| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$475 |
$475 |
0.6× |
| Adding Walker Previously Applied Cast (29440) |
$100 |
$100 |
0.7× |
| Amputation Finger/Thumb (26951) |
$1,587.50 |
$1,587.50 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$2,762.50 |
$2,762.50 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$2,187.50 |
$2,187.50 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,300 |
$2,300 |
0.8× |
| Amputation, leg, through tibia and fibula; (27880) |
$5,250 |
$5,250 |
0.8× |
| Anoscopy diagnostic (46600) |
$562.50 |
$562.50 |
4.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$100 |
$100 |
0.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$4,550 |
$4,550 |
1.0× |
| Appendectomy (44950) |
$3,875 |
$3,875 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162.50 |
$162.50 |
1.1× |
| Application cast elbow finger short arm (29075) |
$475 |
$475 |
1.8× |
| Application Cast Finger (29086) |
$100 |
$100 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$494 |
$494 |
3.3× |
| Application cast shoulder hand long arm (29065) |
$312.50 |
$312.50 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$165 |
$165 |
3.0× |
| Application finger splint static (29130) |
$165 |
$165 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$165 |
$165 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$162.50 |
$162.50 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$165 |
$165 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$322 |
$322 |
1.3× |
| Application of long leg cast (29345) |
$162.50 |
$162.50 |
0.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$175 |
$175 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$165 |
$165 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$165 |
$165 |
1.3× |
| Application short leg splint calf foot (29515) |
$165 |
$165 |
1.1× |
| Apply long leg cast brace (29358) |
$162.50 |
$162.50 |
0.6× |
| Apply multlay comprs arm/hand (29584) |
$162.50 |
$162.50 |
1.1× |
| Apply of clubfoot cast (29450) |
$225 |
$225 |
1.5× |
| Apply short leg cast (29405) |
$187.50 |
$187.50 |
0.7× |
| Apply short leg cast (29425) |
$187.50 |
$187.50 |
0.7× |
| Arterial puncture (36600) |
$75 |
$75 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$230 |
$230 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$250 |
$250 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$300 |
$300 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$350 |
$350 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$225 |
$225 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$137.50 |
$137.50 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$125 |
$125 |
0.7× |
| Biopsy Breast Open Incisional (19101) |
$325 |
$325 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$900 |
$900 |
1.1× |
| Biopsy muscle deep (20205) |
$2,462.50 |
$2,462.50 |
0.9× |
| Biopsy Muscle Superficial (20200) |
$400 |
$400 |
0.3× |
| Biopsy of lip (40490) |
$750 |
$750 |
3.4× |
| Biopsy of nail unit (11755) |
$237.50 |
$237.50 |
0.4× |
| Biopsy of tongue (41100) |
$250 |
$250 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,450 |
$1,450 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$500 |
$500 |
0.3× |
| Biopsy soft tissue of back (21920) |
$275 |
$275 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$575 |
$575 |
0.7× |
| Bladder Irrigation Simple (51700) |
$212.50 |
$212.50 |
0.9× |
| Bladder Scan (51798) |
$80 |
$80 |
1.5× |
| Blood transfusion service (36430) |
$706.28 |
$706.28 |
1.7× |
| Bone marrow aspiration only (38220) |
$200 |
$200 |
0.1× |
| Bone Marrow Biopsy (38221) |
$675 |
$675 |
0.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$925 |
$925 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,137.50 |
$1,137.50 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,225 |
$1,225 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,137.50 |
$1,137.50 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$875 |
$875 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$1,075 |
$1,075 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$937.50 |
$937.50 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$312.50 |
$312.50 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$562.50 |
$562.50 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$487.50 |
$487.50 |
0.3× |
| Chemodenerv Musc Migraine (64615) |
$242.50 |
$242.50 |
0.9× |
| Chest tube placement (32551) |
$400 |
$400 |
0.3× |
| Circum 28 days or older (54161) |
$1,800 |
$1,800 |
0.9× |
| Circumcision (54150) |
$352.50 |
$352.50 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$925 |
$925 |
4.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$987.50 |
$987.50 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,037.50 |
$1,037.50 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$925 |
$925 |
4.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$645 |
$645 |
2.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,112.50 |
$1,112.50 |
0.4× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$1,500 |
$1,500 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$650 |
$650 |
2.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,050 |
$1,050 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$655 |
$655 |
2.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$950 |
$950 |
4.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$862.50 |
$862.50 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,037.50 |
$1,037.50 |
0.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$750 |
$750 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$587.50 |
$587.50 |
2.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$725 |
$725 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$700 |
$700 |
3.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$887.50 |
$887.50 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$700 |
$700 |
3.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$650 |
$650 |
2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$925 |
$925 |
4.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$462.50 |
$462.50 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$350 |
$350 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$962.50 |
$962.50 |
4.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,075 |
$1,075 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$925 |
$925 |
4.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,175 |
$1,175 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$437.50 |
$437.50 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$500 |
$500 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$612.50 |
$612.50 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$650 |
$650 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$475 |
$475 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$750 |
$750 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$650 |
$650 |
2.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$650 |
$650 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$575 |
$575 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$500 |
$500 |
2.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,050 |
$1,050 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,275 |
$1,275 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,075 |
$1,075 |
1.0× |
| Colonoscopy thru stoma (44388) |
$800 |
$800 |
0.9× |
| Colonoscopy w/band ligation (45398) |
$1,200 |
$1,200 |
1.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$625 |
$625 |
2.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$975 |
$975 |
5.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,100 |
$1,100 |
0.4× |
| Complex Drainage, Wound (10180) |
$2,279.50 |
$2,279.50 |
0.9× |
| Conization of cervix (57520) |
$2,375 |
$2,375 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$362.50 |
$362.50 |
3.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$292.50 |
$292.50 |
2.4× |
| Correction of inverted nipples (19355) |
$2,250 |
$2,250 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$262.50 |
$262.50 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$200 |
$200 |
0.9× |
| Curettage postpartum (59160) |
$1,400 |
$1,400 |
0.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure |
$1,750 |
$1,750 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$1,275 |
$1,275 |
0.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,125 |
$1,125 |
0.6× |
| Cystourethroscopy (52000) |
$725 |
$725 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$395 |
$395 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$225 |
$225 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$290 |
$290 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$412.50 |
$412.50 |
0.3× |
| Destroy internal hemorrhoids (46930) |
$1,275 |
$1,275 |
1.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$300 |
$300 |
0.8× |
| Destruction benign lesions 15 or more (17111) |
$525 |
$525 |
2.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$187.50 |
$187.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$515 |
$515 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$125 |
$125 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$175 |
$175 |
0.9× |
| Destruction Vaginal Lesions Extensive (57065) |
$1,600 |
$1,600 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$550 |
$550 |
0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,400 |
$1,400 |
0.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$550 |
$550 |
0.7× |
| Division of fallopian tube (58600) |
$2,250 |
$2,250 |
0.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$300 |
$300 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$250 |
$250 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$250 |
$250 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$287.50 |
$287.50 |
1.6× |
| Drainage of eyelid abscess (67700) |
$387.50 |
$387.50 |
1.3× |
| Drainage of gum lesion (41800) |
$287.50 |
$287.50 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$543.50 |
$543.50 |
0.4× |
| Drainage of hydrocele (55000) |
$460 |
$460 |
0.7× |
| Dressing change under anesthesia (15852) |
$200 |
$200 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$345 |
$345 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$310 |
$310 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$252.50 |
$252.50 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$1,200 |
$1,200 |
0.5× |
| Dx bone marrow bx & aspir (38222) |
$831.50 |
$831.50 |
0.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,000 |
$1,000 |
0.6× |
| Egd flexible foreign body removal (43247) |
$900 |
$900 |
1.1× |
| Egd place gastrostomy tube (43246) |
$1,350 |
$1,350 |
0.8× |
| Endoscopic us exam esoph (43237) |
$1,025 |
$1,025 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$700 |
$700 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$887.50 |
$887.50 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$75 |
$75 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$787.50 |
$787.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,050 |
$1,050 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,000 |
$1,000 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,900 |
$1,900 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$362.50 |
$362.50 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$662.50 |
$662.50 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,800 |
$2,800 |
0.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$287.50 |
$287.50 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$587.50 |
$587.50 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$432.50 |
$432.50 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$475 |
$475 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$657.50 |
$657.50 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$975 |
$975 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$725 |
$725 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,550 |
$1,550 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$950 |
$950 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,275 |
$1,275 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$575 |
$575 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,050 |
$1,050 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,050 |
$1,050 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,075 |
$1,075 |
0.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$325 |
$325 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,200 |
$2,200 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$775 |
$775 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$812.50 |
$812.50 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,217.50 |
$1,217.50 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,250 |
$1,250 |
0.8× |
| Excise/repair mouth lesion (40812) |
$475 |
$475 |
0.3× |
| Excision Breast Lesion (19125) |
$1,835 |
$1,835 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$375 |
$375 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$362.50 |
$362.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$445 |
$445 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$512.50 |
$512.50 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$687.50 |
$687.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$750 |
$750 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$300 |
$300 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$362.50 |
$362.50 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$425 |
$425 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$762.50 |
$762.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$325 |
$325 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$412.50 |
$412.50 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$475 |
$475 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$550 |
$550 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$612.50 |
$612.50 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,987.50 |
$1,987.50 |
0.8× |
| Excision of bartholin's gland or cyst (56740) |
$850 |
$850 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$562.50 |
$562.50 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$600 |
$600 |
0.9× |
Excision of facial bone(s) (21026)
likely a partial charge, not the full procedure |
$850 |
$850 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$925 |
$925 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$350 |
$350 |
0.4× |
| Excision of lesion of tongue without closure (41110) |
$925 |
$925 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$662.50 |
$662.50 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$425 |
$425 |
0.3× |
| Excision of tongue lesion (41112) |
$500 |
$500 |
0.2× |
| Excision olecranon bursa (24105) |
$1,525 |
$1,525 |
0.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,600 |
$2,600 |
1.0× |
| Excision Synovial Cyst Popliteal Space (27345) |
$2,025 |
$2,025 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,350 |
$1,350 |
0.9× |
| Excision, nasal polyp(s), simple (30110) |
$250 |
$250 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,875 |
$1,875 |
0.7× |
| Fetal Contraction Stress Test (59020) |
$252.50 |
$252.50 |
1.4× |
| Fetal non-stress test (59025) |
$252.50 |
$252.50 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$387.50 |
$387.50 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$225 |
$225 |
0.6× |
| Hemorrhoidectomy (46255) |
$1,575 |
$1,575 |
0.6× |
| Hemorrhoidectomy external complete (46250) |
$1,962.50 |
$1,962.50 |
0.8× |
| Hysteroscopy ablation (58563) |
$2,250 |
$2,250 |
0.5× |
| Hysteroscopy biopsy (58558) |
$1,700 |
$1,700 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$625 |
$625 |
2.9× |
| I&d abscess simple (10060) |
$177.50 |
$177.50 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,150 |
$1,150 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$650 |
$650 |
1.0× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,312.50 |
$1,312.50 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$675 |
$675 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$750 |
$750 |
0.3× |
| Incise finger tendon sheath (26055) |
$925 |
$925 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$200 |
$200 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$662.50 |
$662.50 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$737 |
$737 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$280 |
$280 |
0.7× |
| Incision of lingual frenum (41010) |
$350 |
$350 |
0.2× |
| Incision of rectal abscess (46040) |
$1,625 |
$1,625 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$237.50 |
$237.50 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$450 |
$450 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$262.50 |
$262.50 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$137.50 |
$137.50 |
0.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$225 |
$225 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$450 |
$450 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$350 |
$350 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$137.50 |
$137.50 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$100 |
$100 |
0.4× |
| Injection anes other peripheral nerve/branch (64450) |
$208 |
$208 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$175 |
$175 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$175 |
$175 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$192.50 |
$192.50 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$112.50 |
$112.50 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,850 |
$1,850 |
0.6× |
| Insert picc cath (36569) |
$1,015 |
$1,015 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$90 |
$90 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,375 |
$2,375 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$112.50 |
$112.50 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,250 |
$1,250 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$950 |
$950 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,950 |
$1,950 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$400 |
$400 |
1.8× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,250 |
$1,250 |
0.2× |
| Laparoscopy appendectomy (44970) |
$3,625 |
$3,625 |
0.7× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,600 |
$1,600 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,000 |
$2,000 |
0.2× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,750 |
$2,750 |
0.5× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,300 |
$3,300 |
0.6× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,250 |
$2,250 |
0.4× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,500 |
$1,500 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$1,850 |
$1,850 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$2,275 |
$2,275 |
0.4× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$3,000 |
$3,000 |
0.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$762.50 |
$762.50 |
4.2× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$375 |
$375 |
2.0× |
| Late closure of wound (13160) |
$1,600 |
$1,600 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,050 |
$1,050 |
1.2× |
| Ligation or biopsy temporal artery (37609) |
$699.50 |
$699.50 |
0.5× |
| Liver Biopsy (47000) |
$737.50 |
$737.50 |
0.5× |
| Marsup Bartholin Gland Cyst (56440) |
$812.50 |
$812.50 |
0.3× |
| Mast mod rad (19307) |
$5,400 |
$5,400 |
0.9× |
| Mastectomy partial (19301) |
$3,875 |
$3,875 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$4,625 |
$4,625 |
0.8× |
| Mastectomy simple complete (19303) |
$4,800 |
$4,800 |
0.8× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$765 |
$765 |
4.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$637.50 |
$637.50 |
1.0× |
| Open tx nose fx uncomplicatd (21325) |
$350 |
$350 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$1,000 |
$1,000 |
0.3× |
| Peritoneal Lavage (49084) |
$562.50 |
$562.50 |
0.7× |
| Perq device breast 1st imag (19281) |
$300 |
$300 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$167.50 |
$167.50 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$525 |
$525 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$350 |
$350 |
0.9× |
| Puncture Aspiration (10160) |
$460 |
$460 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$275 |
$275 |
0.4× |
| Removal fb intranasal (30300) |
$577.50 |
$577.50 |
4.7× |
| Removal Foreign Body Foot Complicated (28193) |
$1,025 |
$1,025 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$412.50 |
$412.50 |
0.3× |
| Removal foreign body pharynx (42809) |
$550 |
$550 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$317.50 |
$317.50 |
5.9× |
| Removal Implant Deep (20680) |
$1,800 |
$1,800 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$662.50 |
$662.50 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$175 |
$175 |
0.3× |
| Removal of finger lesion (26210) |
$1,275 |
$1,275 |
0.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$500 |
$500 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$150 |
$150 |
0.5× |
| Removal of nail bed (11750) |
$337.50 |
$337.50 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$175 |
$175 |
0.9× |
| Removal of testis (54520) |
$1,512.50 |
$1,512.50 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$187.50 |
$187.50 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$187.50 |
$187.50 |
0.7× |
| Remove drug implant device (11982) |
$212.50 |
$212.50 |
0.5× |
| Remove foreign body from eye (65210) |
$237.50 |
$237.50 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$2,000 |
$2,000 |
0.8× |
| Remove Peritoneal Foreign Body (49402) |
$1,300 |
$1,300 |
0.4× |
| Remove wrist tendon lesion (25111) |
$1,362.50 |
$1,362.50 |
0.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$550 |
$550 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$225 |
$225 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$225 |
$225 |
1.8× |
| Remv/revisn shldr/hip spica cast (29710) |
$187.50 |
$187.50 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$862.50 |
$862.50 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,037.50 |
$1,037.50 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$550 |
$550 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$700 |
$700 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$325 |
$325 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$450 |
$450 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$275 |
$275 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$457 |
$457 |
0.7× |
| Repair incomplete circumcision (54163) |
$1,000 |
$1,000 |
0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,750 |
$1,750 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$500 |
$500 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$525 |
$525 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$575 |
$575 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$362.50 |
$362.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$450 |
$450 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$650 |
$650 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,137.50 |
$1,137.50 |
3.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$562.50 |
$562.50 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$637.50 |
$637.50 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,325 |
$1,325 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$975 |
$975 |
2.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,762.50 |
$1,762.50 |
0.9× |
| Repair of hydrocele (55060) |
$1,375 |
$1,375 |
0.4× |
| Repair umbilical lesion (49600) |
$1,575 |
$1,575 |
0.5× |
| Rerepair ing hernia reduce (49520) |
$925 |
$925 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$1,375 |
$1,375 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$325 |
$325 |
2.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$450 |
$450 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,900 |
$1,900 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$900 |
$900 |
1.6× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
unusually low: confirm this is the full procedure |
$2,300 |
$2,300 |
0.4× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,600 |
$2,600 |
0.5× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low: confirm this is the full procedure |
$2,750 |
$2,750 |
0.5× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$1,812.50 |
$1,812.50 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$90 |
$90 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$106 |
$106 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$87.50 |
$87.50 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$100 |
$100 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$172.50 |
$172.50 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$90 |
$90 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$111 |
$111 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$172.50 |
$172.50 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$550 |
$550 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$555 |
$555 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$237.50 |
$237.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$275 |
$275 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.50 |
$312.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$400 |
$400 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$187.50 |
$187.50 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$725 |
$725 |
3.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$300 |
$300 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$2,369.50 |
$2,369.50 |
3.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,525 |
$1,525 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$250 |
$250 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$437.50 |
$437.50 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$900 |
$900 |
2.4× |
| Spinal puncture lumbar diagnostic (62270) |
$350 |
$350 |
0.5× |
| Strapping ankle (29540) |
$162.50 |
$162.50 |
1.1× |
| Strapping elbow/wrist (29260) |
$162.50 |
$162.50 |
3.0× |
| Strapping hand/finger (29280) |
$162.50 |
$162.50 |
3.0× |
| Strapping Hip (29520) |
$162.50 |
$162.50 |
1.3× |
| Strapping knee (29530) |
$162.50 |
$162.50 |
1.3× |
| Strapping shoulder (29240) |
$162.50 |
$162.50 |
1.3× |
| Strapping toes (29550) |
$162.50 |
$162.50 |
3.0× |
| Strapping unna boot (29580) |
$275 |
$275 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$350 |
$350 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$575 |
$575 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$475 |
$475 |
0.8× |
| Thyroid biopsy (60100) |
$450 |
$450 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,850 |
$1,850 |
0.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$900 |
$900 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$925 |
$925 |
4.1× |
| Treat humerus fracture (23600) |
$975 |
$975 |
4.3× |
| Treat Metatarsal Fracture (28475) |
$975 |
$975 |
4.3× |
| Treatment closed elbow dislocation req anes (24605) |
$900 |
$900 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$637.50 |
$637.50 |
2.8× |
| Treatment of bone cyst (20615) |
$137.50 |
$137.50 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$5,950 |
$5,950 |
2.0× |
| Trim skin lesion (11055) |
$231.50 |
$231.50 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$251 |
$251 |
1.4× |
| Trim skin lesions over 4 (11057) |
$330 |
$330 |
1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,650 |
$1,650 |
0.6× |
| Vasectomy (55250) |
$1,025 |
$1,025 |
0.5× |
| Venipuncture (36415) |
$14 |
$14 |
1.5× |