| Abd paracentesis w/imaging (49083) |
$722 |
$760 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,307.06 |
$1,375.85 |
1.4× |
| Abortion (59841) |
$1,154.06 |
$1,214.80 |
0.4× |
| Acne surgery (10040) |
$325.28 |
$342.40 |
1.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,529.60 |
$1,610.10 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,580.99 |
$1,664.20 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,980.75 |
$2,085 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,713.90 |
$1,804.10 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,273.83 |
$2,393.50 |
1.1× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$1,215.43 |
$1,279.40 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,571.97 |
$1,654.70 |
0.5× |
| Amputation Finger/Thumb (26951) |
$1,656.52 |
$1,743.70 |
0.5× |
| Amputation Foot Midtarsal (28800) |
$1,348.34 |
$1,419.30 |
0.4× |
| Amputation foot transmetarsal (28805) |
$1,834.74 |
$1,931.30 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$1,082.53 |
$1,139.50 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$1,346.34 |
$1,417.20 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,341.83 |
$1,412.45 |
0.4× |
| Analyze spine infus pump (62367) |
$163.88 |
$172.50 |
0.5× |
| Anoscopy diagnostic (46600) |
$268.85 |
$283 |
2.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$556.89 |
$586.20 |
0.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$268.85 |
$283 |
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 |
$1,648.44 |
$1,735.20 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$163.64 |
$172.25 |
1.0× |
| Application cast elbow finger short arm (29075) |
$215.46 |
$226.80 |
0.8× |
| Application Cast Finger (29086) |
$149.06 |
$156.90 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$209.95 |
$221 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$158.08 |
$166.40 |
2.7× |
| Application finger splint static (29130) |
$86.12 |
$90.65 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$183.30 |
$192.95 |
1.1× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$2,783.31 |
$2,929.80 |
0.2× |
| Application of long leg cast (29345) |
$259.30 |
$272.95 |
0.9× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge, not the full procedure |
$3,007.89 |
$3,166.20 |
0.1× |
| Application of rigid total contact leg cast (29445) |
$257.78 |
$271.35 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$121.89 |
$128.30 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$128.40 |
$135.15 |
1.0× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$1,480.29 |
$1,558.20 |
0.2× |
| Apply Hand/Wrist Cast (29085) |
$208.96 |
$219.95 |
1.3× |
| Apply long leg splint (29505) |
$165.68 |
$174.40 |
1.0× |
| Apply short leg cast (29405) |
$192.33 |
$202.45 |
0.7× |
| Apply short leg cast (29425) |
$195.32 |
$205.60 |
0.7× |
| Apply short leg splint (29515) |
$150.53 |
$158.45 |
0.9× |
| Arterial puncture (36600) |
$276.93 |
$291.50 |
2.1× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$1,823.72 |
$1,919.70 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$137.47 |
$144.70 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$460.18 |
$484.40 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$189.34 |
$199.30 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$320.72 |
$337.60 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$144.97 |
$152.60 |
0.5× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$2,563.86 |
$2,698.80 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,547.74 |
$1,629.20 |
0.2× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$2,023.03 |
$2,129.50 |
0.3× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,375.60 |
$1,448 |
0.4× |
Arthrodesis triple (28715)
likely a partial charge, not the full procedure |
$2,336.24 |
$2,459.20 |
0.2× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
unusually low: confirm this is the full procedure |
$2,402.74 |
$2,529.20 |
0.3× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737)
likely a partial charge, not the full procedure |
$1,717.98 |
$1,808.40 |
0.1× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$1,937.43 |
$2,039.40 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,633.28 |
$3,824.50 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889)
likely a partial charge, not the full procedure |
$3,046.18 |
$3,206.50 |
0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,123.73 |
$2,235.50 |
1.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,442.01 |
$1,517.90 |
0.4× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,636.38 |
$1,722.50 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,230.54 |
$1,295.30 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,527.60 |
$1,608 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,657.56 |
$1,744.80 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,409.80 |
$1,484 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$1,269.87 |
$1,336.70 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,186.27 |
$1,248.70 |
0.4× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899)
unusually low: confirm this is the full procedure |
$2,586 |
$2,722.10 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$1,235.57 |
$1,300.60 |
0.4× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,690.72 |
$1,779.70 |
0.5× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,461.20 |
$1,538.10 |
0.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,209.45 |
$1,273.10 |
0.4× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Facility (29887)
likely a partial charge, not the full procedure |
$1,839.77 |
$1,936.60 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,279.94 |
$1,347.30 |
0.4× |
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867)
likely a partial charge, not the full procedure |
$3,191.15 |
$3,359.10 |
0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,300.08 |
$1,368.50 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,398.69 |
$1,472.30 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,102.64 |
$2,213.30 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,746.10 |
$1,838 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,265.75 |
$2,385 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,645.37 |
$2,784.60 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,537.67 |
$1,618.60 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,578.97 |
$2,714.70 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,626.28 |
$2,764.50 |
0.4× |
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907)
likely a partial charge, not the full procedure |
$1,365.53 |
$1,437.40 |
0.1× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$1,186.27 |
$1,248.70 |
0.4× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure |
$2,204.29 |
$2,320.30 |
0.3× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$1,397.74 |
$1,471.30 |
0.4× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$2,455.09 |
$2,584.30 |
0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,545.75 |
$1,627.10 |
0.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$1,115.78 |
$1,174.50 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,136.87 |
$1,196.70 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$714.97 |
$752.60 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$170.67 |
$179.65 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,699.84 |
$1,789.30 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$242.73 |
$255.50 |
1.2× |
| Biopsy bone open deep (20245) |
$884.17 |
$930.70 |
0.3× |
| Biopsy bone open superficial (20240) |
$1,194.82 |
$1,257.70 |
0.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$444.60 |
$468 |
0.5× |
| Biopsy external ear (69100) |
$302.10 |
$318 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$697.82 |
$734.55 |
0.4× |
| Biopsy Nail Unit Separate Procedure (11755) |
$409.88 |
$431.45 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$840.85 |
$885.10 |
0.2× |
| Biopsy of tongue (41100) |
$519.65 |
$547 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$824.70 |
$868.10 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$650.56 |
$684.80 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$277.97 |
$292.60 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$221.02 |
$232.65 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,092.60 |
$1,150.10 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,294 |
$1,362.10 |
0.3× |
| Blepharotomy drain absc eyelid (67700) |
$489.06 |
$514.80 |
1.5× |
| Blood patch (62273) |
$1,033.18 |
$1,087.55 |
1.4× |
| Blood transfusion service (36430) |
$1,853.88 |
$1,951.45 |
4.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$425.46 |
$447.85 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$701.38 |
$738.30 |
1.0× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$881.13 |
$927.50 |
1.2× |
| Circumcision (54150) |
$268.85 |
$283 |
0.1× |
| Claviculectomy partial (23120) |
$1,453.12 |
$1,529.60 |
0.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$318.20 |
$334.95 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$529.68 |
$557.55 |
2.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$410.83 |
$432.45 |
1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,017.07 |
$1,070.60 |
4.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,887.08 |
$1,986.40 |
1.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$682.77 |
$718.70 |
2.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,198.86 |
$1,261.95 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,151.02 |
$1,211.60 |
4.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$703.86 |
$740.90 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$910.29 |
$958.20 |
3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,050.32 |
$1,105.60 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$486.88 |
$512.50 |
2.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,569.88 |
$1,652.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$543.78 |
$572.40 |
2.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$674.69 |
$710.20 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,181.23 |
$1,243.40 |
4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$819.66 |
$862.80 |
3.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$976.79 |
$1,028.20 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$396.72 |
$417.60 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,232.53 |
$1,297.40 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,216.48 |
$1,280.50 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$79.52 |
$83.70 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$178.27 |
$187.65 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$397.77 |
$418.70 |
1.6× |
| Closure of gastrostomy, surgical (43870) |
$1,786.38 |
$1,880.40 |
0.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$509.58 |
$536.40 |
2.1× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$1,387.67 |
$1,460.70 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$763.33 |
$803.50 |
3.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$341.86 |
$359.85 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$942.02 |
$991.60 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$708.89 |
$746.20 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,229.59 |
$1,294.30 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$918.37 |
$966.70 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$412.87 |
$434.60 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$622.30 |
$655.05 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$780.43 |
$821.50 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$770.36 |
$810.90 |
3.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$300.58 |
$316.40 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$817.72 |
$860.75 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,267.78 |
$1,334.50 |
0.8× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,641.41 |
$1,727.80 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$356.44 |
$375.20 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,362.49 |
$1,434.20 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$468.78 |
$493.45 |
1.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,090.08 |
$1,147.45 |
0.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,140.95 |
$1,201 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$290.04 |
$305.30 |
1.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,383.55 |
$2,509 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$959.64 |
$1,010.15 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$625.39 |
$658.30 |
2.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,179.24 |
$1,241.30 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$791.54 |
$833.20 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$723.05 |
$761.10 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$747.18 |
$786.50 |
3.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$284.48 |
$299.45 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$787.98 |
$829.45 |
3.2× |
| Cltx post ankle fx w/mnpj (27768) |
$1,095.64 |
$1,153.30 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,446.09 |
$1,522.20 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$985.82 |
$1,037.70 |
4.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,096.64 |
$1,154.35 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$193.85 |
$204.05 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,048.33 |
$1,103.50 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,139.96 |
$1,199.95 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$90.63 |
$95.40 |
0.7× |
| Colonoscopy flex w/inj submuc (45381) |
$950.57 |
$1,000.60 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,541.56 |
$1,622.70 |
1.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,030.18 |
$1,084.40 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$1,096.59 |
$1,154.30 |
0.9× |
| Colonoscopy thru stoma (44388) |
$869.06 |
$914.80 |
0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$981.83 |
$1,033.50 |
0.8× |
| Colonoscopy w/ablation (45388) |
$1,282.88 |
$1,350.40 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$1,808.42 |
$1,903.60 |
1.5× |
| Colonoscopy w/fb removal (45379) |
$1,003.96 |
$1,056.80 |
0.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$846.93 |
$891.50 |
0.3× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,348.34 |
$1,419.30 |
0.3× |
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure |
$1,689.77 |
$1,778.70 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,228.54 |
$1,293.20 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$743.19 |
$782.30 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$374.59 |
$394.30 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$266.86 |
$280.90 |
1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$306.14 |
$322.25 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$781.47 |
$822.60 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$820.71 |
$863.90 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$290.04 |
$305.30 |
0.9× |
| Colposcopy vulva (56820) |
$275.88 |
$290.40 |
1.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$280.96 |
$295.75 |
0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$389.69 |
$410.20 |
0.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
unusually low: confirm this is the full procedure |
$2,224.43 |
$2,341.50 |
0.4× |
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure |
$2,043.17 |
$2,150.70 |
0.4× |
| Conization of cervix (57520) |
$754.21 |
$793.90 |
0.2× |
| Conization of cervix (57522) |
$645.53 |
$679.50 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$586.10 |
$616.95 |
4.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$235.12 |
$247.50 |
1.7× |
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 |
$4,179.05 |
$4,399 |
0.3× |
| Correction hammertoe (28285) |
$1,334.28 |
$1,404.50 |
0.4× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$2,123.73 |
$2,235.50 |
0.3× |
| Correction of bunion (28292) |
$1,866.94 |
$1,965.20 |
0.6× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,236.59 |
$2,354.30 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,031.10 |
$2,138 |
0.2× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$57.38 |
$60.40 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,778.40 |
$1,872 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$2,352.39 |
$2,476.20 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$848.92 |
$893.60 |
6.3× |
| Curettage postpartum (59160) |
$674.69 |
$710.20 |
0.2× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$1,866.94 |
$1,965.20 |
0.2× |
| Cystourethroscopy (52000) |
$502.46 |
$528.90 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$149.53 |
$157.40 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,752.18 |
$1,844.40 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,243.65 |
$1,309.10 |
1.7× |
| Debride nail 1-5 (11720) |
$79.52 |
$83.70 |
1.3× |
| Debride nail 6 or more (11721) |
$110.77 |
$116.60 |
1.9× |
| Debride tissue/muscle (11043) |
$561.93 |
$591.50 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$286.48 |
$301.55 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$777.39 |
$818.30 |
0.5× |
| Declot vascular device (36593) |
$128.92 |
$135.70 |
0.4× |
| Decompression Of Tibia Nerve (28035) |
$1,313.09 |
$1,382.20 |
0.7× |
| Decompression; plantar digital nerve Facility (64726) |
$673.65 |
$709.10 |
0.3× |
| Delivery placenta separate procedure (59414) |
$333.36 |
$350.90 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,362.44 |
$1,434.15 |
0.7× |
| Destroy lumb/sac facet jnt (64635) |
$1,903.24 |
$2,003.40 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$322.24 |
$339.20 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$271.90 |
$286.20 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,082.52 |
$1,139.50 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,075.98 |
$1,132.60 |
1.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$202.40 |
$213.05 |
0.7× |
| Destruction Lesions Vulva Extensive (56515) |
$554.90 |
$584.10 |
0.3× |
| Destruction Lesions Vulva Simple (56501) |
$322.24 |
$339.20 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$438.05 |
$461.10 |
2.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$378.10 |
$398 |
1.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$525.64 |
$553.30 |
2.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$239.64 |
$252.25 |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$285.95 |
$301 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,750.66 |
$1,842.80 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$431.97 |
$454.70 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$164.16 |
$172.80 |
0.8× |
| Destruction Vaginal Lesions Extensive (57065) |
$478.33 |
$503.50 |
0.1× |
| Destruction Vaginal Lesions Simple (57061) |
$279.97 |
$294.70 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,130.36 |
$1,189.85 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$410.88 |
$432.50 |
0.4× |
| Dilation and curettage (58120) |
$633.37 |
$666.70 |
0.2× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
unusually low: confirm this is the full procedure |
$2,225 |
$2,342.10 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$643.44 |
$677.30 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$236.65 |
$249.10 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$501.98 |
$528.40 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$957.70 |
$1,008.10 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$416.86 |
$438.80 |
2.1× |
| Drainage of gum lesion (41800) |
$756.77 |
$796.60 |
5.6× |
| Drainage of hematoma/fluid (10140) |
$446.60 |
$470.10 |
0.3× |
| Drainage of hydrocele (55000) |
$315.21 |
$331.80 |
0.4× |
| Draw blood off venous device (36591) |
$73.53 |
$77.40 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$467.21 |
$491.80 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$363.52 |
$382.65 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$182.31 |
$191.90 |
0.9× |
| Dstrj lesion anus simple surg excision (46922) |
$667.66 |
$702.80 |
0.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$629.38 |
$662.50 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$593.09 |
$624.30 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,241.06 |
$2,359 |
1.2× |
| Egd control bleeding any (43255) |
$1,794.46 |
$1,888.90 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,025.15 |
$1,079.10 |
1.1× |
| Egd place gastrostomy tube (43246) |
$523.64 |
$551.20 |
0.3× |
| Egd remove lesion snare (43251) |
$1,228.54 |
$1,293.20 |
0.6× |
| Elbow Arthroscopy/Surgery (29837) |
$1,299.03 |
$1,367.40 |
0.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$178.12 |
$187.50 |
0.6× |
| Endocervical Curettage (57505) |
$250.71 |
$263.90 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,470.19 |
$2,600.20 |
0.5× |
| Endometrial Biopsy (58100) |
$266.86 |
$280.90 |
1.3× |
| Endoscopic plantar fasciotomy (29893) |
$1,523.61 |
$1,603.80 |
0.5× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,629.32 |
$2,767.70 |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$532.67 |
$560.70 |
0.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$893.19 |
$940.20 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,033.22 |
$1,087.60 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$107.78 |
$113.45 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,040.25 |
$1,095 |
0.6× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,703.83 |
$1,793.50 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,192.78 |
$1,255.55 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$340.34 |
$358.25 |
0.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$334.83 |
$352.45 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$548.82 |
$577.70 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$637.45 |
$671 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$466.26 |
$490.80 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,170.12 |
$1,231.70 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$406.79 |
$428.20 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$620.30 |
$652.95 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,060.39 |
$1,116.20 |
0.6× |
| Exc Frenum Labial/Buccal (40819) |
$961.69 |
$1,012.30 |
0.6× |
| Exc ganglion wrist recurrent (25112) |
$847.88 |
$892.50 |
0.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$623.30 |
$656.10 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,175.15 |
$1,237 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,114.73 |
$1,173.40 |
0.7× |
| Exc neck tum deep < 5 cm (21556) |
$1,685.73 |
$1,774.45 |
0.6× |
| Exc rect tum transanal part (45171) |
$1,507.46 |
$1,586.80 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$466.26 |
$490.80 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$365.52 |
$384.75 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$524.12 |
$551.70 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$693.79 |
$730.30 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,474.78 |
$1,552.40 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,003.96 |
$1,056.80 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$858.47 |
$903.65 |
0.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,539.67 |
$1,620.70 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,010.04 |
$1,063.20 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$438.05 |
$461.10 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,527.12 |
$1,607.50 |
0.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,878.06 |
$1,976.90 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$654.55 |
$689 |
0.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,207.88 |
$1,271.45 |
0.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,113.78 |
$1,172.40 |
0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,297.99 |
$1,366.30 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,408.76 |
$1,482.90 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,198.33 |
$1,261.40 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,235.57 |
$1,300.60 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,186.27 |
$1,248.70 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,142.95 |
$1,203.10 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,828.75 |
$1,925 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,026.10 |
$1,080.10 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,730.05 |
$1,821.10 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,015.08 |
$1,068.50 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,317.18 |
$1,386.50 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,338.27 |
$1,408.70 |
0.8× |
| Excision interdigital morton neuroma single each (28080) |
$1,307.11 |
$1,375.90 |
0.8× |
| Excision lesion meniscus/capsule knee (27347) |
$1,311.10 |
$1,380.10 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$471.30 |
$496.10 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$562.88 |
$592.50 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$677.68 |
$713.35 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$694.83 |
$731.40 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$944.59 |
$994.30 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$527.63 |
$555.40 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,050.32 |
$1,105.60 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$740.15 |
$779.10 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,048.80 |
$1,104 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,076.97 |
$1,133.65 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$530.20 |
$558.10 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$412.87 |
$434.60 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$769.31 |
$809.80 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$822.75 |
$866.05 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,001.44 |
$1,054.15 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$466.26 |
$490.80 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$527.63 |
$555.40 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$797.53 |
$839.50 |
0.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$684.76 |
$720.80 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,131.83 |
$1,191.40 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$450.11 |
$473.80 |
0.3× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$973.75 |
$1,025 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$700.91 |
$737.80 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$775.39 |
$816.20 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$557.84 |
$587.20 |
0.5× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)
likely a partial charge, not the full procedure |
$1,587.07 |
$1,670.60 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$471.30 |
$496.10 |
0.1× |
| Excision olecranon bursa (24105) |
$867.07 |
$912.70 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,964.70 |
$2,068.10 |
0.7× |
| Excision prepatellar bursa (27340) |
$821.75 |
$865 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,173.16 |
$1,234.90 |
0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,266.83 |
$1,333.50 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,085.04 |
$1,142.15 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$953.61 |
$1,003.80 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,150.98 |
$1,211.55 |
0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,104.66 |
$1,162.80 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,005.48 |
$1,058.40 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,012.52 |
$1,065.80 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,521.62 |
$1,601.70 |
0.5× |
| Excision; trochanteric bursa or calcification (27062) |
$1,132.88 |
$1,192.50 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$637.45 |
$671 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,096.64 |
$1,154.35 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$864.03 |
$909.50 |
0.5× |
| Explore/Treat Elbow Joint (24101) |
$1,234.62 |
$1,299.60 |
0.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,294 |
$1,362.10 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$1,076.45 |
$1,133.10 |
0.3× |
| Fasciotomy Iliotibial Open (27305) |
$1,190.26 |
$1,252.90 |
0.4× |
| Fetal contraction stress test (59020) |
$395.77 |
$416.60 |
1.9× |
| Fetal non-stress test (59025) |
$384.18 |
$404.40 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$277.92 |
$292.55 |
0.7× |
| Fit/Insert Intravag Support Device (57160) |
$187.34 |
$197.20 |
0.9× |
| Fixation of shoulder (23700) |
$487.35 |
$513 |
0.3× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,249.60 |
$2,368 |
1.1× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$2,111.66 |
$2,222.80 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$53.39 |
$56.20 |
0.2× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$1,828.75 |
$1,925 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,865.99 |
$1,964.20 |
0.6× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$2,825.68 |
$2,974.40 |
0.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,578.48 |
$1,661.55 |
0.5× |
| Hemorrhoidectomy (46255) |
$1,254.76 |
$1,320.80 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,186.27 |
$1,248.70 |
0.4× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$775.39 |
$816.20 |
0.3× |
| Hysteroscopy biopsy (58558) |
$989.90 |
$1,042 |
0.3× |
Hysteroscopy div/rescj intrauterine septum (58560)
likely a partial charge, not the full procedure |
$797.53 |
$839.50 |
0.2× |
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure |
$837.81 |
$881.90 |
0.2× |
| Hysteroscopy w endometrial ablation (58563) |
$4,066.29 |
$4,280.30 |
0.8× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$761.33 |
$801.40 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$978.79 |
$1,030.30 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$384.75 |
$405 |
1.6× |
| I&d abscess simple (10060) |
$287.52 |
$302.65 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,695.75 |
$1,785 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$468.78 |
$493.45 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$792.49 |
$834.20 |
0.5× |
| I&d vulva/perineal abscess (56405) |
$267.86 |
$281.95 |
0.9× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,017.64 |
$1,071.20 |
0.2× |
| Incise external hemorrhoid (46083) |
$434.06 |
$456.90 |
1.7× |
| Incise finger tendon sheath (26055) |
$1,371.52 |
$1,443.70 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$484.41 |
$509.90 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$659.59 |
$694.30 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$931.48 |
$980.50 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$372.59 |
$392.20 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$450.11 |
$473.80 |
2.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,189.31 |
$1,251.90 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$462.18 |
$486.50 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$607.24 |
$639.20 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$839.80 |
$884 |
0.5× |
| Incision of labial frenum (frenotomy) (40806) |
$313.22 |
$329.70 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$457.66 |
$481.75 |
0.3× |
| Incision of rectal abscess (46040) |
$1,326.20 |
$1,396 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$368.60 |
$388 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$156.08 |
$164.30 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,385.60 |
$1,458.52 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$172.72 |
$181.80 |
0.6× |
| Inj therapeutic carpal tunnel (20526) |
$189.34 |
$199.30 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$654.55 |
$689 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,928.66 |
$3,082.80 |
3.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,452.86 |
$1,529.32 |
1.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$851.44 |
$896.25 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$948.58 |
$998.50 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,116.78 |
$1,175.55 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$828.90 |
$872.52 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$971.76 |
$1,022.90 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,540.19 |
$1,621.25 |
1.7× |
| Inject Sinus Tract Theraputic (20500) |
$655.50 |
$690 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$281.96 |
$296.80 |
0.9× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$684.95 |
$721 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,086.56 |
$1,143.75 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$693.36 |
$729.85 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$201.40 |
$212 |
0.3× |
| Injection aa&/strd pudendal nerve (64430) |
$1,213.44 |
$1,277.30 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$402.80 |
$424 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$406.84 |
$428.25 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$628.33 |
$661.40 |
0.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$622.28 |
$655.02 |
0.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$855.95 |
$901 |
1.2× |
| Injection into skin lesions (11900) |
$95.67 |
$100.70 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$165.11 |
$173.80 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$144.97 |
$152.60 |
0.5× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$196.37 |
$206.70 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$117.80 |
$124 |
0.6× |
| Insert cath pleura w/o image (32556) |
$382.66 |
$402.80 |
0.2× |
| Insert cervical dilator (59200) |
$236.65 |
$249.10 |
0.8× |
| Insert Drug Implant Device (11981) |
$302.10 |
$318 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$442.08 |
$465.35 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$130.91 |
$137.80 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,348.28 |
$3,524.50 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,899.12 |
$3,051.70 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$91.68 |
$96.50 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$976.79 |
$1,028.20 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,221.36 |
$3,390.90 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$763.33 |
$803.50 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$425.98 |
$448.40 |
1.8× |
| Knee Arthroscopy/Surgery (29874) |
$1,337.32 |
$1,407.70 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$1,648.44 |
$1,735.20 |
0.5× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,071.41 |
$1,127.80 |
0.2× |
Laparoscopic surgical splenectomy (38120)
likely a partial charge, not the full procedure |
$2,644.42 |
$2,783.60 |
0.2× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,506.51 |
$1,585.80 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$864.03 |
$909.50 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,863.87 |
$3,014.60 |
0.3× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$892.24 |
$939.20 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,242.57 |
$2,360.60 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,598.09 |
$1,682.20 |
0.3× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
likely a partial charge, not the full procedure |
$948.58 |
$998.50 |
0.1× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$2,378.52 |
$2,503.70 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$2,306.03 |
$2,427.40 |
0.4× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)
likely a partial charge, not the full procedure |
$1,756.17 |
$1,848.60 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge, not the full procedure |
$2,216.45 |
$2,333.10 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,043.17 |
$2,150.70 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$2,161.06 |
$2,274.80 |
0.4× |
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 |
$2,426.87 |
$2,554.60 |
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 |
$3,267.72 |
$3,439.70 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,791.42 |
$1,885.70 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$2,792.43 |
$2,939.40 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,392.70 |
$1,466 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$895.19 |
$942.30 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,654.52 |
$1,741.60 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$814.63 |
$857.50 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,742.11 |
$1,833.80 |
0.3× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$2,007.92 |
$2,113.60 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$919.41 |
$967.80 |
0.2× |
| Late closure of wound (13160) |
$1,996.90 |
$2,102 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$620.30 |
$652.95 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$772.35 |
$813 |
0.5× |
| Lysis of labial adhesions (56441) |
$354.45 |
$373.10 |
0.1× |
| Manipulation knee joint under general anesthesia (27570) |
$375.63 |
$395.40 |
0.2× |
| Mastectomy partial (19301) |
$1,627.35 |
$1,713 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$519.13 |
$546.45 |
0.7× |
| N Block Inj, Plantar Digit (64455) |
$324.24 |
$341.30 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80.56 |
$84.80 |
2.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$995.89 |
$1,048.30 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,064.38 |
$1,120.40 |
0.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,247.64 |
$1,313.30 |
0.6× |
| Njx aa&/strd sciatic nerve (64445) |
$508.63 |
$535.40 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$628.33 |
$661.40 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,315.42 |
$1,384.65 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$797.05 |
$839 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$792.49 |
$834.20 |
1.1× |
| Occipital Nerve Block (64405) |
$236.65 |
$249.10 |
0.8× |
| Occlude fallopian tube(s) (58615) |
$612.28 |
$644.50 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,918.34 |
$2,019.30 |
0.3× |
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure |
$2,755.19 |
$2,900.20 |
0.4× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$2,734.01 |
$2,877.90 |
0.2× |
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure |
$1,853.93 |
$1,951.50 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,512.50 |
$1,592.10 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,306.06 |
$1,374.80 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
likely a partial charge, not the full procedure |
$1,466.23 |
$1,543.40 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,791.42 |
$1,885.70 |
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 |
$2,415.76 |
$2,542.90 |
0.2× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)
likely a partial charge, not the full procedure |
$1,940.47 |
$2,042.60 |
0.3× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$1,664.59 |
$1,752.20 |
0.2× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure |
$2,129.81 |
$2,241.90 |
0.3× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555)
likely a partial charge, not the full procedure |
$1,945.51 |
$2,047.90 |
0.3× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge, not the full procedure |
$2,216.45 |
$2,333.10 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
unusually low: confirm this is the full procedure |
$2,420.79 |
$2,548.20 |
0.3× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,549.74 |
$1,631.30 |
0.2× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure |
$1,796.45 |
$1,891 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$1,888.13 |
$1,987.50 |
0.1× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge, not the full procedure |
$1,999.94 |
$2,105.20 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,623.27 |
$1,708.70 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,730.05 |
$1,821.10 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,422.91 |
$1,497.80 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,428.90 |
$1,504.10 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,478.30 |
$1,556.10 |
0.4× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,586.03 |
$1,669.50 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$2,133.80 |
$2,246.10 |
0.3× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,622.32 |
$1,707.70 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$2,046.21 |
$2,153.90 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
likely a partial charge, not the full procedure |
$1,823.72 |
$1,919.70 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$2,982.72 |
$3,139.70 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$2,248.65 |
$2,367 |
0.2× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure |
$2,962.58 |
$3,118.50 |
0.4× |
| Ostectomy calcaneus (28118) |
$1,483.33 |
$1,561.40 |
0.4× |
| Ostectomy complete 5th metatarsal head (28113) |
$966.72 |
$1,017.60 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,223.51 |
$1,287.90 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,157.01 |
$1,217.90 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,510.50 |
$1,590 |
0.5× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,536.72 |
$1,617.60 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,412.84 |
$1,487.20 |
0.4× |
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure |
$1,528.65 |
$1,609.10 |
0.2× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure |
$1,757.22 |
$1,849.70 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305)
likely a partial charge, not the full procedure |
$1,444 |
$1,520 |
0.2× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
unusually low: confirm this is the full procedure |
$2,226.52 |
$2,343.70 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$1,399.73 |
$1,473.40 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,692.81 |
$1,781.90 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,497.39 |
$1,576.20 |
0.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,096.59 |
$1,154.30 |
0.7× |
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure |
$1,769.28 |
$1,862.40 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,190.26 |
$1,252.90 |
0.4× |
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure |
$1,618.23 |
$1,703.40 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$265.81 |
$279.80 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,264.71 |
$2,383.90 |
0.3× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$870.01 |
$915.80 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$545.78 |
$574.50 |
2.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,671.62 |
$1,759.60 |
0.5× |
| Picc line placement (36569) |
$362.52 |
$381.60 |
0.2× |
| Placement of seton (46020) |
$684.76 |
$720.80 |
0.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$1,657.56 |
$1,744.80 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$303.15 |
$319.10 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$930.43 |
$979.40 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$305.14 |
$321.20 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$278.92 |
$293.60 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$278.44 |
$293.10 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
$1,694.80 |
$1,784 |
0.6× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,301.03 |
$1,369.50 |
0.4× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,674.66 |
$1,762.80 |
0.2× |
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344)
unusually low: confirm this is the full procedure |
$2,712.82 |
$2,855.60 |
0.4× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346)
likely a partial charge, not the full procedure |
$2,732.01 |
$2,875.80 |
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 |
$1,926.41 |
$2,027.80 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,180.71 |
$1,242.85 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$623.86 |
$656.70 |
0.9× |
| Removal foreign body intranasal (30300) |
$375.11 |
$394.85 |
2.8× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$615.32 |
$647.70 |
0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$562.69 |
$592.30 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$61.42 |
$64.65 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.23 |
$84.45 |
1.3× |
| Removal implant deep (20680) |
$1,523.61 |
$1,603.80 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,001.96 |
$1,054.70 |
0.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$431.02 |
$453.70 |
0.6× |
| Removal of arm foreign body (24200) |
$624.34 |
$657.20 |
0.4× |
Removal of cervix (57530)
likely a partial charge, not the full procedure |
$852.91 |
$897.80 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$144.02 |
$151.60 |
0.3× |
| Removal of heel spur (28119) |
$1,315.18 |
$1,384.40 |
0.4× |
| Removal of iud (58301) |
$233.14 |
$245.40 |
0.8× |
| Removal of nail bed (11750) |
$443.08 |
$466.40 |
1.1× |
| Removal of sesamoid bone (28315) |
$1,207.36 |
$1,270.90 |
0.4× |
| Removal Of Tendon Lesion (27630) |
$1,389.66 |
$1,462.80 |
0.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,553.30 |
$1,635.05 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$200.92 |
$211.50 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$335.35 |
$353 |
0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$298.11 |
$313.80 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,048.33 |
$1,103.50 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$169.67 |
$178.60 |
0.6× |
| Remove anal fist subq (46270) |
$1,259.80 |
$1,326.10 |
0.4× |
| Remove drug implant device (11982) |
$392.73 |
$413.40 |
0.9× |
| Remove elbow lesion (24120) |
$1,336.27 |
$1,406.60 |
0.4× |
| Remove Lower Leg Bone Lesion (27635) |
$1,461.20 |
$1,538.10 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,409.80 |
$1,484 |
0.5× |
| Remove Tendon Sheath Lesion (26160) |
$1,409.80 |
$1,484 |
0.9× |
| Remove/Insert Drug Implant (11983) |
$566.96 |
$596.80 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$137.80 |
$145.05 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$103.65 |
$109.10 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,936.48 |
$2,038.40 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$816.72 |
$859.70 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,078.49 |
$1,135.25 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,287.92 |
$1,355.70 |
3.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,406.76 |
$1,480.80 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,434.98 |
$1,510.50 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,466.23 |
$1,543.40 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,058.40 |
$1,114.10 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$595.18 |
$626.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$505.50 |
$532.10 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$540.74 |
$569.20 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$811.68 |
$854.40 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$554.90 |
$584.10 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$546.78 |
$575.55 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$807.60 |
$850.10 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$823.75 |
$867.10 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480.84 |
$506.15 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$614.27 |
$646.60 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$663.58 |
$698.50 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$704.90 |
$742 |
1.7× |
| Repair Lower Leg Tendons (27675) |
$1,218.47 |
$1,282.60 |
0.4× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345)
likely a partial charge, not the full procedure |
$1,746.10 |
$1,838 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268)
likely a partial charge, not the full procedure |
$1,187.22 |
$1,249.70 |
0.2× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$2,629.32 |
$2,767.70 |
0.2× |
| Repair of leg tendon each (27658) |
$926.44 |
$975.20 |
0.3× |
| Repair of nail bed (11760) |
$503.98 |
$530.50 |
0.7× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure |
$2,000.89 |
$2,106.20 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$2,117.74 |
$2,229.20 |
0.3× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,207.33 |
$2,323.50 |
0.3× |
| Repair Profundus Tendon,Primary (26370) |
$1,855.92 |
$1,953.60 |
0.6× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,791.42 |
$1,885.70 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,582.99 |
$1,666.30 |
0.4× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$2,045.26 |
$2,152.90 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,621.27 |
$1,706.60 |
0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,193.30 |
$1,256.10 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,853.93 |
$1,951.50 |
0.3× |
| Repair Tongue Laceration (41250) |
$678.68 |
$714.40 |
1.5× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,963.65 |
$2,067 |
0.3× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
likely a partial charge, not the full procedure |
$1,382.63 |
$1,455.40 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,185.22 |
$1,247.60 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$1,596.10 |
$1,680.10 |
0.2× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$1,700.79 |
$1,790.30 |
0.2× |
| Repeat control of nosebleed (30906) |
$1,003.01 |
$1,055.80 |
4.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,755.22 |
$1,847.60 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,078.49 |
$1,135.25 |
0.3× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$3,591.95 |
$3,781 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$4,370.38 |
$4,600.40 |
0.3× |
| Revise Hand/Foot Nerve (64704) |
$791.54 |
$833.20 |
0.4× |
Revise Lower Leg Tendon (27691)
likely a partial charge, not the full procedure |
$1,858.96 |
$1,956.80 |
0.3× |
| Revise Lower Leg Tendons (27686) |
$1,644.45 |
$1,731 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$1,469.18 |
$1,546.50 |
0.7× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,971.70 |
$3,128.10 |
0.8× |
| Revision of foot (28116) |
$1,919.38 |
$2,020.40 |
0.6× |
| Revision of lower leg tendon (27685) |
$1,644.45 |
$1,731 |
0.5× |
| Revision of toe (28312) |
$1,272.81 |
$1,339.80 |
0.4× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$3,676.60 |
$3,870.10 |
0.3× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$3,490.30 |
$3,674 |
0.3× |
Revision of urethra (57220)
likely a partial charge, not the full procedure |
$780.43 |
$821.50 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$4,785.25 |
$5,037.10 |
0.4× |
Revj tot hip arthrp fem only w/wo algrft (27138)
likely a partial charge, not the full procedure |
$3,818.53 |
$4,019.50 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$553.85 |
$583 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$930.05 |
$979 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$728.08 |
$766.40 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$410.88 |
$432.50 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,477.22 |
$2,607.60 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$784.42 |
$825.70 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,278.83 |
$3,451.40 |
0.9× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$1,282.88 |
$1,350.40 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,090.60 |
$1,148 |
0.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,223.51 |
$1,287.90 |
0.4× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,244.69 |
$1,310.20 |
0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$1,989.87 |
$2,094.60 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$797.53 |
$839.50 |
0.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$293.08 |
$308.50 |
0.7× |
| Shave skin lesion 0.5 cm/< (11305) |
$242.73 |
$255.50 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$341.34 |
$359.30 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$555.85 |
$585.10 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$298.11 |
$313.80 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$351.41 |
$369.90 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$453.15 |
$477 |
1.1× |
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure |
$1,328.20 |
$1,398.10 |
0.2× |
| Shoulder arthroscopy (29805) |
$1,173.16 |
$1,234.90 |
0.4× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,457.11 |
$1,533.80 |
0.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,434.98 |
$1,510.50 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$334.31 |
$351.90 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$479.37 |
$504.60 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$296.02 |
$311.60 |
1.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$423.99 |
$446.30 |
2.1× |
| Sigmoidoscopy w/biopsy (45331) |
$629.38 |
$662.50 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$616.27 |
$648.70 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$237.69 |
$250.20 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$201.40 |
$212 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$435.01 |
$457.90 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$243.16 |
$255.95 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$305.10 |
$321.15 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$522.60 |
$550.10 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$164.16 |
$172.80 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$504.50 |
$531.05 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$232.14 |
$244.35 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$367.56 |
$386.90 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$482.84 |
$508.25 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,876.06 |
$1,974.80 |
0.9× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$1,759.21 |
$1,851.80 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$193.85 |
$204.05 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$328.28 |
$345.55 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$457.19 |
$481.25 |
1.1× |
| Sphincterotomy anal division sphincter spx (46080) |
$613.23 |
$645.50 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$197.41 |
$207.80 |
0.3× |
| Strapping ankle (29540) |
$84.08 |
$88.50 |
0.5× |
| Strapping elbow or wrist (29260) |
$49.36 |
$51.95 |
0.8× |
| Strapping hand/finger (29280) |
$49.88 |
$52.50 |
0.8× |
| Strapping shoulder (29240) |
$59.42 |
$62.55 |
0.4× |
| Strapping toes (29550) |
$47.84 |
$50.35 |
0.8× |
| Strapping unna boot (29580) |
$117.32 |
$123.50 |
0.7× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,408.76 |
$1,482.90 |
0.4× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,470.22 |
$1,547.60 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,468.23 |
$1,545.50 |
0.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,275.85 |
$1,343 |
0.8× |
Talectomy (astragalectomy) Facility (28130)
likely a partial charge, not the full procedure |
$1,596.10 |
$1,680.10 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$242.73 |
$255.50 |
0.6× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,858.96 |
$1,956.80 |
0.3× |
| Tenolysis extensor tendon hand/finger each (26445) |
$1,402.77 |
$1,476.60 |
0.4× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,037.21 |
$1,091.80 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$575.99 |
$606.30 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$846.93 |
$891.50 |
0.5× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,389.66 |
$1,462.80 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$967.77 |
$1,018.70 |
0.6× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$700.91 |
$737.80 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$800.57 |
$842.70 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$542.78 |
$571.35 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$345.42 |
$363.60 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$1,295.04 |
$1,363.20 |
0.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,636.38 |
$1,722.50 |
0.5× |
| Total hip arthroplasty (27130) |
$21,629.96 |
$22,768.38 |
1.7× |
| Total Knee Arthroplasty (27447) |
$28,601.88 |
$30,107.24 |
2.2× |
| Tracheotomy tube change (31502) |
$137.94 |
$145.20 |
0.6× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$1,407.81 |
$1,481.90 |
0.7× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
likely a partial charge, not the full procedure |
$1,580.99 |
$1,664.20 |
0.2× |
| Treat Big Toe Fracture (28505) |
$1,668.58 |
$1,756.40 |
0.5× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,554.74 |
$2,689.20 |
0.2× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,241.62 |
$2,359.60 |
0.3× |
| Treat humerus fracture (24500) |
$543.26 |
$571.85 |
2.2× |
| Treat humerus fracture (23600) |
$476.81 |
$501.90 |
1.9× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$2,236.59 |
$2,354.30 |
0.3× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,884.14 |
$1,983.30 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$394.20 |
$414.95 |
1.6× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$2,007.92 |
$2,113.60 |
0.3× |
| Treat Thigh Fracture (27246) |
$953.61 |
$1,003.80 |
3.8× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$3,069.36 |
$3,230.90 |
0.4× |
| Treat Thumb Dislocation (26641) |
$278.92 |
$293.60 |
1.1× |
| Treat Wrist Bone Fracture (25630) |
$450.12 |
$473.80 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$820.71 |
$863.90 |
3.3× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,777.36 |
$1,870.90 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,070.31 |
$3,231.90 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,042.77 |
$1,097.65 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,154.06 |
$1,214.80 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$370.55 |
$390.05 |
1.5× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,431.94 |
$1,507.30 |
0.2× |
| Trim skin lesion (11055) |
$130.91 |
$137.80 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$142.98 |
$150.50 |
0.7× |
| Trim skin lesions over 4 (11057) |
$195.32 |
$205.60 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$43.32 |
$45.60 |
0.7× |
| Tubal ligation (58600) |
$952.85 |
$1,003 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$425.98 |
$448.40 |
0.3× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,169.17 |
$1,230.70 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$788.50 |
$830 |
0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,086.52 |
$1,143.70 |
0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$769.31 |
$809.80 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$711.93 |
$749.40 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$491.44 |
$517.30 |
1.2× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,487.29 |
$2,618.20 |
0.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,476.30 |
$1,554 |
0.4× |
| Unlisted laparoscopic procedure liver (47379) |
$3,113.63 |
$3,277.50 |
0.5× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$815.67 |
$858.60 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure |
$1,359.45 |
$1,431 |
0.2× |
Unlisted laparoscopy procedure, oviduct, ovary (58679)
likely a partial charge, not the full procedure |
$864.03 |
$909.50 |
0.1× |
| Unlisted procedure anus (46999) |
$439.52 |
$462.65 |
0.5× |
| Unlisted procedure arthroscopy (29999) |
$1,126.80 |
$1,186.10 |
4.5× |
| Unlisted procedure foot or toes (28899) |
$185.82 |
$195.60 |
0.7× |
| Unlisted procedure nervous system (64999) |
$172.24 |
$181.30 |
0.6× |
| Unlisted procedure shoulder (23929) |
$737.11 |
$775.90 |
3.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$464.27 |
$488.70 |
0.7× |
| Us urine capacity measure (51798) |
$173.19 |
$182.30 |
2.9× |
| Vaginal delivery only (59409) |
$1,898.20 |
$1,998.10 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,023.03 |
$2,129.50 |
0.4× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$3,039.15 |
$3,199.10 |
0.6× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure |
$2,258.72 |
$2,377.60 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,168.12 |
$1,229.60 |
0.6× |
| Venipuncture (36415) |
$16.34 |
$17.20 |
1.7× |
| Wedge excision skin nail fold (11765) |
$411.35 |
$433 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$688.80 |
$725.05 |
1.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,045.28 |
$1,100.30 |
1.4× |