,… (52597)
likely a partial charge, not the full procedure |
$856.05 |
$1,317 |
0.1× |
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure |
$1,001 |
$1,540 |
0.1× |
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure |
$1,303.90 |
$2,006 |
0.2× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,222 |
$1,880 |
0.2× |
| Treat eyelid lesion (67850) |
$173.55 |
$267 |
0.2× |
| Treat finger dislocation (26775) |
$568.10 |
$874 |
2.1× |
| Treat Finger Fracture Each (26727) |
$711.10 |
$1,094 |
0.2× |
Treat fracture of radius (25526)
likely a partial charge, not the full procedure |
$1,430.65 |
$2,201 |
0.2× |
| Treat Fracture Radius & Ulna (25560) |
$495.95 |
$763 |
2.1× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,353.30 |
$2,082 |
0.2× |
| Treat fx distal radial (25606) |
$1,500.52 |
$2,308.50 |
0.5× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,107.60 |
$1,704 |
0.2× |
| Treat hand dislocation (26685) |
$860.60 |
$1,324 |
0.3× |
Treat heel fracture (28415)
likely a partial charge, not the full procedure |
$1,683.50 |
$2,590 |
0.2× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$1,766.70 |
$2,718 |
0.3× |
| Treat humerus fracture (24500) |
$518.05 |
$797 |
2.2× |
Treat humerus fracture (23616)
likely a partial charge, not the full procedure |
$1,915.55 |
$2,947 |
0.1× |
| Treat humerus fracture (23600) |
$485.55 |
$747 |
2.1× |
| Treat knee fracture (27532) |
$869.70 |
$1,338 |
0.3× |
| Treat knuckle dislocation (26715) |
$867.10 |
$1,334 |
0.3× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$1,983.15 |
$3,051 |
0.2× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,671.15 |
$2,571 |
0.1× |
| Treat Metatarsal Fracture (28475) |
$356.85 |
$549 |
1.5× |
| Treat pleurodesis w/agent (32560) |
$126.10 |
$194 |
0.2× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$983.45 |
$1,513 |
0.1× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$1,519.05 |
$2,337 |
0.2× |
| Treat thumb fracture (26650) |
$743.60 |
$1,144 |
0.2× |
| Treat toe fracture (28525) |
$605.15 |
$931 |
0.2× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$978.25 |
$1,505 |
0.1× |
| Treat wrist bone fracture (25622) |
$430.30 |
$662 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$431.60 |
$664 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$739.70 |
$1,138 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$262.60 |
$404 |
1.1× |
| Treatment mouth roof lesion (42160) |
$1,920.75 |
$2,955 |
0.6× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,303.90 |
$2,006 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$966.55 |
$1,487 |
0.1× |
| Treatment of bone cyst (20615) |
$382.20 |
$588 |
0.6× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,063.40 |
$1,636 |
0.2× |
| Treatment of foot infection (28003) |
$396.50 |
$610 |
0.1× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
likely a partial charge, not the full procedure |
$1,833 |
$2,820 |
0.3× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,733.90 |
$4,206 |
0.4× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$581.75 |
$895 |
0.2× |
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure |
$807.30 |
$1,242 |
0.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$287.30 |
$442 |
1.2× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$1,491.75 |
$2,295 |
0.1× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$891.80 |
$1,372 |
0.1× |
| Trim skin lesion (11055) |
$104 |
$160 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$120.90 |
$186 |
0.6× |
| Trim skin lesions over 4 (11057) |
$134.22 |
$206.50 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$38.02 |
$58.50 |
0.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$3,309.80 |
$5,092 |
0.6× |
| Trurl drainage prostatic abscess (52700) |
$708.50 |
$1,090 |
0.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$503.75 |
$775 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$747.50 |
$1,150 |
0.3× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,287.65 |
$1,981 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$481 |
$740 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$588.25 |
$905 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,708.85 |
$2,629 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$542.42 |
$834.50 |
0.8× |
| Tympanostomy (69433) |
$488.80 |
$752 |
1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$103.35 |
$159 |
0.5× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$139.75 |
$215 |
0.0× |
Unlisted laparoscopy procedure, appendix (44979)
likely a partial charge, not the full procedure |
$944.45 |
$1,453 |
0.2× |
Unlisted laparoscopy procedure, esophagus (43289)
likely a partial charge, not the full procedure |
$1,520.35 |
$2,339 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$672.75 |
$1,035 |
0.1× |
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure |
$721.50 |
$1,110 |
0.1× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
likely a partial charge, not the full procedure |
$523.90 |
$806 |
0.1× |
| Unlisted procedure accessory sinuses (31299) |
$246.35 |
$379 |
1.1× |
| Unlisted procedure anus (46999) |
$163.80 |
$252 |
0.2× |
| Unlisted Procedure Biliary Tract (47999) |
$195 |
$300 |
0.2× |
| Unlisted procedure femur or knee (27599) |
$916.18 |
$1,409.50 |
3.9× |
| Unlisted procedure leg/ankle (27899) |
$806 |
$1,240 |
3.4× |
| Unlisted Procedure Nervous System (64999) |
$149.50 |
$230 |
0.5× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$309.40 |
$476 |
1.3× |
| Unlisted procedure, forearm or wrist (25999) |
$1,030.25 |
$1,585 |
4.4× |
| Unlisted procedure, male genital system (55899) |
$423.80 |
$652 |
1.8× |
| Unlisted procedure, stomach (43999) |
$975.65 |
$1,501 |
1.1× |
| Urine Flow Measurement (51736) |
$141.70 |
$218 |
1.1× |
| Urology Surgery Procedure (53899) |
$319.80 |
$492 |
1.3× |
| Uvulectomy excision uvula (42140) |
$1,885 |
$2,900 |
0.6× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$2,011.10 |
$3,094 |
0.4× |
Vag hyst complex (58290)
likely a partial charge, not the full procedure |
$1,855.75 |
$2,855 |
0.3× |
| Vaginal delivery only (59409) |
$2,371.52 |
$3,648.50 |
0.8× |
| Vaginal hysterectomy (58260) |
$1,339 |
$2,060 |
0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,488.50 |
$2,290 |
0.3× |
| Vasc Embolize/Occlude Bleed (37244) |
$6,649.82 |
$10,230.50 |
0.6× |
| Vasc embolize/occlude organ (37243) |
$6,570.20 |
$10,108 |
0.6× |
| Vasc embolize/occlude venous (37241) |
$6,469.45 |
$9,953 |
0.6× |
| Vasectomy (55250) |
$1,292.85 |
$1,989 |
0.7× |
| Vbac delivery only (59612) |
$1,469 |
$2,260 |
0.5× |
| Venipuncture (36415) |
$14.95 |
$23 |
1.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$138.45 |
$213 |
0.0× |
| Vermilionectomy (lip shave), with mucosal advancement (40500) |
$564.20 |
$868 |
0.2× |
| Vulvectomy simple partial (56620) |
$908.70 |
$1,398 |
0.3× |
| Windowing of cast (29730) |
$102.05 |
$157 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$428.35 |
$659 |
1.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$364 |
$560 |
0.5× |
Xfer single deep low leg tendon (27691)
likely a partial charge, not the full procedure |
$1,112.15 |
$1,711 |
0.2× |