| Abd paracentesis w/imaging (49083) |
$753.70 |
$3,000 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$823.45 |
$1,707.50 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$1,600 |
$4,000 |
1.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$1,600 |
$2,181 |
1.2× |
| Acetabuloplasty Resection Femoral Head (27122) |
— |
$9,800 |
— |
| Amniocentesis diagnostic (59000) |
— |
$243 |
— |
| Amputate metacarpal bone (26910) |
$4,000 |
$12,500 |
1.4× |
| Amputation Finger/Thumb (26951) |
$4,000 |
$4,420 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$3,400 |
$5,952 |
1.2× |
| Amputation of finger/thumb (26952) |
$4,000 |
$7,500 |
1.4× |
| Amputation thigh through femur any level (27590) |
— |
$6,000 |
— |
| Amputation toe interphalangeal joint (28825) |
$3,400 |
$5,952 |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,400 |
$10,000 |
1.2× |
| Amputation, foot; transmetatarsal (28805) |
$3,400 |
$5,952 |
1.2× |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$6,000 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,330 |
$8,920 |
1.2× |
| Appendectomy (44950) |
$4,100 |
$6,500 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$137.67 |
$240 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$1,200 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
$242.83 |
$400 |
1.0× |
| Application short leg splint calf foot (29515) |
$137.67 |
$240 |
1.0× |
| Apply short leg cast (29425) |
$242.83 |
$600 |
1.0× |
| Arterial puncture (36600) |
— |
$18 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$254.10 |
$460 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$254.10 |
$181 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$254.10 |
$2,000 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$254.10 |
$587.50 |
0.9× |
| Arthrodesis ankle open (27870) |
$15,005 |
$23,000 |
1.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$6,000 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$7,600 |
$17,000 |
1.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$12,000 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$11,000 |
— |
| Arthroplasty, patella; with prosthesis (27438) |
$15,005 |
$16,000 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,220 |
$23,000 |
1.3× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$23,000 |
— |
| Arthroscopy of joint (29999) |
$219.81 |
$8,623 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$2,216.12 |
$6,800 |
0.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,326 |
$7,600 |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$6,800 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$2,772 |
$7,600 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$7,620 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,400 |
$12,000 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$7,600 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,600 |
$15,056 |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$15,000 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,400 |
$14,000 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,400 |
$8,000 |
1.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$15,056 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,360 |
$17,036 |
1.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,400 |
$14,000 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,360 |
$17,036 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$168.43 |
$500 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,700 |
$2,420 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,700 |
$2,420 |
1.2× |
| Biopsy Breast Open Incisional (19101) |
— |
$6,979 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$508 |
$1,300 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
— |
$639.80 |
— |
| Biopsy of uterus lining (58100) |
$360.76 |
$800 |
2.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,000 |
$7,000 |
1.2× |
| Biopsy Oropharynx (42800) |
— |
$4,500 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$1,072 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$1,072 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,700 |
$2,200 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$874.42 |
$1,305 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$4,000 |
$7,000 |
1.2× |
| Blood patch (62273) |
$557.91 |
$2,500 |
0.9× |
| Blood transfusion service (36430) |
$466 |
$1,000 |
1.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$7,600 |
$9,000 |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,700 |
$2,300 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,800 |
$3,300 |
1.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,800 |
$7,500 |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,800 |
$3,500 |
1.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,800 |
$3,300 |
1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,800 |
$7,500 |
1.1× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,800 |
$3,300 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,390 |
$2,500 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
— |
$750 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,400 |
$5,952 |
1.2× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,650 |
$6,000 |
1.2× |
| Cataract surgery complex (66982) |
$2,500 |
$5,100 |
1.2× |
| Cautery Cervix Electro/Thermal (57510) |
$3,200 |
$5,000 |
1.1× |
| Chemical Cautery Tissue (17250) |
$168.43 |
$169.50 |
1.0× |
| Chest tube placement (32551) |
$752.54 |
$1,468.50 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$168.43 |
$250 |
1.4× |
| Circum 28 days or older (54161) |
— |
$10,000 |
— |
| Circumcision (54150) |
— |
$10,000 |
— |
| Circumcision Neonate (54160) |
— |
$175 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$600 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,300 |
$4,000 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$219.81 |
$600 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$219.81 |
$600 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$600 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,500 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$659.99 |
$2,181 |
1.4× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$3,200 |
$9,000 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$196 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$142 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,372 |
$1,796 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$900 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$219.81 |
$1,000 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$142 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$219.81 |
$700 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$196 |
— |
| Colonoscopy flex w/rem forcep (45384) |
$1,250 |
$2,947 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$944.37 |
$4,500 |
0.9× |
| Colonoscopy thru stoma (44388) |
— |
$4,500 |
— |
| Colonoscopy w/fb removal (45379) |
$1,250 |
$5,500 |
1.2× |
| Colporrhaphy suture injury vagina (57200) |
$3,250 |
$12,500 |
1.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$5,000 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,250 |
$3,000 |
1.2× |
| Complete replacement picc rs&i (36584) |
$920.19 |
$1,395 |
0.7× |
| Complex Drainage, Wound (10180) |
$3,000 |
$4,080 |
1.2× |
| Conization of cervix (57522) |
— |
$5,501 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$110.02 |
$400 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$500 |
— |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$3,300 |
$7,000 |
1.1× |
| Correction hammertoe (28285) |
$3,400 |
$6,000 |
1.2× |
| Correction of bunion (28292) |
$3,400 |
$10,500 |
1.2× |
| Correction of bunion (28299) |
$7,600 |
$9,241 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$10,457 |
— |
| Create eardrum opening (69436) |
— |
$4,871 |
— |
| Cystourethroscopy (52000) |
$700 |
$1,800 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,266 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$593.02 |
$5,500 |
1.0× |
| Debride nail 1-5 (11720) |
$60.01 |
$100 |
1.2× |
| Debride nail 6 or more (11721) |
$60.01 |
$100 |
1.2× |
| Debride skin musc at fx site (11011) |
$593.02 |
$1,100 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$321.88 |
$765.50 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$498.41 |
$927.50 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,390 |
$2,360 |
1.0× |
| Decompress forearm 1 space (25023) |
$3,400 |
$15,000 |
1.2× |
| Decompress forearm 2 spaces (25025) |
$3,400 |
$6,000 |
2.4× |
| Decompression of tibia nerve (28035) |
$2,000 |
$5,000 |
1.2× |
| Destruction anal lesion(s) (46924) |
$3,000 |
$5,300 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,200 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$1,200 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$700 |
— |
| Destruction Lesions Vulva Extensive (56515) |
$2,100 |
$12,000 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$932 |
$1,844 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,300 |
$10,500 |
1.2× |
| Divisn plantar fascia/muscle (28250) |
$3,400 |
$6,000 |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$194.80 |
$400 |
0.9× |
| Drainage of gum lesion (41800) |
$317.39 |
$500 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$1,700 |
$2,710 |
1.2× |
| Drainage of mouth lesion (41017) |
$3,000 |
$4,300 |
1.0× |
| Draw blood off venous device (36591) |
$168.43 |
$146 |
1.4× |
| Dressing change under anesthesia (15852) |
$289.97 |
$2,500 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$321.88 |
$560 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$168.43 |
$248.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$168.43 |
$310 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
— |
$5,000 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,000 |
$3,500 |
1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,349 |
$3,581 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,908 |
$4,052 |
1.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,000 |
$4,000 |
1.2× |
| Egd endoscopic stent place (43266) |
— |
$12,742 |
— |
| Egd flexible foreign body removal (43247) |
— |
$2,370 |
— |
| Egd injection varices (43243) |
$2,000 |
$4,500 |
1.2× |
| Egd place gastrostomy tube (43246) |
$2,000 |
$3,500 |
1.2× |
| Egd rem tumr/polyp forcep (43250) |
$2,000 |
$6,000 |
1.2× |
| Egd remove lesion snare (43251) |
$2,000 |
$4,000 |
1.2× |
| Endoven ther chem adhes 1st (36482) |
$6,000 |
$6,500 |
1.2× |
| Enterorrhaphy single perforation (44602) |
— |
$2,000 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,000 |
$2,860 |
1.1× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,000 |
$2,860 |
1.1× |
| Esophagoscopy flex biopsy (43202) |
— |
$4,000 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
$2,000 |
$7,500 |
1.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$769.77 |
$4,500 |
1.0× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$2,000 |
$7,500 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$60.01 |
$190 |
0.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,700 |
$8,000 |
1.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,000 |
$6,000 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,700 |
$4,500 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,700 |
$7,500 |
1.2× |
| Exc face les sbq 2 cm/> (21012) |
$1,700 |
$4,500 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$2,500 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,700 |
$2,564 |
1.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,700 |
$4,000 |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,700 |
$6,000 |
1.2× |
| Exc frenum labial/buccal (40819) |
— |
$1,000 |
— |
| Exc hand les sc < 1.5 cm (26115) |
$1,700 |
$4,500 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,700 |
$5,952 |
1.2× |
| Exc rect tum transanal part (45171) |
— |
$4,000 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$593.02 |
$2,564 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$321.88 |
$1,100 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$593.02 |
$1,100 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,564 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,700 |
$5,000 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,700 |
$4,000 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,000 |
$10,000 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,000 |
$10,000 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,700 |
$4,000 |
1.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$2,564 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,000 |
$6,000 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,700 |
$7,500 |
1.2× |
| Exc tongue lesion w cl; post 1/3 (41113) |
— |
$7,000 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,700 |
$6,500 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,000 |
$6,946.12 |
1.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,000 |
$6,000 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,000 |
$13,000 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,000 |
$4,300 |
1.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,000 |
$11,000 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,000 |
$4,052 |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,400 |
$6,000 |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,700 |
$6,735 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,650 |
$4,000 |
1.2× |
| Excise Inferior Turbinate (30130) |
$3,300 |
$11,000 |
1.1× |
| Excise/repair mouth lesion (40812) |
$1,600 |
$4,000 |
1.2× |
| Excision Breast Lesion (19125) |
— |
$7,000 |
— |
| Excision external ear partial simple repair (69110) |
$3,000 |
$4,052 |
1.2× |
| Excision hidradenitis axillary complex repair (11451) |
$3,000 |
$6,000 |
1.2× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$3,000 |
$6,000 |
1.2× |
| Excision lesion mouth roof (42104) |
$3,000 |
$9,000 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$1,927 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$2,000 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$593.02 |
$2,265 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$593.02 |
$5,500 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$593.02 |
$2,300 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$593.02 |
$2,266 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,700 |
$4,585 |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$593.02 |
$2,000 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,700 |
$2,200 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,700 |
$4,585 |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,000 |
$5,000 |
1.2× |
| Excision of bartholin's gland or cyst (56740) |
— |
$6,500 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$593.02 |
$1,275 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$593.02 |
$2,564 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$3,422 |
$6,556 |
2.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$3,300 |
$6,600 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$2,564 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,700 |
$2,200 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,650 |
$5,952 |
1.2× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$3,000 |
$9,000 |
1.0× |
| Excision of mouth lesion (41116) |
$3,300 |
$11,000 |
1.1× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$8,000 |
— |
| Excision of single external papilla or tag, anus (46220) |
$899.20 |
$5,000 |
0.9× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,000 |
$6,000 |
1.2× |
| Excision of tongue lesion (41112) |
— |
$16,500 |
— |
| Excision of vaginal cyst or tumor (57135) |
$3,200 |
$6,000 |
1.1× |
| Excision olecranon bursa (24105) |
— |
$5,794 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,000 |
$6,139 |
1.2× |
| Excision Prepatellar Bursa (27340) |
$3,400 |
$5,500 |
1.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
— |
$6,800 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,700 |
$8,000 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,700 |
$6,000 |
1.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,700 |
$6,735 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,700 |
$2,500 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$3,000 |
$6,139 |
1.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$14,000 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
$3,300 |
$4,500 |
1.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,422 |
$6,000 |
2.4× |
| Exploration maxillary sinus (31030) |
— |
$22,500 |
— |
| Exploration of knee joint (27310) |
$3,400 |
$9,100 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$593.02 |
$1,890 |
0.4× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$8,000 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$3,400 |
$6,000 |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$3,400 |
$6,000 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$4,000 |
— |
| Fetal Contraction Stress Test (59020) |
$179.79 |
$228.50 |
1.0× |
| Fetal non-stress test (59025) |
— |
$200 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$518 |
— |
| Fixation of knee joint (27570) |
$1,700 |
$4,000 |
1.2× |
| Fixation of shoulder (23700) |
$1,700 |
$4,081 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$295.89 |
$433.72 |
1.4× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$2,000 |
$5,000 |
1.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,000 |
$4,122.74 |
1.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,000 |
$4,500 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$128.50 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$6,000 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$392.48 |
— |
| Harvest cultured skin graft (15040) |
$2,000 |
$3,245.48 |
1.1× |
| Hemiarthroplasty Hip Partial (27125) |
— |
$16,300 |
— |
| Hysteroscopy ablation (58563) |
— |
$9,960 |
— |
| Hysteroscopy biopsy (58558) |
— |
$7,053 |
— |
| Hysteroscopy dx sep proc (58555) |
$3,300 |
$6,000 |
1.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,200 |
$7,053 |
1.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$7,000 |
— |
| I&D Abscess Peritonsillar (42700) |
$394.46 |
$1,200 |
1.9× |
| I&d abscess simple (10060) |
$168.43 |
$203.50 |
1.0× |
| I&d below fascia foot 1 bursal space (28002) |
$3,400 |
$5,794 |
2.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,000 |
$6,000 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,100 |
$7,000 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$593.02 |
$1,070 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,700 |
$3,000 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,650 |
$5,002 |
1.2× |
| Incise wrist/forearm tendon (25290) |
$3,422 |
$9,106 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$321.88 |
$562 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,700 |
$4,000 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$321.88 |
$780 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$151 |
$500 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$484.31 |
$700 |
1.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,650 |
$5,700 |
1.2× |
| Incision of eardrum (69421) |
$3,000 |
$4,500 |
1.0× |
| Incision of metatarsal (28308) |
$3,400 |
$7,000 |
1.2× |
| Incision of rectal abscess (46040) |
$1,250 |
$5,020 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
— |
$700 |
— |
| Incision&drainage bursa foot (28001) |
$1,700 |
$2,710 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
— |
$560 |
— |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$6,000 |
$7,500 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$168.43 |
$203.50 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$702.82 |
$1,456.02 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$254.10 |
$700 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$702.82 |
$1,200 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$557.91 |
$2,000 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$689.65 |
$923.08 |
0.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$294.89 |
$800 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$3,500 |
— |
| Injection anes other peripheral nerve/branch (64450) |
$571.08 |
$1,200 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$254.10 |
$442.50 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$254.10 |
$715 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
— |
$700 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$254.10 |
$1,416 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$995 |
$2,358 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$995 |
$3,000 |
0.4× |
| Insert picc cath (36569) |
$1,700 |
$1,395 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$121.62 |
$175 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,400 |
$8,000 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$97 |
$159.88 |
0.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$1,308 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,040 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,300 |
$4,300 |
1.1× |
| Knee arthroscopy/surgery (29883) |
— |
$8,623 |
— |
| Knee arthroscopy/surgery (29876) |
$3,400 |
$7,620 |
1.2× |
| Laparoscopy appendectomy (44970) |
— |
$12,900 |
— |
| Laparoscopy biopsy (49321) |
— |
$10,000 |
— |
| Laparoscopy tubal block (58671) |
$6,000 |
$13,000 |
1.1× |
| Laparoscopy Tubal Cautery (58670) |
$6,000 |
$12,898 |
1.1× |
| Laparoscopy w/lysis of adhesions (58660) |
$6,000 |
$14,594 |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$11,724 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$13,000 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,000 |
$12,900 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$21,500 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$22,500 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
$160.82 |
$500 |
0.9× |
| Laryngoscopy indirect with biopsy (31510) |
$3,800 |
$7,500 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$3,800 |
$7,000 |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$3,800 |
$11,500 |
1.2× |
| Laryngoscopy with biopsy (31576) |
$1,800 |
$4,300 |
1.1× |
| Larynscop w/tumr exc + scope (31541) |
$3,800 |
$6,650 |
1.2× |
| Late closure of wound (13160) |
— |
$5,000 |
— |
| Lateral retinacular release open (27425) |
— |
$9,000 |
— |
| Ligation or biopsy temporal artery (37609) |
$1,700 |
$7,500 |
1.2× |
| Liver Biopsy (47000) |
— |
$1,250.50 |
— |
| Mast mod rad (19307) |
$6,000 |
$13,000 |
1.0× |
| Mastectomy partial (19301) |
— |
$13,000 |
— |
| Musculoskeletal surgery (20999) |
$219.81 |
$6,000 |
1.0× |
| Nasal surgery procedure (30999) |
— |
$750 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$6,000 |
$6,647 |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$6,650 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,800 |
$6,500 |
1.1× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$6,000 |
$6,650 |
1.0× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,800 |
$4,500 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,800 |
$4,300 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$685 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$8,000 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$702.82 |
$1,456.02 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$746 |
$1,000 |
1.2× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$5,000 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$10,200 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,600 |
$19,000 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,600 |
$29,500 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,600 |
$25,000 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$7,600 |
$14,500 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$14,000 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$4,000 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$10,000 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
— |
$8,000 |
— |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
— |
$5,252 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$8,000 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
— |
$12,500 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$32,592 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$3,000 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$3,500 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$6,715 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$28,000 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
$7,600 |
$24,000 |
1.2× |
| Open treatment talus fracture (28445) |
$7,600 |
$24,000 |
1.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$14,000 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,400 |
$7,113 |
1.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$7,600 |
$19,000 |
1.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,400 |
$7,000 |
1.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$34,000 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,422 |
$14,000 |
1.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$7,600 |
$14,500 |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,600 |
$14,581 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,422 |
$7,000 |
1.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,600 |
$14,581 |
1.2× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$9,000 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$3,400 |
$6,000 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,400 |
$7,000 |
1.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,400 |
$6,000 |
1.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$5,952 |
— |
| Osteotomy Phalanx Finger Each (26567) |
$3,400 |
$8,915 |
1.2× |
| Ovarian cystectomy (58925) |
— |
$20,000 |
— |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,400 |
$9,000 |
1.2× |
| Partial Excision Bone Olecranon Process (24147) |
$3,400 |
$9,106 |
1.2× |
| Partial Excision Bone Ulna (25150) |
$3,422 |
$15,000 |
1.2× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$10,000 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,650 |
$4,500 |
1.2× |
| Partial Removal Foot Fascia (28060) |
$3,400 |
$10,000 |
1.2× |
| Pelvic exam under anesthesia (57410) |
$3,200 |
$6,000 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$703.58 |
$1,071 |
1.1× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$7,600 |
$9,100 |
1.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,422 |
$7,000 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
— |
$350 |
— |
| Peritoneal Lavage (49084) |
$769.77 |
$2,500 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,100 |
— |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$3,400 |
$12,000 |
1.2× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$6,500 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$310 |
— |
| Puncture Aspiration (10160) |
$321.88 |
$405 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$593.02 |
$750 |
1.0× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$3,000 |
$4,000 |
1.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$7,600 |
$30,000 |
1.2× |
| Reconstr disloc patella w mscl adv (27422) |
— |
$13,000 |
— |
| Reconstruct Shoulder Joint (23470) |
$15,005 |
$34,000 |
1.3× |
| Reforearm tend/musc,exten,second (25272) |
$3,422 |
$15,000 |
1.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$7,600 |
$13,000 |
1.2× |
| Release elbow joint (24006) |
$3,400 |
$15,000 |
1.2× |
| Release i-p jt contracture (26525) |
— |
$8,000 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,000 |
$6,000 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,700 |
$4,000 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$593.02 |
$1,785 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$780 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$214 |
— |
| Removal Implant Deep (20680) |
$2,970 |
$6,946 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$4,000 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
$593.02 |
$2,000 |
1.0× |
| Removal of adenoids (42835) |
$3,300 |
$7,000 |
1.1× |
| Removal of adenoids (42831) |
$3,300 |
$6,573 |
1.1× |
| Removal of adenoids (42830) |
— |
$14,259 |
— |
| Removal of ankle implant (27704) |
— |
$6,800 |
— |
| Removal of arm foreign body (24200) |
— |
$4,500 |
— |
| Removal of finger lesion (26210) |
$1,650 |
$5,002 |
1.2× |
| Removal of Head of Radius (24130) |
$3,400 |
$9,000 |
1.2× |
| Removal of heel bone (28118) |
$3,400 |
$10,500 |
1.2× |
| Removal of heel spur (28119) |
— |
$6,735 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$750 |
— |
| Removal of knee cartilage (27332) |
$3,400 |
$9,110 |
1.2× |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$9,000 |
— |
| Removal of larynx lesion (31300) |
$3,300 |
$6,500 |
1.1× |
| Removal of nail bed (11750) |
$321.88 |
$917.50 |
0.9× |
| Removal of sesamoid bone (28315) |
$3,400 |
$6,000 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$168.43 |
$335 |
1.0× |
| Removal of sperm cord lesion (55520) |
— |
$6,941 |
— |
| Removal of testis (54520) |
$3,700 |
$12,500 |
1.2× |
| Removal of tonsils (42825) |
— |
$12,601 |
— |
| Removal of tonsils (42826) |
$3,300 |
$6,600 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$242.83 |
$400 |
1.0× |
| Remove drug implant device (11982) |
$289.97 |
$800 |
0.7× |
| Remove humerus lesion (24110) |
— |
$6,800 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$7,400 |
— |
| Remove knee cyst (27347) |
$3,400 |
$6,000 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,000 |
$6,500 |
1.2× |
| Remove wrist tendon lesion (25111) |
— |
$6,000 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$6,139 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$525 |
— |
| Repair achilles tendon (27650) |
$3,400 |
$13,368 |
0.5× |
| Repair arm tendon/muscle (24341) |
$7,600 |
$21,500 |
1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$9,000 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,000 |
$9,000 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$800 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$3,000 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,447 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,637.64 |
— |
| Repair elbow deb/attch open (24359) |
— |
$24,500 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
$3,400 |
$5,002 |
2.4× |
| Repair finger tendon (26432) |
$1,650 |
$4,300 |
1.2× |
| Repair finger tendon (26433) |
$3,400 |
$7,000 |
1.2× |
| Repair finger/hand tendon (26350) |
$3,422 |
$8,000 |
1.2× |
| Repair finger/hand tendon (26370) |
— |
$24,500 |
— |
| Repair forearm tendon/muscle (25260) |
$3,422 |
$15,000 |
1.2× |
| Repair hallux rigidus (28289) |
$3,400 |
$6,000 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,100 |
$9,000 |
1.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$10,399 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$796 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$796 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$700 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$321.88 |
$1,092.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$321.88 |
$490.50 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$219.81 |
$692.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$321.88 |
$700 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$321.88 |
$800 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,400 |
— |
| Repair kneecap tendon (27380) |
$7,600 |
$15,000 |
1.2× |
| Repair nonunion radius/ulna w autogrft (25405) |
$7,936 |
$30,000 |
1.2× |
| Repair of ankle ligament (27695) |
$7,600 |
$9,000 |
1.2× |
| Repair of nasal septum (30520) |
$3,200 |
$7,437 |
1.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$7,936 |
$13,000 |
1.2× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$6,500 |
— |
| Repair of thigh musc (27385) |
$7,600 |
$9,000 |
1.2× |
| Repair rectum & vagina (57250) |
$5,330 |
$9,000 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,600 |
$13,370 |
1.2× |
| Repair wrist joints (25447) |
— |
$14,000 |
— |
| Repair/graft wrist bone (25440) |
$7,936 |
$13,000 |
1.2× |
| Rerepair ing hernia blocked (49521) |
$4,100 |
$19,000 |
0.7× |
| Rerepair ing hernia reduce (49520) |
$4,100 |
$15,000 |
1.3× |
| Resect Inferior Turbinate (30140) |
— |
$4,000 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,700 |
$6,735 |
0.6× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,400 |
$7,000 |
1.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$34,000 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$5,536 |
— |
| Revise ulnar nerve at elbow (64718) |
$2,000 |
$5,000 |
1.2× |
| Revision of big toe (28310) |
$3,400 |
$6,000 |
0.5× |
| Revision of lower leg tendon (27685) |
$3,400 |
$9,000 |
1.2× |
| Revision of toe (28312) |
— |
$6,800 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
$16,700 |
$39,801.32 |
1.5× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$12,000 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$12,000 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$4,500 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$3,000 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$317.52 |
$400 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,000 |
$6,139 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$920.19 |
$1,876.50 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$752.54 |
$2,008.50 |
1.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$289.97 |
$500 |
0.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$24,500 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,100 |
$15,000 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$7,000 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$7,600 |
$17,000 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$944.37 |
$1,844 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$168.43 |
$296 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$168.43 |
$900 |
0.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,400 |
$24,500 |
1.2× |
Shoulder prosthesis removal (23334)
unusually low: confirm this is the full procedure |
$3,000 |
$6,000 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$168.43 |
$500 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$955.04 |
$1,844 |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$2,610 |
— |
| Sigmoidoscopy w/fb removal (45332) |
$944.37 |
$2,800 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$168.43 |
$500 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$97 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$168.43 |
$203.50 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$97 |
— |
| Skin splt grft trnk/arm/leg (15100) |
$2,000 |
$5,425.50 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,000 |
$2,860 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,000 |
$2,860 |
3.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,700 |
$5,240 |
2.0× |
| Skin Tissue Procedure (17999) |
— |
$550 |
— |
| Skin tissue rearrangement (14040) |
$2,000 |
$10,000 |
1.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,700 |
$5,240 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$2,000 |
$2,860 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$168.43 |
$455 |
1.0× |
| Sphincterotomy (46080) |
$3,000 |
$4,500 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$571.08 |
$1,101.78 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$630.85 |
$2,000 |
1.0× |
| Strapping unna boot (29580) |
$137.67 |
$240 |
1.0× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,066 |
$10,000 |
1.2× |
| Suture of 1 nerve ulnar motor (64836) |
— |
$14,500 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$3,422 |
$9,000 |
2.4× |
| Tangential biopsy skin single lesion (11102) |
— |
$310 |
— |
| Tenodesis long tendon biceps (23430) |
$7,600 |
$13,000 |
1.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
— |
$14,000 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,400 |
$9,000 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,700 |
$2,390 |
1.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,700 |
$5,952 |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,700 |
$6,000 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$752.54 |
$1,700 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$752.54 |
$1,700 |
1.4× |
| Thrombolytic Therapy, Stroke (37195) |
$515.51 |
$950 |
1.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$7,437 |
— |
| Total hip arthroplasty (27130) |
— |
$12,000 |
— |
| Total knee arthroplasty (27447) |
— |
$12,680 |
— |
| Tracheostomy planned (31600) |
$3,300 |
$13,500 |
1.1× |
| Treat elbow fracture (24586) |
— |
$34,000 |
— |
| Treat finger dislocation (26775) |
$242.83 |
$700 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,422 |
$7,000 |
1.2× |
| Treat fx distal radial (25606) |
— |
$7,000 |
— |
| Treat fx rad extra-articul (25607) |
— |
$31,000 |
— |
| Treat heel fracture (28415) |
— |
$31,000 |
— |
| Treat humerus fracture (24577) |
— |
$1,200 |
— |
| Treat knuckle dislocation (26715) |
$3,422 |
$8,000 |
1.2× |
| Treat Lower Leg Fracture (27827) |
$15,005 |
$19,000 |
1.3× |
| Treat radius fracture (24665) |
$7,600 |
$24,000 |
1.2× |
| Treat thumb fracture (26650) |
— |
$11,500 |
— |
| Treat ulnar fracture (24685) |
$7,600 |
$14,581 |
1.2× |
| Treatment of ankle fracture (27822) |
$7,600 |
$30,000 |
1.2× |
| Treatment of ankle fracture (27792) |
— |
$14,500 |
— |
| Treatment of foot infection (28003) |
— |
$11,500 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$4,500 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$9,000 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$13,000 |
— |
| Treatment of tibia fracture (27759) |
$15,005 |
$19,000 |
1.3× |
| Trim skin lesion (11055) |
$168.43 |
$305 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$168.43 |
$755 |
1.0× |
| Trim skin lesions over 4 (11057) |
$168.43 |
$310 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$60.01 |
$100 |
1.2× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$37,620 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$5,000 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,300 |
$10,500 |
1.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$10,000 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$582.70 |
$1,190 |
0.9× |
| Unlisted laparoscopic procedure liver (47379) |
$6,000 |
$10,361 |
1.1× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$11,724 |
— |
| Unlisted procedure anus (46999) |
$884.42 |
$2,000 |
1.1× |
| Unlisted procedure colon (45399) |
$755.43 |
$3,500 |
0.9× |
| Unlisted Procedure External Ear (69399) |
— |
$300 |
— |
| Unlisted procedure leg/ankle (27899) |
$219.81 |
$380 |
1.0× |
| Unlisted Procedure Lungs & Pleura (32999) |
$752.54 |
$1,700 |
1.4× |
| Unlisted Procedure Nervous System (64999) |
— |
$550 |
— |
| Unlisted procedure shoulder (23929) |
$219.81 |
$400 |
1.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$130 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$300 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$950 |
$7,000 |
1.2× |
| Unlisted procedure, forearm or wrist (25999) |
$219.81 |
$400 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$50 |
— |
| Vaginal delivery only (59409) |
— |
$2,352.25 |
— |
| Venipuncture (36415) |
$4 |
$16 |
0.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,000 |
$4,305 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$498.41 |
$1,165 |
1.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,000 |
$2,860 |
3.1× |