| Abd paracentesis w/imaging (49083) |
$1,863 |
$3,105 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,270.20 |
$2,117 |
1.5× |
| Ablate inf turbinate submuc (30802) |
$457.20 |
$762 |
0.3× |
| Acne Surgery (10040) |
$97.80 |
$163 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$1,144.20 |
$1,907 |
0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,881 |
$3,135 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$750 |
$1,250 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,690.20 |
$2,817 |
0.6× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$780.60 |
$1,301 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$1,193.40 |
$1,989 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,506.60 |
$2,511 |
0.5× |
| Anoscopy Ablation Lesion (46615) |
$314.40 |
$524 |
0.1× |
| Anoscopy diagnostic (46600) |
$87 |
$145 |
0.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$100.20 |
$167 |
0.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$204.30 |
$340.50 |
1.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$86.40 |
$144 |
0.6× |
| Application finger splint static (29130) |
$236.40 |
$394 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$185.40 |
$309 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$236.40 |
$394 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$454.80 |
$758 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$65.40 |
$109 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$236.40 |
$394 |
1.9× |
| Application short leg splint calf foot (29515) |
$236.40 |
$394 |
1.6× |
| Apply multlay comprs arm/hand (29584) |
$190.80 |
$318 |
1.3× |
| Arterial puncture (36600) |
$126.90 |
$211.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$109.80 |
$183 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$109.20 |
$182 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$109.80 |
$183 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$3,492.60 |
$5,821 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,567.20 |
$2,612 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,224.80 |
$3,708 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,184.60 |
$3,641 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,812.60 |
$3,021 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,603.20 |
$2,672 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,543.80 |
$2,573 |
0.5× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) likely a partial charge, not the full procedure |
$1,522.20 |
$2,537 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,064 |
$3,440 |
0.3× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,188.60 |
$1,981 |
0.8× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$429.60 |
$716 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$286.20 |
$477 |
1.5× |
| Biopsy Bone Open Deep (20245) |
$2,340 |
$3,900 |
0.9× |
| Biopsy bone open superficial (20240) |
$351 |
$585 |
0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$131.40 |
$219 |
0.1× |
| Biopsy external ear (69100) |
$136.80 |
$228 |
0.6× |
| Biopsy of tongue (41100) |
$189.60 |
$316 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$385.80 |
$643 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$358.80 |
$598 |
0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$405 |
$675 |
0.1× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,901.40 |
$3,169 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$3,774.60 |
$6,291 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$553.80 |
$923 |
0.2× |
| Bladder Irrigation Simple (51700) |
$376.20 |
$627 |
1.6× |
| Bladder Scan (51798) |
$195.60 |
$326 |
3.5× |
| Blood transfusion service (36430) |
$625.80 |
$1,043 |
1.5× |
Bone graft, any donor area; major or large (20902) likely a partial charge, not the full procedure |
$1,033.20 |
$1,722 |
0.2× |
| Bone marrow aspiration only (38220) |
$867 |
$1,445 |
0.6× |
| Bone Marrow Biopsy (38221) |
$280.80 |
$468 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$544.20 |
$907 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$516 |
$860 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$399 |
$665 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$729.60 |
$1,216 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$3,465 |
$5,775 |
2.2× |
| Change Cystostomy Tube Simple (51705) |
$445.80 |
$743 |
1.9× |
| Chemical Cautery Tissue (17250) |
$280.80 |
$468 |
1.5× |
| Chest tube placement (32551) |
$2,371.80 |
$3,953 |
1.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$183.60 |
$306 |
1.5× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,441.60 |
$5,736 |
2.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$909 |
$1,515 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$909 |
$1,515 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$261.60 |
$436 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$261.60 |
$436 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,863.20 |
$4,772 |
2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,569.20 |
$4,282 |
11.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$909 |
$1,515 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$311.40 |
$519 |
1.3× |
| Closure of gastrostomy surgical (43870) |
$1,014.60 |
$1,691 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,569.20 |
$4,282 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$261.60 |
$436 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$261.60 |
$436 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,204.20 |
$2,007 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$261.60 |
$436 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$261.60 |
$436 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$261.60 |
$436 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$875.40 |
$1,459 |
0.8× |
| Colonoscopy thru stoma (44388) |
$519.60 |
$866 |
0.6× |
| Colonoscopy w/band ligation (45398) |
$867 |
$1,445 |
0.8× |
| Colonoscopy w/resection (45390) |
$928.80 |
$1,548 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$664.80 |
$1,108 |
0.6× |
| Complex Drainage, Wound (10180) |
$374.40 |
$624 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$163.20 |
$272 |
1.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$213 |
$355 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$97.80 |
$163 |
0.1× |
| Create eardrum opening (69436) |
$384.60 |
$641 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$184.20 |
$307 |
1.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) likely a partial charge, not the full procedure |
$1,407 |
$2,345 |
0.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,112.40 |
$1,854 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$66.60 |
$111 |
0.2× |
| Debride nail 6 or more (11721) |
$265.80 |
$443 |
4.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$62.70 |
$104.50 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$145.80 |
$243 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$542.40 |
$904 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,589.40 |
$2,649 |
1.0× |
| Declot vascular device (36593) |
$452.40 |
$754 |
1.5× |
| Destroy internal hemorrhoids (46930) |
$384.60 |
$641 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$48.60 |
$81 |
0.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,073.40 |
$1,789 |
1.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$341.40 |
$569 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$189 |
$315 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$246.60 |
$411 |
0.3× |
| Dilation of anal sphincter (45905) |
$200.40 |
$334 |
0.2× |
| Drain shoulder lesion (23030) |
$437.40 |
$729 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$265.80 |
$443 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$864 |
$1,440 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,150.40 |
$3,584 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$278.40 |
$464 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,150.40 |
$3,584 |
1.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$753 |
$1,255 |
0.3× |
| Draw blood off venous device (36591) |
$183.60 |
$306 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$426.60 |
$711 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$390 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$332 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$33.60 |
$56 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$267 |
$445 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$3,292.20 |
$2,835.50 |
1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$570 |
$950 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,017 |
$1,695 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$607.20 |
$1,012 |
0.3× |
| Egd guide wire insertion (43248) |
$549 |
$915 |
0.6× |
| Egd place gastrostomy tube (43246) |
$757.20 |
$1,262 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$658.80 |
$1,098 |
0.4× |
| Egd remove lesion snare (43251) |
$669.60 |
$1,116 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$711 |
$1,185 |
0.4× |
| Egd Varices Ligation (43244) |
$679.20 |
$1,132 |
0.4× |
| Enterorrhaphy single perforation (44602) |
$1,472.40 |
$2,454 |
0.4× |
| Esoph scope w/submucous inj (43201) |
$567 |
$945 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$692.40 |
$1,154 |
0.8× |
| Esophagoscopy flex biopsy (43202) |
$481.80 |
$803 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$733.80 |
$1,223 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$337.80 |
$563 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$383.40 |
$639 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$87 |
$145 |
0.1× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$719.40 |
$1,199 |
0.2× |
| Exc rect tum transanal part (45171) |
$992.40 |
$1,654 |
0.4× |
| Exc skin abd (15830) |
$3,415.80 |
$5,693 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$113.70 |
$189.50 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$168 |
$280 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$154.20 |
$257 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$309 |
$515 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$532.80 |
$888 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$949.20 |
$1,582 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$217.20 |
$362 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$657.60 |
$1,096 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$552 |
$920 |
0.4× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$732.60 |
$1,221 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,440 |
$2,400 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$93.90 |
$156.50 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,470.60 |
$2,451 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,251.60 |
$2,086 |
0.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$949.80 |
$1,583 |
0.3× |
| Excise cutaneous neurofibroma (64788) |
$825 |
$1,375 |
0.5× |
| Excise Inferior Turbinate (30130) |
$561 |
$935 |
0.2× |
| Excise/repair mouth lesion (40812) |
$292.20 |
$487 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$154.20 |
$257 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$168.30 |
$280.50 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$206.40 |
$344 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$390 |
$650 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$408.60 |
$681 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$510.60 |
$851 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$250.80 |
$418 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$336.60 |
$561 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$243 |
$405 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$941.40 |
$1,569 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$276 |
$460 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,179 |
$1,965 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$480.60 |
$801 |
0.2× |
| Excision olecranon bursa (24105) |
$644.40 |
$1,074 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,051.80 |
$1,753 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,109.40 |
$1,849 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$622.80 |
$1,038 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$627.60 |
$1,046 |
0.4× |
| Explore limb vessels (35860) |
$1,144.20 |
$1,907 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$130.50 |
$217.50 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$69 |
$115 |
0.2× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$1,811.40 |
$3,019 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,350 |
$2,250 |
0.7× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,048.20 |
$1,747 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$415.80 |
$693 |
2.1× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,527.60 |
$2,546 |
0.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,243.20 |
$2,072 |
0.7× |
| Hemorrhoidectomy (46255) |
$841.20 |
$1,402 |
0.3× |
| I&d abscess simple (10060) |
$145.80 |
$243 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,074 |
$1,790 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$578.40 |
$964 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,001.40 |
$1,669 |
0.3× |
| I&d perianal abscess superficial (46050) |
$713.40 |
$1,189 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$278.40 |
$464 |
0.4× |
| Incise finger tendon sheath (26055) |
$661.20 |
$1,102 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$317.70 |
$529.50 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$792.60 |
$1,321 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,150.40 |
$3,584 |
3.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$363 |
$605 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$100.20 |
$167 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$394.80 |
$658 |
1.4× |
| Incision of eardrum (69421) |
$810 |
$1,350 |
0.3× |
| Incision of lingual frenum (41010) |
$1,140 |
$1,900 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$399 |
$665 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$179.40 |
$299 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$174.60 |
$291 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$56.70 |
$94.50 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$41.70 |
$69.50 |
0.1× |
| Injection for identification of sentinel node (38792) |
$616.80 |
$1,028 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$54.60 |
$91 |
0.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$36 |
$60 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$300 |
$500 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$1,615.80 |
$2,693 |
0.5× |
| Insert picc cath (36569) |
$1,759.20 |
$2,932 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$221.40 |
$369 |
1.8× |
| Insert tunneled cv cath (36561) |
$1,176 |
$1,960 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$221.40 |
$369 |
1.8× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$771 |
$1,285 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$780.60 |
$1,301 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$782.40 |
$1,304 |
3.5× |
| Irrigation maxillary sinus (31000) |
$181.20 |
$302 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$1,815 |
$3,025 |
0.6× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$1,123.20 |
$1,872 |
0.2× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,398.60 |
$2,331 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$1,147.20 |
$1,912 |
0.2× |
Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$1,186.80 |
$1,978 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) likely a partial charge, not the full procedure |
$1,051.80 |
$1,753 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,221.20 |
$3,702 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) unusually low: confirm this is the full procedure |
$3,744 |
$6,240 |
0.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,020.20 |
$3,367 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,144.40 |
$3,574 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,205.40 |
$2,009 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$107.70 |
$179.50 |
0.6× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$75.30 |
$125.50 |
0.4× |
| Laryngoscopy w/biopsy (31535) |
$595.20 |
$992 |
0.2× |
| Laryngoscopy w/bx op scope (31536) |
$766.80 |
$1,278 |
0.2× |
| Larynscop w/tumr exc + scope (31541) |
$880.20 |
$1,467 |
0.3× |
| Late closure of wound (13160) |
$1,327.20 |
$2,212 |
0.4× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,418 |
$4,030 |
0.4× |
| Mastectomy partial (19301) |
$1,122.60 |
$1,871 |
0.3× |
| Muscle-skin graft arm (15736) |
$3,346.80 |
$5,578 |
1.7× |
| Muscle-skin graft trunk (15734) |
$3,085.20 |
$5,142 |
0.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$93.90 |
$156.50 |
0.5× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) likely a partial charge, not the full procedure |
$1,226.40 |
$2,044 |
0.2× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) likely a partial charge, not the full procedure |
$1,114.20 |
$1,857 |
0.2× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$601.80 |
$1,003 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$239.40 |
$399 |
0.6× |
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) unusually low: confirm this is the full procedure |
$2,544 |
$4,240 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Onc thyr mut alys 10 gen&37 (0245U) |
$1,446.60 |
$2,411 |
1.1× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) likely a partial charge, not the full procedure |
$1,675.80 |
$2,793 |
0.2× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) likely a partial charge, not the full procedure |
$1,314.60 |
$2,191 |
0.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$785.40 |
$1,309 |
0.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$708.60 |
$1,181 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$1,843.20 |
$3,072 |
2.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$897 |
$1,495 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$330 |
$550 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$393 |
$655 |
0.9× |
| Placement of seton (46020) |
$338.40 |
$564 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$1,362 |
$2,270 |
0.8× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,344.60 |
$2,241 |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$277.80 |
$463 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$193.20 |
$322 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$119.40 |
$199 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$211.80 |
$353 |
0.6× |
| Puncture Aspiration (10160) |
$274.20 |
$457 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$114.60 |
$191 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,815 |
$3,025 |
1.2× |
| Removal fb intranasal (30300) |
$196.20 |
$327 |
1.6× |
| Removal foreign body foot deep (28192) |
$2,986.80 |
$4,978 |
1.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$802.20 |
$1,337 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$105.60 |
$176 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81 |
$135 |
1.5× |
| Removal Implant Deep (20680) |
$980.40 |
$1,634 |
0.4× |
| Removal of adenoids (42830) |
$403.20 |
$672 |
0.1× |
| Removal of nail bed (11750) |
$540.60 |
$901 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$104.40 |
$174 |
0.6× |
| Removal of tonsils (42826) |
$570.60 |
$951 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$45.60 |
$76 |
0.2× |
| Remove anal fist subq (46270) |
$568.80 |
$948 |
0.2× |
| Remove drug implant device (11982) |
$210.60 |
$351 |
0.5× |
| Remove in/ex hem groups 2+ (46260) |
$1,120.20 |
$1,867 |
0.4× |
| Remove wrist tendon lesion (25111) |
$699 |
$1,165 |
0.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$280.80 |
$468 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$73.20 |
$122 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$264 |
$440 |
2.1× |
Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$602.58 |
$1,004.30 |
0.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,393.20 |
$7,322 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$291.60 |
$486 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$454.80 |
$758 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,242 |
$2,070 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$295.20 |
$492 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$295.20 |
$492 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$295.20 |
$492 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$655.20 |
$1,092 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$295.20 |
$492 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$295.20 |
$492 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$847.80 |
$1,413 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$295.20 |
$492 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$295.20 |
$492 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,426.20 |
$2,377 |
0.2× |
| Repair of nail bed (11760) |
$295.20 |
$492 |
0.4× |
| Repair of nasal septum (30520) |
$1,656 |
$2,760 |
0.5× |
| Repair wrist joints (25447) |
$1,820.40 |
$3,034 |
0.6× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$1,688.40 |
$2,814 |
0.2× |
| Reposition gastrostomy tube (43761) |
$1,467 |
$2,445 |
6.3× |
Rerepair ing hernia blocked (49521) likely a partial charge, not the full procedure |
$1,305 |
$2,175 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,296.60 |
$2,161 |
0.4× |
| Resect Inferior Turbinate (30140) |
$673.80 |
$1,123 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$1,185 |
$1,975 |
0.6× |
| Revision of arm tendon (24310) |
$876 |
$1,460 |
0.3× |
| Revj clst comp rcnstj in-depth spx (44345) |
$1,377 |
$2,295 |
0.4× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$761.40 |
$1,269 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$200.40 |
$334 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$264 |
$440 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$329.40 |
$549 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$733.80 |
$1,223 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$302.40 |
$504 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,583.40 |
$2,639 |
1.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,386.60 |
$2,311 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593) likely a partial charge, not the full procedure |
$1,096.80 |
$1,828 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) likely a partial charge, not the full procedure |
$930 |
$1,550 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$694.20 |
$1,157 |
0.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) likely a partial charge, not the full procedure |
$1,209 |
$2,015 |
0.2× |
| Rpr blood vessel direct lower extremity (35226) |
$2,424 |
$4,040 |
3.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$434.40 |
$724 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$69 |
$115 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$453 |
$755 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$261.60 |
$436 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$401.40 |
$669 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$388.80 |
$648 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$295.20 |
$492 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$295.20 |
$492 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$295.20 |
$492 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$295.20 |
$492 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$295.20 |
$492 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$295.20 |
$492 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$295.20 |
$492 |
1.6× |
| Sinus endo w/balloon dil (31296) |
$3,703.20 |
$6,172 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,017.60 |
$1,696 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,129.20 |
$1,882 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$860.40 |
$1,434 |
1.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$541.20 |
$902 |
0.3× |
| Skin tissue rearrangement (14040) |
$1,081.80 |
$1,803 |
0.6× |
| Small bowel endoscopy (44376) |
$627 |
$1,045 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$295.20 |
$492 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$295.20 |
$492 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$295.20 |
$492 |
0.8× |
| Sphincterotomy (46080) |
$527.40 |
$879 |
0.2× |
| Strapping shoulder (29240) |
$185.40 |
$309 |
1.5× |
| Strapping unna boot (29580) |
$196.20 |
$327 |
1.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$4,266 |
$7,110 |
0.8× |
| Tendon excision palm/finger (26145) |
$1,077 |
$1,795 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,608 |
$2,680 |
2.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,294.80 |
$2,158 |
2.2× |
| Thrombolytic Therapy, Stroke (37195) |
$388.80 |
$648 |
1.3× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$983.40 |
$1,639 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$651 |
$1,085 |
0.2× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$4,007.40 |
$6,679 |
0.3× |
Total knee arthroplasty (27447) unusually low: confirm this is the full procedure |
$3,774.60 |
$6,291 |
0.3× |
| Trach Tube Change (31502) |
$82.80 |
$138 |
0.4× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$543.60 |
$906 |
0.2× |
| Tracheostomy planned (31600) |
$709.80 |
$1,183 |
0.2× |
| Transfer Any Pedicle Flap Any Location (15650) |
$932.40 |
$1,554 |
0.5× |
Treat fx rad extra-articul (25607) likely a partial charge, not the full procedure |
$1,179.60 |
$1,966 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$261.60 |
$436 |
1.1× |
Treatment of ankle fracture (27792) likely a partial charge, not the full procedure |
$1,146.60 |
$1,911 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$126 |
$210 |
2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$767.40 |
$1,279 |
1.1× |
| Tympanostomy (69433) |
$137.70 |
$229.50 |
0.3× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,236 |
$2,060 |
0.2× |
| Venipuncture (36415) |
$15.60 |
$26 |
1.7× |
| Ventilating tube removal requiring general anesthesia (69424) |
$210.60 |
$351 |
0.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$602.40 |
$1,004 |
0.9× |