| Abd paracentesis w/imaging (49083) |
$1,238.50 |
$2,477 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,238.50 |
$2,477 |
1.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,687.25 |
$3,374.50 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$281.50 |
$563 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$218.50 |
$437 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$271 |
$542 |
1.5× |
| Biopsy bone open superficial (20240) |
$165.50 |
$331 |
0.1× |
| Biopsy Breast Open Incisional (19101) |
$220 |
$440 |
0.1× |
| Biopsy soft tissue of back (21920) |
$178 |
$356 |
0.1× |
| Blood transfusion service (36430) |
$611.50 |
$1,223 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,169.75 |
$2,339.50 |
0.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$287.50 |
$575 |
1.4× |
| Chemical Cautery Tissue (17250) |
$271 |
$542 |
1.5× |
| Circum 28 days or older (54161) |
$280.50 |
$561 |
0.1× |
| Circumcision (54150) |
$451.50 |
$903 |
0.2× |
| Colonoscopy flex w/rem forcep (45384) |
$327 |
$654 |
0.3× |
| Colonoscopy for bleeding (44391) |
$977 |
$1,954 |
0.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$287.25 |
$574.50 |
0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$236.25 |
$472.50 |
0.2× |
| Colonoscopy stoma w/balloon dilation (44405) |
$217 |
$434 |
0.2× |
| Colonoscopy stoma w/biopsy (44389) |
$245 |
$490 |
0.2× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$234 |
$468 |
0.2× |
| Colonoscopy stoma w/snare (44394) |
$323 |
$646 |
0.3× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$245.50 |
$491 |
0.2× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$249.25 |
$498.50 |
0.3× |
| Colonoscopy thru stoma (44388) |
$121.50 |
$243 |
0.1× |
| Colonoscopy w/ablation (45388) |
$209 |
$418 |
0.2× |
| Colonoscopy w/band ligation (45398) |
$336 |
$672 |
0.3× |
| Colonoscopy w/fb removal (45379) |
$258.75 |
$517.50 |
0.2× |
| Colonoscopy w/resection (45390) |
$1,485 |
$2,970 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$307.75 |
$615.50 |
0.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$301.50 |
$603 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$238 |
$476 |
0.2× |
| Complex Drainage, Wound (10180) |
$151 |
$302 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$188 |
$376 |
0.1× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$321.50 |
$643 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$202.50 |
$405 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,499 |
$2,998 |
0.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$342.50 |
$685 |
0.1× |
| Cysto/uretero w/lithotripsy (52356) |
$593 |
$1,186 |
0.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$322.50 |
$645 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$201 |
$402 |
0.1× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$124 |
$248 |
0.1× |
| Cystoscopy,insert ureteral stent (52332) |
$220.50 |
$441 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$412 |
$824 |
0.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$719.50 |
$1,439 |
0.4× |
| Cystourethroscopy (52000) |
$115.50 |
$231 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$175 |
$350 |
0.1× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$409 |
$818 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$67.50 |
$135 |
0.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$231 |
$462 |
0.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$431 |
$862 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$236 |
$472 |
0.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$559.50 |
$1,119 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$871.50 |
$1,743 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,249.50 |
$4,499 |
1.5× |
| Destroy internal hemorrhoids (46930) |
$213.50 |
$427 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$85 |
$170 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$112.50 |
$225 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$2,249.50 |
$4,499 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$76.50 |
$153 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$271 |
$542 |
1.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$266 |
$532 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$218.50 |
$437 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$250.50 |
$501 |
0.1× |
| Egd flexible foreign body removal (43247) |
$210 |
$420 |
0.3× |
| Egd guide wire insertion (43248) |
$196.75 |
$393.50 |
0.2× |
| Egd place gastrostomy tube (43246) |
$286.50 |
$573 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$202.25 |
$404.50 |
0.1× |
| Egd remove lesion snare (43251) |
$279.50 |
$559 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$238 |
$476 |
0.1× |
| Egd Varices Ligation (43244) |
$290.75 |
$581.50 |
0.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$227.25 |
$454.50 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$196 |
$392 |
0.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$320 |
$640 |
0.1× |
| Exc back les sc < 3 cm (21930) |
$285 |
$570 |
0.2× |
| Exc hand les sc < 1.5 cm (26115) |
$381 |
$762 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$96 |
$192 |
0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$206 |
$412 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$91 |
$182 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$180 |
$360 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$153.50 |
$307 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$349.50 |
$699 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$221 |
$442 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$180 |
$360 |
0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$331.50 |
$663 |
0.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$362.50 |
$725 |
0.2× |
| Excision hydrocele bilateral (55041) |
$665.50 |
$1,331 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$120 |
$240 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$120.50 |
$241 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$481 |
$962 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$188 |
$376 |
0.1× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$458 |
$916 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$375 |
$750 |
0.3× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$737 |
$1,474 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$371 |
$742 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$482 |
$964 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$973.50 |
$1,947 |
1.5× |
| Hemorrhoidectomy (46255) |
$508.50 |
$1,017 |
0.2× |
| I&d abscess simple (10060) |
$145.50 |
$291 |
0.8× |
| Ileoscopy stoma w/balloon dilation (44381) |
$99 |
$198 |
0.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$86.25 |
$172.50 |
0.1× |
| Incise finger tendon sheath (26055) |
$333.50 |
$667 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$152.50 |
$305 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$290 |
$580 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$155 |
$310 |
0.1× |
| Incision extensor tendon sheath wrist (25000) |
$525 |
$1,050 |
0.4× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$284.25 |
$568.50 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$259.75 |
$519.50 |
1.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$262.50 |
$525 |
0.0× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,035.50 |
$2,071 |
0.2× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$7,053.50 |
$14,107 |
1.5× |
| Laser vaporization surgery prostate, complete (52648) |
$4,020 |
$8,040 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$441 |
$882 |
0.5× |
| Lithotripsy (50590) |
$2,810.25 |
$5,620.50 |
0.9× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$210 |
$420 |
0.0× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$255 |
$510 |
0.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$723 |
$1,446 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$188.25 |
$376.50 |
0.8× |
| Relieve inner eye pressure (65820) |
$901.50 |
$1,803 |
0.2× |
| Removal foreign body foot deep (28192) |
$2,249.50 |
$4,499 |
1.5× |
| Removal foreign body foot subcutaneous (28190) |
$202 |
$404 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$86 |
$172 |
1.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$61.50 |
$123 |
0.3× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$215.50 |
$431 |
0.1× |
| Removal of testis (54520) |
$285 |
$570 |
0.1× |
| Remove wrist tendon lesion (25111) |
$495.50 |
$991 |
0.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$569 |
$1,138 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$330.50 |
$661 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$205 |
$410 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$103.50 |
$207 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$507 |
$1,014 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$530 |
$1,060 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$191.50 |
$383 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$271 |
$542 |
0.2× |
| Rplc gtube revj gstrst trc (43763) |
$121 |
$242 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$605 |
$1,210 |
0.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$927 |
$1,854 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$387.50 |
$775 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$277.50 |
$555 |
0.1× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$925 |
$1,850 |
0.2× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$457 |
$914 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$78 |
$156 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$171 |
$342 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$102.50 |
$205 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$70 |
$140 |
0.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$190.25 |
$380.50 |
0.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$139 |
$278 |
0.1× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$110.50 |
$221 |
0.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$101 |
$202 |
0.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$133.50 |
$267 |
0.2× |
| Sigmoidoscopy w/fb removal (45332) |
$124.25 |
$248.50 |
0.1× |
| Skn sub grft f/n/hf/g child (15277) |
$2,589 |
$5,178 |
1.4× |
| Small Bowel Endoscopy (44373) |
$227.50 |
$455 |
0.1× |
| Small bowel endoscopy (44366) |
$284 |
$568 |
0.2× |
| Small bowel endoscopy (44364) |
$242.25 |
$484.50 |
0.1× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$336.75 |
$673.50 |
0.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$188 |
$376 |
0.1× |
| Small bowel endoscopy/biopsy (44377) |
$350 |
$700 |
0.2× |
| Strapping unna boot (29580) |
$218.50 |
$437 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$868 |
$1,736 |
1.5× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$858 |
$1,716 |
0.1× |
| Trim skin lesion (11055) |
$271 |
$542 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$271 |
$542 |
1.5× |
| Trim skin lesions over 4 (11057) |
$271 |
$542 |
1.5× |
| Vasectomy (55250) |
$321.50 |
$643 |
0.2× |
| Venipuncture (36415) |
$8 |
$16 |
0.9× |