| Abd paracentesis w/imaging (49083) |
$1,330 |
$1,900 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,925 |
$2,750 |
2.1× |
| Amputation metatarsal with toe single (28810) |
$5,110 |
$7,300 |
1.6× |
| Appendectomy (44950) |
$6,494 |
$9,277 |
1.0× |
| Application cast elbow finger short arm (29075) |
$111 |
$159 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$336 |
$480 |
2.1× |
| Application cast shoulder hand long arm (29065) |
$136 |
$194 |
0.5× |
| Application finger splint static (29130) |
$163.50 |
$233.50 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$293.50 |
$419 |
1.8× |
| Application long leg splint thigh ankle/toes (29505) |
$336 |
$480 |
2.1× |
| Application Short Arm Splint Dynamic (29126) |
$338 |
$483 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$205.50 |
$293.50 |
1.5× |
| Application short leg splint calf foot (29515) |
$214.50 |
$306.50 |
1.3× |
| Apply short leg cast (29405) |
$300 |
$429 |
1.1× |
| Apply short leg cast (29425) |
$257.50 |
$367.50 |
0.9× |
| Arterial puncture (36600) |
$244 |
$348 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$428 |
$611.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$501 |
$715.50 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$422.50 |
$603 |
1.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$6,734 |
$9,620 |
2.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$465 |
$664 |
1.5× |
| Aspiration bladder needle (51100) |
$105 |
$150 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$178 |
$254 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$3,215 |
$4,593 |
0.8× |
| Biopsy muscle deep (20205) |
$2,450 |
$3,500 |
0.8× |
| Biopsy of mouth lesion (40808) |
$1,120 |
$1,600 |
2.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,914 |
$4,163 |
0.7× |
| Bladder Scan (51798) |
$248 |
$354 |
4.2× |
| Blood transfusion service (36430) |
$997.50 |
$1,425 |
2.3× |
| Bx anorectal wall anal approach (45100) |
$2,450 |
$3,500 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$403 |
$575 |
1.8× |
| Change Cystostomy Tube Complicated (51710) |
$27 |
$38 |
0.0× |
| Change Cystostomy Tube Simple (51705) |
$451 |
$645 |
1.8× |
| Chest tube placement (32551) |
$6,256 |
$8,937 |
4.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$270 |
$385 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,155 |
$1,650 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$490 |
$700 |
2.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,312 |
$4,732 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$490 |
$700 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$490 |
$700 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$570 |
$814 |
2.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,217 |
$4,596 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$490 |
$700 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,312 |
$4,732 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,313 |
$1,875 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$578 |
$825 |
2.3× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$578 |
$825 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$595 |
$850 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,312 |
$4,732 |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$796 |
$1,137 |
3.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,312 |
$4,732 |
2.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$490 |
$700 |
2.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$494 |
$706 |
2.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,312 |
$4,732 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$490 |
$700 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$490 |
$700 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,312 |
$4,732 |
2.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,012 |
$4,303 |
1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,312 |
$4,732 |
2.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$490 |
$700 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$319 |
$456 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$472 |
$675 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$309 |
$441 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$577 |
$824 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$516 |
$737 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$697.50 |
$996.50 |
2.8× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,610 |
$2,300 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$490 |
$700 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$490 |
$700 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$490 |
$700 |
2.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$490 |
$700 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$490 |
$700 |
2.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,312 |
$4,732 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$713 |
$1,019 |
2.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,312 |
$4,732 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$490 |
$700 |
2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,312 |
$4,732 |
2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,312 |
$4,732 |
2.1× |
| Colonoscopy flex w/rem forcep (45384) |
$560 |
$800 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$403 |
$575 |
1.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$168 |
$240 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$363 |
$519 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$416 |
$594 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,014 |
$4,305 |
2.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$270 |
$385 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$236 |
$337 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$270 |
$385 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$504 |
$720 |
2.1× |
| Cystourethroscopy (52000) |
$501.50 |
$716.50 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,960 |
$2,800 |
4.8× |
| Debride nail 1-5 (11720) |
$137 |
$195 |
2.3× |
| Debride nail 6 or more (11721) |
$125 |
$178 |
2.1× |
| Debride skin musc at fx site (11011) |
$1,563 |
$2,233 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$240 |
$343 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,563 |
$2,233 |
2.1× |
| Delivery placenta separate procedure (59414) |
$6,248 |
$8,925 |
1.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$433 |
$619 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$239 |
$341 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$320 |
$457 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$368 |
$525 |
0.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$239 |
$341 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$336 |
$480 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$239 |
$341 |
1.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$361 |
$515 |
1.8× |
| Destruction of skin lesions (17106) |
$363 |
$518 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$136 |
$194 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$1,772 |
$2,532 |
1.9× |
| Dilation of vagina (57400) |
$13 |
$19 |
0.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$570.50 |
$815 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$2,373 |
$3,390 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$330 |
$471.50 |
1.6× |
| Drainage of eyelid abscess (67700) |
$295 |
$421.50 |
0.9× |
| Drainage of gum lesion (41800) |
$511 |
$730 |
3.8× |
| Drainage of hematoma/fluid (10140) |
$392 |
$560 |
0.2× |
| Draw blood off venous device (36591) |
$270 |
$385 |
2.0× |
| Dressing change under anesthesia (15852) |
$548 |
$783 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$694 |
$991 |
3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$193 |
$275 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$1,103 |
$1,575 |
0.4× |
| Egd flexible foreign body removal (43247) |
$2,800 |
$4,000 |
3.1× |
| Egd place gastrostomy tube (43246) |
$510 |
$729 |
0.3× |
| Egd rem tumr/polyp forcep (43250) |
$2,985 |
$4,264 |
1.5× |
| Egd remove lesion snare (43251) |
$2,985 |
$4,264 |
1.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,243 |
$1,775 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$178 |
$254 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$3,150 |
$4,500 |
1.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$5,390 |
$7,700 |
1.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,476 |
$2,108 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$455 |
$650 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,475 |
$3,536 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$2,475 |
$3,536 |
1.5× |
| Exc face les sbq 2 cm/> (21012) |
$2,940 |
$4,200 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$815 |
$1,164 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,669.50 |
$2,385 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,155 |
$1,650 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$1,476 |
$2,108 |
0.9× |
| Exc hand les sc < 1.5 cm (26115) |
$1,050 |
$1,500 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,845 |
$5,493 |
1.1× |
| Exc neck tum deep < 5 cm (21556) |
$3,215 |
$4,593 |
1.1× |
| Exc rect tum transanal part (45171) |
$2,730 |
$3,900 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$3,215 |
$4,593 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$962.50 |
$1,375 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$691.50 |
$988 |
1.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$819 |
$1,170 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,686 |
$2,409 |
2.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,685 |
$2,407 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,260 |
$1,800 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,215 |
$4,593 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,800.50 |
$2,572 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,472.50 |
$2,103.50 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,261.50 |
$1,802.50 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,001 |
$1,430 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,100 |
$3,000 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,240 |
$3,200 |
1.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,000 |
$1,429 |
1.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,991 |
$2,844 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$5,390 |
$7,700 |
1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,475 |
$3,536 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,960 |
$2,800 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,730 |
$3,900 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,260 |
$1,800 |
0.8× |
| Excise/repair mouth lesion (40812) |
$2,870 |
$4,100 |
1.8× |
| Excision Breast Lesion (19125) |
$7,350 |
$10,500 |
1.9× |
| Excision external ear partial simple repair (69110) |
$2,590 |
$3,700 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$283 |
$404 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$798 |
$1,140 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,400 |
$2,000 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,977 |
$2,824 |
2.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,330 |
$1,900 |
1.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,820 |
$2,600 |
2.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$2,170 |
$3,100 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$13 |
$18 |
0.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$701.50 |
$1,002 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$648 |
$926 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,400 |
$2,000 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$595 |
$850 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$732 |
$1,046 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,260 |
$1,800 |
1.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$424 |
$605 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,007 |
$2,867 |
1.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$227 |
$325 |
0.1× |
| Excision of nail fold toe (11765) |
$1,050 |
$1,500 |
2.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,215 |
$4,593 |
1.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$5,635 |
$8,050 |
1.9× |
| Excision of Umbilicus (49250) |
$6,650 |
$9,500 |
1.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,390 |
$7,700 |
1.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,448 |
$2,068.50 |
0.9× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$5,390 |
$7,700 |
1.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,390 |
$7,700 |
1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,390 |
$7,700 |
1.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,950 |
$8,500 |
1.8× |
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure |
$2,485 |
$3,550 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$1,540 |
$2,200 |
0.9× |
| Fetal non-stress test (59025) |
$375 |
$535 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$543 |
$775.50 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$648 |
$925 |
3.0× |
| Hemorrhoidectomy (46255) |
$3,395 |
$4,850 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$458.50 |
$655 |
1.9× |
| I&d abscess simple (10060) |
$614.50 |
$877.50 |
3.0× |
| I&d below fascia foot 1 bursal space (28002) |
$1,680 |
$2,400 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,390 |
$7,700 |
1.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,730 |
$3,900 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,197 |
$4,567 |
1.5× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$5,110 |
$7,300 |
1.6× |
| I&d perianal abscess superficial (46050) |
$875 |
$1,250 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$1,496 |
$2,137 |
2.1× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,650 |
$3,785 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,639 |
$8,055 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$910 |
$1,300 |
0.5× |
| Incise finger tendon sheath (26055) |
$210 |
$300 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$811.50 |
$1,159.50 |
2.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,496 |
$2,137 |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,660 |
$3,800 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$823 |
$1,175 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$405 |
$578 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$313 |
$447.50 |
1.0× |
| Incision of metatarsal (28308) |
$1,085 |
$1,550 |
0.3× |
| Incision of rectal abscess (46040) |
$1,745 |
$2,492.50 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$634 |
$905 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$136 |
$194 |
0.2× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$12,250 |
$17,500 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$210 |
$300 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$570 |
$814 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$371.50 |
$530.50 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$623 |
$890 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,512 |
$2,160 |
2.1× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$236.50 |
$338 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$525.50 |
$751 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$186.50 |
$266.50 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$221 |
$315 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$270 |
$385 |
2.1× |
| Insert Drug Implant Device (11981) |
$134 |
$191 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,701.50 |
$2,431 |
0.5× |
| Insert pessary/other device (57160) |
$114 |
$163 |
0.6× |
| Insert picc cath (36569) |
$2,933.50 |
$4,190.50 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$158 |
$225 |
1.2× |
| Insert tunneled cv cath (36561) |
$1,421 |
$2,030 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$270 |
$385 |
2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$952 |
$1,360 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,808 |
$9,725 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$727 |
$1,038 |
3.1× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,120 |
$1,600 |
0.2× |
| Laparoscopy appendectomy (44970) |
$7,700 |
$11,000 |
1.3× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,239 |
$1,770 |
0.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$5,600 |
$8,000 |
0.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,211 |
$8,873 |
1.0× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$15,400 |
$22,000 |
1.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure |
$559 |
$798 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$282 |
$403 |
0.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,200 |
$6,000 |
2.3× |
| Lengthening of hand tendon (26478) |
$14 |
$20 |
0.0× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$307 |
$438 |
0.1× |
| Liver Biopsy (47000) |
$2,325 |
$3,321 |
1.4× |
| Mastectomy simple complete (19303) |
$11,900 |
$17,000 |
1.8× |
| Nasal surgery procedure (30999) |
$163 |
$233 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$793 |
$1,133 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$86 |
$123 |
3.0× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,868 |
$2,669 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,800 |
$4,000 |
0.7× |
| Peritoneal Lavage (49084) |
$1,680 |
$2,400 |
1.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,570 |
$5,100 |
1.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$510.50 |
$729 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$251 |
$359 |
0.6× |
| Preputial Stretching (54450) |
$634 |
$905 |
2.5× |
| Punch biopsy skin single lesion (11104) |
$111 |
$159 |
0.3× |
| Puncture Aspiration (10160) |
$823 |
$1,175 |
2.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$865 |
$1,235 |
0.3× |
| Removal fb intranasal (30300) |
$266.50 |
$380 |
2.0× |
| Removal foreign body foot deep (28192) |
$865 |
$1,235 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$1,440.50 |
$2,057.50 |
2.0× |
| Removal foreign body pharynx (42809) |
$793 |
$1,133 |
1.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$431 |
$615 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.50 |
$159 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107 |
$153 |
1.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$317 |
$453 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$333 |
$476 |
1.1× |
| Removal of nail bed (11750) |
$399 |
$569.50 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$308 |
$440 |
1.5× |
| Removal of sperm cord lesion (55520) |
$1,208 |
$1,725 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$574 |
$820 |
2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$129 |
$184 |
0.5× |
| Remove drug implant device (11982) |
$151 |
$216 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$3,395 |
$4,850 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$5,390 |
$7,700 |
1.8× |
| Remove wrist tendon lesion (25111) |
$2,965 |
$4,235 |
1.8× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$14 |
$20 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$197.50 |
$281.50 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$182.50 |
$260 |
1.4× |
| Repair blood vessel direct neck (35201) |
$11,340 |
$16,200 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,246 |
$1,780 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$823 |
$1,175 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,500.50 |
$2,143.50 |
3.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,246 |
$1,780 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,404 |
$2,006 |
3.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,280 |
$1,829 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,246 |
$1,780 |
1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$8,184 |
$11,691 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$823 |
$1,175 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$823 |
$1,175 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$684 |
$977 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,498 |
$2,140 |
3.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$822 |
$1,174 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$823 |
$1,175 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$891.50 |
$1,273.50 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,050 |
$1,500 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$823 |
$1,175 |
2.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$7,437 |
$10,625 |
1.1× |
| Repair Tongue Laceration (41250) |
$793 |
$1,133 |
1.8× |
| Rerepair ing hernia blocked (49521) |
$6,469 |
$9,241 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$8,435 |
$12,050 |
2.3× |
| Revise median n/carpal tunnel surg (64721) |
$5,537 |
$7,910 |
2.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$464 |
$663 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$270 |
$385 |
2.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,639 |
$8,055 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$364 |
$520 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$211 |
$301 |
0.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,945 |
$15,636 |
1.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$7,436 |
$10,623 |
1.1× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$10,945 |
$15,636 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$893 |
$1,276 |
0.2× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$7,437 |
$10,625 |
1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$10,945 |
$15,636 |
1.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$7,437 |
$10,625 |
2.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,680 |
$2,400 |
1.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,240 |
$3,200 |
1.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$139 |
$199 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$431 |
$615 |
2.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$840 |
$1,200 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$823 |
$1,175 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$392.50 |
$561 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$471.50 |
$674 |
2.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,159 |
$1,656 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$390.50 |
$557.50 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$489.50 |
$699 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$558 |
$797 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,694 |
$2,420 |
8.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$415.50 |
$593.50 |
2.1× |
| Skin Tissue Procedure (17999) |
$1,617 |
$2,310 |
8.0× |
| Slitting of prepuce (54001) |
$14 |
$20 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$369 |
$527 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$823 |
$1,175 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$521 |
$744 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$182 |
$260 |
0.3× |
| Strapping ankle (29540) |
$64 |
$91 |
0.4× |
| Strapping elbow/wrist (29260) |
$133 |
$190 |
2.2× |
| Strapping Hip (29520) |
$269 |
$384 |
2.0× |
| Strapping knee (29530) |
$269 |
$384 |
2.0× |
| Strapping shoulder (29240) |
$331 |
$473 |
2.5× |
| Strapping unna boot (29580) |
$126 |
$180 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$158 |
$225.50 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$509.50 |
$727.50 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,207.50 |
$1,725 |
1.9× |
| Trach Tube Change (31502) |
$109 |
$155 |
0.5× |
| Treat Fracture Radius & Ulna (25560) |
$490 |
$700 |
2.0× |
| Treat knee fracture (27532) |
$6,734 |
$9,620 |
2.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,330 |
$1,900 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$490 |
$700 |
2.0× |
| Trim skin lesion (11055) |
$99 |
$142 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$305 |
$435 |
1.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$38 |
$54 |
0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$154 |
$220 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$517 |
$738 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$571 |
$815 |
1.9× |
| Vaginal delivery only (59409) |
$6,248 |
$8,925 |
1.9× |
| Venipuncture (36415) |
$27 |
$38 |
2.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,361 |
$3,373 |
0.7× |
| Wedging of cast (29740) |
$574 |
$820 |
2.0× |