| Abd paracentesis w/imaging (49083) |
$475 |
$475 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$370 |
$370 |
0.4× |
| Amniocentesis diagnostic (59000) |
$455.50 |
$565 |
0.5× |
| Amniocentesis therapeutic (59001) |
$595 |
$850 |
1.9× |
| Amputation Finger/Thumb (26951) |
$2,579.50 |
$3,685 |
0.8× |
| Amputation metatarsal with toe single (28810) |
$630 |
$630 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,155 |
$1,155 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$795 |
$795 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$905 |
$905 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,125 |
$1,125 |
0.3× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,350 |
$1,350 |
0.2× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$980 |
$980 |
0.4× |
| Anoscopy diagnostic (46600) |
$122.50 |
$175 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$190.40 |
$272 |
0.2× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$100 |
$100 |
0.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$175 |
$175 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$320 |
$320 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure |
$930 |
$930 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,785 |
$1,785 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162.93 |
$232.75 |
1.0× |
| Application cast elbow finger short arm (29075) |
$165 |
$218 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$180 |
$242 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$111.30 |
$159 |
1.9× |
| Application finger splint static (29130) |
$87.50 |
$125 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$167.04 |
$238.62 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$130 |
$173 |
0.8× |
| Application of long leg cast (29345) |
$266 |
$380 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$155.75 |
$222.50 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$140.52 |
$200.75 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$121.62 |
$173.75 |
0.9× |
| Application short leg splint calf foot (29515) |
$127.40 |
$182 |
0.8× |
| Apply multlay comprs arm/hand (29584) |
$149.63 |
$213.75 |
0.9× |
| Apply short leg cast (29405) |
$166.60 |
$238 |
0.6× |
| Apply short leg cast (29425) |
$115 |
$115 |
0.4× |
| Arterial puncture (36600) |
$66.85 |
$95.50 |
0.5× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,000 |
$1,000 |
0.3× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818)
likely a partial charge, not the full procedure |
$1,040 |
$1,040 |
0.2× |
Artery-vein autograft (36825)
likely a partial charge, not the full procedure |
$1,195 |
$1,195 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$268 |
$368.50 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$555.80 |
$794 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$174.65 |
$204.50 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$190 |
$234 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$120 |
$153 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$95 |
$95 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$654.50 |
$935 |
0.3× |
Av fistula revision (36833)
likely a partial charge, not the full procedure |
$1,220 |
$1,220 |
0.2× |
Av Fuse Uppr Arm Basilic (36819)
likely a partial charge, not the full procedure |
$1,105 |
$1,105 |
0.2× |
Av fusion/forearm vein (36820)
likely a partial charge, not the full procedure |
$1,085 |
$1,085 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$164.50 |
$235 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$1,109.75 |
$1,415 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$325 |
$325 |
0.4× |
| Biopsy of tongue (41100) |
$525 |
$525 |
1.0× |
| Biopsy of uterus lining (58100) |
$240 |
$240 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$495 |
$495 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$680 |
$680 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$795 |
$795 |
0.2× |
| Bladder Irrigation Simple (51700) |
$80 |
$80 |
0.3× |
| Bladder Scan (51798) |
$53.90 |
$77 |
0.9× |
| Blood patch (62273) |
$291.55 |
$416.50 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$405 |
$405 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$360 |
$360 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$395 |
$395 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$375 |
$375 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$740 |
$740 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,050 |
$1,050 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$765 |
$765 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$290 |
$290 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$240 |
$240 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$260 |
$260 |
0.2× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$685 |
$685 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$147 |
$210 |
0.7× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$325 |
$325 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$135 |
$135 |
0.5× |
| Chemical Cautery Tissue (17250) |
$105 |
$105 |
0.5× |
| Chest tube placement (32551) |
$700 |
$712 |
0.4× |
| Circum 28 days or older (54161) |
$1,185 |
$1,185 |
0.6× |
| Circumcision (54150) |
$210.40 |
$247 |
0.1× |
| Circumcision Neonate (54160) |
$250 |
$250 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$814.80 |
$1,164 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$574 |
$820 |
2.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$567.70 |
$811 |
2.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,431.50 |
$2,045 |
0.9× |
| Closed Rx Med Malleolus Fx (27760) |
$519.40 |
$742 |
2.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,606.50 |
$2,295 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,611.40 |
$2,302 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,640.10 |
$2,343 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$443.10 |
$633 |
1.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$499.10 |
$713 |
2.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$540.05 |
$771.50 |
2.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$878.50 |
$1,255 |
3.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,033.15 |
$2,904.50 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$499.45 |
$713.50 |
2.0× |
| Closed treat wrist dislocation (25660) |
$990.50 |
$1,415 |
4.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$421.40 |
$602 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$971.60 |
$1,388 |
3.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$691.60 |
$988 |
2.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$640.50 |
$915 |
2.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$490.70 |
$701 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$722.75 |
$1,032.50 |
2.9× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,538.95 |
$2,198.50 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$476.70 |
$681 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$491.05 |
$701.50 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$603.40 |
$862 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,592.15 |
$2,274.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$512.75 |
$732.50 |
2.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$440.30 |
$629 |
1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,015 |
$1,450 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$701.05 |
$1,001.50 |
2.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,821.40 |
$2,602 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$731.85 |
$1,045.50 |
3.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,050 |
$1,500 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$399 |
$570 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$275.10 |
$393 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$734.30 |
$1,049 |
3.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$538.30 |
$769 |
2.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$502.95 |
$718.50 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,489.95 |
$2,128.50 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$430.50 |
$615 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,616.30 |
$2,309 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$541.10 |
$773 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$84.70 |
$121 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,431.15 |
$2,044.50 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$466.55 |
$666.50 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$430.15 |
$614.50 |
1.7× |
Closure of vagina (57120)
likely a partial charge, not the full procedure |
$675 |
$675 |
0.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$688.80 |
$984 |
2.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$490.70 |
$701 |
2.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,450.40 |
$2,072 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$412.30 |
$589 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$934.50 |
$1,335 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$488.60 |
$698 |
2.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$514.50 |
$735 |
0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,662.50 |
$2,375 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$487.90 |
$697 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$780.50 |
$1,115 |
3.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$696.50 |
$995 |
2.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$970.20 |
$1,386 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$649.60 |
$928 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$497.35 |
$710.50 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$490 |
$700 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$364 |
$520 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$467.95 |
$668.50 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,750 |
$2,500 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,813.35 |
$2,590.50 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$716.80 |
$1,024 |
2.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,149.40 |
$1,642 |
4.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,904 |
$2,720 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$355.60 |
$508 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$309.05 |
$441.50 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$342.65 |
$489.50 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$303.80 |
$434 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,601.25 |
$2,287.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$500.15 |
$714.50 |
2.0× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$868.70 |
$1,241 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$781.90 |
$1,117 |
3.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$356.30 |
$509 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$275.45 |
$393.50 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$453.95 |
$648.50 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$510 |
$510 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$443.10 |
$633 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,500.80 |
$2,144 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$512.75 |
$732.50 |
2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,233.75 |
$1,762.50 |
0.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$312.90 |
$447 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$529.55 |
$756.50 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$365.05 |
$521.50 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,692.95 |
$2,418.50 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$612.85 |
$875.50 |
2.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,531.25 |
$2,187.50 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$479.85 |
$685.50 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,579.90 |
$2,257 |
1.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$952.70 |
$1,361 |
0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$807.10 |
$1,153 |
3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$274.75 |
$392.50 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,260.70 |
$1,801 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,680.35 |
$2,400.50 |
1.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,945.65 |
$2,779.50 |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$719.25 |
$1,027.50 |
2.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,675.45 |
$2,393.50 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,611.75 |
$2,302.50 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,165 |
$1,165 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$625 |
$625 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$585 |
$585 |
0.5× |
| Colonoscopy stoma w/snare (44394) |
$655 |
$655 |
0.5× |
| Colonoscopy thru stoma (44388) |
$450 |
$450 |
0.5× |
| Colonoscopy w/band ligation (45398) |
$1,230 |
$1,230 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,350 |
$1,350 |
1.1× |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$385 |
$385 |
0.1× |
| Colporrhaphy suture injury vagina (57200) |
$500 |
$500 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$435 |
$435 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$300 |
$300 |
1.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$485 |
$485 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,085 |
$1,085 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$978 |
$978 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,050 |
$1,050 |
0.9× |
| Complex Drainage, Wound (10180) |
$487.20 |
$583.50 |
0.2× |
| Conization of cervix (57522) |
$1,030 |
$1,030 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$194.60 |
$278 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$171.50 |
$245 |
1.3× |
Crtj arven fstl xcp dir arven anast nonautog grf (36830)
likely a partial charge, not the full procedure |
$1,005 |
$1,005 |
0.2× |
| Cryotherapy of skin (17340) |
$125 |
$125 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$227.15 |
$324.50 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$371 |
$530 |
1.6× |
| Curettage postpartum (59160) |
$725 |
$725 |
0.2× |
| Curette/treat cornea (65435) |
$702.80 |
$1,004 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$85 |
$85 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,945 |
$1,945 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,170 |
$1,170 |
1.6× |
| Debride nail 1-5 (11720) |
$55 |
$55 |
0.9× |
| Debride skin musc at fx site (11011) |
$1,440 |
$1,440 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$330 |
$330 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$585 |
$585 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$975 |
$975 |
0.6× |
| Declot vascular device (36593) |
$335 |
$335 |
1.0× |
| Delivery placenta separate procedure (59414) |
$508.50 |
$592.50 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$285 |
$285 |
0.7× |
| Destruction anal lesion(s) (46924) |
$775 |
$775 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$115 |
$115 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$139.05 |
$174 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$290 |
$290 |
0.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$250 |
$250 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$270 |
$270 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$115 |
$115 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$250 |
$250 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$715 |
$715 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$325 |
$325 |
0.4× |
| Dilation of anal sphincter (45905) |
$255 |
$255 |
0.2× |
| Dilation of cervical canal (57800) |
$220 |
$220 |
0.1× |
| Division of fallopian tube (58600) |
$1,600 |
$1,600 |
0.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$399.70 |
$571 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$286.30 |
$409 |
0.4× |
| Drain outer ear canal lesion (69020) |
$351.40 |
$502 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$269.50 |
$385 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$279.55 |
$341.50 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$630 |
$668 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$324.80 |
$435 |
1.6× |
| Drainage of eyelid abscess (67700) |
$198.80 |
$284 |
0.6× |
| Drainage of gum lesion (41800) |
$289.10 |
$413 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$254.45 |
$318.50 |
0.2× |
| Drainage of hydrocele (55000) |
$224 |
$320 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$1,249.85 |
$1,785.50 |
0.8× |
| Draw blood off venous device (36591) |
$94.05 |
$134.35 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$417.90 |
$597 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$273 |
$390 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$145.60 |
$208 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$36.05 |
$51.50 |
1.2× |
Dstl revsc&interval lig uxtr hemo access (36838)
unusually low: confirm this is the full procedure |
$1,730 |
$1,730 |
0.3× |
| Dstrj lesion anus simple surg excision (46922) |
$430 |
$430 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$955 |
$955 |
0.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$955 |
$955 |
0.5× |
| Egd flexible foreign body removal (43247) |
$580 |
$580 |
0.6× |
| Egd guide wire insertion (43248) |
$610 |
$610 |
0.7× |
| Egd injection varices (43243) |
$1,020 |
$1,020 |
0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$475 |
$475 |
0.2× |
| Egd place gastrostomy tube (43246) |
$305 |
$305 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$935 |
$935 |
0.5× |
| Egd remove lesion snare (43251) |
$925 |
$925 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$995 |
$995 |
0.5× |
| Endocervical Curettage (57505) |
$195 |
$195 |
0.2× |
Endometrial abltj thermal w/o hysteroscopic guid (58353)
likely a partial charge, not the full procedure |
$290 |
$290 |
0.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,060 |
$1,060 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$525 |
$525 |
0.2× |
| Esophagoscopy flex biopsy (43202) |
$485 |
$485 |
0.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$555 |
$555 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,420 |
$1,420 |
0.7× |
| Evacuate mole of uterus (59870) |
$780 |
$780 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$80 |
$109 |
0.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,805 |
$1,805 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,735 |
$1,735 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$385 |
$385 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$490 |
$490 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$545 |
$545 |
0.3× |
| Exc face les sbq 2 cm/> (21012) |
$505 |
$505 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$190 |
$190 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$430 |
$430 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$815 |
$815 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$705 |
$705 |
0.4× |
| Exc frenum labial/buccal (40819) |
$735 |
$735 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,230 |
$1,230 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$790 |
$790 |
0.3× |
| Exc rect tum transanal part (45171) |
$1,490 |
$1,490 |
0.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$630 |
$630 |
0.4× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,040 |
$1,040 |
0.4× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,810 |
$1,810 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$290 |
$290 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$185 |
$185 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$247.45 |
$301 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$315 |
$315 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$730 |
$730 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$445 |
$445 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$790 |
$790 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$675 |
$675 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$705 |
$705 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$685 |
$685 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,195 |
$1,195 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$825 |
$825 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$745 |
$745 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$630 |
$630 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,165 |
$1,165 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$390 |
$390 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$161.80 |
$199 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$995 |
$995 |
0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$810 |
$810 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,835 |
$1,835 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$850 |
$850 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$700 |
$700 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,095 |
$1,095 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$670 |
$670 |
0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,145 |
$2,145 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$1,275 |
$1,275 |
0.7× |
| Excise excess skin & tissue (15839) |
$1,275 |
$1,275 |
0.4× |
| Excision Breast Lesion (19125) |
$925 |
$925 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$1,245 |
$1,245 |
0.4× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$805 |
$805 |
0.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$450 |
$450 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$210 |
$210 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$235 |
$235 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$310 |
$310 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$385 |
$385 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$510 |
$510 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$335 |
$335 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$430 |
$430 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$540 |
$540 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$800 |
$800 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$300 |
$300 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$360 |
$360 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$430 |
$430 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$520 |
$520 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$665 |
$665 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$255 |
$255 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$340 |
$340 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$505 |
$505 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$265 |
$265 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$165 |
$165 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$610 |
$610 |
0.4× |
| Excision of nail fold toe (11765) |
$235.75 |
$280 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$715 |
$715 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$390 |
$390 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$890 |
$890 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$365 |
$365 |
0.1× |
| Excision olecranon bursa (24105) |
$695 |
$695 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,130 |
$1,130 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$705 |
$705 |
0.4× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$655 |
$655 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,025 |
$1,025 |
0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,205.70 |
$1,341 |
0.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,351 |
$1,930 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$700 |
$700 |
0.4× |
| Exploration penetrating wound spx chest (20101) |
$965 |
$1,077.50 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,228.45 |
$1,426 |
0.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,599.20 |
$1,938.50 |
3.0× |
| External Cephalic Version (59412) |
$665.75 |
$785 |
0.2× |
| Fetal non-stress test (59025) |
$182.75 |
$237.50 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$160 |
$160 |
0.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,515 |
$1,515 |
0.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,655 |
$2,655 |
1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,170 |
$2,170 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$221.55 |
$316.50 |
1.0× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,140 |
$2,140 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,755 |
$1,755 |
0.9× |
| Hemorrhoidectomy (46255) |
$765 |
$765 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$695 |
$695 |
0.2× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$660 |
$660 |
0.2× |
| Hymenotomy Simple Incision (56442) |
$164.50 |
$235 |
0.1× |
Hysteroscopy ablation (58563)
likely a partial charge, not the full procedure |
$950 |
$950 |
0.2× |
| Hysteroscopy biopsy (58558) |
$1,795 |
$1,795 |
0.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$860 |
$860 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$319.55 |
$456.50 |
1.3× |
| I&d abscess simple (10060) |
$5,380.90 |
$7,687 |
26.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$978.65 |
$1,187 |
0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$700 |
$700 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$315 |
$315 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,140 |
$1,140 |
0.3× |
| I&d perianal abscess superficial (46050) |
$335 |
$335 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$5,110.70 |
$7,301 |
7.2× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$720 |
$720 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$457.10 |
$653 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,095 |
$1,095 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$420 |
$597 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$474.60 |
$678 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$229.60 |
$328 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$259 |
$361 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$271.60 |
$388 |
0.9× |
| Incision labial frenum frenotomy (40806) |
$230 |
$230 |
0.4× |
| Incision of lingual frenum (41010) |
$525 |
$525 |
0.3× |
| Incision of rectal abscess (46045) |
$655 |
$655 |
0.2× |
| Incision of rectal abscess (46040) |
$945 |
$1,350 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$271.40 |
$324.50 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$160 |
$160 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$199.15 |
$284.50 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$749.70 |
$1,071 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$119.25 |
$142.50 |
0.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$160 |
$160 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$845 |
$845 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$175 |
$175 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$253.75 |
$362.50 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$192.50 |
$275 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$120 |
$134 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$135 |
$147 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$143.75 |
$177.50 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$122.50 |
$175 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$105 |
$105 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$75 |
$75 |
0.4× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$335 |
$335 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$199.50 |
$285 |
1.5× |
| Insert cervical dilator (59200) |
$310 |
$310 |
1.0× |
| Insert Drug Implant Device (11981) |
$395 |
$395 |
3.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$544.60 |
$778 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$341.60 |
$488 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,441.65 |
$2,059.50 |
0.5× |
| Insert pessary/other device (57160) |
$115 |
$115 |
0.6× |
| Insert picc cath (36569) |
$1,465 |
$1,465 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$158.25 |
$195 |
1.2× |
| Insert tunneled cv cath (36561) |
$1,470 |
$1,470 |
0.5× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$1,730 |
$1,730 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$140 |
$140 |
1.1× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
likely a partial charge, not the full procedure |
$1,085 |
$1,085 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$475 |
$475 |
0.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,235 |
$1,235 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,235 |
$1,235 |
0.4× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$255 |
$255 |
0.2× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure |
$480 |
$480 |
0.0× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
likely a partial charge, not the full procedure |
$365 |
$365 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$306.60 |
$438 |
1.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$290.85 |
$415.50 |
1.2× |
| Lap ing hernia repair init (49650) |
$13,847.40 |
$19,782 |
2.3× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
unusually low: confirm this is the full procedure |
$4,440 |
$4,440 |
0.4× |
| Laparoscopy appendectomy (44970) |
$16,959.60 |
$24,228 |
2.8× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,285 |
$1,285 |
0.2× |
Laparoscopy Remove Adnexa (58661)
unusually low: confirm this is the full procedure |
$2,147.50 |
$2,147.50 |
0.4× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$3,805 |
$3,805 |
0.4× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$1,280 |
$1,280 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,030 |
$1,030 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$1,255 |
$1,255 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,595 |
$2,595 |
0.4× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,975 |
$2,975 |
0.3× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
unusually low: confirm this is the full procedure |
$4,400 |
$4,400 |
0.4× |
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure |
$4,500 |
$4,500 |
0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$14,909.30 |
$21,299 |
2.5× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$850 |
$850 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,315 |
$1,315 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$335 |
$335 |
1.7× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$392 |
$560 |
0.2× |
| Late closure of wound (13160) |
$1,095 |
$1,095 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$410 |
$410 |
0.4× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$525 |
$525 |
0.2× |
| Lithotripsy (50590) |
$9,402.75 |
$13,432.50 |
2.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$530 |
$530 |
0.3× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,865 |
$1,865 |
0.3× |
| Mastectomy gynecomastia (19300) |
$835 |
$835 |
0.2× |
| Mastectomy partial (19301) |
$1,020 |
$1,020 |
0.3× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,405 |
$1,405 |
0.2× |
| Muscle-skin graft trunk (15734) |
$3,505 |
$3,505 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$108.50 |
$155 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$36.05 |
$51.50 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,215 |
$1,215 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$730.80 |
$1,044 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$475 |
$475 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$420 |
$420 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$475 |
$475 |
0.7× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,455 |
$1,455 |
0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$680 |
$680 |
0.2× |
Open thrombect av fistula (36831)
likely a partial charge, not the full procedure |
$930 |
$930 |
0.2× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$465 |
$465 |
0.0× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$670 |
$670 |
0.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$660 |
$660 |
0.2× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,745 |
$1,745 |
0.3× |
| Pelvic exam under anesthesia (57410) |
$165 |
$165 |
0.1× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$595 |
$595 |
0.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$420 |
$420 |
0.1× |
| Pericardiocentesis W/Imaging (33016) |
$2,527 |
$3,610 |
1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$415 |
$415 |
0.1× |
| Peritoneal Lavage (49084) |
$734.30 |
$1,049 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$615 |
$615 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$195 |
$195 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$237.50 |
$237.50 |
0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$135 |
$135 |
0.2× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$775 |
$775 |
0.0× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$675 |
$675 |
0.1× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
likely a partial charge, not the full procedure |
$560 |
$560 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$337.75 |
$482.50 |
0.8× |
| Placement of seton (46020) |
$420 |
$420 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,320 |
$1,320 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$165 |
$165 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$155 |
$155 |
0.4× |
| Puncture Aspiration (10160) |
$240.10 |
$343 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$252.45 |
$321 |
0.4× |
| Rem endovas vena cava filter (37193) |
$525 |
$525 |
0.2× |
| Removal fb intranasal (30300) |
$275 |
$275 |
2.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,031.10 |
$1,473 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$1,029 |
$1,470 |
0.6× |
| Removal foreign body foot deep (28192) |
$873.60 |
$1,248 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$470 |
$515 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$341.95 |
$421 |
0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,936.85 |
$4,195.50 |
0.9× |
| Removal foreign body pharynx (42809) |
$418.25 |
$597.50 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,261 |
$3,230 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55 |
$55 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$135 |
$135 |
2.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$317.10 |
$453 |
0.2× |
| Removal of anal fissure (46200) |
$695 |
$695 |
0.2× |
| Removal of arm foreign body (24200) |
$350.70 |
$501 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$95 |
$95 |
0.3× |
| Removal of nail bed (11750) |
$378.90 |
$462 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$7,490.70 |
$10,701 |
37.3× |
| Removal of testis (54520) |
$490 |
$490 |
0.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,312.80 |
$3,304 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$126.70 |
$181 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$90 |
$90 |
0.3× |
| Remove anal fist 2 stage (46285) |
$815 |
$815 |
0.3× |
| Remove anal fist subq (46270) |
$790 |
$790 |
0.3× |
| Remove by ligat int hem grp (46945) |
$500 |
$500 |
0.2× |
| Remove drug implant device (11982) |
$140 |
$140 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$341.60 |
$488 |
1.1× |
| Remove foreign body from eye (65210) |
$180 |
$182 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$720 |
$720 |
0.3× |
| Remove Peritoneal Foreign Body (49402) |
$1,340 |
$1,340 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$920 |
$920 |
0.3× |
| Remove shoulder foreign body (23330) |
$664.65 |
$949.50 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,335 |
$1,335 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$171.50 |
$245 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$170 |
$170 |
1.3× |
| Remv/revisn shldr/hip spica cast (29710) |
$180 |
$180 |
0.6× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,750 |
$1,750 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$773.50 |
$1,105 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,068.20 |
$1,250 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$575 |
$710 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,106 |
$1,110 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$595 |
$850 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$756 |
$1,080 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$567.70 |
$811 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$688.80 |
$984 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,579.20 |
$2,256 |
1.0× |
| Repair hand tendon (26410) |
$1,701 |
$2,430 |
1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,180 |
$2,180 |
0.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,990 |
$1,990 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$9,315.60 |
$13,308 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$599.20 |
$856 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$423.50 |
$605 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$466.90 |
$667 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$683.20 |
$976 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$497 |
$710 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$523.25 |
$747.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$747.95 |
$1,068.50 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$725 |
$894 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$395 |
$550 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$470 |
$649 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$555 |
$731 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,665.30 |
$2,379 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$594.30 |
$849 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480 |
$501 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$497 |
$643 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$773.50 |
$1,105 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$497 |
$695 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,666 |
$2,380 |
0.8× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,165 |
$1,165 |
0.2× |
| Repair of nail bed (11760) |
$503.30 |
$719 |
0.7× |
Repair of vagina (57260)
likely a partial charge, not the full procedure |
$1,210 |
$1,210 |
0.2× |
| Repair Tongue Laceration (41250) |
$254.80 |
$364 |
0.6× |
| Replace duod/jej tube perc (49451) |
$2,085 |
$2,085 |
2.3× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,530 |
$2,530 |
0.4× |
| Rerepair ing hernia reduce (49520) |
$8,125.60 |
$11,608 |
2.3× |
| Revision of colostomy simple (44340) |
$975 |
$975 |
0.3× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
likely a partial charge, not the full procedure |
$1,140 |
$1,140 |
0.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$407.95 |
$481 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$573.65 |
$819.50 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$737.45 |
$1,053.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$334.25 |
$477.50 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$155.40 |
$222 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$640 |
$640 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$646.80 |
$924 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,979.25 |
$2,827.50 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$345 |
$345 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$250 |
$250 |
0.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$430 |
$430 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$650 |
$650 |
0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$285 |
$285 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,155 |
$1,155 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$15,493.10 |
$22,133 |
2.6× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$9,356.20 |
$13,366 |
1.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$11,014.50 |
$15,735 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$7,694.40 |
$10,992 |
2.1× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$965 |
$965 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$14,403.90 |
$20,577 |
2.4× |
| Rpr blood vessel direct lower extremity (35226) |
$1,255 |
$1,255 |
1.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$618.45 |
$883.50 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$361.20 |
$516 |
1.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$430.50 |
$615 |
1.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$380 |
$380 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$410 |
$410 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$120 |
$120 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$180 |
$180 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$155 |
$155 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$120 |
$120 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$140 |
$140 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$95 |
$95 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$140 |
$140 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$160 |
$160 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$120 |
$120 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$170 |
$170 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$140 |
$140 |
0.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$755 |
$755 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$395 |
$395 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$450 |
$450 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$537.95 |
$768.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$270.90 |
$387 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$273 |
$390 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$599.20 |
$856 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$273 |
$390 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$373.80 |
$534 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$556.50 |
$795 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$225 |
$225 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$451.50 |
$645 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$335 |
$390 |
1.7× |
| Skin pinch graft (15050) |
$890 |
$890 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$1,245 |
$1,245 |
0.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,345 |
$2,345 |
0.7× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$1,135 |
$1,135 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$273 |
$390 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$431.90 |
$617 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$497 |
$710 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$247.95 |
$291 |
0.4× |
| Strapping ankle (29540) |
$149.45 |
$213.50 |
0.9× |
| Strapping elbow/wrist (29260) |
$93.80 |
$134 |
1.6× |
| Strapping hand/finger (29280) |
$84.70 |
$121 |
1.4× |
| Strapping Hip (29520) |
$137.20 |
$196 |
1.0× |
| Strapping knee (29530) |
$133.35 |
$190.50 |
1.0× |
| Strapping shoulder (29240) |
$135.63 |
$193.75 |
1.0× |
| Strapping thorax (29200) |
$118.30 |
$169 |
0.7× |
| Strapping toes (29550) |
$83.65 |
$119.50 |
1.4× |
| Strapping unna boot (29580) |
$156.28 |
$223.25 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$815 |
$815 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$125 |
$125 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$695.55 |
$819 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$577.05 |
$684 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$549.85 |
$785.50 |
1.7× |
| Trach Tube Change (31502) |
$55 |
$55 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$512.40 |
$732 |
2.2× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,110 |
$1,110 |
0.2× |
| Treat finger dislocation (26775) |
$577.15 |
$824.50 |
2.1× |
| Treat Fracture Radius & Ulna (25560) |
$439.25 |
$627.50 |
1.8× |
| Treat humerus fracture (24500) |
$534.10 |
$763 |
2.2× |
| Treat humerus fracture (24577) |
$1,221.50 |
$1,745 |
0.8× |
| Treat humerus fracture (23600) |
$512.75 |
$732.50 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$437.50 |
$625 |
1.8× |
| Treat wrist bone fracture (25622) |
$609 |
$870 |
2.5× |
| Treat Wrist Bone Fracture (25630) |
$627.20 |
$896 |
2.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,624.70 |
$2,321 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$574.70 |
$821 |
2.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$456.40 |
$652 |
1.8× |
| Trim skin lesion (11055) |
$80 |
$80 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$70 |
$70 |
1.2× |
Trlml balo angiop open/perq img s&i 1st art (37246)
likely a partial charge, not the full procedure |
$525 |
$525 |
0.1× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
likely a partial charge, not the full procedure |
$450 |
$450 |
0.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$715 |
$715 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$911.15 |
$1,067 |
0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,135 |
$1,135 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,489.25 |
$2,127.50 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$455.85 |
$558 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$301.50 |
$375 |
0.7× |
| Unlisted laparoscopic procedure liver (47379) |
$3,675 |
$3,675 |
0.6× |
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure |
$1,330 |
$1,330 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,690 |
$1,690 |
0.3× |
Unlisted laparoscopy procedure, stomach (43659)
unusually low: confirm this is the full procedure |
$2,975 |
$2,975 |
0.5× |
Unlisted laparoscopy px abd pertoneum & omentum (49329)
unusually low: confirm this is the full procedure |
$1,840 |
$1,840 |
0.3× |
| Unlisted procedure maternity care & delivery (59899) |
$525 |
$525 |
2.6× |
| Unlisted procedure pancreas (48999) |
$3,755 |
$3,755 |
5.3× |
| Unlisted Procedure Small Intestine (44799) |
$2,350 |
$2,350 |
2.6× |
Vag hyst complex (58290)
unusually low: confirm this is the full procedure |
$3,150 |
$3,150 |
0.4× |
| Vaginal delivery only (59409) |
$2,128.20 |
$2,593.50 |
0.7× |
| Vaginal hysterectomy (58260) |
$2,730 |
$2,730 |
0.5× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$720 |
$720 |
0.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$8,447.95 |
$12,068.50 |
0.7× |
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure |
$650 |
$650 |
0.1× |
| Vasectomy (55250) |
$820 |
$820 |
0.4× |
| Venipuncture (36415) |
$20 |
$20 |
2.1× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$100.45 |
$143.50 |
0.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$328.65 |
$469.50 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$585 |
$585 |
1.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$515 |
$515 |
0.7× |