| Abd paracentesis w/imaging (49083) |
$122.60 |
$306.50 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$54.20 |
$135.50 |
0.1× |
| Ablate inf turbinate submuc (30802) |
$208 |
$520 |
0.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$163.20 |
$408 |
0.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$431 |
$1,077.50 |
0.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,130.40 |
$2,826 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$181.20 |
$453 |
0.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$271.60 |
$679 |
0.1× |
| Anoscopy diagnostic (46600) |
$29.60 |
$74 |
0.2× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$80.40 |
$201 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$130.60 |
$326.50 |
0.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,111.80 |
$12,779.50 |
1.0× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$468.40 |
$1,171 |
0.1× |
| Application finger splint static (29130) |
$90.60 |
$226.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$72.40 |
$181 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$103.60 |
$259 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$80.80 |
$202 |
0.6× |
| Application short leg splint calf foot (29515) |
$108.80 |
$272 |
0.7× |
| Arterial puncture (36600) |
$126.80 |
$317 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$131.90 |
$329.75 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$69.60 |
$174 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$145.10 |
$362.75 |
0.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$4,176.40 |
$10,441 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$42.60 |
$106.50 |
0.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,053.80 |
$5,134.50 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$67.80 |
$169.50 |
0.3× |
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure |
$482.20 |
$1,205.50 |
0.1× |
| Biopsy Breast Open Incisional (19101) |
$159.80 |
$399.50 |
0.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$728.60 |
$1,821.50 |
0.8× |
| Biopsy external auditory canal (69105) |
$1,568.20 |
$170.50 |
1.0× |
| Biopsy external ear (69100) |
$146.70 |
$366.75 |
0.6× |
| Biopsy of floor of mouth (41108) |
$97.60 |
$244 |
0.1× |
| Biopsy of lip (40490) |
$74 |
$185 |
0.3× |
| Biopsy of mouth lesion (40808) |
$71.60 |
$179 |
0.1× |
| Biopsy of penis (54100) |
$1,638.80 |
$4,097 |
1.0× |
| Biopsy of prostate (55705) |
$2,053.60 |
$5,134 |
0.6× |
| Biopsy of tongue (41100) |
$70.40 |
$176 |
0.1× |
| Biopsy of urethra (53200) |
$2,110 |
$5,275 |
1.0× |
| Biopsy of uterus lining (58100) |
$64 |
$160 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$176 |
$440 |
0.0× |
| Biopsy Oropharynx (42800) |
$122.80 |
$307 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$897 |
$2,242.50 |
0.6× |
| Biopsy testis incisional separate procedure (54505) |
$3,502.20 |
$8,755.50 |
1.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$163.40 |
$408.50 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$49 |
$122.50 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$465 |
$1,162.50 |
0.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$824.80 |
$2,062 |
1.2× |
| Bladder Irrigation Simple (51700) |
$268.40 |
$671 |
1.1× |
| Blood transfusion service (36430) |
$446.20 |
$1,115.50 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$117.20 |
$293 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$527.90 |
$129 |
0.3× |
| Cataract surgery complex (66982) |
$1,431 |
$3,577.50 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$44.80 |
$112 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$272.40 |
$681 |
1.1× |
| Chemical Cautery Tissue (17250) |
$25 |
$62.50 |
0.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$222.20 |
$555.50 |
0.7× |
| Chest tube placement (32551) |
$181.60 |
$454 |
0.1× |
| Circum 28 days or older (54161) |
$144.40 |
$361 |
0.1× |
| Circumcision (54150) |
$115.80 |
$289.50 |
0.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$932 |
$2,330 |
0.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$826.80 |
$2,067 |
0.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,036.40 |
$372.50 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$444.60 |
$1,111.50 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$149 |
$372.50 |
0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$487.40 |
$1,218.50 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$380.60 |
$951.50 |
1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,020.10 |
$2,550.25 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$240 |
$600 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$603.80 |
$1,509.50 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$94 |
$235 |
0.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$267.60 |
$669 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$153.20 |
$383 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$438 |
$1,095 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$153.20 |
$383 |
0.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$540.80 |
$1,352 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$153.20 |
$383 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$219.20 |
$548 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$406.90 |
$1,017.25 |
0.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$153.20 |
$383 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$155.20 |
$388 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$146.80 |
$367 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$153.20 |
$383 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$412.80 |
$1,032 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$164.60 |
$411.50 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$326.70 |
$816.75 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$234.60 |
$586.50 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$119.20 |
$298 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$533.40 |
$1,333.50 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$447.60 |
$1,119 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$282.80 |
$707 |
0.2× |
| Colonoscopy stoma w/snare (44394) |
$250.40 |
$626 |
0.2× |
| Colonoscopy thru stoma (44388) |
$928.20 |
$2,320.50 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$259.10 |
$647.75 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$260.10 |
$650.25 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$106.61 |
$266.52 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$282.80 |
$707 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$237.60 |
$594 |
0.2× |
| Conization of cervix (57522) |
$1,103.30 |
$2,758.25 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$54.40 |
$136 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$63.50 |
$158.75 |
0.5× |
| Correction hammertoe (28285) |
$453.90 |
$1,134.75 |
0.1× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$538.20 |
$1,345.50 |
0.1× |
| Correction of bunion (28292) |
$1,944.10 |
$4,860.25 |
0.6× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$884.90 |
$2,212.25 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,422.60 |
$8,556.50 |
1.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,013 |
$5,032.50 |
0.6× |
| Create eardrum opening (69436) |
$257.80 |
$644.50 |
0.2× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$9,351 |
$23,377.50 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$115.80 |
$289.50 |
0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,053.60 |
$5,134 |
1.0× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,499.40 |
$8,748.50 |
1.0× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$4,905.60 |
$12,264 |
0.9× |
| Cysto w/destruction of lesions (52214) |
$3,499.40 |
$8,748.50 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,499.40 |
$8,748.50 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,053.60 |
$5,134 |
1.0× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$3,499.20 |
$8,748 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,499.20 |
$8,748 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,499.20 |
$8,748 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,236.20 |
$13,090.50 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$4,905.60 |
$12,264 |
0.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$4,905.60 |
$12,264 |
0.9× |
| Cystoscopy and treatment (52330) |
$3,499.20 |
$8,748 |
1.0× |
| Cystoscopy w/biopsy (52204) |
$2,053.80 |
$5,134.50 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,053.60 |
$5,134 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$3,499.20 |
$8,748 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,053.80 |
$5,134.50 |
1.0× |
| Cystourethroscopy (52000) |
$645.20 |
$1,613 |
0.9× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,053.60 |
$5,134 |
1.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,566.20 |
$8,915.50 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,523.80 |
$8,809.50 |
1.0× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$3,499.20 |
$8,748 |
1.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,566.20 |
$8,915.50 |
1.0× |
| Debride nail 1-5 (11720) |
$16 |
$40 |
0.3× |
| Debride nail 6 or more (11721) |
$25.80 |
$64.50 |
0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$49.80 |
$124.50 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$60.40 |
$151 |
0.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$281.60 |
$704 |
0.4× |
| Declot vascular device (36593) |
$34.40 |
$86 |
0.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$151.40 |
$378.50 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$184.20 |
$460.50 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$138 |
$345 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$122.80 |
$307 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$82.80 |
$207 |
0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$122.80 |
$307 |
0.6× |
| Destruction of growth of rectum (45190) |
$722.40 |
$1,806 |
0.3× |
| Destruction of skin lesions (17106) |
$282.60 |
$706.50 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$53.40 |
$133.50 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$68.60 |
$171.50 |
0.1× |
| Dilate Urethra Stricture (53600) |
$249.80 |
$624.50 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,093.20 |
$2,733 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$97.40 |
$243.50 |
0.1× |
| Dilation Esophagus Guide Wire (43453) |
$63.20 |
$158 |
0.0× |
| Dilation of anal sphincter (45905) |
$201.80 |
$504.50 |
0.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$906.30 |
$2,265.75 |
0.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$170.80 |
$427 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$93.60 |
$234 |
0.1× |
| Drain outer ear canal lesion (69020) |
$151.80 |
$379.50 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$148.20 |
$370.50 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$122.20 |
$305.50 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$161 |
$402.50 |
0.8× |
| Drainage of eyelid abscess (67700) |
$300.80 |
$752 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$129.60 |
$324 |
0.1× |
| Drainage of hydrocele (55000) |
$424 |
$1,060 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$1,306.60 |
$3,266.50 |
0.8× |
| Draw blood off venous device (36591) |
$129.60 |
$324 |
1.0× |
| Dressing change under anesthesia (15852) |
$34.40 |
$86 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$230.60 |
$576.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$230.60 |
$576.50 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.80 |
$499.50 |
1.0× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$97 |
$242.50 |
0.0× |
| Dstrj lesion penis simple surg excision (54060) |
$1,598.80 |
$3,997 |
0.8× |
| Dx gastr intub w/asp specs (43755) |
$69.40 |
$173.50 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$175.20 |
$438 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$215 |
$537.50 |
0.1× |
| Egd flexible foreign body removal (43247) |
$197 |
$492.50 |
0.2× |
| Egd guide wire insertion (43248) |
$205.40 |
$513.50 |
0.2× |
| Egd place gastrostomy tube (43246) |
$141.80 |
$354.50 |
0.1× |
| Egd rem tumr/polyp forcep (43250) |
$208.60 |
$521.50 |
0.1× |
| Egd remove lesion snare (43251) |
$146.80 |
$367 |
0.1× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$4,900.40 |
$6,430.50 |
1.0× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,229.80 |
$5,574.50 |
0.7× |
| Endoscopy of bowel pouch (44385) |
$1,010.20 |
$2,525.50 |
1.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$776.20 |
$1,940.50 |
0.4× |
| Epididymectomy unilateral (54860) |
$2,053.60 |
$5,134 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$99.20 |
$248 |
0.1× |
| Esophagoscopy rigid trnso dx (43191) |
$174.40 |
$436 |
0.1× |
| Ethmoidectomy; intranasal total (31201) |
$846.80 |
$2,117 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$115.20 |
$288 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$317.20 |
$793 |
0.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,886.60 |
$7,216.50 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,004.20 |
$2,510.50 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$112 |
$280 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$123 |
$307.50 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$73 |
$182.50 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$127.20 |
$318 |
0.1× |
| Exc hand les sc < 1.5 cm (26115) |
$221.20 |
$553 |
0.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,554.60 |
$8,886.50 |
1.0× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,225.20 |
$4,182.50 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$279.80 |
$699.50 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$1,701.70 |
$4,254.25 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,004.20 |
$2,510.50 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$79 |
$197.50 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$74 |
$185 |
0.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$78 |
$195 |
0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$105.60 |
$264 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$978.60 |
$2,446.50 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$158.50 |
$396.25 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$221 |
$552.50 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$199.20 |
$498 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$178 |
$445 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$263.40 |
$658.50 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,731.80 |
$4,329.50 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$213.20 |
$533 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$232.80 |
$582 |
0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,675 |
$4,187.50 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$80.40 |
$201 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$57.40 |
$143.50 |
0.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$322.40 |
$806 |
0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,731.80 |
$4,329.50 |
1.1× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$3,629.60 |
$9,074 |
1.0× |
| Exchange intraocular lens (66986) |
$1,360.20 |
$3,400.50 |
0.6× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$2,310.20 |
$5,775.50 |
1.0× |
| Excise pharynx lesion (42808) |
$182.20 |
$455.50 |
0.1× |
| Excise/repair mouth lesion (40812) |
$141.40 |
$353.50 |
0.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$296.20 |
$740.50 |
0.1× |
| Excision hydrocele bilateral (55041) |
$3,657.20 |
$9,143 |
1.0× |
| Excision lesion mouth roof (42104) |
$3,144.80 |
$357 |
1.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$129.20 |
$323 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$170.60 |
$426.50 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$118 |
$295 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$141.60 |
$354 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$155.80 |
$389.50 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$90 |
$225 |
0.1× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$112.40 |
$281 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$132.60 |
$331.50 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$300.80 |
$752 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$107.80 |
$269.50 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$123.20 |
$308 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$141.60 |
$354 |
0.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$125.40 |
$313.50 |
0.0× |
| Excision of bartholin's gland or cyst (56740) |
$210.20 |
$525.50 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$127.20 |
$318 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$103.40 |
$258.50 |
0.1× |
| Excision of gum lesion (41828) |
$145 |
$362.50 |
0.1× |
| Excision of hydrocele; unilateral (55040) |
$409.40 |
$1,023.50 |
0.1× |
| Excision of lesion of tongue without closure (41110) |
$3,144.80 |
$344 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$97.40 |
$243.50 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$58.40 |
$146 |
0.0× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,005.40 |
$2,513.50 |
0.6× |
| Excision of local lesion of epididymis (54830) |
$2,140 |
$5,350 |
0.6× |
| Excision of nail fold toe (11765) |
$247.60 |
$619 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$220.20 |
$550.50 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$697.80 |
$1,744.50 |
0.6× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$283 |
$707.50 |
0.1× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,053.60 |
$5,134 |
1.0× |
| Excision of tongue lesion (41112) |
$170.40 |
$426 |
0.1× |
| Excision or fulguration; urethral caruncle (53265) |
$2,027 |
$5,067.50 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$317.20 |
$793 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$703.10 |
$1,757.75 |
0.4× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$932 |
$2,330 |
0.6× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,265.20 |
$5,663 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$510.30 |
$1,275.75 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$418 |
$1,045 |
0.3× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$4,783.60 |
$11,959 |
0.9× |
| Extraction of lens (66920) |
$2,355.60 |
$5,889 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$375 |
$937.50 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$65.40 |
$163.50 |
0.2× |
| Fna bx w/fluor gdn 1st les (10007) |
$99.20 |
$248 |
0.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,239.20 |
$320 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,800 |
$4,500 |
0.9× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,255.20 |
$8,138 |
1.0× |
| Hemorrhoidectomy (46255) |
$396.20 |
$990.50 |
0.1× |
| Hemorrhoidectomy external complete (46250) |
$227 |
$567.50 |
0.1× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$3,326 |
$8,315 |
1.2× |
| Hysteroscopy ablation (58563) |
$5,027.60 |
$6,589.50 |
1.0× |
| Hysteroscopy biopsy (58558) |
$1,265.80 |
$3,164.50 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$207.40 |
$518.50 |
0.9× |
| I&d abscess simple (10060) |
$108 |
$270 |
0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$344.80 |
$862 |
0.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$156.40 |
$391 |
0.1× |
| I&d perianal abscess superficial (46050) |
$112.50 |
$281.25 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$121 |
$302.50 |
0.2× |
| Incise inner ear (69801) |
$86.60 |
$216.50 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$207.80 |
$519.50 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$116.80 |
$292 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$661.40 |
$1,653.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$117 |
$292.50 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$119.80 |
$299.50 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$140.20 |
$350.50 |
0.5× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$4,304.20 |
$10,760.50 |
0.7× |
| Incision of eardrum (69421) |
$3,340.20 |
$4,352.50 |
1.0× |
| Incision of eardrum (69420) |
$116.40 |
$291 |
0.5× |
| Incision of lingual frenum (41010) |
$115.80 |
$289.50 |
0.1× |
| Incision of metatarsal (28308) |
$1,170.40 |
$2,926 |
0.4× |
| Incision of rectal abscess (46040) |
$675.10 |
$1,687.75 |
0.6× |
| Incision of urethra (53020) |
$2,027 |
$5,067.50 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$77 |
$192.50 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$54.80 |
$137 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$88.20 |
$220.50 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$44.50 |
$111.25 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$58.10 |
$145.25 |
0.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$34.40 |
$86 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$27.80 |
$69.50 |
0.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$86.20 |
$215.50 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$56.40 |
$141 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$87.40 |
$218.50 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$27.40 |
$68.50 |
0.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$74.80 |
$187 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$43 |
$107.50 |
0.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$125.80 |
$314.50 |
0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$118.10 |
$295.25 |
0.6× |
| Injection,ant chamber,eye,air/liquid (66020) |
$1,360.20 |
$3,400.50 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$160.40 |
$401 |
1.3× |
| Insert Drug Implant Device (11981) |
$65.60 |
$164 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$100.40 |
$251 |
0.0× |
| Insert pessary/other device (57160) |
$196 |
$490 |
1.0× |
| Insert picc cath (36569) |
$857 |
$237.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$124.40 |
$311 |
1.0× |
| Insert tun ip cath perc (49418) |
$144 |
$360 |
0.0× |
| Insert tunneled cv cath (36561) |
$413.40 |
$1,033.50 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$124.40 |
$311 |
1.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$13,410 |
$33,525 |
0.7× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$2,355.60 |
$5,889 |
1.0× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$308.60 |
$771.50 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$219.80 |
$549.50 |
0.9× |
| Irrigation maxillary sinus (31000) |
$171.30 |
$428.25 |
0.7× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$1,988.90 |
$4,972.25 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$437.60 |
$1,094 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$660.20 |
$1,650.50 |
0.1× |
| Laparoscopy Tubal Cautery (58670) |
$4,588.20 |
$11,470.50 |
0.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$3,344 |
$8,360 |
0.6× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,052.40 |
$2,631 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$867.20 |
$2,168 |
0.1× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$4,692.20 |
$11,730.50 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$630.20 |
$1,575.50 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$45.60 |
$114 |
0.2× |
| Laryngoscopy w/biopsy (31535) |
$212.60 |
$531.50 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$1,997.60 |
$4,994 |
0.5× |
| Laryngoscopy with biopsy (31576) |
$133 |
$332.50 |
0.1× |
| Larynscop w/tumr exc + scope (31541) |
$297.60 |
$744 |
0.1× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$5,138 |
$12,845 |
1.0× |
| Laser vaporization surgery prostate, complete (52648) |
$5,236.20 |
$13,090.50 |
1.0× |
| Late closure of wound (13160) |
$1,390.50 |
$3,476.25 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$201.20 |
$503 |
0.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,566.20 |
$8,915.50 |
1.0× |
| Lithotripsy (50590) |
$3,566.20 |
$8,915.50 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,027 |
$5,067.50 |
1.0× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$828 |
$2,070 |
0.1× |
| Mastectomy gynecomastia (19300) |
$469.80 |
$1,174.50 |
0.1× |
| Mastectomy partial (19301) |
$451.60 |
$1,129 |
0.1× |
| Middle ear surgery proc unlisted (69799) |
$80.60 |
$201.50 |
0.3× |
| Myringoplasty (69620) |
$538.20 |
$1,345.50 |
0.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$64.60 |
$161.50 |
0.3× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$91.40 |
$228.50 |
0.2× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$430.80 |
$1,077 |
0.1× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$301.60 |
$732.25 |
0.0× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$6,760.80 |
$611.50 |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$295.10 |
$737.75 |
0.1× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$3,552 |
$784.50 |
0.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$320.80 |
$802 |
0.2× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$6,894.80 |
$438.50 |
1.0× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$378.60 |
$946.50 |
0.1× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$266.30 |
$665.75 |
0.0× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$940.20 |
$2,350.50 |
0.5× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,919.60 |
$396 |
1.0× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$5,919.60 |
$7,597.50 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$129.20 |
$323 |
0.1× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure |
$584.40 |
$1,461 |
0.1× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$465.80 |
$1,164.50 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$56.60 |
$141.50 |
0.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$73.25 |
$183.12 |
0.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$117.10 |
$292.75 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$113.60 |
$284 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$110.50 |
$276.25 |
0.2× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$6,894.80 |
$438.50 |
1.0× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
likely a partial charge, not the full procedure |
$796.60 |
$1,991.50 |
0.0× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$4,176.40 |
$10,441 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,635 |
$9,087.50 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,970.80 |
$4,927 |
0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,169.90 |
$5,424.75 |
0.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,321.80 |
$3,304.50 |
0.4× |
| Paravaginal defect repair vaginal approach (57285) |
$7,615.80 |
$19,039.50 |
1.0× |
| Pelvic exam under anesthesia (57410) |
$1,675.40 |
$184 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$711.20 |
$1,778 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$116 |
$290 |
0.5× |
| Placement of seton (46020) |
$263.80 |
$659.50 |
0.1× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,409.40 |
$3,523.50 |
1.0× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$3,502.20 |
$8,755.50 |
1.0× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,348.40 |
$5,871 |
1.0× |
| Probe nasolacrimal duct (68811) |
$2,300.20 |
$5,750.50 |
1.0× |
| Prostatectomy (turp) (52601) |
$2,943.40 |
$7,358.50 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$52.40 |
$131 |
0.1× |
| Puncture Aspiration (10160) |
$97.30 |
$243.25 |
0.2× |
| Reconstruction of urethra (54322) |
$3,534.20 |
$8,835.50 |
1.0× |
| Reduce testis torsion (54600) |
$3,499.20 |
$8,748 |
1.0× |
| Release of big toe (28240) |
$1,811.50 |
$4,528.75 |
0.6× |
| Relieve inner eye pressure (65820) |
$4,233.40 |
$10,583.50 |
1.0× |
| Removal fb intranasal (30300) |
$127.70 |
$319.25 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$170 |
$425 |
0.2× |
| Removal foreign body pharynx (42809) |
$66.80 |
$167 |
0.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$135.80 |
$339.50 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$28.80 |
$72 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$27.10 |
$67.75 |
0.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,015.80 |
$7,539.50 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$148.40 |
$371 |
0.1× |
| Removal of adenoids (42835) |
$209.20 |
$523 |
0.1× |
| Removal of adenoids (42831) |
$244.80 |
$612 |
0.1× |
| Removal of adenoids (42830) |
$231 |
$577.50 |
0.1× |
| Removal of adenoids (42836) |
$260.40 |
$651 |
0.1× |
| Removal of anal fissure (46200) |
$391 |
$977.50 |
0.1× |
| Removal of eye (65101) |
$3,800.40 |
$9,501 |
1.0× |
| Removal of heel spur (28119) |
$389.80 |
$974.50 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$309.90 |
$774.75 |
1.0× |
| Removal of lens material (66840) |
$1,431 |
$3,577.50 |
0.6× |
| Removal of nail bed (11750) |
$108.40 |
$271 |
0.3× |
| Removal of nose polyp(s) (30115) |
$480 |
$1,200 |
0.1× |
| Removal of salivary stone (42330) |
$112.60 |
$281.50 |
0.0× |
| Removal of sesamoid bone (28315) |
$1,822.90 |
$4,557.25 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$73.80 |
$184.50 |
0.4× |
| Removal of sperm cord lesion (55520) |
$514.80 |
$1,287 |
0.1× |
| Removal of testis (54520) |
$239.40 |
$598.50 |
0.1× |
Removal of thyroid lesion (60200)
likely a partial charge, not the full procedure |
$443.20 |
$1,108 |
0.1× |
| Removal of tonsils (42825) |
$2,957.70 |
$731 |
0.5× |
| Removal of tonsils (42826) |
$280.60 |
$701.50 |
0.1× |
| Remove bladder stone (52318) |
$3,566.20 |
$8,915.50 |
1.0× |
| Remove drug implant device (11982) |
$77.40 |
$193.50 |
0.2× |
| Remove eyelid lesion(s) (67808) |
$2,310.20 |
$5,775.50 |
1.0× |
| Remove foreign body from eye (65210) |
$313.40 |
$783.50 |
0.7× |
| Remove in/ex hem groups 2+ (46260) |
$344 |
$860 |
0.1× |
Remove palate/lesion (42120)
likely a partial charge, not the full procedure |
$722.80 |
$1,807 |
0.1× |
| Remove Pilonidal Cyst Exten (11771) |
$482.20 |
$1,205.50 |
0.2× |
| Remove prostate regrowth (52630) |
$5,116.80 |
$12,792 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$666.20 |
$1,665.50 |
1.0× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$471 |
$1,177.50 |
0.1× |
| Remove wrist tendon lesion (25111) |
$375.40 |
$938.50 |
0.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$98.80 |
$247 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$32.60 |
$81.50 |
0.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$85.80 |
$214.50 |
0.7× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$706.40 |
$1,766 |
0.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$450.80 |
$1,127 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$548.20 |
$1,370.50 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$397.40 |
$993.50 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$355.40 |
$888.50 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$298.20 |
$745.50 |
0.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$378.40 |
$946 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$166.40 |
$416 |
0.2× |
| Repair hallux rigidus (28289) |
$2,270.30 |
$5,675.75 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$704.20 |
$1,760.50 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$337.80 |
$844.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$280.60 |
$701.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$244.20 |
$610.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$233.10 |
$582.75 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$249.30 |
$623.25 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$231.80 |
$579.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$281.20 |
$703 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$294.50 |
$736.25 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$150.20 |
$375.50 |
0.4× |
Repair nasal vestibular stenosis (30465)
likely a partial charge, not the full procedure |
$1,106.20 |
$2,765.50 |
0.2× |
Repair of eardrum structures (69631)
likely a partial charge, not the full procedure |
$967.60 |
$2,419 |
0.2× |
| Repair of hydrocele (55060) |
$3,499.20 |
$8,748 |
1.0× |
| Repair of nasal septum (30520) |
$425.80 |
$1,064.50 |
0.1× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$5,846.40 |
$452 |
1.0× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725)
likely a partial charge, not the full procedure |
$1,329.30 |
$3,323.25 |
0.2× |
| Repair of rectum (45505) |
$647.80 |
$1,619.50 |
0.2× |
| Repair of vagina (57260) |
$5,111.80 |
$12,779.50 |
1.0× |
| Repair rectum & vagina (57250) |
$5,111.80 |
$12,779.50 |
1.0× |
| Repair Tongue Laceration (41250) |
$161 |
$402.50 |
0.4× |
| Repositioning io lens prosthesis req inc spx (66825) |
$1,446.60 |
$3,616.50 |
0.6× |
| Rerepair ing hernia reduce (49520) |
$731.60 |
$1,829 |
0.2× |
| Resect Inferior Turbinate (30140) |
$279.40 |
$698.50 |
0.1× |
| Resection of scrotum (55150) |
$2,140 |
$5,350 |
0.6× |
Revise spermatic cord veins (55535)
unusually low: confirm this is the full procedure |
$2,214.20 |
$5,535.50 |
0.3× |
| Revise vag graft via vagina (57295) |
$3,106.20 |
$7,765.50 |
1.0× |
| Revision of lower leg tendon (27685) |
$1,970.80 |
$4,927 |
0.6× |
| Revision of toe (28312) |
$1,840 |
$4,600 |
0.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$255.80 |
$639.50 |
0.1× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$3,650 |
$355.50 |
1.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,549 |
$8,872.50 |
1.0× |
Rhinoplasty, Primary; Including Major Septal Repair (30420)
likely a partial charge, not the full procedure |
$1,564.20 |
$3,910.50 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$94.20 |
$235.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$57.40 |
$143.50 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$259.20 |
$648 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$139.20 |
$348 |
0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$199.80 |
$499.50 |
0.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$105.40 |
$263.50 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$782.40 |
$1,956 |
0.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$600.40 |
$1,501 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$498.20 |
$1,245.50 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$357.60 |
$894 |
0.1× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$1,980.30 |
$4,950.75 |
0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$210.40 |
$526 |
0.1× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$5,834.80 |
$390.50 |
1.0× |
| Scrotal exploration (55110) |
$3,502.20 |
$8,755.50 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$74.20 |
$185.50 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$168.80 |
$422 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$39.80 |
$99.50 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$51.80 |
$129.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$148.40 |
$371 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$77.40 |
$193.50 |
0.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$117.10 |
$292.75 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$123.40 |
$308.50 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$51 |
$127.50 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$38.60 |
$96.50 |
0.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$76.20 |
$190.50 |
0.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$115.60 |
$289 |
0.1× |
| Sigmoidoscopy w/fb removal (45332) |
$119.80 |
$299.50 |
0.1× |
| Simple destruction of growth of penis using electric current (54055) |
$1,968.80 |
$4,922 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$225.20 |
$563 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$67.40 |
$168.50 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$83.80 |
$209.50 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$91.60 |
$229 |
0.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$214.40 |
$536 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$59.40 |
$148.50 |
0.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$179 |
$447.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$89.60 |
$224 |
0.5× |
| Sinus endo w/balloon dil (31296) |
$3,528.80 |
$695.25 |
0.5× |
| Sinus endo w/balloon dil (31297) |
$7,130.20 |
$9,132 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$67 |
$167.50 |
0.1× |
| Skin sub graft trnk/arm/leg (15271) |
$982.10 |
$2,455.25 |
1.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,026.20 |
$5,065.50 |
1.0× |
| Skin tissue rearrangement (14040) |
$778 |
$1,945 |
0.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$779.60 |
$1,949 |
0.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,099.70 |
$2,749.25 |
0.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,951.80 |
$12,379.50 |
1.0× |
| Slitting of prepuce (54001) |
$2,027 |
$5,067.50 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$71.40 |
$178.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$116.80 |
$292 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$411.40 |
$1,028.50 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$94.80 |
$237 |
0.1× |
| Strapping ankle (29540) |
$44 |
$110 |
0.3× |
| Strapping elbow/wrist (29260) |
$45 |
$112.50 |
0.8× |
| Strapping toes (29550) |
$157.70 |
$394.25 |
2.7× |
| Strapping unna boot (29580) |
$28.60 |
$71.50 |
0.2× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,919.60 |
$672.50 |
1.0× |
| Suspension of testis (54640) |
$1,828.60 |
$4,571.50 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$54.50 |
$136.25 |
0.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$553.80 |
$1,384.50 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$110.80 |
$277 |
0.2× |
| Throat Surgery Procedure (42999) |
$243 |
$607.50 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$347 |
$867.50 |
1.1× |
| Thyroid biopsy (60100) |
$669.60 |
$1,674 |
1.0× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,130.40 |
$2,826 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$337 |
$842.50 |
0.1× |
| Trach Tube Change (31502) |
$38.20 |
$95.50 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$112.22 |
$280.55 |
0.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,728.80 |
$4,322 |
0.9× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$545 |
$1,362.50 |
0.1× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,236.20 |
$13,090.50 |
1.0× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$2,053.80 |
$5,134.50 |
0.6× |
| Transurethral resection of bladder neck (52500) |
$3,566.20 |
$8,915.50 |
1.0× |
| Treat finger dislocation (26775) |
$259.10 |
$647.75 |
0.9× |
| Treatment closed elbow dislocation req anes (24605) |
$512 |
$1,280 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$153.20 |
$383 |
0.6× |
| Treatment of anal fissure (46940) |
$106.60 |
$266.50 |
0.0× |
| Trim skin lesion (11055) |
$17.80 |
$44.50 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$24.40 |
$61 |
0.1× |
| Trim skin lesions over 4 (11057) |
$30 |
$75 |
0.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,629.60 |
$9,074 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$529.20 |
$1,323 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$405.60 |
$1,014 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$394 |
$985 |
0.5× |
| Tympanostomy (69433) |
$124.60 |
$311.50 |
0.2× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$611.80 |
$1,529.50 |
0.1× |
| Unlisted procedure, male genital system (55899) |
$277.80 |
$694.50 |
1.1× |
| Vasectomy (55250) |
$165.60 |
$414 |
0.1× |
| Venipuncture (36415) |
$12.30 |
$30.75 |
1.3× |