| Abd paracentesis w/imaging (49083) |
$404.60 |
$476 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$341.70 |
$402 |
0.4× |
| Ablate inf turbinate submuc (30802) |
$656.62 |
$772.50 |
0.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$434.35 |
$511 |
0.3× |
| Acne surgery (10040) |
$157.68 |
$185.50 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,046.80 |
$2,408 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,368.50 |
$1,610 |
0.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,051.90 |
$2,414 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,067.62 |
$2,432.50 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,593.75 |
$1,875 |
0.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,570.80 |
$1,848 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,013.65 |
$2,369 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,403.78 |
$1,651.50 |
0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,673.22 |
$1,968.50 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,643.05 |
$1,933 |
0.5× |
| Amputation Finger/Thumb (26951) |
$2,286.08 |
$2,689.50 |
0.7× |
| Amputation foot transmetarsal (28805) |
$1,340.88 |
$1,577.50 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$1,137.30 |
$1,338 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$910.35 |
$1,071 |
0.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$986.85 |
$1,161 |
0.3× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,352.40 |
$3,944 |
0.4× |
| Anoscopy diagnostic (46600) |
$159.80 |
$188 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$294.10 |
$346 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low: confirm this is the full procedure |
$1,748.45 |
$2,057 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,310.70 |
$1,542 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$117.72 |
$138.50 |
0.7× |
| Application cast elbow finger short arm (29075) |
$264.35 |
$311 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$167.45 |
$197 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$154.62 |
$181.90 |
2.5× |
| Application finger splint static (29130) |
$104.55 |
$123 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$218.45 |
$257 |
1.3× |
| Application of long leg cast (29345) |
$238.42 |
$280.50 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$188.70 |
$222 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$216.75 |
$255 |
1.6× |
| Apply long leg splint (29505) |
$283.05 |
$333 |
1.7× |
| Apply short leg cast (29405) |
$197.20 |
$232 |
0.7× |
| Apply short leg splint (29515) |
$174.25 |
$205 |
1.0× |
| Arterial puncture (36600) |
$196.35 |
$231 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$125.80 |
$148 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$241.40 |
$284 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$200.60 |
$236 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$102 |
$120 |
0.3× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,396.58 |
$2,819.50 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,643.05 |
$1,933 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,807.58 |
$4,479.50 |
0.2× |
Arthroplasty patella w/prosthesis (27438)
likely a partial charge, not the full procedure |
$2,046.80 |
$2,408 |
0.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,357.02 |
$1,596.50 |
0.4× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,790.55 |
$3,283 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,978.80 |
$2,328 |
0.6× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,539.78 |
$1,811.50 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,413.98 |
$1,663.50 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$1,387.20 |
$1,632 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,392.30 |
$1,638 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,936.32 |
$3,454.50 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,224.45 |
$2,617 |
0.7× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,662.65 |
$4,309 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,489.20 |
$1,752 |
0.4× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,581.90 |
$4,214 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,397.88 |
$3,997.50 |
0.5× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$2,139.88 |
$2,517.50 |
0.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,749.80 |
$5,588 |
0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,970.75 |
$3,495 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$172.55 |
$203 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$493.42 |
$580.50 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$191.25 |
$225 |
0.9× |
| Biopsy bone open superficial (20240) |
$382.08 |
$449.50 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$525.30 |
$618 |
0.6× |
| Biopsy External Auditory Canal (69105) |
$249.90 |
$294 |
0.2× |
| Biopsy external ear (69100) |
$150.45 |
$177 |
0.6× |
| Biopsy intranasal (30100) |
$241.40 |
$284 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$986.85 |
$1,161 |
0.6× |
| Biopsy of lip (40490) |
$190.82 |
$224.50 |
0.8× |
| Biopsy of mouth lesion (40808) |
$325.12 |
$382.50 |
0.6× |
| Biopsy of palate, uvula (42100) |
$306.42 |
$360.50 |
0.2× |
| Biopsy of penis (54105) |
$579.28 |
$681.50 |
0.2× |
| Biopsy of tongue (41100) |
$313.65 |
$369 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$637.08 |
$749.50 |
0.2× |
| Biopsy Oropharynx (42800) |
$132.18 |
$155.50 |
0.1× |
| Biopsy Salivary Gland,Needle (42400) |
$199.32 |
$234.50 |
0.3× |
| Biopsy Tongue Posterior One-Third (41105) |
$310.68 |
$365.50 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$202.30 |
$238 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$270.30 |
$318 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$1,991.12 |
$2,342.50 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$1,062.08 |
$1,249.50 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$147.48 |
$173.50 |
0.2× |
| Bladder Irrigation Simple (51700) |
$117.30 |
$138 |
0.5× |
| Blepharotomy drain absc eyelid (67700) |
$158.95 |
$187 |
0.5× |
| Blood patch (62273) |
$498.52 |
$586.50 |
0.7× |
| Blood transfusion service (36430) |
$818.55 |
$963 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,659.62 |
$1,952.50 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$722.50 |
$850 |
0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$348.92 |
$410.50 |
0.2× |
| Cartilage graft; nasal septum Facility (20912) |
$1,186.18 |
$1,395.50 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$301.75 |
$355 |
1.3× |
| Change of cystostomy tube simple (51705) |
$176.80 |
$208 |
0.7× |
| Chemical cautery tissue (17250) |
$178.50 |
$210 |
0.9× |
| Chemodenerv musc migraine (64615) |
$325.98 |
$383.50 |
1.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$255.85 |
$301 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$901.85 |
$1,061 |
0.2× |
| Circum 28 days or older (54161) |
$489.18 |
$575.50 |
0.2× |
| Circumcision (54150) |
$349.78 |
$411.50 |
0.2× |
| Claviculectomy partial (23120) |
$1,332.38 |
$1,567.50 |
0.4× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$310.68 |
$365.50 |
0.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,895.08 |
$2,229.50 |
1.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,596.72 |
$1,878.50 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,477.72 |
$1,738.50 |
5.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,201.90 |
$1,414 |
4.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,099.90 |
$1,294 |
0.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$496.40 |
$584 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$905.25 |
$1,065 |
3.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,809.22 |
$2,128.50 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,037.42 |
$1,220.50 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,252.05 |
$1,473 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$816.85 |
$961 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$661.72 |
$778.50 |
2.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,572.92 |
$1,850.50 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,609.90 |
$1,894 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$685.10 |
$806 |
2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,108.82 |
$1,304.50 |
4.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$786.68 |
$925.50 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,773.10 |
$2,086 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$522.32 |
$614.50 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$472.60 |
$556 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$821.10 |
$966 |
3.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$991.95 |
$1,167 |
3.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$867.42 |
$1,020.50 |
3.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$383.78 |
$451.50 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$816.85 |
$961 |
3.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,269.48 |
$1,493.50 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$212.50 |
$250 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,459.88 |
$1,717.50 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$184.45 |
$217 |
1.3× |
| Colonoscopy flex w/inj submuc (45381) |
$634.52 |
$746.50 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$2,178.55 |
$2,563 |
1.8× |
| Colonoscopy stoma w/biopsy (44389) |
$790.50 |
$930 |
0.6× |
| Colonoscopy thru stoma (44388) |
$670.65 |
$789 |
0.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$932.88 |
$1,097.50 |
0.8× |
| Colonoscopy w/ablation (45388) |
$960.08 |
$1,129.50 |
0.8× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,052.72 |
$1,238.50 |
0.9× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,003 |
$1,180 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$457.30 |
$538 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$239.70 |
$282 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$342.55 |
$403 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$629.42 |
$740.50 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,139.42 |
$1,340.50 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$260.10 |
$306 |
0.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$294.95 |
$347 |
0.9× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$1,614.15 |
$1,899 |
0.3× |
| Conization of cervix (57520) |
$681.28 |
$801.50 |
0.2× |
| Conization of cervix (57522) |
$1,269.48 |
$1,493.50 |
0.4× |
| Contour of face bone lesion (21029) |
$1,471.78 |
$1,731.50 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$470.90 |
$554 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$200.60 |
$236 |
1.5× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,208.70 |
$1,422 |
0.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132)
unusually low: confirm this is the full procedure |
$4,085.10 |
$4,806 |
0.3× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
likely a partial charge, not the full procedure |
$1,637.10 |
$1,926 |
0.2× |
| Correction hammertoe (28285) |
$976.65 |
$1,149 |
0.3× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,268.62 |
$1,492.50 |
0.2× |
| Correction of bunion (28292) |
$1,432.68 |
$1,685.50 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,777.35 |
$2,091 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,753.55 |
$2,063 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$378.25 |
$445 |
2.8× |
| Curettage postpartum (59160) |
$416.92 |
$490.50 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$389.30 |
$458 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$463.68 |
$545.50 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$681.28 |
$801.50 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$573.75 |
$675 |
0.2× |
| Cysto w/insert ureteral stent (52332) |
$475.58 |
$559.50 |
0.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$914.60 |
$1,076 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$777.32 |
$914.50 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$472.60 |
$556 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$875.08 |
$1,029.50 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,105.42 |
$1,300.50 |
0.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$1,150.90 |
$1,354 |
0.3× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$1,056.12 |
$1,242.50 |
0.2× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$1,345.98 |
$1,583.50 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$1,264.38 |
$1,487.50 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,508.75 |
$1,775 |
0.2× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$703.80 |
$828 |
0.3× |
| Cystostomy Cystotomy W/Drainage (51040) |
$665.55 |
$783 |
0.3× |
| Cystouretero & or pyeloscope (52351) |
$941.38 |
$1,107.50 |
0.3× |
| Cystourethroscopy (52000) |
$379.95 |
$447 |
0.5× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$1,079.50 |
$1,270 |
0.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$686.38 |
$807.50 |
0.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$891.65 |
$1,049 |
0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$765.85 |
$901 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$437.75 |
$515 |
0.2× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$1,341.72 |
$1,578.50 |
0.4× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge, not the full procedure |
$1,226.12 |
$1,442.50 |
0.2× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$845.32 |
$994.50 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$208.25 |
$245 |
0.5× |
| Dcmprn fasct leg post compartment only (27601) |
$934.15 |
$1,099 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,021.70 |
$1,202 |
1.4× |
| Debride tissue/muscle (11043) |
$584.38 |
$687.50 |
0.8× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$361.25 |
$425 |
0.6× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$88.82 |
$104.50 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$361.25 |
$425 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$487.05 |
$573 |
0.3× |
| Decompression of leg (27892) |
$1,502.80 |
$1,768 |
0.4× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$822.38 |
$967.50 |
0.4× |
| Delivery placenta separate procedure (59414) |
$228.22 |
$268.50 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,169.18 |
$1,375.50 |
0.6× |
| Destroy internal hemorrhoids (46930) |
$264.35 |
$311 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$1,218.90 |
$1,434 |
0.6× |
| Destruction anal lesion(s) (46924) |
$1,233.35 |
$1,451 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$151.72 |
$178.50 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$150.88 |
$177.50 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$395.25 |
$465 |
0.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$143.65 |
$169 |
0.5× |
| Destruction Lesions Vulva Simple (56501) |
$296.22 |
$348.50 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$228.22 |
$268.50 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$338.72 |
$398.50 |
1.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$190.82 |
$224.50 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$368.48 |
$433.50 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$190.82 |
$224.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$223.12 |
$262.50 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$270.30 |
$318 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$848.30 |
$998 |
0.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$588.20 |
$692 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$101.15 |
$119 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$280.08 |
$329.50 |
0.3× |
| Dilate Urethra Stricture (53620) |
$273.28 |
$321.50 |
0.4× |
| Dilate urethra stricture (53600) |
$203.15 |
$239 |
0.8× |
| Dilation and curettage (58120) |
$958.80 |
$1,128 |
0.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$120.70 |
$142 |
0.9× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$476 |
$560 |
0.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$477.70 |
$562 |
0.3× |
| Drainage external auditory canal abscess (69020) |
$373.58 |
$439.50 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$249.90 |
$294 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$395.25 |
$465 |
1.9× |
| Drainage of deep periurethral abscess Facility (53040) |
$994.92 |
$1,170.50 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$235.45 |
$277 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$455.18 |
$535.50 |
0.3× |
| Draw blood off venous device (36591) |
$198.90 |
$234 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$226.10 |
$266 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$170.85 |
$201 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$665.98 |
$783.50 |
0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$258.82 |
$304.50 |
0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$167.45 |
$197 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$491.30 |
$578 |
0.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$370.60 |
$436 |
0.2× |
| Dx laryngoscopy w/oper scope (31526) |
$1,270.75 |
$1,495 |
0.7× |
Ear Cartilage Graft (21235)
likely a partial charge, not the full procedure |
$1,562.72 |
$1,838.50 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$562.70 |
$662 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$903.98 |
$1,063.50 |
0.5× |
| Egd control bleeding any (43255) |
$1,761.62 |
$2,072.50 |
0.9× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,660.90 |
$1,954 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,388.05 |
$1,633 |
1.5× |
| Egd place gastrostomy tube (43246) |
$593.30 |
$698 |
0.3× |
| Egd remove lesion snare (43251) |
$1,660.90 |
$1,954 |
0.8× |
| Egd tube/cath insertion (43241) |
$488.32 |
$574.50 |
0.2× |
| Endocervical Curettage (57505) |
$252.88 |
$297.50 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,024.70 |
$2,382 |
0.4× |
| Endometrial Biopsy (58100) |
$340.42 |
$400.50 |
1.6× |
| Epididymectomy unilateral (54860) |
$1,088 |
$1,280 |
0.3× |
| Episiotomy or vaginal repair (59300) |
$394.40 |
$464 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$510 |
$600 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$130.90 |
$154 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$965.18 |
$1,135.50 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$830.88 |
$977.50 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$235.88 |
$277.50 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$242.68 |
$285.50 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$467.50 |
$550 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$532.52 |
$626.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$357 |
$420 |
0.5× |
| Exc back tum deep < 5 cm (21932) |
$1,470.92 |
$1,730.50 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$283.90 |
$334 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$622.20 |
$732 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$954.55 |
$1,123 |
0.6× |
| Exc Frenum Labial/Buccal (40819) |
$379.95 |
$447 |
0.2× |
| Exc ganglion wrist recurrent (25112) |
$1,262.25 |
$1,485 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$738.65 |
$869 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,021.70 |
$1,202 |
0.6× |
| Exc neck tum deep < 5 cm (21556) |
$1,131.35 |
$1,331 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$250.32 |
$294.50 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$231.62 |
$272.50 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$384.20 |
$452 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$468.78 |
$551.50 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$541.88 |
$637.50 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$577.15 |
$679 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$476 |
$560 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,208.70 |
$1,422 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$792.62 |
$932.50 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$716.12 |
$842.50 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$872.10 |
$1,026 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,107.58 |
$2,479.50 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$498.95 |
$587 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,783.30 |
$2,098 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$971.55 |
$1,143 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,379.98 |
$1,623.50 |
0.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,190 |
$1,400 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,754.82 |
$2,064.50 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,432.68 |
$1,685.50 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$955.82 |
$1,124.50 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,018.72 |
$1,198.50 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,584.40 |
$1,864 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,030.70 |
$4,742 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$812.18 |
$955.50 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,320.05 |
$1,553 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,014.48 |
$1,193.50 |
0.3× |
| Exc/fulguration urethral caruncle (53265) |
$487.05 |
$573 |
0.2× |
| Excise Inferior Turbinate (30130) |
$655.35 |
$771 |
0.2× |
| Excise pharynx lesion (42808) |
$510 |
$600 |
0.1× |
| Excise/repair mouth lesion (40812) |
$459.42 |
$540.50 |
0.3× |
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815)
likely a partial charge, not the full procedure |
$1,340.88 |
$1,577.50 |
0.2× |
| Excision external ear partial simple repair (69110) |
$793.90 |
$934 |
0.3× |
| Excision lesion mouth roof (42104) |
$430.52 |
$506.50 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,293.28 |
$1,521.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$465.38 |
$547.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$507.88 |
$597.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$549.95 |
$647 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$624.32 |
$734.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$471.75 |
$555 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$464.52 |
$546.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$585.22 |
$688.50 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$621.35 |
$731 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$806.22 |
$948.50 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$668.95 |
$787 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$397.80 |
$468 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$310.68 |
$365.50 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$364.22 |
$428.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$760.75 |
$895 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$886.55 |
$1,043 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,072.28 |
$1,261.50 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$346.80 |
$408 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$410.98 |
$483.50 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,418.22 |
$1,668.50 |
0.9× |
| Excision of hydrocele unilateral (55040) |
$2,231.25 |
$2,625 |
0.6× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$427.12 |
$502.50 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$318.75 |
$375 |
0.2× |
| Excision of local lesion of epididymis (54830) |
$927.78 |
$1,091.50 |
0.3× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure |
$2,312 |
$2,720 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$556.32 |
$654.50 |
0.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$860.62 |
$1,012.50 |
0.4× |
Excision of submandibular (submaxillary) gland Facility (42440)
likely a partial charge, not the full procedure |
$1,116.90 |
$1,314 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$484.92 |
$570.50 |
0.4× |
| Excision of tongue lesion (41112) |
$597.55 |
$703 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$489.18 |
$575.50 |
0.1× |
| Excision olecranon bursa (24105) |
$1,391.45 |
$1,637 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,280.95 |
$1,507 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,789.68 |
$2,105.50 |
0.6× |
| Excision prepatellar bursa (27340) |
$1,044.65 |
$1,229 |
0.3× |
| Excision soft tissue lesion, external auditory canal (69145) |
$645.15 |
$759 |
0.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,163.22 |
$1,368.50 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,062.08 |
$1,249.50 |
0.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$701.68 |
$825.50 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,221.88 |
$1,437.50 |
0.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$847.45 |
$997 |
0.5× |
| Excision, nasal polyp(s), simple Facility (30110) |
$242.68 |
$285.50 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$918.42 |
$1,080.50 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$646 |
$760 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$595.42 |
$700.50 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,338.75 |
$1,575 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$992.80 |
$1,168 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,164.08 |
$1,369.50 |
0.4× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,335.35 |
$1,571 |
0.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$409.70 |
$482 |
0.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$651.52 |
$766.50 |
0.3× |
| Exploration of knee joint (27310) |
$1,632 |
$1,920 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$2,258.45 |
$2,657 |
1.3× |
| Explore/Treat Knee Joint (27331) |
$1,486.22 |
$1,748.50 |
0.4× |
| External cephalic version (59412) |
$235.45 |
$277 |
0.1× |
| Fasciectomy Palm Only (26121) |
$2,015.78 |
$2,371.50 |
0.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$919.70 |
$1,082 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$801.98 |
$943.50 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,369.80 |
$2,788 |
0.7× |
| Fetal non-stress test (59025) |
$403.75 |
$475 |
1.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$286.45 |
$337 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$339.58 |
$399.50 |
0.8× |
| Fit/Insert Intravag Support Device (57160) |
$111.35 |
$131 |
0.5× |
| Foreskin manipulation (54450) |
$132.18 |
$155.50 |
0.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$421.18 |
$495.50 |
0.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,555.50 |
$1,830 |
0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,299.22 |
$1,528.50 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$99.45 |
$117 |
0.4× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$452.20 |
$532 |
0.1× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,202.80 |
$3,768 |
0.8× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$1,124.98 |
$1,323.50 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,462.42 |
$1,720.50 |
0.4× |
| Hemorrhoidectomy (46255) |
$1,937.58 |
$2,279.50 |
0.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,151.75 |
$1,355 |
0.4× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$1,078.65 |
$1,269 |
0.4× |
| Hymenotomy Simple Incision (56442) |
$105.40 |
$124 |
0.0× |
| Hysteroscopy biopsy (58558) |
$1,200.62 |
$1,412.50 |
0.4× |
Hysteroscopy removal leiomyomata (58561)
likely a partial charge, not the full procedure |
$1,226.12 |
$1,442.50 |
0.2× |
| Hysteroscopy w endometrial ablation (58563) |
$2,599.30 |
$3,058 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$619.22 |
$728.50 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$608.18 |
$715.50 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$382.08 |
$449.50 |
1.6× |
| I&d abscess simple (10060) |
$296.65 |
$349 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,343.85 |
$1,581 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$569.92 |
$670.50 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$388.45 |
$457 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$685.10 |
$806 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$438.60 |
$516 |
1.4× |
| Incise external hemorrhoid (46083) |
$334.90 |
$394 |
1.3× |
| Incise finger tendon sheath (26055) |
$536.78 |
$631.50 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$600.10 |
$706 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$955.82 |
$1,124.50 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$431.38 |
$507.50 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$307.70 |
$362 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$318.75 |
$375 |
1.5× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$1,198.08 |
$1,409.50 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$456.45 |
$537 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$1,246.95 |
$1,467 |
0.8× |
| Incision of eardrum (69421) |
$323 |
$380 |
0.1× |
| Incision of eardrum (69420) |
$249.90 |
$294 |
1.0× |
| Incision of labial frenum (frenotomy) (40806) |
$114.75 |
$135 |
0.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$215.90 |
$254 |
0.1× |
| Incision of rectal abscess (46040) |
$1,168.75 |
$1,375 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$191.68 |
$225.50 |
0.3× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760)
likely a partial charge, not the full procedure |
$1,619.25 |
$1,905 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$812.18 |
$955.50 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$207.40 |
$244 |
0.7× |
| Inj therapeutic carpal tunnel (20526) |
$158.95 |
$187 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$710.60 |
$836 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$869.12 |
$1,022.50 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$650.25 |
$765 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$441.58 |
$519.50 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$359.98 |
$423.50 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$200.18 |
$235.50 |
0.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,088 |
$1,280 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$487.05 |
$573 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$534.65 |
$629 |
0.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$339.58 |
$399.50 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$523.60 |
$616 |
1.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$223.12 |
$262.50 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$476 |
$560 |
0.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$429.25 |
$505 |
0.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$264.35 |
$311 |
0.4× |
| Injection for identification of sentinel node (38792) |
$308.55 |
$363 |
0.7× |
| Injection into skin lesions (11900) |
$72.25 |
$85 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$121.98 |
$143.50 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$146.62 |
$172.50 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$247.78 |
$291.50 |
1.9× |
| Insert Drug Implant Device (11981) |
$207.40 |
$244 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$1,485.80 |
$1,748 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$179.35 |
$211 |
1.3× |
| Insert tunneled cv cath (36561) |
$1,610.32 |
$1,894.50 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$198.90 |
$234 |
1.4× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$268.18 |
$315.50 |
0.2× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge, not the full procedure |
$2,027.25 |
$2,385 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,624.78 |
$1,911.50 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,155.15 |
$1,359 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$480.25 |
$565 |
2.0× |
| IV injection test vascular flow flap/graft (15860) |
$247.78 |
$291.50 |
0.5× |
| Knee Arthroscopy/Surgery (29874) |
$1,876.38 |
$2,207.50 |
0.6× |
| Labyrinthotomy Transcanal (69801) |
$758.62 |
$892.50 |
0.5× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,305.60 |
$1,536 |
0.2× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$839.38 |
$987.50 |
0.1× |
| Lap paraesoph her rpr w/mesh (43282) |
$6,211.80 |
$7,308 |
0.6× |
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure |
$3,256.35 |
$3,831 |
0.3× |
Laparoscopic surgical splenectomy (38120)
likely a partial charge, not the full procedure |
$2,786.72 |
$3,278.50 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151)
likely a partial charge, not the full procedure |
$1,840.68 |
$2,165.50 |
0.3× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,392.32 |
$2,814.50 |
0.4× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$905.25 |
$1,065 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure |
$3,346.88 |
$3,937.50 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$881.45 |
$1,037 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,092.28 |
$2,461.50 |
0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$3,155.62 |
$3,712.50 |
0.5× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$3,106.75 |
$3,655 |
0.5× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$3,995.42 |
$4,700.50 |
1.0× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,621.80 |
$1,908 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$2,009.40 |
$2,364 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
likely a partial charge, not the full procedure |
$2,239.32 |
$2,634.50 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$3,730.22 |
$4,388.50 |
0.3× |
Laparoscopy, surgical; ablation of renal cysts Facility (50541)
likely a partial charge, not the full procedure |
$1,868.30 |
$2,198 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,930.40 |
$4,624 |
0.6× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$4,322.68 |
$5,085.50 |
0.4× |
Laparoscopy, surgical; orchiectomy Facility (54690)
unusually low: confirm this is the full procedure |
$2,213.40 |
$2,604 |
0.4× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
unusually low: confirm this is the full procedure |
$2,028.95 |
$2,387 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,280.52 |
$1,506.50 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,629.88 |
$1,917.50 |
0.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,606.98 |
$4,243.50 |
0.6× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,677.05 |
$1,973 |
0.3× |
| Laryngoscopy flexible diagnostic (31575) |
$141.52 |
$166.50 |
0.7× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$309.82 |
$364.50 |
0.2× |
| Laryngoscopy w/biopsy (31535) |
$1,532.98 |
$1,803.50 |
0.4× |
| Laryngoscopy w/bx op scope (31536) |
$617.10 |
$726 |
0.2× |
| Larynscop w/tumr exc + scope (31541) |
$849.58 |
$999.50 |
0.2× |
| Late closure of wound (13160) |
$2,013.65 |
$2,369 |
0.6× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,700 |
$2,000 |
0.2× |
| Ligation major artery abdomen (37617) |
$3,510.08 |
$4,129.50 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$582.25 |
$685 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$873.38 |
$1,027.50 |
0.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$912.48 |
$1,073.50 |
0.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,502.80 |
$1,768 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,096.92 |
$1,290.50 |
0.3× |
| Lithotripsy (50590) |
$1,622.22 |
$1,908.50 |
0.4× |
| Lysis Intranasal Synechia (30560) |
$481.10 |
$566 |
0.9× |
| Lysis of labial adhesions (56441) |
$452.20 |
$532 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$483.22 |
$568.50 |
0.2× |
| Manipulation knee joint under general anesthesia (27570) |
$917.58 |
$1,079.50 |
0.6× |
| Manipulation spine requiring anesthesia (22505) |
$288.15 |
$339 |
0.2× |
| Manipulation, elbow, under anesthesia (24300) |
$1,170.02 |
$1,376.50 |
0.7× |
| Marsupialization Bartholins Gland Cyst (56440) |
$637.08 |
$749.50 |
0.2× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,513.02 |
$2,956.50 |
0.4× |
| Mastectomy partial (19301) |
$1,777.35 |
$2,091 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,776.52 |
$3,266.50 |
0.4× |
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
unusually low: confirm this is the full procedure |
$3,070.62 |
$3,612.50 |
0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$3,116.10 |
$3,666 |
0.9× |
| Muscle-skin graft trunk (15734) |
$3,499.88 |
$4,117.50 |
1.0× |
| Myelography Lumbar Injection (62304) |
$1,892.95 |
$2,227 |
2.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,881.90 |
$2,214 |
2.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,179.40 |
$2,564 |
2.7× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,375.72 |
$1,618.50 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$320.88 |
$377.50 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$93.92 |
$110.50 |
0.3× |
| Nasal endoscopy dx (31231) |
$127.08 |
$149.50 |
0.6× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$1,570.80 |
$1,848 |
0.2× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$691.48 |
$813.50 |
0.2× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$409.70 |
$482 |
1.0× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge, not the full procedure |
$1,709.35 |
$2,011 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
likely a partial charge, not the full procedure |
$861.90 |
$1,014 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$568.65 |
$669 |
0.3× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$1,195.10 |
$1,406 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$475.58 |
$559.50 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$827.90 |
$974 |
0.5× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
unusually low: confirm this is the full procedure |
$3,633.32 |
$4,274.50 |
0.5× |
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure |
$1,605.65 |
$1,889 |
0.2× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,551.25 |
$1,825 |
0.2× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$1,207.42 |
$1,420.50 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$452.20 |
$532 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28.05 |
$33 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$41.65 |
$49 |
1.4× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$860.62 |
$1,012.50 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,006.88 |
$3,537.50 |
1.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$809.20 |
$952 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$836.40 |
$984 |
2.0× |
| Njx aa&/strd sciatic nerve (64445) |
$433.50 |
$510 |
0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$510.85 |
$601 |
0.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$189.98 |
$223.50 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,084.60 |
$1,276 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$646 |
$760 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$602.22 |
$708.50 |
0.8× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$937.12 |
$1,102.50 |
0.1× |
| Occipital Nerve Block (64405) |
$218.02 |
$256.50 |
0.7× |
| Occlude fallopian tube(s) (58615) |
$596.70 |
$702 |
0.2× |
Omntc epiploectomy rescj omentum spx (49255)
unusually low: confirm this is the full procedure |
$2,173.45 |
$2,557 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,004.28 |
$1,181.50 |
0.2× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure |
$1,533.82 |
$1,804.50 |
0.0× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
likely a partial charge, not the full procedure |
$2,346 |
$2,760 |
0.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,105.92 |
$4,830.50 |
0.5× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$2,887.88 |
$3,397.50 |
0.4× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,968.18 |
$2,315.50 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
likely a partial charge, not the full procedure |
$963.90 |
$1,134 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,579.30 |
$1,858 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
likely a partial charge, not the full procedure |
$2,383.40 |
$2,804 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge, not the full procedure |
$1,846.62 |
$2,172.50 |
0.1× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,575.05 |
$1,853 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$3,378.32 |
$3,974.50 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,239.72 |
$1,458.50 |
0.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,538.92 |
$1,810.50 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,479 |
$1,740 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,816.45 |
$2,137 |
0.5× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$1,999.20 |
$2,352 |
0.3× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$3,501.58 |
$4,119.50 |
0.5× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,969.45 |
$2,317 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$2,534.70 |
$2,982 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$2,589.52 |
$3,046.50 |
0.3× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$2,326.02 |
$2,736.50 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,960.10 |
$2,306 |
0.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,381.25 |
$1,625 |
0.4× |
| Ostectomy calcaneus (28118) |
$4,303.12 |
$5,062.50 |
1.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,045.50 |
$1,230 |
0.3× |
| Osteotomy Phalanx Finger Each (26567) |
$3,832.22 |
$4,508.50 |
1.1× |
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure |
$1,742.08 |
$2,049.50 |
0.3× |
| Partial hymenectomy or revision (56700) |
$438.60 |
$516 |
0.1× |
| Partial removal of hand bone (26230) |
$659.60 |
$776 |
0.2× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,637.95 |
$1,927 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure |
$1,666.85 |
$1,961 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$243.52 |
$286.50 |
0.1× |
| Peritoneal Lavage (49084) |
$231.20 |
$272 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$447.95 |
$527 |
0.6× |
| Perq device breast 1st imag (19281) |
$382.50 |
$450 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$317.05 |
$373 |
1.2× |
| Picc line placement (36569) |
$403.75 |
$475 |
0.2× |
| Place duod/jej tube perc (49441) |
$755.65 |
$889 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$408.85 |
$481 |
0.9× |
| Placement of seton (46020) |
$393.12 |
$462.50 |
0.1× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$317.90 |
$374 |
0.2× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$257.12 |
$302.50 |
0.8× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$1,619.25 |
$1,905 |
0.3× |
| Prostate Saturation Sampling (55706) |
$1,188.30 |
$1,398 |
0.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,133.50 |
$2,510 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$121.98 |
$143.50 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$184.02 |
$216.50 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$268.60 |
$316 |
0.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$420.75 |
$495 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$2,074.42 |
$2,440.50 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,148.78 |
$1,351.50 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$932.02 |
$1,096.50 |
0.3× |
Reconstruct Shoulder Joint (23470)
likely a partial charge, not the full procedure |
$2,835.18 |
$3,335.50 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
likely a partial charge, not the full procedure |
$2,040.42 |
$2,400.50 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$718.25 |
$845 |
0.4× |
| Removal foreign body foot deep (28192) |
$1,804.12 |
$2,122.50 |
1.1× |
| Removal foreign body intranasal (30300) |
$189.55 |
$223 |
1.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$348.92 |
$410.50 |
0.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$205.28 |
$241.50 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$34 |
$40 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$145.35 |
$171 |
2.4× |
| Removal implant deep (20680) |
$1,520.22 |
$1,788.50 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$667.68 |
$785.50 |
0.4× |
| Removal of adenoids (42831) |
$572.90 |
$674 |
0.2× |
| Removal of adenoids (42830) |
$620.50 |
$730 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$154.70 |
$182 |
0.3× |
| Removal of heel spur (28119) |
$1,195.10 |
$1,406 |
0.4× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$2,238.48 |
$2,633.50 |
0.6× |
| Removal of iud (58301) |
$264.35 |
$311 |
0.8× |
| Removal of nail bed (11750) |
$272.42 |
$320.50 |
0.6× |
| Removal of salivary stone (42330) |
$426.28 |
$501.50 |
0.1× |
| Removal of sesamoid bone (28315) |
$895.90 |
$1,054 |
0.3× |
| Removal Of Tendon Lesion (27630) |
$807.08 |
$949.50 |
0.2× |
| Removal of testis (54520) |
$783.28 |
$921.50 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$561.42 |
$660.50 |
0.1× |
| Removal of tonsils (42826) |
$552.08 |
$649.50 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$177.65 |
$209 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$131.75 |
$155 |
0.5× |
| Remove anal fist subq (46270) |
$804.10 |
$946 |
0.3× |
| Remove cerclage suture (59871) |
$288.15 |
$339 |
0.1× |
| Remove drug implant device (11982) |
$289.85 |
$341 |
0.6× |
| Remove elbow lesion (24120) |
$1,473.90 |
$1,734 |
0.4× |
| Remove Lower Leg Bone Lesion (27635) |
$1,632.85 |
$1,921 |
0.5× |
| Remove Peritoneal Foreign Body (49402) |
$2,301.80 |
$2,708 |
0.6× |
| Remove Pilonidal Cyst Exten (11771) |
$1,416.95 |
$1,667 |
0.5× |
Remove Prostate Regrowth (52630)
likely a partial charge, not the full procedure |
$1,071.42 |
$1,260.50 |
0.2× |
| Remove Tendon Sheath Lesion (26160) |
$1,709.35 |
$2,011 |
1.0× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$1,221.02 |
$1,436.50 |
0.2× |
| Remove vagina gland lesion (56740) |
$827.90 |
$974 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$422.02 |
$496.50 |
0.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$286.45 |
$337 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$277.95 |
$327 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$121.55 |
$143 |
0.9× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$3,607.40 |
$4,244 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$708.90 |
$834 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$812.18 |
$955.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$582.68 |
$685.50 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,802.85 |
$2,121 |
4.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,360 |
$1,600 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$520.62 |
$612.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$854.68 |
$1,005.50 |
1.1× |
Repair Fibula Nonunion (27726)
unusually low: confirm this is the full procedure |
$2,263.55 |
$2,663 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,255.45 |
$1,477 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,669.85 |
$3,141 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$559.30 |
$658 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$395.25 |
$465 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$623.90 |
$734 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$881.88 |
$1,037.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$408 |
$480 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$478.55 |
$563 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$362.10 |
$426 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$504.90 |
$594 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$562.28 |
$661.50 |
1.3× |
| Repair nasal septal perforations (30630) |
$1,418.22 |
$1,668.50 |
0.4× |
Repair Nasal Stenosis (30465)
unusually low: confirm this is the full procedure |
$2,424.62 |
$2,852.50 |
0.4× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,078.68 |
$2,445.50 |
0.3× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$2,779.92 |
$3,270.50 |
0.4× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$2,711.92 |
$3,190.50 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$774.35 |
$911 |
0.1× |
| Repair of leg tendon each (27658) |
$1,046.78 |
$1,231.50 |
0.3× |
| Repair of nail bed (11760) |
$409.70 |
$482 |
0.5× |
| Repair of nasal septum (30520) |
$2,056.15 |
$2,419 |
0.6× |
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Facility (30468)
likely a partial charge, not the full procedure |
$432.22 |
$508.50 |
0.1× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure |
$2,067.62 |
$2,432.50 |
0.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$4,204.95 |
$4,947 |
0.6× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,552.98 |
$3,003.50 |
0.3× |
| Repair of traumatic corporeal tear(s) (54437) |
$1,621.38 |
$1,907.50 |
0.4× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,600.55 |
$1,883 |
0.4× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,508.75 |
$1,775 |
0.2× |
| Repair rotator cuff acute (23410) |
$3,992.88 |
$4,697.50 |
0.5× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,104.15 |
$1,299 |
0.1× |
| Repair tongue laceration (41252) |
$846.18 |
$995.50 |
3.5× |
| Repair tympanic membrane (69610) |
$631.55 |
$743 |
0.4× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,520.22 |
$1,788.50 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$1,584.40 |
$1,864 |
0.2× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$855.52 |
$1,006.50 |
0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$553.35 |
$651 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$1,254.18 |
$1,475.50 |
0.6× |
| Revise vag graft via vagina (57295) |
$1,139.42 |
$1,340.50 |
0.3× |
| Revision of eyelid (67961) |
$1,218.90 |
$1,434 |
0.5× |
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583)
likely a partial charge, not the full procedure |
$600.52 |
$706.50 |
0.1× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,096.92 |
$1,290.50 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138)
likely a partial charge, not the full procedure |
$3,717.90 |
$4,374 |
0.3× |
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure |
$1,131.35 |
$1,331 |
0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$570.78 |
$671.50 |
0.2× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$3,442.08 |
$4,049.50 |
0.6× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400)
likely a partial charge, not the full procedure |
$1,677.05 |
$1,973 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,369.35 |
$1,611 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$568.65 |
$669 |
0.4× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,006.42 |
$2,360.50 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$901.85 |
$1,061 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,135.18 |
$1,335.50 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,533.82 |
$1,804.50 |
0.2× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,670.30 |
$4,318 |
0.6× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,620.12 |
$3,082.50 |
0.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$156.82 |
$184.50 |
0.4× |
| Shave skin lesion 0.5 cm/< (11305) |
$141.52 |
$166.50 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$192.95 |
$227 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$195.08 |
$229.50 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$169.15 |
$199 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$187.85 |
$221 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$217.60 |
$256 |
0.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,615.42 |
$1,900.50 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$226.10 |
$266 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$264.35 |
$311 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$192.95 |
$227 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$195.08 |
$229.50 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$228.22 |
$268.50 |
1.1× |
| Sigmoidoscopy w/biopsy (45331) |
$442.85 |
$521 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$195.08 |
$229.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$248.20 |
$292 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$376.98 |
$443.50 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$569.50 |
$670 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$187.85 |
$221 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$266.90 |
$314 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$1,752.70 |
$2,062 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$249.90 |
$294 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$205.28 |
$241.50 |
0.3× |
| Skin tissue rearrangement (14040) |
$1,972.42 |
$2,320.50 |
0.9× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,657.50 |
$1,950 |
0.3× |
| Slitting of prepuce (54001) |
$431.38 |
$507.50 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$218.88 |
$257.50 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$566.95 |
$667 |
1.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$425 |
$500 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$520.20 |
$612 |
0.7× |
| Strapping ankle (29540) |
$55.25 |
$65 |
0.3× |
| Strapping shoulder (29240) |
$172.12 |
$202.50 |
1.3× |
| Strapping unna boot (29580) |
$124.95 |
$147 |
0.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$637.08 |
$749.50 |
0.2× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$658.75 |
$775 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,565.30 |
$3,018 |
0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,160.25 |
$1,365 |
0.4× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$2,143.70 |
$2,522 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$140.68 |
$165.50 |
0.3× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,734 |
$2,040 |
0.2× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,041.68 |
$1,225.50 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$986 |
$1,160 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$365.50 |
$430 |
0.6× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260)
unusually low: confirm this is the full procedure |
$2,432.70 |
$2,862 |
0.4× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,063.38 |
$2,427.50 |
0.3× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$1,449.25 |
$1,705 |
0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,623.50 |
$1,910 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$745.02 |
$876.50 |
0.2× |
| Total hip arthroplasty (27130) |
$6,870.12 |
$8,082.50 |
0.5× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$5,916 |
$6,960 |
0.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$634.52 |
$746.50 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$397.38 |
$467.50 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$765 |
$900 |
0.5× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Facility (15650) |
$2,995.40 |
$3,524 |
1.4× |
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure |
$2,531.72 |
$2,978.50 |
0.5× |
| Transurethral resection bladder neck (52500) |
$1,132.20 |
$1,332 |
0.3× |
| Treat Big Toe Fracture (28505) |
$1,137.30 |
$1,338 |
0.3× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,577.20 |
$3,032 |
0.2× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,609.90 |
$1,894 |
0.2× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$2,081.65 |
$2,449 |
0.3× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$2,944.82 |
$3,464.50 |
0.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,637.10 |
$1,926 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,238.02 |
$1,456.50 |
4.9× |
Treatment of heel fracture (28406)
likely a partial charge, not the full procedure |
$1,012.35 |
$1,191 |
0.1× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$739.08 |
$869.50 |
0.2× |
| Trim skin lesion (11055) |
$64.18 |
$75.50 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$78.62 |
$92.50 |
0.4× |
| Trurl drainage prostatic abscess (52700) |
$1,156 |
$1,360 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$870.82 |
$1,024.50 |
0.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,134.75 |
$1,335 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,276.70 |
$1,502 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$738.22 |
$868.50 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$389.30 |
$458 |
0.5× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
unusually low: confirm this is the full procedure |
$2,195.55 |
$2,583 |
0.4× |
| Tympanostomy (69433) |
$279.65 |
$329 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$325.12 |
$382.50 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,056.12 |
$1,242.50 |
0.3× |
| Unlisted Procedure Accessory Sinuses (31299) |
$212.50 |
$250 |
0.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$323 |
$380 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,741.22 |
$2,048.50 |
1.9× |
| Us urine capacity measure (51798) |
$79.90 |
$94 |
1.3× |
| Uvulectomy excision of uvula (42140) |
$411.82 |
$484.50 |
0.1× |
| Vaginal delivery only (59409) |
$2,319.22 |
$2,728.50 |
0.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,149.25 |
$3,705 |
0.9× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$1,821.98 |
$2,143.50 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure |
$1,786.70 |
$2,102 |
0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,115.62 |
$1,312.50 |
0.5× |
| Venipuncture (36415) |
$43.35 |
$51 |
4.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$187.85 |
$221 |
0.1× |
| Vulvectomy Simple Partial (56620) |
$1,288.18 |
$1,515.50 |
0.4× |
| Wedge excision skin nail fold (11765) |
$294.95 |
$347 |
0.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$661.72 |
$778.50 |
0.9× |