| Abd paracentesis w/imaging (49083) |
$2,265.75 |
$3,021 |
2.6× |
| Ablate inf turbinate submuc (30802) |
$956.40 |
$1,275.20 |
0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,376.50 |
$12,502 |
0.6× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$26,122.50 |
$34,830 |
2.6× |
| Abltj 1/> lvr tum prq rf (47382) |
$10,955.25 |
$14,607 |
1.9× |
| Acne Surgery (10040) |
$900 |
$1,200 |
4.8× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,076.84 |
$1,435.78 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,775.23 |
$2,366.97 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,076.84 |
$1,435.78 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,505.17 |
$2,006.90 |
0.8× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Amniocentesis diagnostic (59000) |
$967.12 |
$1,289.50 |
1.1× |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
$3,104.60 |
$4,139.47 |
1.0× |
| Amputate metacarpal bone (26910) |
$2,427.46 |
$3,236.62 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,152.30 |
$2,869.74 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$2,213.46 |
$2,951.28 |
0.7× |
| Amputation of finger/thumb (26952) |
$2,043.38 |
$2,724.50 |
0.7× |
| Amputation Of Foot At Ankle (27889) |
$6,934.97 |
$9,246.63 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,213.46 |
$2,951.28 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,213.46 |
$2,951.28 |
0.7× |
| Amputation, foot; transmetatarsal (28805) |
$2,739 |
$3,652 |
0.9× |
| Ankle arthroscopy/surgery (29892) |
$4,952.42 |
$6,603.22 |
0.7× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$3,344.74 |
$4,459.66 |
1.1× |
| Ankle scope,part synovectomy (29895) |
$2,969.86 |
$3,959.81 |
1.0× |
| Anoscopy (46611) |
$900 |
$1,200 |
1.0× |
| Anoscopy diagnostic (46600) |
$375 |
$500 |
3.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,297.50 |
$1,730 |
1.5× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,125 |
$1,500 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$655.62 |
$874.16 |
0.6× |
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$445.12 |
$593.50 |
2.9× |
| Application Finger Splint Dynamic (29131) |
$170.25 |
$227 |
3.1× |
| Application finger splint static (29130) |
$141 |
$188 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$322.50 |
$430 |
2.1× |
| Application long leg splint thigh ankle/toes (29505) |
$253.50 |
$338 |
1.7× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$11,922.22 |
$15,896.30 |
1.0× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$4,405.90 |
$5,874.53 |
0.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$688.50 |
$918 |
2.6× |
| Application short arm splint forearm-hand static (29125) |
$286.50 |
$382 |
2.3× |
| Application short leg splint calf foot (29515) |
$253.50 |
$338 |
1.7× |
| Apply short leg cast (29405) |
$597 |
$796 |
2.3× |
| Apply short leg cast (29425) |
$597 |
$796 |
2.3× |
| Arterial puncture (36600) |
$191.25 |
$255 |
1.5× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,569.26 |
$3,425.68 |
0.9× |
Artery-vein autograft (36825)
unusually low: confirm this is the full procedure |
$2,569.26 |
$3,425.68 |
0.5× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$6,280.96 |
$8,374.61 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,650 |
$2,200 |
5.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,094.62 |
$1,459.50 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,125 |
$1,500 |
3.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$869.62 |
$1,159.50 |
3.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,206.75 |
$1,609 |
4.2× |
| Arthrodesis ankle open (27870) |
$19,008.27 |
$25,344.36 |
1.6× |
| Arthrodesis Glenohumeral Joint (23800) |
$5,110.15 |
$6,813.53 |
0.7× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,517.49 |
$6,023.32 |
0.7× |
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure |
$3,824.02 |
$5,098.69 |
0.2× |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
$16,750.80 |
$22,334.40 |
1.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$6,761.92 |
$9,015.89 |
1.0× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737)
unusually low: confirm this is the full procedure |
$3,824.02 |
$5,098.69 |
0.3× |
| Arthrodesis; subtalar (28725) |
$7,500 |
$10,000 |
0.6× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,535.73 |
$10,047.64 |
1.1× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$12,066.47 |
$16,088.62 |
1.0× |
| Arthroscopy ankle; ext debridem (29898) |
$3,104.60 |
$4,139.47 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,398.77 |
$3,198.36 |
0.8× |
| Arthroscopy of joint (29999) |
$1,677 |
$2,236 |
7.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,104.60 |
$4,139.47 |
1.0× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$2,398.77 |
$3,198.36 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,398.77 |
$3,198.36 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,398.77 |
$3,198.36 |
0.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$5,139.86 |
$6,853.14 |
0.8× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,139.86 |
$6,853.14 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,344.74 |
$4,459.66 |
1.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,398.77 |
$3,198.36 |
0.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,344.74 |
$4,459.66 |
1.1× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,344.74 |
$4,459.66 |
0.5× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$3,344.74 |
$4,459.66 |
1.1× |
Arthroscopy, shoulder, surgical; synovectomy, partial (29820)
unusually low: confirm this is the full procedure |
$3,344.74 |
$4,459.66 |
0.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,344.74 |
$4,459.66 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,139.86 |
$6,853.14 |
0.8× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) High… (29800) |
$1,692.93 |
$2,257.24 |
0.5× |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
$1,287.22 |
$1,716.30 |
0.4× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
$1,322.31 |
$1,763.08 |
0.4× |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
$1,322.31 |
$1,763.08 |
0.4× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$1,287.22 |
$1,716.30 |
0.4× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$3,104.60 |
$4,139.47 |
1.0× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,322.31 |
$1,763.08 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,322.31 |
$1,763.08 |
0.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$2,022.94 |
$2,697.26 |
0.7× |
| Arthrtomy w/bx interphalangeal joint (28054) |
$1,322.31 |
$1,763.08 |
0.4× |
| Aspir/inj thyroid cyst (60300) |
$1,649.25 |
$2,199 |
2.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$34.26 |
$45.68 |
0.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,523.88 |
$4,698.50 |
1.8× |
Av fusion/forearm vein (36820)
unusually low: confirm this is the full procedure |
$2,569.26 |
$3,425.68 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$1,123.88 |
$1,498.50 |
5.9× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$3,120.46 |
$4,160.62 |
0.5× |
| Axillary lymphadenectomy; complete (38745) |
$3,120.46 |
$4,160.62 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,877.75 |
$3,837 |
1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,992.75 |
$2,657 |
1.3× |
| Biopsy Breast Open Incisional (19101) |
$1,550.45 |
$2,067.27 |
0.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,503.50 |
$3,338 |
2.9× |
| Biopsy external auditory canal (69105) |
$113.97 |
$151.96 |
0.1× |
| Biopsy intranasal (30100) |
$110.63 |
$147.51 |
0.1× |
| Biopsy muscle deep (20205) |
$1,125.13 |
$1,500.17 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$900 |
$1,200 |
0.6× |
| Biopsy Muscle Superficial (20200) |
$900.26 |
$1,200.34 |
0.6× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$900.26 |
$1,200.34 |
0.3× |
| Biopsy of shoulder joint (23100) |
$1,287.22 |
$1,716.30 |
0.4× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$1,591.84 |
$2,122.45 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,297.68 |
$3,063.58 |
0.6× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$3,032.25 |
$4,043 |
1.9× |
| Biopsy pleura percutaneous needle (32400) |
$3,533.25 |
$4,711 |
2.3× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,363.76 |
$1,818.35 |
0.9× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$1,363.76 |
$1,818.35 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$900.26 |
$1,200.34 |
0.6× |
| Biopsy soft tissue of back (21920) |
$181.40 |
$241.87 |
0.1× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$4,256.25 |
$5,675 |
2.7× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$1,363.76 |
$1,818.35 |
0.5× |
| Biopsy soft tissue shoulder superficial (23065) |
$128.50 |
$171.33 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$176.92 |
$235.89 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,125 |
$1,500 |
1.3× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$1,363.76 |
$1,818.35 |
0.5× |
| Biopsy/removal lymph nodes (38525) |
$2,297.68 |
$3,063.58 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$1,591.84 |
$2,122.45 |
0.4× |
| Bl exchange/transfuse nb (36450) |
$1,401.75 |
$1,869 |
3.4× |
| Bladder Irrigation Simple (51700) |
$533.25 |
$711 |
2.3× |
| Bladder Scan (51798) |
$172.50 |
$230 |
3.1× |
| Blepharoplasty lower eyelid (15820) |
$1,076.84 |
$1,435.78 |
0.6× |
| Blepharoplasty upper eyelid (15822) |
$1,076.84 |
$1,435.78 |
0.6× |
| Blood patch (62273) |
$947.25 |
$1,263 |
1.4× |
| Blood transfusion service (36430) |
$936.75 |
$1,249 |
2.3× |
| Blood/Lymph System Procedure (38999) |
$1,698 |
$2,264 |
4.1× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$3,521.07 |
$4,694.76 |
0.5× |
| Bone marrow aspiration only (38220) |
$3,281.25 |
$4,375 |
2.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,032.25 |
$4,043 |
1.9× |
| Bx anorectal wall anal approach (45100) |
$2,443.81 |
$3,258.42 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$3,243.75 |
$4,325 |
2.1× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$1,591.84 |
$2,122.45 |
0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,322.31 |
$1,763.08 |
0.4× |
| Capsular Contracture Release (23020) |
$2,022.94 |
$2,697.26 |
0.7× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,043.38 |
$2,724.50 |
0.7× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$5,110.15 |
$6,813.53 |
0.7× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$5,110.15 |
$6,813.53 |
0.7× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$1,322.31 |
$1,763.08 |
0.9× |
| Capsulotomy Midtarsal (28264) |
$3,824.02 |
$5,098.69 |
2.5× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$1,322.31 |
$1,763.08 |
0.4× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$262.97 |
$350.63 |
0.2× |
| Cataract surgery complex (66982) |
$2,372.22 |
$3,162.96 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$240 |
$320 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$657.75 |
$877 |
2.8× |
| Change g-tube to g-j perc (49446) |
$1,977.67 |
$2,636.89 |
1.1× |
| Change Ureter Stent, Percut (50382) |
$5,355.75 |
$7,141 |
2.7× |
| Chemical Cautery Tissue (17250) |
$523.50 |
$698 |
2.8× |
| Chemical exfoliation for acne (17360) |
$3,000 |
$4,000 |
15.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$2,529.75 |
$3,373 |
8.7× |
| Chest tube placement (32551) |
$1,554 |
$2,072 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$180 |
$240 |
1.4× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$4,096.50 |
$5,462 |
2.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$7,131.75 |
$9,509 |
2.1× |
| Chorionic villus sampling (59015) |
$2,450.25 |
$3,267 |
2.8× |
| Claviculectomy; partial (23120) |
$2,022.94 |
$2,697.26 |
0.7× |
| Close tear system fistula (68770) |
$1,560.38 |
$2,080.50 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$438.75 |
$585 |
1.9× |
| Closed Rx Med Malleolus Fx (27760) |
$279.24 |
$372.32 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,480.93 |
$1,974.57 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,063.50 |
$1,418 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,005.52 |
$1,340.70 |
0.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,102.50 |
$1,470 |
0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$273.75 |
$365 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$438.75 |
$585 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$438.75 |
$585 |
1.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,126.25 |
$2,835 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$422.25 |
$563 |
1.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$2,285.38 |
$3,047.18 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$536.25 |
$715 |
2.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$422.25 |
$563 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$422.25 |
$563 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$336.14 |
$448.18 |
1.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$900 |
$1,200 |
3.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$422.25 |
$563 |
1.8× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,063.50 |
$1,418 |
0.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$422.25 |
$563 |
1.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$900 |
$1,200 |
3.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$422.25 |
$563 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$344.39 |
$459.18 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$708.03 |
$944.04 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$287.49 |
$383.32 |
1.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$352.55 |
$470.07 |
1.5× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$422.25 |
$563 |
1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$352.55 |
$470.07 |
0.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,102.50 |
$1,470 |
4.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$906.63 |
$1,208.84 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$422.25 |
$563 |
1.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,885.50 |
$2,514 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$287.49 |
$383.32 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,480.93 |
$1,974.57 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,012.50 |
$1,350 |
0.7× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,875 |
$2,500 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$432.03 |
$576.04 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$422.25 |
$563 |
1.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$438.75 |
$585 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,102.50 |
$1,470 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$727.53 |
$970.04 |
0.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$273.75 |
$365 |
1.2× |
| Closed tx septal&nose fx (21337) |
$1,041.30 |
$1,388.40 |
0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$136.22 |
$181.63 |
0.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$900 |
$1,200 |
3.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,674.06 |
$2,232.08 |
1.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$900 |
$1,200 |
3.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$246.75 |
$329 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$273.75 |
$365 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$422.25 |
$563 |
1.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,377.75 |
$1,837 |
2.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$136.22 |
$181.63 |
0.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$136.22 |
$181.63 |
0.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$352.55 |
$470.07 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$179.36 |
$239.14 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,303.82 |
$1,738.42 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$438.75 |
$585 |
1.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$983.36 |
$1,311.14 |
0.6× |
| Cltr skin autograft t/a/l 1st 25 cm/< (15150) |
$2,266.60 |
$3,022.14 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,939.90 |
$2,586.54 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$422.25 |
$563 |
1.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$651.79 |
$869.05 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$422.25 |
$563 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$438.75 |
$585 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$279.24 |
$372.32 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$273.75 |
$365 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$438.75 |
$585 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,083.03 |
$1,444.04 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$422.25 |
$563 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,978.50 |
$2,638 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$438.75 |
$585 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$273.75 |
$365 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$661.12 |
$881.50 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$773.62 |
$1,031.50 |
3.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,328.71 |
$1,771.61 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$250.03 |
$333.37 |
1.1× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$983.36 |
$1,311.14 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,102.50 |
$1,470 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$900 |
$1,200 |
3.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$661.12 |
$881.50 |
2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$422.25 |
$563 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$438.75 |
$585 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$273.75 |
$365 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$438.75 |
$585 |
1.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$983.36 |
$1,311.14 |
0.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$900 |
$1,200 |
3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$778.50 |
$1,038 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$273.75 |
$365 |
1.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,051.25 |
$2,735 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$438.75 |
$585 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$438.75 |
$585 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,480.55 |
$1,974.07 |
1.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,104.60 |
$4,139.47 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$250.03 |
$333.37 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$422.25 |
$563 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,885.50 |
$2,514 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$905.14 |
$1,206.86 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,480.55 |
$1,974.07 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,063.50 |
$1,418 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$578.67 |
$771.56 |
0.5× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$672.42 |
$896.56 |
0.6× |
| Colonoscopy thru stoma (44388) |
$773.85 |
$1,031.80 |
0.9× |
| Colonoscopy w/ablation (45388) |
$1,907.36 |
$2,543.15 |
1.7× |
| Colonoscopy w/fb removal (45379) |
$914.93 |
$1,219.91 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$64.07 |
$85.43 |
0.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$253.12 |
$337.50 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,188.10 |
$1,584.13 |
1.1× |
| Complete replacement picc rs&i (36584) |
$5,148 |
$6,864 |
3.5× |
| Complex Drainage, Wound (10180) |
$2,364.75 |
$3,153 |
0.9× |
| Conization of cervix (57520) |
$1,981.06 |
$2,641.42 |
0.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$980.25 |
$1,307 |
4.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$212.25 |
$283 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$375 |
$500 |
3.0× |
| Control nose/throat bleeding (42972) |
$956.40 |
$1,275.20 |
0.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$1,460.17 |
$1,946.89 |
0.5× |
Coracoacromial ligament release, with or without acromioplasty (23415)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,819.75 |
$5,093 |
2.5× |
| Correction Claw Finger Other Methods (26499) |
$1,750.32 |
$2,333.76 |
0.6× |
| Correction hammertoe (28285) |
$1,322.31 |
$1,763.08 |
0.4× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$3,194.77 |
$4,259.69 |
0.5× |
| Correction of bunion (28292) |
$2,052.97 |
$2,737.29 |
0.7× |
| Correction of bunion (28299) |
$3,441.92 |
$4,589.23 |
0.5× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,425.94 |
$4,567.92 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,052.97 |
$2,737.29 |
0.7× |
| Create eardrum opening (69436) |
$1,421.72 |
$1,895.63 |
1.0× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$1,750.32 |
$2,333.76 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$212.25 |
$283 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$246.75 |
$329 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$900 |
$1,200 |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,598.65 |
$2,131.54 |
0.6× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,022.94 |
$2,697.26 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,125 |
$1,500 |
1.7× |
| Debride skin musc at fx site (11011) |
$687.68 |
$916.91 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,439.62 |
$1,919.50 |
3.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$965.82 |
$1,287.76 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,125 |
$1,500 |
0.7× |
| Declot vascular device (36593) |
$942 |
$1,256 |
3.0× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,022.94 |
$2,697.26 |
1.3× |
| Decompress fingers/hand (26037) |
$982.15 |
$1,309.53 |
0.3× |
| Decompress forearm 1 space (25023) |
$2,022.94 |
$2,697.26 |
0.7× |
| Decompress forearm 2 spaces (25025) |
$2,022.94 |
$2,697.26 |
1.3× |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893) |
$6,934.97 |
$9,246.63 |
1.0× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$982.15 |
$1,309.53 |
0.3× |
Decompression of forearm (24495)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Decompression of leg (27894) |
$3,104.60 |
$4,139.47 |
1.0× |
| Decompression of leg (27892) |
$3,104.60 |
$4,139.47 |
1.0× |
| Decompression; plantar digital nerve (64726) |
$1,086.82 |
$1,449.09 |
0.6× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$2,466.75 |
$3,289 |
1.3× |
| Delivery placenta separate procedure (59414) |
$3,468.75 |
$4,625 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$842.67 |
$1,123.56 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$731.25 |
$975 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,625 |
$3,500 |
1.4× |
| Destroy nerve of eye muscle (67345) |
$900 |
$1,200 |
3.0× |
| Destruction anal lesion(s) (46924) |
$1,972.05 |
$2,629.40 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$65.77 |
$87.69 |
0.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,227.40 |
$4,303.20 |
1.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,413.50 |
$3,218 |
3.6× |
| Diagnostic sigmoidoscopy (45330) |
$417.15 |
$556.20 |
0.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$743.84 |
$991.78 |
0.9× |
| Dissection, deep jugular node(s) (38542) |
$3,120.46 |
$4,160.62 |
0.5× |
| Division of stricture of rectum (45150) |
$1,499.37 |
$1,999.16 |
1.3× |
| Divisn plantar fascia/muscle (28250) |
$1,322.31 |
$1,763.08 |
0.4× |
| Drain hand tendon sheath (26020) |
$982.15 |
$1,309.53 |
0.3× |
| Drain lower leg bursa (27604) |
$2,022.94 |
$2,697.26 |
0.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$474.75 |
$633 |
0.7× |
| Drain outer ear canal lesion (69020) |
$125.38 |
$167.18 |
0.2× |
| Drain shoulder bursa (23031) |
$1,232.56 |
$1,643.42 |
0.5× |
| Drain shoulder lesion (23030) |
$1,918.28 |
$2,557.71 |
0.7× |
| Drain/inj small joint/bursa w/us (20604) |
$558.75 |
$745 |
1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$474.75 |
$633 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$663.26 |
$884.35 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$264.44 |
$352.59 |
1.4× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$635.25 |
$847 |
1.2× |
| Drainage of deep rectal abscess (45020) |
$1,115.12 |
$1,486.83 |
0.4× |
| Drainage of eye (65815) |
$1,896.48 |
$2,528.64 |
0.9× |
| Drainage of eyelid abscess (67700) |
$825.69 |
$1,100.92 |
2.8× |
| Drainage of gum lesion (41800) |
$396 |
$528 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$1,363.12 |
$1,817.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,719 |
$2,292 |
1.1× |
| Draw blood off venous device (36591) |
$155.25 |
$207 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$523.50 |
$698 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$430.50 |
$574 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$448.12 |
$597.50 |
2.4× |
| Dstrj lesion anus simple surg excision (46922) |
$1,972.05 |
$2,629.40 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,125 |
$1,500 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$795.58 |
$1,060.78 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,412.60 |
$1,883.46 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,247.89 |
$1,663.86 |
0.7× |
| Egd Endo Mucosal Resection (43254) |
$1,125 |
$1,500 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,125 |
$1,500 |
1.3× |
| Egd guide wire insertion (43248) |
$825.77 |
$1,101.03 |
1.0× |
| Egd injection varices (43243) |
$1,125 |
$1,500 |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,125 |
$1,500 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,125 |
$1,500 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$1,125 |
$1,500 |
0.6× |
| Egd remove lesion snare (43251) |
$1,247.89 |
$1,663.86 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,125 |
$1,500 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,350 |
$1,800 |
0.7× |
| Egd us transmural injxn/mark (43253) |
$1,125 |
$1,500 |
0.6× |
| Egd Varices Ligation (43244) |
$1,125 |
$1,500 |
0.6× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,125 |
$1,500 |
0.2× |
| Elbow arthroscopy (29830) |
$3,344.74 |
$4,459.66 |
1.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$2,975.55 |
$3,967.40 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,125 |
$1,500 |
0.6× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$657.46 |
$876.61 |
0.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$657.46 |
$876.61 |
0.4× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$8,502.75 |
$11,337 |
2.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$825.77 |
$1,101.03 |
1.0× |
| Ethmoidectomy Intranasal Anterior (31200) |
$2,799.48 |
$3,732.64 |
0.5× |
| Ethmoidectomy; extranasal total (31205) |
$1,460.17 |
$1,946.89 |
0.5× |
| Ethmoidectomy; intranasal total (31201) |
$1,460.17 |
$1,946.89 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$153.75 |
$205 |
1.2× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,363.76 |
$1,818.35 |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,363.76 |
$1,818.35 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$2,697.17 |
$3,596.23 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$1,864.46 |
$2,485.95 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,012.63 |
$1,350.17 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,800 |
$2,400 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,148.04 |
$1,530.72 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,148.04 |
$1,530.72 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$2,400 |
$3,200 |
0.9× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$2,799.48 |
$3,732.64 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$1,128.75 |
$1,505 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$610.55 |
$814.07 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,500 |
$2,000 |
1.0× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$900.26 |
$1,200.34 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$2,400 |
$3,200 |
1.5× |
| Exc forearm les sc < 3 cm (25075) |
$2,400 |
$3,200 |
1.5× |
| Exc hand les sc < 1.5 cm (26115) |
$1,148.04 |
$1,530.72 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,322.31 |
$1,763.08 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$1,864.46 |
$2,485.95 |
0.7× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,086.82 |
$1,449.09 |
0.6× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,086.82 |
$1,449.09 |
0.6× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,379.79 |
$1,839.72 |
0.9× |
| Exc shoulder tum deep 5 cm/> (23073) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,125 |
$1,500 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$990.46 |
$1,320.61 |
2.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$900 |
$1,200 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,875 |
$2,500 |
2.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,075.40 |
$1,433.87 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,875 |
$2,500 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,864.46 |
$2,485.95 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,875 |
$2,500 |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,148.04 |
$1,530.72 |
0.7× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,120.08 |
$2,826.78 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$956.40 |
$1,275.20 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$839.76 |
$1,119.68 |
1.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$900.26 |
$1,200.34 |
0.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,120.08 |
$2,826.78 |
0.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$941.25 |
$1,255 |
0.6× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,148.04 |
$1,530.72 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$900.26 |
$1,200.34 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,012.63 |
$1,350.17 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,100 |
$2,800 |
0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,392.38 |
$1,856.50 |
0.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,363.76 |
$1,818.35 |
0.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$900.26 |
$1,200.34 |
0.3× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,200 |
$1,600 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$900.26 |
$1,200.34 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,864.46 |
$2,485.95 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,625 |
$3,500 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,763.30 |
$2,351.07 |
1.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,632.71 |
$2,176.94 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$900.26 |
$1,200.34 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,322.31 |
$1,763.08 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,322.31 |
$1,763.08 |
0.9× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$3,824.02 |
$5,098.69 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$7,131.75 |
$9,509 |
2.1× |
| Exchange intraocular lens (66986) |
$1,903.18 |
$2,537.57 |
0.9× |
| Exchange nephrostomy cath (50435) |
$2,405.25 |
$3,207 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,690.90 |
$3,587.87 |
1.5× |
| Excis lesn,palete/uvula-flap clos (42107) |
$5,642.98 |
$7,523.98 |
1.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,328.10 |
$1,770.80 |
0.9× |
| Excise excess skin & tissue (15839) |
$900.26 |
$1,200.34 |
0.3× |
| Excise Inferior Turbinate (30130) |
$1,460.17 |
$1,946.89 |
0.5× |
| Excise parotid gland/lesion (42410) |
$2,799.48 |
$3,732.64 |
0.5× |
| Excise tendon forearm/wrist (25109) |
$1,544.67 |
$2,059.56 |
0.5× |
| Excision brach clft cyst,superficial (42810) |
$1,460.17 |
$1,946.89 |
0.5× |
| Excision Breast Lesion (19125) |
$2,276.99 |
$3,035.99 |
0.6× |
| Excision Chalazion Single (67800) |
$463.50 |
$618 |
1.5× |
| Excision constricting tissue (26596) |
$982.15 |
$1,309.53 |
0.3× |
| Excision Distal Ulna Partial/Complete (25240) |
$2,563.77 |
$3,418.36 |
0.8× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision hand/finger tendon (26415) |
$1,750.32 |
$2,333.76 |
0.6× |
| Excision hidradenitis axillary complex repair (11451) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$1,864.46 |
$2,485.95 |
0.7× |
| Excision Lactiferous Duct Fistula (19112) |
$1,550.45 |
$2,067.27 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,838.85 |
$3,785.14 |
1.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$160.16 |
$213.55 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,725 |
$2,300 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$939.99 |
$1,253.32 |
1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,125 |
$1,500 |
1.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$170.23 |
$226.97 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,650 |
$2,200 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,125 |
$1,500 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,125 |
$1,500 |
1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,012.50 |
$1,350 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,125 |
$1,500 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,148.04 |
$1,530.72 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,115.12 |
$1,486.83 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,125 |
$1,500 |
1.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,125 |
$1,500 |
1.7× |
| Excision of chalazion; multiple, different lids (67805) |
$463.50 |
$618 |
1.5× |
Excision of facial bone(s) (21026)
likely a partial charge, not the full procedure |
$1,460.17 |
$1,946.89 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,500 |
$2,000 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$2,678.24 |
$3,570.99 |
0.8× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$463.50 |
$618 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$750 |
$1,000 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$848.25 |
$1,131 |
0.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,322.31 |
$1,763.08 |
0.9× |
| Excision of mouth lesion (41116) |
$1,460.17 |
$1,946.89 |
0.5× |
| Excision of mouth lesion (40816) |
$1,460.17 |
$1,946.89 |
0.5× |
| Excision of nail fold toe (11765) |
$582 |
$776 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) |
$1,499.37 |
$1,999.16 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$1,115.12 |
$1,486.83 |
1.0× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,221.23 |
$5,628.31 |
0.8× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$1,328.10 |
$1,770.80 |
0.9× |
| Excision of thyroglossal duct cyst or sinus; recurrent (60281) |
$3,120.46 |
$4,160.62 |
0.5× |
| Excision of tongue lesion (41112) |
$956.40 |
$1,275.20 |
0.3× |
| Excision of tongue lesion (41114) |
$1,460.17 |
$1,946.89 |
0.5× |
| Excision olecranon bursa (24105) |
$1,287.22 |
$1,716.30 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,022.94 |
$2,697.26 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,864.46 |
$2,485.95 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$1,287.22 |
$1,716.30 |
0.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$900.26 |
$1,200.34 |
0.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,287.22 |
$1,716.30 |
0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,625 |
$3,500 |
1.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,363.76 |
$1,818.35 |
0.9× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,498.18 |
$1,997.58 |
1.0× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,544.67 |
$2,059.56 |
1.0× |
| Excision, nasal polyp(s), simple (30110) |
$174.69 |
$232.92 |
0.1× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,128.75 |
$1,505 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$941.25 |
$1,255 |
0.6× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,619.38 |
$2,159.18 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,864.46 |
$2,485.95 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$2,400 |
$3,200 |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$900.26 |
$1,200.34 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$1,363.76 |
$1,818.35 |
0.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,022.94 |
$2,697.26 |
0.7× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$2,022.94 |
$2,697.26 |
0.7× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$1,322.31 |
$1,763.08 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$956.40 |
$1,275.20 |
0.3× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$1,460.17 |
$1,946.89 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,287.22 |
$1,716.30 |
0.8× |
| Explo/Drain Breast Abscess (19020) |
$1,232.56 |
$1,643.42 |
0.8× |
| Exploration maxillary sinus (31030) |
$2,799.48 |
$3,732.64 |
0.5× |
| Exploration maxillary sinus (31020) |
$1,460.17 |
$1,946.89 |
0.5× |
| Exploration of ankle joint (27612) |
$2,022.94 |
$2,697.26 |
0.7× |
| Exploration Of Foot Joint (28020) |
$1,322.31 |
$1,763.08 |
0.4× |
| Exploration of frontal sinus (31075) |
$2,799.48 |
$3,732.64 |
0.5× |
| Exploration of frontal sinus (31070) |
$2,799.48 |
$3,732.64 |
0.5× |
| Exploration of knee joint (27310) |
$2,022.94 |
$2,697.26 |
0.7× |
| Exploration of sinuses (31090) |
$2,799.48 |
$3,732.64 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,132.26 |
$1,509.68 |
0.7× |
| Exploratory shoulder surgery (23044) |
$2,022.94 |
$2,697.26 |
0.7× |
| Explore sinus remove polyps (31032) |
$2,799.48 |
$3,732.64 |
0.5× |
Explore treat shoulder joint (23107)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Explore/treat ankle joint (27610) |
$2,022.94 |
$2,697.26 |
0.7× |
| Explore/treat elbow joint (24101) |
$2,022.94 |
$2,697.26 |
0.7× |
| Extensive ankle/heel surgery (27647) |
$2,022.94 |
$2,697.26 |
0.7× |
Extensive ear canal surgery (69150)
likely a partial charge, not the full procedure |
$1,460.17 |
$1,946.89 |
0.3× |
| External Cephalic Version (59412) |
$5,992.50 |
$7,990 |
2.0× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$6,221.56 |
$8,295.41 |
1.2× |
| Extraction of lens (66930) |
$2,935.92 |
$3,914.56 |
0.8× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$1,322.31 |
$1,763.08 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$1,322.31 |
$1,763.08 |
0.4× |
| Fasciotomy palmar open partial (26045) |
$1,750.32 |
$2,333.76 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$1,166.07 |
$1,554.76 |
0.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,427.46 |
$3,236.62 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$780 |
$1,040 |
4.1× |
| Fetal non-stress test (59025) |
$780 |
$1,040 |
4.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,195.25 |
$2,927 |
3.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$2,195.25 |
$2,927 |
3.3× |
| Finger tendon transfer (26497) |
$1,750.32 |
$2,333.76 |
0.6× |
| Fix ectropion,entensv lid repair (67917) |
$1,138.68 |
$1,518.24 |
0.5× |
| Fixation of knee joint (27570) |
$906.63 |
$1,208.84 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$769.50 |
$1,026 |
3.4× |
| Forehead flap w/vasc pedicle (15731) |
$1,775.23 |
$2,366.97 |
0.5× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$1,460.17 |
$1,946.89 |
0.5× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$1,076.84 |
$1,435.78 |
0.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,505.17 |
$2,006.90 |
0.8× |
| Fuse hand bones with graft (25825) |
$5,110.15 |
$6,813.53 |
0.7× |
| Fusion Finger Joint (26860) |
$2,427.46 |
$3,236.62 |
0.8× |
Fusion of elbow joint (24800)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Fusion of foot bones (28715) |
$9,671.72 |
$12,895.63 |
0.8× |
| Fusion of foot bones (28730) |
$8,692.22 |
$11,589.63 |
0.7× |
Fusion of foot bones (28735)
unusually low: confirm this is the full procedure |
$3,824.02 |
$5,098.69 |
0.3× |
| Fusion of foot bones (28740) |
$6,910.51 |
$9,214.01 |
1.0× |
| Fusion of hand bones (25820) |
$6,212.42 |
$8,283.22 |
0.9× |
Fusion of shoulder joint (23802)
unusually low: confirm this is the full procedure |
$5,110.15 |
$6,813.53 |
0.4× |
| Fusion of toes (28280) |
$2,213.46 |
$2,951.28 |
0.7× |
| Gastrocnemius Recession (27687) |
$2,563.77 |
$3,418.36 |
0.8× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$1,933.97 |
$2,578.63 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,033.50 |
$1,378 |
1.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$6,506.85 |
$8,675.80 |
1.0× |
Hand tendon pulley reconstruction (26500)
likely a partial charge, not the full procedure |
$982.15 |
$1,309.53 |
0.1× |
| Hand tendon reconstruction (26502) |
$1,750.32 |
$2,333.76 |
0.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,322.31 |
$1,763.08 |
0.4× |
| Hemorrhoidectomy (46255) |
$2,128.39 |
$2,837.85 |
0.8× |
| Hemorrhoidectomy external complete (46250) |
$1,499.37 |
$1,999.16 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$1,499.37 |
$1,999.16 |
0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,499.37 |
$1,999.16 |
0.6× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$2,360.88 |
$3,147.84 |
0.9× |
| Hysteroscopy ablation (58563) |
$3,926.26 |
$5,235.01 |
0.8× |
| Hysteroscopy biopsy (58558) |
$2,313.52 |
$3,084.70 |
0.8× |
| Hysteroscopy dx sep proc (58555) |
$3,242.22 |
$4,322.96 |
1.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$4,365.02 |
$5,820.02 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,242.22 |
$4,322.96 |
1.1× |
| Hysteroscopy resect septum (58560) |
$4,365.02 |
$5,820.02 |
0.9× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,365.02 |
$5,820.02 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$635.25 |
$847 |
2.8× |
| I&d abscess simple (10060) |
$567.75 |
$757 |
3.0× |
| I&d below fascia foot 1 bursal space (28002) |
$1,287.22 |
$1,716.30 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,918.28 |
$2,557.71 |
0.7× |
| I&d deep absc neck/chst+rib cut (21502) |
$1,287.22 |
$1,716.30 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,232.56 |
$1,643.42 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,679.75 |
$3,573 |
1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,287.22 |
$1,716.30 |
0.4× |
| I&d forearm/wrist bursa (25031) |
$1,287.22 |
$1,716.30 |
0.8× |
| I&d perianal abscess superficial (46050) |
$1,214.25 |
$1,619 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$508.72 |
$678.30 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$1,115.12 |
$1,486.83 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,132.26 |
$1,509.68 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,918.28 |
$2,557.71 |
0.7× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$657.46 |
$876.61 |
0.8× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$809.29 |
$1,079.06 |
0.9× |
| Image Cath Fluid Colxn Visc (49405) |
$4,080 |
$5,440 |
2.6× |
| Image Cath Fluid Peri/Retro (49406) |
$4,080 |
$5,440 |
2.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,673.50 |
$4,898 |
2.4× |
| Implant neuroelectrodes (63650) |
$9,560.64 |
$12,747.52 |
1.6× |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
$1,287.22 |
$1,716.30 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,328.10 |
$1,770.80 |
0.9× |
| Incise wrist/forearm tendon (25290) |
$2,022.94 |
$2,697.26 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$677.62 |
$903.50 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,232.56 |
$1,643.42 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,125 |
$1,500 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,395.75 |
$1,861 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$753.75 |
$1,005 |
2.0× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$1,287.22 |
$1,716.30 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$374.25 |
$499 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$478.50 |
$638 |
1.7× |
| Incision bone cortex foot (28005) |
$1,322.31 |
$1,763.08 |
0.4× |
| Incision bone cortex shoulder area (23035) |
$1,287.22 |
$1,716.30 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,875 |
$2,500 |
1.2× |
| Incision of achilles tendon (27605) |
$1,322.31 |
$1,763.08 |
0.9× |
| Incision of collarbone joint (23106) |
$2,022.94 |
$2,697.26 |
0.7× |
| Incision of eardrum (69421) |
$772.59 |
$1,030.12 |
0.2× |
| Incision of heel bone (28300) |
$3,824.02 |
$5,098.69 |
0.6× |
| Incision of lingual frenum (41010) |
$5,485.50 |
$7,314 |
3.8× |
| Incision of metatarsal (28308) |
$2,213.46 |
$2,951.28 |
0.7× |
Incision of metatarsal (28307)
likely a partial charge, not the full procedure |
$1,411.16 |
$1,881.54 |
0.2× |
| Incision of metatarsals (28309) |
$3,824.02 |
$5,098.69 |
0.6× |
| Incision of rectal abscess (46040) |
$2,524.50 |
$3,366 |
2.2× |
| Incision of wrist capsule (25085) |
$2,195.91 |
$2,927.88 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$482.25 |
$643 |
2.0× |
| Incision&drainage bursa foot (28001) |
$182.14 |
$242.85 |
0.1× |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
$1,287.22 |
$1,716.30 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$393.75 |
$525 |
0.6× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
unusually low: confirm this is the full procedure |
$2,905.67 |
$3,874.23 |
0.5× |
| Inj dupuytren cord w/enzyme (20527) |
$900 |
$1,200 |
3.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,125 |
$1,500 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$738.38 |
$984.50 |
2.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$900 |
$1,200 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,509.50 |
$3,346 |
3.8× |
| Inject Nerv Blck,Pudendal (64430) |
$2,681.25 |
$3,575 |
3.2× |
| Inject Rx Celiac Plexus Nerve (64680) |
$5,153.25 |
$6,871 |
6.2× |
| Inject Tendon Origin/Insert (20551) |
$1,125 |
$1,500 |
3.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$576.75 |
$769 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$806.25 |
$1,075 |
1.2× |
| Injection for identification of sentinel node (38792) |
$1,506.75 |
$2,009 |
4.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,071.75 |
$1,429 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$738.38 |
$984.50 |
2.6× |
| Injection therapeutic carpal tunnel (20526) |
$900 |
$1,200 |
3.1× |
| Ins cath ren art 1st bilat (36252) |
$8,954.25 |
$11,939 |
3.0× |
| Ins cath ren art 1st unilat (36251) |
$6,197.25 |
$8,263 |
2.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,736 |
$7,648 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$10,443.75 |
$13,925 |
2.0× |
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
unusually low: confirm this is the full procedure |
$4,413 |
$5,884 |
0.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,315.25 |
$7,087 |
0.5× |
| Ins vag brachytx device (57156) |
$1,125 |
$1,500 |
3.9× |
| Ins/Rep Subq Defibrillator (33270) |
$16,818.75 |
$22,425 |
0.6× |
| Insert 1 electrode pm-defib (33216) |
$14,415 |
$19,220 |
1.8× |
| Insert and remove bone pin (20650) |
$2,022.94 |
$2,697.26 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$533.25 |
$711 |
4.4× |
| Insert cervical dilator (59200) |
$780 |
$1,040 |
2.7× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,087.17 |
$2,782.89 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,311.04 |
$3,081.39 |
1.3× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$4,320.75 |
$5,761 |
0.3× |
| Insert nasal septal button (30220) |
$956.40 |
$1,275.20 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$3,469.12 |
$4,625.50 |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,862.25 |
$2,483 |
0.6× |
| Insert pacing lead & connect (33224) |
$5,315.25 |
$7,087 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$5,148 |
$6,864 |
3.5× |
| Insert Temp Bladder Cath (51702) |
$454.12 |
$605.50 |
3.6× |
| Insert Tissue Expander(S) (11960) |
$1,775.23 |
$2,366.97 |
0.5× |
| Insert tun ip cath perc (49418) |
$4,173.27 |
$5,564.36 |
1.2× |
| Insert tunneled cv cath (36561) |
$3,164.04 |
$4,218.72 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$454.12 |
$605.50 |
3.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,146.88 |
$6,862.50 |
1.5× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$968.36 |
$1,291.14 |
0.5× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$1,898.04 |
$2,530.72 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,452.25 |
$4,603 |
2.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$24,613.50 |
$32,818 |
3.2× |
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
unusually low: confirm this is the full procedure |
$2,232.21 |
$2,976.28 |
0.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$14,415 |
$19,220 |
1.8× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$1,903.18 |
$2,537.57 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,262.75 |
$7,017 |
1.8× |
| Insj/rplcmt defib w/lead(s) (33249) |
$16,137 |
$21,516 |
0.5× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,310 |
$3,080 |
0.3× |
| Insrt/redo spine n generator (63685) |
$44,964.30 |
$59,952.40 |
1.5× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,377.75 |
$1,837 |
2.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$2,683.50 |
$3,578 |
1.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$33,553.42 |
$44,737.90 |
3.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$17,488.50 |
$23,318 |
3.3× |
| Intubation endotracheal emergency procedure (31500) |
$403.50 |
$538 |
1.8× |
| Irrigate vagina w meds (57150) |
$900 |
$1,200 |
16.2× |
| Irrigation maxillary sinus (31000) |
$569.71 |
$759.61 |
2.6× |
Knee arthroscopy/surgery (29887)
likely a partial charge, not the full procedure |
$1,692.93 |
$2,257.24 |
0.2× |
| Knee arthroscopy/surgery (29883) |
$1,692.93 |
$2,257.24 |
0.5× |
| Knee arthroscopy/surgery (29876) |
$2,398.77 |
$3,198.36 |
0.8× |
| Knee arthroscopy/surgery (29886) |
$1,692.93 |
$2,257.24 |
0.5× |
| Lap ing hernia repair init (49650) |
$2,865.28 |
$3,820.38 |
0.5× |
| Lap insert tunnel ip cath (49324) |
$3,915.81 |
$5,221.08 |
0.7× |
| Laparoscopy Remove Adnexa (58661) |
$2,865.28 |
$3,820.38 |
0.5× |
| Laparoscopy Tubal Cautery (58670) |
$2,865.28 |
$3,820.38 |
0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,197.56 |
$5,596.74 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,073.07 |
$8,097.43 |
0.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$2,865.28 |
$3,820.38 |
0.5× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$5,529.83 |
$7,373.11 |
1.0× |
| Laryngoscopy Direct Aspiration (31515) |
$955.21 |
$1,273.61 |
2.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$75.62 |
$100.82 |
0.4× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$955.21 |
$1,273.61 |
0.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$290.24 |
$386.99 |
0.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$130.73 |
$174.31 |
0.4× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$62.95 |
$83.93 |
0.3× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$11.81 |
$15.75 |
0.1× |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
$1,476.77 |
$1,969.03 |
0.4× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$290.24 |
$386.99 |
0.8× |
| Laryngoscopy indirect with biopsy (31510) |
$955.21 |
$1,273.61 |
0.3× |
| Laryngoscopy w/biopsy (31535) |
$2,339.44 |
$3,119.26 |
0.7× |
| Laryngoscopy w/bx op scope (31536) |
$1,476.77 |
$1,969.03 |
0.4× |
| Laryngoscopy w/exc of tumor (31540) |
$1,476.77 |
$1,969.03 |
0.4× |
| Laryngoscopy with biopsy (31576) |
$955.21 |
$1,273.61 |
0.6× |
| Larynscop w/tumr exc + scope (31541) |
$2,339.44 |
$3,119.26 |
0.7× |
| Lavage by cannulation; sphenoid sinus (31002) |
$776.56 |
$1,035.42 |
0.5× |
| Lengthening of hand tendon (26478) |
$982.15 |
$1,309.53 |
0.3× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,110.15 |
$6,813.53 |
0.7× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$7,143.75 |
$9,525 |
0.6× |
| Ligation of a-v fistula (37607) |
$2,250 |
$3,000 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$180.64 |
$240.86 |
0.2× |
| Ligation or biopsy temporal artery (37609) |
$900.26 |
$1,200.34 |
0.6× |
| Liver Biopsy (47000) |
$1,919.42 |
$2,559.23 |
1.2× |
| Lyse Chest Fibrin Init Day (32561) |
$2,214 |
$2,952 |
3.7× |
| Lysis Intranasal Synechia (30560) |
$205.04 |
$273.39 |
0.4× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,104.60 |
$4,139.47 |
1.0× |
| Manipulation, elbow, under anesthesia (24300) |
$906.63 |
$1,208.84 |
0.6× |
| Manipulation, hip joint, requiring general anesthesia (27275) |
$906.63 |
$1,208.84 |
0.6× |
| Mast mod rad (19307) |
$7,085.19 |
$9,446.92 |
1.1× |
| Mastectomy gynecomastia (19300) |
$2,276.99 |
$3,035.99 |
0.6× |
| Mastectomy partial (19301) |
$2,276.99 |
$3,035.99 |
0.6× |
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure |
$2,816.84 |
$3,755.78 |
0.4× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,085.51 |
$2,780.68 |
0.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$11,098.50 |
$14,798 |
1.9× |
| Metatarsectomy (28140) |
$1,322.31 |
$1,763.08 |
0.4× |
| Muscle-skin graft arm (15736) |
$1,076.84 |
$1,435.78 |
0.6× |
Muscle/tendon transfer upper arm/elbow single (24301)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Myelography Lumbar Injection (62305) |
$2,795.25 |
$3,727 |
3.8× |
| Myelography Lumbar Injection (62304) |
$2,795.25 |
$3,727 |
3.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,795.25 |
$3,727 |
3.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,795.25 |
$3,727 |
3.8× |
| Myringoplasty (69620) |
$2,077.96 |
$2,770.62 |
0.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,044 |
$1,392 |
5.5× |
| Nasal surgery procedure (30999) |
$4,940.34 |
$6,587.12 |
22.1× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$290.24 |
$386.99 |
0.8× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$955.21 |
$1,273.61 |
0.6× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$3,549.96 |
$4,733.28 |
0.5× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
unusually low: confirm this is the full procedure |
$3,289.14 |
$4,385.52 |
0.5× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$3,549.96 |
$4,733.28 |
0.5× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$3,090.03 |
$4,120.04 |
0.9× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$3,549.96 |
$4,733.28 |
0.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,512.16 |
$2,016.22 |
0.9× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
unusually low: confirm this is the full procedure |
$3,139.14 |
$4,185.52 |
0.5× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$3,549.96 |
$4,733.28 |
0.5× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$1,476.77 |
$1,969.03 |
0.4× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,251.38 |
$1,668.51 |
0.7× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,629.01 |
$7,505.35 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,875 |
$2,500 |
1.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$6,565.67 |
$8,754.23 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,500 |
$10,000 |
1.1× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,681.72 |
$4,908.96 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$716.25 |
$955 |
1.7× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$4,112.64 |
$5,483.52 |
0.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,896.46 |
$2,528.62 |
1.3× |
Nerve repair w/allograft (64910)
likely a partial charge, not the full procedure |
$2,249.02 |
$2,998.70 |
0.3× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$5,968.14 |
$7,957.52 |
0.7× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$1,086.82 |
$1,449.09 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$625.20 |
$833.60 |
1.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$536.25 |
$715 |
2.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,850.25 |
$2,467 |
0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$900 |
$1,200 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,762.50 |
$2,350 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,098.12 |
$2,797.50 |
3.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,278.50 |
$3,038 |
3.5× |
| Obstructive material removal from gi tube (49460) |
$2,543.25 |
$3,391 |
3.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,439.27 |
$3,252.36 |
0.7× |
Open nasoethmoid fx w/ fixj (21339)
likely a partial charge, not the full procedure |
$1,667.58 |
$2,223.44 |
0.3× |
| Open nasoethmoid fx w/o fixj (21338) |
$2,799.48 |
$3,732.64 |
0.5× |
| Open Osteochondral Autograft Talus (28446) |
$7,141.41 |
$9,521.88 |
1.0× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open rx carpal bone fx,each bone (25645) |
$3,239.36 |
$4,319.14 |
1.1× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$6,815.59 |
$9,087.46 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,101.15 |
$8,134.87 |
0.9× |
Open Treatment Humeral Condylar Fracture (24579)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Open treatment interphalangeal joint dislocation (28675) |
$1,580.25 |
$2,107 |
0.5× |
Open Treatment Lunate Dislocation (25695)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$6,141.58 |
$8,188.78 |
0.9× |
Open treatment of acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
$12,608.99 |
$16,811.98 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$4,227.95 |
$5,637.27 |
0.6× |
Open treatment of distal radioulnar dislocation, acute or chronic (25676)
unusually low: confirm this is the full procedure |
$2,304.39 |
$3,072.52 |
0.3× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge, not the full procedure |
$1,866 |
$2,488 |
0.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum (21335) |
$2,077.96 |
$2,770.62 |
0.7× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$5,087.16 |
$6,782.88 |
0.7× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$9,221.77 |
$12,295.69 |
1.3× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) |
$4,257.61 |
$5,676.82 |
0.6× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$5,986.84 |
$7,982.46 |
0.9× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,303.50 |
$1,738 |
0.2× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$7,500 |
$10,000 |
0.6× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$6,597.78 |
$8,797.04 |
1.0× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open treatment talus fracture (28445) |
$6,159.61 |
$8,212.81 |
0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,458 |
$1,944 |
0.5× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,014.25 |
$4,019 |
1.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$6,821.69 |
$9,095.59 |
1.0× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,943.70 |
$2,591.60 |
0.6× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,239.36 |
$4,319.14 |
1.1× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,580.25 |
$2,107 |
0.5× |
| Open tx nose fx uncomplicatd (21325) |
$1,480.08 |
$1,973.44 |
0.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$6,271.56 |
$8,362.08 |
0.9× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,405.98 |
$9,874.64 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,580.25 |
$2,107 |
0.5× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$13,412.36 |
$17,883.14 |
1.1× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$4,227.95 |
$5,637.27 |
0.6× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$7,500 |
$10,000 |
0.6× |
| Open tx septal fx w/wo stabj (21336) |
$2,342.43 |
$3,123.24 |
0.8× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Open/Perq Place Stent Same (37238) |
$33,456 |
$44,608 |
3.1× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$33,456 |
$44,608 |
3.1× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$1,750.32 |
$2,333.76 |
0.6× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$11,354.05 |
$15,138.73 |
0.9× |
Optx hum fx wo ntrcndylr xtn (24545)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
Optx post ankle fx (27769)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$1,344.81 |
$1,793.08 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,344.81 |
$1,793.08 |
0.4× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,322.31 |
$1,763.08 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,322.31 |
$1,763.08 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,322.31 |
$1,763.08 |
0.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,322.31 |
$1,763.08 |
0.4× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,411.16 |
$1,881.54 |
0.2× |
Osteotomy Clavicle W Bone Graft (23485)
unusually low: confirm this is the full procedure |
$5,110.15 |
$6,813.53 |
0.4× |
| Osteotomy Metacarpal Each (26565) |
$1,750.32 |
$2,333.76 |
0.6× |
| Osteotomy midtarsal,autograft (28305) |
$3,824.02 |
$5,098.69 |
0.6× |
| Osteotomy Phalanx Finger Each (26567) |
$1,750.32 |
$2,333.76 |
0.6× |
Osteotomy talus (28302)
likely a partial charge, not the full procedure |
$1,322.31 |
$1,763.08 |
0.2× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$3,824.02 |
$5,098.69 |
0.6× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$1,708.50 |
$2,278 |
4.1× |
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
Partial excision bone proximal humerus (23184)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
Partial excision bone scapula (23182)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Partial excision bone talus/calcaneus (28120) |
$2,213.46 |
$2,951.28 |
0.7× |
| Partial Excision Bone Tibia (27640) |
$2,022.94 |
$2,697.26 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,328.10 |
$1,770.80 |
0.9× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,322.31 |
$1,763.08 |
0.4× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$982.15 |
$1,309.53 |
0.6× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,079.99 |
$1,439.99 |
0.4× |
| Partial Removal Foot Fascia (28060) |
$1,322.31 |
$1,763.08 |
0.4× |
| Partial removal of thyroid (60220) |
$3,120.46 |
$4,160.62 |
0.5× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,120.46 |
$4,160.62 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,875 |
$2,500 |
0.6× |
| Pelvic exam under anesthesia (57410) |
$1,392.75 |
$1,857 |
0.5× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$10,955.25 |
$14,607 |
1.9× |
| Perc sk fix metatarsal fx w manip (28476) |
$1,580.25 |
$2,107 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,032.25 |
$4,043 |
4.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$8,728.50 |
$11,638 |
0.8× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$1,580.25 |
$2,107 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,342.43 |
$3,123.24 |
0.8× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$1,580.25 |
$2,107 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$5,524.50 |
$7,366 |
3.7× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$3,423.75 |
$4,565 |
0.2× |
| Perq av fistula creation uxtr single access (36836) |
$58,692 |
$78,256 |
3.4× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,265.75 |
$3,021 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$484.50 |
$646 |
2.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$50,858.25 |
$67,811 |
2.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$36,147.75 |
$48,197 |
3.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$16,601.25 |
$22,135 |
3.1× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$17,604.75 |
$23,473 |
2.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,604.75 |
$23,473 |
2.6× |
| Phalangectomy toe each toe (28150) |
$1,322.31 |
$1,763.08 |
0.4× |
| Pin finger fracture each (26756) |
$1,580.25 |
$2,107 |
0.5× |
| Place Cath Subclavian Art (36225) |
$6,309.75 |
$8,413 |
2.1× |
| Place Cath Vertebral Art (36226) |
$10,319.25 |
$13,759 |
2.0× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$3,638.25 |
$4,851 |
2.8× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$5,499.81 |
$7,333.08 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$387 |
$516 |
0.9× |
| Placement of seton (46020) |
$1,499.37 |
$1,999.16 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$13,489.50 |
$17,986 |
2.4× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$13,489.50 |
$17,986 |
2.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,934.25 |
$6,579 |
2.5× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,934.25 |
$6,579 |
1.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$7,348.50 |
$9,798 |
2.2× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$7,348.50 |
$9,798 |
2.2× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,055.67 |
$2,740.89 |
0.9× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$1,287.22 |
$1,716.30 |
0.4× |
| Preputial Stretching (54450) |
$472.50 |
$630 |
2.0× |
| Prim art mech thrombectomy (37184) |
$9,302.25 |
$12,403 |
0.5× |
| Probe nasolacrimal duct (68810) |
$390.15 |
$520.20 |
1.3× |
| Probe nasolacrimal duct (68815) |
$1,569.37 |
$2,092.49 |
0.7× |
| Probe nasolacrimal duct (68811) |
$1,569.37 |
$2,092.49 |
0.7× |
| Probe nl duct w/balloon (68816) |
$1,138.68 |
$1,518.24 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,920 |
$2,560 |
2.9× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$5,248.33 |
$6,997.77 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$7,131.75 |
$9,509 |
2.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,131.75 |
$9,509 |
2.1× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$1,580.25 |
$2,107 |
0.5× |
Prq skel fixj humrl cndylr fx medial/lat w/manj (24582)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$1,580.25 |
$2,107 |
0.5× |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
$1,580.25 |
$2,107 |
0.5× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$3,120.46 |
$4,160.62 |
0.5× |
| Puncture Aspiration (10160) |
$852 |
$1,136 |
2.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,142.91 |
$1,523.88 |
1.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,480.64 |
$1,974.19 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,393.61 |
$1,858.15 |
0.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$1,864.46 |
$2,485.95 |
0.7× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$1,632.71 |
$2,176.94 |
0.6× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$900.26 |
$1,200.34 |
0.3× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$900.26 |
$1,200.34 |
0.3× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$900.26 |
$1,200.34 |
0.3× |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
$900.26 |
$1,200.34 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
$1,431.88 |
$1,909.18 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$1,363.76 |
$1,818.35 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$1,619.38 |
$2,159.18 |
0.6× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
$1,322.31 |
$1,763.08 |
0.4× |
| Radical Resection Tumor Metatarsal (28173) |
$1,322.31 |
$1,763.08 |
0.4× |
| Radical resection tumor phalanx or toe (28175) |
$1,322.31 |
$1,763.08 |
0.9× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,379.50 |
$7,172.66 |
0.8× |
| Reconstr disloc patella w mscl adv (27422) |
$4,952.42 |
$6,603.22 |
0.7× |
| Reconstruc toe deform,soft tissue (28313) |
$1,322.31 |
$1,763.08 |
0.4× |
| Reconstruct extra finger (26587) |
$1,875 |
$2,500 |
0.6× |
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$1,750.32 |
$2,333.76 |
0.6× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Reconstruction of nail bed with graft (11762) |
$650.21 |
$866.95 |
0.3× |
Reconstruction of nose (30400)
likely a partial charge, not the full procedure |
$1,460.17 |
$1,946.89 |
0.3× |
| Reconstruction Toe Polydactyly (28344) |
$1,322.31 |
$1,763.08 |
0.4× |
Reduction of Large Breast (19318)
unusually low: confirm this is the full procedure |
$2,816.84 |
$3,755.78 |
0.4× |
| Reforearm tend/musc,exten,second (25272) |
$2,022.94 |
$2,697.26 |
0.7× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$4,952.42 |
$6,603.22 |
0.7× |
| Release elbow joint (24006) |
$2,022.94 |
$2,697.26 |
0.7× |
| Release forearm/hand exten tendon (26449) |
$1,750.32 |
$2,333.76 |
0.6× |
| Release i-p jt contracture (26525) |
$1,328.10 |
$1,770.80 |
0.9× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$2,043.38 |
$2,724.50 |
0.7× |
| Release of big toe (28240) |
$1,322.31 |
$1,763.08 |
0.4× |
| Release palm contracture (26121) |
$1,750.32 |
$2,333.76 |
0.6× |
| Release thumb contracture (26508) |
$982.15 |
$1,309.53 |
0.3× |
| Release wrist/forearm tendon (25295) |
$2,195.91 |
$2,927.88 |
0.7× |
| Relocation of skin pocket for pacemaker (33222) |
$5,030.25 |
$6,707 |
2.6× |
| Rem endovas vena cava filter (37193) |
$8,155.50 |
$10,874 |
2.7× |
| Removal biliary drg cath (47537) |
$2,097.75 |
$2,797 |
2.5× |
Removal Cyst Hygroma Neurovasc Diss (38555)
likely a partial charge, not the full procedure |
$1,591.84 |
$2,122.45 |
0.3× |
| Removal fb intranasal (30300) |
$116.96 |
$155.94 |
0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,365.16 |
$3,153.55 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$942.79 |
$1,257.05 |
0.6× |
| Removal foreign body foot deep (28192) |
$900.26 |
$1,200.34 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$972.38 |
$1,296.50 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$806.25 |
$1,075 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$900.26 |
$1,200.34 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$956.40 |
$1,275.20 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$181.50 |
$242 |
3.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$156.75 |
$209 |
2.8× |
| Removal Implant Deep (20680) |
$1,864.46 |
$2,485.95 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,148.04 |
$1,530.72 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$900 |
$1,200 |
1.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$8,502.75 |
$11,337 |
2.4× |
| Removal Intact Mammary Implant (19328) |
$2,085.51 |
$2,780.68 |
0.6× |
| Removal neck/armpit lesion (38550) |
$1,591.84 |
$2,122.45 |
0.4× |
| Removal of adenoids (42835) |
$2,077.96 |
$2,770.62 |
0.7× |
| Removal of adenoids (42831) |
$2,077.96 |
$2,770.62 |
0.7× |
| Removal of adenoids (42830) |
$2,799.48 |
$3,732.64 |
0.9× |
| Removal of adenoids (42836) |
$2,077.96 |
$2,770.62 |
0.7× |
| Removal of anal fissure (46200) |
$2,128.39 |
$2,837.85 |
0.8× |
| Removal of anorectal lesion (45108) |
$1,499.37 |
$1,999.16 |
0.6× |
| Removal of arm foreign body (24200) |
$1,174.88 |
$1,566.50 |
0.8× |
| Removal of bone lesion (23140) |
$1,287.22 |
$1,716.30 |
0.4× |
Removal of bone lesion (23146)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Removal of bone lesion (23145) |
$2,022.94 |
$2,697.26 |
0.7× |
| Removal of calcium deposits (23000) |
$900.26 |
$1,200.34 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,480.64 |
$1,974.19 |
1.0× |
| Removal of eye (65110) |
$2,790.06 |
$3,720.08 |
0.8× |
| Removal of finger lesion (26210) |
$1,328.10 |
$1,770.80 |
0.9× |
| Removal of fixation device (20665) |
$77.17 |
$102.89 |
0.2× |
| Removal of foot joint lining (28070) |
$4,200 |
$5,600 |
0.6× |
| Removal of heel bone (28118) |
$2,213.46 |
$2,951.28 |
0.7× |
| Removal of heel spur (28119) |
$2,072.31 |
$2,763.08 |
0.7× |
| Removal of humerus lesion (23150) |
$2,022.94 |
$2,697.26 |
0.7× |
Removal of humerus lesion (23156)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
Removal of humerus lesion (23155)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,146.50 |
$2,862 |
3.6× |
| Removal of intranasal lesion (30118) |
$1,460.17 |
$1,946.89 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$374.25 |
$499 |
1.3× |
| Removal of knee cartilage (27333) |
$2,022.94 |
$2,697.26 |
0.7× |
| Removal of knee cartilage (27332) |
$2,022.94 |
$2,697.26 |
0.7× |
| Removal of lens material (66840) |
$2,304.51 |
$3,072.68 |
1.1× |
| Removal of lens material (66852) |
$1,691.89 |
$2,255.85 |
0.4× |
| Removal of nail bed (11750) |
$262.50 |
$350 |
0.7× |
| Removal of nose lesion (30125) |
$2,799.48 |
$3,732.64 |
0.5× |
| Removal of nose lesion (30124) |
$1,460.17 |
$1,946.89 |
1.0× |
| Removal of nose polyp(s) (30115) |
$1,460.17 |
$1,946.89 |
0.5× |
| Removal of ocular implant (65175) |
$1,138.68 |
$1,518.24 |
0.3× |
| Removal of sesamoid bone (28315) |
$1,322.31 |
$1,763.08 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$56.99 |
$75.99 |
0.3× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$968.36 |
$1,291.14 |
0.5× |
| Removal of thyroid lesion (60200) |
$3,120.46 |
$4,160.62 |
0.5× |
| Removal of tonsils (42825) |
$4,221.23 |
$5,628.31 |
0.8× |
| Removal of tonsils (42826) |
$2,302.96 |
$3,070.62 |
0.7× |
| Removal of wrist bone (25210) |
$2,022.94 |
$2,697.26 |
0.7× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,468.54 |
$1,958.05 |
0.7× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$1,686.79 |
$2,249.05 |
0.8× |
| Removal ppm generator only (33233) |
$8,502.75 |
$11,337 |
1.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$50.33 |
$67.11 |
0.0× |
| Removal subq cardiac rhythm monitor (33286) |
$2,080.50 |
$2,774 |
3.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$67.41 |
$89.88 |
0.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,067.85 |
$4,090.47 |
1.0× |
| Remove anal fist 2 stage (46285) |
$1,499.37 |
$1,999.16 |
0.6× |
| Remove anal fist subq (46270) |
$2,128.39 |
$2,837.85 |
0.8× |
| Remove collar bone lesion (23170) |
$2,022.94 |
$2,697.26 |
0.7× |
| Remove digit nerve lesion (64776) |
$1,460.91 |
$1,947.88 |
0.8× |
| Remove ear lesion (69540) |
$170.96 |
$227.95 |
0.1× |
| Remove ear lesion (69552) |
$2,799.48 |
$3,732.64 |
0.5× |
| Remove ear lesion (69550) |
$2,799.48 |
$3,732.64 |
0.5× |
| Remove elbow lesion (24120) |
$1,287.22 |
$1,716.30 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$457.50 |
$610 |
1.5× |
| Remove eyelid lesion(s) (67808) |
$1,138.68 |
$1,518.24 |
0.5× |
| Remove eyelid lesions (67801) |
$463.50 |
$618 |
0.5× |
| Remove femur lesion (27355) |
$2,022.94 |
$2,697.26 |
0.7× |
| Remove foreign body from eye (65265) |
$1,346.76 |
$1,795.68 |
0.6× |
| Remove foreign body from eye (65235) |
$937.02 |
$1,249.36 |
0.4× |
| Remove foreign body from eye (65210) |
$234 |
$312 |
0.6× |
| Remove foreign body from eye (65260) |
$337.36 |
$449.82 |
0.2× |
Remove humerus lesion (23174)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Remove humerus lesion (24110) |
$1,287.22 |
$1,716.30 |
0.4× |
| Remove in/ex hem groups 2+ (46260) |
$2,128.39 |
$2,837.85 |
0.8× |
| Remove in/ex hem grp w/fistu (46258) |
$1,499.37 |
$1,999.16 |
0.6× |
| Remove in/ex hem grps w/fist (46262) |
$1,499.37 |
$1,999.16 |
0.6× |
| Remove knee cyst (27347) |
$1,287.22 |
$1,716.30 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$1,864.46 |
$2,485.95 |
0.7× |
| Remove renal tube w/fluoro (50389) |
$2,433 |
$3,244 |
3.7× |
| Remove shoulder blade lesion (23172) |
$2,022.94 |
$2,697.26 |
0.7× |
| Remove shoulder foreign body (23330) |
$503.32 |
$671.10 |
0.3× |
Remove shoulder joint lining (23105)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Remove thyroid duct lesion (60280) |
$3,120.46 |
$4,160.62 |
0.5× |
| Remove tissue expander (11971) |
$1,363.76 |
$1,818.35 |
0.5× |
| Remove wrist joint cartilage (25107) |
$2,022.94 |
$2,697.26 |
0.7× |
| Remove wrist tendon lesion (25111) |
$1,581.10 |
$2,108.14 |
1.0× |
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure |
$3,690.75 |
$4,921 |
0.5× |
Remove/graft bone lesion (26205)
likely a partial charge, not the full procedure |
$1,750.32 |
$2,333.76 |
0.3× |
| Remove/graft foot lesion (28102) |
$3,824.02 |
$5,098.69 |
0.6× |
| Remove/graft foot lesion (28107) |
$3,824.02 |
$5,098.69 |
0.6× |
| Remove/graft foot lesion (28103) |
$3,824.02 |
$5,098.69 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,363.76 |
$1,818.35 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$156.75 |
$209 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$1,035.38 |
$1,380.50 |
8.3× |
| Remv&replc cvd gen dual lead (33263) |
$12,559.50 |
$16,746 |
0.6× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$12,559.50 |
$16,746 |
0.4× |
| Remv&replc cvd gen sing lead (33262) |
$12,559.50 |
$16,746 |
0.6× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$4,210.50 |
$5,614 |
0.4× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$4,210.50 |
$5,614 |
0.2× |
| Renal biopsy (50200) |
$3,032.25 |
$4,043 |
1.9× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair anal fistula (46288) |
$1,964.36 |
$2,619.15 |
0.8× |
Repair arm tendon/muscle (24341)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair arm/leg nerve (64857) |
$3,375 |
$4,500 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$2,799.48 |
$3,732.64 |
0.5× |
| Repair Choanal Atresia Transpalatine (30545) |
$2,799.48 |
$3,732.64 |
0.5× |
| Repair cleft hand deformity (26580) |
$1,428.57 |
$1,904.76 |
0.5× |
| Repair collat ankle ligmnt,secondary (27698) |
$6,256.25 |
$8,341.66 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$993.38 |
$1,324.50 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,086.75 |
$1,449 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$910.12 |
$1,213.50 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$905.25 |
$1,207 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$468.68 |
$624.90 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$613.39 |
$817.86 |
1.6× |
| Repair elbow deb/attch open (24359) |
$2,563.77 |
$3,418.36 |
0.8× |
| Repair exten tendon,dist,open,grft (26434) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,661.07 |
$2,214.76 |
1.1× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair eyelid defect (67916) |
$1,138.68 |
$1,518.24 |
0.5× |
| Repair eyelid defect (67902) |
$1,560.38 |
$2,080.50 |
0.4× |
| Repair eyelid defect (67924) |
$1,138.68 |
$1,518.24 |
0.5× |
| Repair finger tendon (26432) |
$982.15 |
$1,309.53 |
0.6× |
| Repair finger tendon (26433) |
$982.15 |
$1,309.53 |
0.3× |
| Repair finger/hand tendon (26350) |
$2,043.38 |
$2,724.50 |
0.7× |
| Repair finger/hand tendon (26373) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair finger/hand tendon (26370) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$2,427.46 |
$3,236.62 |
0.8× |
| Repair forearm tendon sheath (25275) |
$2,022.94 |
$2,697.26 |
0.7× |
| Repair forearm tendon/muscle (25270) |
$2,832.85 |
$3,777.13 |
0.9× |
| Repair forearm tendon/muscle (25274) |
$2,022.94 |
$2,697.26 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$2,022.94 |
$2,697.26 |
0.7× |
| Repair forearm tendon/muscle (25265) |
$2,022.94 |
$2,697.26 |
0.7× |
| Repair hallux rigidus (28289) |
$1,322.31 |
$1,763.08 |
0.4× |
| Repair hand tendon (26410) |
$1,911.72 |
$2,548.96 |
1.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,678.24 |
$3,570.99 |
0.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,678.24 |
$3,570.99 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,750 |
$5,000 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$695.25 |
$927 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$910.12 |
$1,213.50 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$701.62 |
$935.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,097.62 |
$1,463.50 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$270.75 |
$361 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$695.25 |
$927 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$910.12 |
$1,213.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$322.88 |
$430.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,039.12 |
$1,385.50 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$910.12 |
$1,213.50 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$905.25 |
$1,207 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$722.62 |
$963.50 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,451.62 |
$1,935.50 |
3.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$910.12 |
$1,213.50 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,189.12 |
$1,585.50 |
3.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,012.50 |
$1,350 |
0.5× |
| Repair kneecap tendon (27380) |
$4,847.42 |
$6,463.22 |
0.7× |
| Repair Macrodactylia Each Digit (26590) |
$1,428.57 |
$1,904.76 |
0.9× |
| Repair nasal septal perforations (30630) |
$2,077.96 |
$2,770.62 |
0.7× |
| Repair nasal vestibular stenosis (30465) |
$2,799.48 |
$3,732.64 |
0.5× |
| Repair nonunion radius/ulna w autogrft (25405) |
$5,110.15 |
$6,813.53 |
0.7× |
| Repair of ankle ligament (27695) |
$5,550.24 |
$7,400.32 |
0.8× |
Repair of arm tendon (24320)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair of foot bones (28320) |
$8,218.17 |
$10,957.56 |
0.7× |
| Repair Of Foot Tendon (28208) |
$1,322.31 |
$1,763.08 |
0.4× |
| Repair of hammertoe (28286) |
$1,322.31 |
$1,763.08 |
0.4× |
| Repair of leg tendon each (27664) |
$6,934.97 |
$9,246.63 |
1.0× |
| Repair of leg tendon each (27665) |
$5,532.21 |
$7,376.28 |
0.8× |
| Repair of leg tendon each (27658) |
$2,195.91 |
$2,927.88 |
0.7× |
| Repair of nail bed (11760) |
$400.50 |
$534 |
0.6× |
| Repair of nasal septum (30520) |
$2,097.70 |
$2,796.94 |
0.7× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair of thigh musc (27385) |
$4,779.99 |
$6,373.32 |
0.7× |
| Repair of web finger (26562) |
$1,750.32 |
$2,333.76 |
0.6× |
| Repair of web finger (26560) |
$1,019.65 |
$1,359.53 |
0.7× |
| Repair of web finger (26561) |
$1,750.32 |
$2,333.76 |
0.6× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,853.88 |
$7,805.17 |
0.9× |
Repair shldr capsu,ant,coracoid xfer (23462)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
Repair shoulder capsule (23466)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
Repair shoulder capsule (23465)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair shoulder capsule (23450) |
$5,110.15 |
$6,813.53 |
0.7× |
| Repair tympanic membrane (69610) |
$1,615.50 |
$2,154 |
1.1× |
| Repair umbilical lesion (49600) |
$2,041.58 |
$2,722.11 |
0.6× |
| Repair webbed toe(s) (28345) |
$1,322.31 |
$1,763.08 |
0.9× |
| Repair wrist joints (25447) |
$2,778.38 |
$3,704.51 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,322.31 |
$1,763.08 |
0.4× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair/graft finger tendon (26428) |
$1,750.32 |
$2,333.76 |
0.6× |
Repair/graft flex foot tendon (28202)
likely a partial charge, not the full procedure |
$1,322.31 |
$1,763.08 |
0.2× |
Repair/graft hand tendon (26358)
likely a partial charge, not the full procedure |
$1,750.32 |
$2,333.76 |
0.3× |
Repair/graft hand tendon (26392)
likely a partial charge, not the full procedure |
$1,750.32 |
$2,333.76 |
0.3× |
Repair/graft hand tendon (26352)
likely a partial charge, not the full procedure |
$1,750.32 |
$2,333.76 |
0.3× |
Repair/graft hand tendon (26372)
unusually low: confirm this is the full procedure |
$2,700 |
$3,600 |
0.4× |
Repair/graft wrist bone (25440)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Repair/revise wrist joint (25320) |
$4,952.42 |
$6,603.22 |
0.7× |
| Replace duod/jej tube perc (49451) |
$1,272.18 |
$1,696.24 |
1.5× |
| Replace g/c tube perc (49450) |
$1,272.18 |
$1,696.24 |
1.5× |
Replace Tissue Expander (11970)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,272.18 |
$1,696.24 |
1.5× |
| Reposition gastrostomy tube (43761) |
$526.54 |
$702.06 |
2.2× |
| Reposition pacing-defib lead (33215) |
$5,591.25 |
$7,455 |
1.9× |
| Repositioning io lens prosthesis req inc spx (66825) |
$1,896.48 |
$2,528.64 |
0.9× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$6,684.75 |
$8,913 |
2.2× |
| Rerepair ing hernia blocked (49521) |
$5,491.70 |
$7,322.26 |
0.9× |
| Rerepair ing hernia reduce (49520) |
$2,678.24 |
$3,570.99 |
0.8× |
| Resect arm/elbow tum < 5 cm (24077) |
$1,012.63 |
$1,350.17 |
0.4× |
| Resect enlarged toe (28341) |
$1,322.31 |
$1,763.08 |
0.4× |
| Resect enlarged toe tissue (28340) |
$1,322.31 |
$1,763.08 |
0.4× |
| Resect face/scalp tum < 2 cm (21015) |
$1,125.13 |
$1,500.17 |
0.4× |
| Resect forearm/wrist tum<3cm (25077) |
$1,132.01 |
$1,509.34 |
0.4× |
| Resect Inferior Turbinate (30140) |
$2,077.96 |
$2,770.62 |
0.7× |
| Resect leg/ankle tum < 5 cm (27615) |
$900.26 |
$1,200.34 |
0.3× |
| Resect shoulder tumor < 5 cm (23077) |
$900.26 |
$1,200.34 |
0.3× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,322.31 |
$1,763.08 |
0.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,322.31 |
$1,763.08 |
0.4× |
| Revise arm/leg nerve (64708) |
$1,086.82 |
$1,449.09 |
0.6× |
| Revise external ear (69300) |
$1,460.17 |
$1,946.89 |
0.5× |
| Revise eye muscle (67311) |
$1,764.59 |
$2,352.79 |
0.8× |
| Revise eye muscle (67314) |
$1,764.59 |
$2,352.79 |
0.8× |
Revise hand/finger tendon (26390)
likely a partial charge, not the full procedure |
$1,750.32 |
$2,333.76 |
0.3× |
| Revise knuckle with implant (26531) |
$3,643.09 |
$4,857.45 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$1,460.91 |
$1,947.88 |
0.8× |
| Revise thumb tendon (26490) |
$1,750.32 |
$2,333.76 |
0.6× |
| Revise thumb tendon (26496) |
$1,750.32 |
$2,333.76 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$1,460.91 |
$1,947.88 |
0.8× |
| Revise ulnar nerve at wrist (64719) |
$1,460.91 |
$1,947.88 |
0.8× |
| Revise wrist/forearm tendon (25280) |
$2,022.94 |
$2,697.26 |
0.7× |
| Revise/implant finger joint (26536) |
$6,371.36 |
$8,495.14 |
0.9× |
| Revision of arm tendon (24310) |
$1,287.22 |
$1,716.30 |
0.4× |
| Revision of big toe (28310) |
$6,122.33 |
$8,163.11 |
0.9× |
Revision of collar bone (23480)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Revision of foot (28116) |
$1,322.31 |
$1,763.08 |
0.4× |
Revision of foot and ankle (28262)
likely a partial charge, not the full procedure |
$1,322.31 |
$1,763.08 |
0.2× |
| Revision of larynx (31580) |
$2,799.48 |
$3,732.64 |
0.5× |
| Revision of lower eyelid (15821) |
$1,076.84 |
$1,435.78 |
0.6× |
Revision of nose (30430)
likely a partial charge, not the full procedure |
$1,460.17 |
$1,946.89 |
0.3× |
| Revision of nose (30460) |
$2,799.48 |
$3,732.64 |
0.5× |
| Revision of nose (30435) |
$2,799.48 |
$3,732.64 |
0.5× |
| Revision of nose (30450) |
$2,799.48 |
$3,732.64 |
0.5× |
| Revision of tips (37183) |
$23,612.25 |
$31,483 |
4.4× |
| Revision of toe (28312) |
$1,322.31 |
$1,763.08 |
0.4× |
| Revision of upper eyelid (15823) |
$1,631.49 |
$2,175.32 |
0.8× |
Revj opn arven fstl w/o thrmbc dial grf (36832)
unusually low: confirm this is the full procedure |
$2,569.26 |
$3,425.68 |
0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,611.64 |
$3,482.18 |
0.8× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$4,221.23 |
$5,628.31 |
0.8× |
| Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) |
$2,799.48 |
$3,732.64 |
0.5× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$2,799.48 |
$3,732.64 |
0.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$4,356 |
$5,808 |
2.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$346.88 |
$462.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$341.50 |
$455.33 |
2.7× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,460.17 |
$1,946.89 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,993.26 |
$2,657.68 |
0.7× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$2,085.51 |
$2,780.68 |
0.6× |
| Rmvl Synth Rod & Insj Xtnsr Tdn Grf H/F Ea Rod (26416) |
$1,750.32 |
$2,333.76 |
0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$8,502.75 |
$11,337 |
2.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$8,502.75 |
$11,337 |
2.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,265.58 |
$1,687.44 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,621.50 |
$2,162 |
2.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$77.17 |
$102.89 |
0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,400.50 |
$4,534 |
2.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,602 |
$6,136 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,133 |
$6,844 |
1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,112.64 |
$5,483.52 |
0.7× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$4,112.64 |
$5,483.52 |
0.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,821.24 |
$6,428.32 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,112.64 |
$5,483.52 |
1.2× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure |
$2,400 |
$3,200 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,722.42 |
$8,963.23 |
1.2× |
| Rpr blood vessel direct lower extremity (35226) |
$2,035.12 |
$2,713.50 |
3.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,500 |
$2,000 |
0.5× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$2,813.12 |
$3,750.82 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$910.12 |
$1,213.50 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,377.75 |
$1,837 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,377.75 |
$1,837 |
2.7× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$3,824.02 |
$5,098.69 |
0.6× |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
$3,824.02 |
$5,098.69 |
0.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,750.32 |
$2,333.76 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,427.46 |
$3,236.62 |
0.8× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$968.36 |
$1,291.14 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$3,085.50 |
$4,114 |
2.0× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Septal/Other Intranasal Dermatoplasty (30620) |
$2,799.48 |
$3,732.64 |
0.5× |
Sequestrectomy olecranon process (24138)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Sequestrectomy radial head or neck (24136) |
$2,022.94 |
$2,697.26 |
0.7× |
Sequestrectomy Shaft/Distal Humerus (24134)
likely a partial charge, not the full procedure |
$2,022.94 |
$2,697.26 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$665.54 |
$887.38 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$150 |
$200 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$150 |
$200 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$375 |
$500 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$900 |
$1,200 |
4.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$375 |
$500 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$112.50 |
$150 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$482.88 |
$643.84 |
1.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,344.74 |
$4,459.66 |
1.1× |
| Shortening of tendon, flexor, hand or finger, each tendon (26479) |
$982.15 |
$1,309.53 |
0.3× |
| Shoulder arthroscopy (29805) |
$1,692.93 |
$2,257.24 |
0.5× |
| Shoulder joint surgery (23101) |
$2,563.77 |
$3,418.36 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$150 |
$200 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$165.38 |
$220.50 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$900 |
$1,200 |
4.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$900 |
$1,200 |
2.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$900 |
$1,200 |
4.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,875 |
$2,500 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$264 |
$352 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$211.50 |
$282 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$138.63 |
$184.84 |
0.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$270.75 |
$361 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$211.50 |
$282 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$211.50 |
$282 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$211.50 |
$282 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$211.50 |
$282 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$211.50 |
$282 |
1.1× |
| Sinusotomy Sphenoid W/WO Biopsy (31050) |
$2,799.48 |
$3,732.64 |
0.5× |
| Skin Pedicle Flap Trunk (15570) |
$1,350 |
$1,800 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$1,076.84 |
$1,435.78 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$642.75 |
$857 |
0.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$5,066.25 |
$6,755 |
2.6× |
| Skin tissue rearrangement (14040) |
$1,505.17 |
$2,006.90 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,500 |
$2,000 |
0.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,309.75 |
$8,413 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$8,954.25 |
$11,939 |
3.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,319.25 |
$13,759 |
2.0× |
| Small Bowel Endoscopy (44373) |
$968.36 |
$1,291.14 |
0.5× |
| Small bowel endoscopy (44366) |
$968.36 |
$1,291.14 |
0.5× |
| Small bowel endoscopy (44364) |
$968.36 |
$1,291.14 |
0.5× |
| Small bowel endoscopy (44376) |
$657.46 |
$876.61 |
0.4× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$968.36 |
$1,291.14 |
0.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$657.46 |
$876.61 |
0.4× |
| Small bowel endoscopy/biopsy (44377) |
$968.36 |
$1,291.14 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$211.50 |
$282 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$264 |
$352 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$503.25 |
$671 |
1.3× |
| Sphenoid sinus surgery (31051) |
$2,799.48 |
$3,732.64 |
0.5× |
| Sphincterotomy (46080) |
$1,115.12 |
$1,486.83 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,653 |
$2,204 |
2.5× |
| Spinal Puncture Therapeutic (62272) |
$1,689.75 |
$2,253 |
2.5× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$2,284.55 |
$3,046.07 |
0.6× |
| Strapping elbow/wrist (29260) |
$141 |
$188 |
2.5× |
| Strapping hand/finger (29280) |
$141 |
$188 |
2.5× |
| Strapping Hip (29520) |
$314.25 |
$419 |
2.5× |
| Strapping knee (29530) |
$141 |
$188 |
1.1× |
| Strapping shoulder (29240) |
$141 |
$188 |
1.1× |
| Strapping toes (29550) |
$141 |
$188 |
2.5× |
| Strapping unna boot (29580) |
$321 |
$428 |
2.1× |
Suprahyoid lymphadenectomy (38700)
likely a partial charge, not the full procedure |
$1,591.84 |
$2,122.45 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,499.37 |
$1,999.16 |
0.6× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,404.50 |
$3,206 |
1.1× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$1,322.31 |
$1,763.08 |
0.4× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$1,322.31 |
$1,763.08 |
0.4× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,022.94 |
$2,697.26 |
1.3× |
| Synovectomy; metatarsophalangeal joint, each (28072) |
$1,322.31 |
$1,763.08 |
0.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$51,042.75 |
$68,057 |
2.8× |
| Tendon excision palm/finger (26145) |
$982.15 |
$1,309.53 |
0.6× |
| Tendon lengthening (26476) |
$982.15 |
$1,309.53 |
0.3× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$2,022.94 |
$2,697.26 |
0.7× |
| Tendon shortening (26477) |
$982.15 |
$1,309.53 |
0.3× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Tenodesis proximal interphalangeal joint each (26471) |
$982.15 |
$1,309.53 |
0.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$2,043.38 |
$2,724.50 |
0.7× |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
$1,322.31 |
$1,763.08 |
0.4× |
| Tenolysis extensor foot single tendon (28225) |
$1,322.31 |
$1,763.08 |
0.4× |
| Tenolysis flexor foot multiple tendons (28222) |
$1,322.31 |
$1,763.08 |
0.4× |
| Tenolysis flexor foot single tendon (28220) |
$289.42 |
$385.89 |
0.2× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$1,750.32 |
$2,333.76 |
0.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,328.10 |
$1,770.80 |
0.9× |
| Tenolysis Triceps (24332) |
$2,022.94 |
$2,697.26 |
0.7× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$2,022.94 |
$2,697.26 |
0.7× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$982.15 |
$1,309.53 |
0.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,322.31 |
$1,763.08 |
0.9× |
| Tenotomy percutaneous single each digit (26060) |
$982.15 |
$1,309.53 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$787.50 |
$1,050 |
0.5× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$982.15 |
$1,309.53 |
0.6× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$982.15 |
$1,309.53 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$271.53 |
$362.04 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,322.31 |
$1,763.08 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$4,707.75 |
$6,277 |
3.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$10,173.49 |
$13,564.65 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,265.75 |
$3,021 |
3.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$8,456.25 |
$11,275 |
1.6× |
| Thrombolytic Art Therapy (37211) |
$9,415.50 |
$12,554 |
1.8× |
| Thyroid biopsy (60100) |
$1,998.75 |
$2,665 |
3.0× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$5,159.64 |
$6,879.52 |
0.9× |
| Thyroidectomy, total or complete (60240) |
$3,120.46 |
$4,160.62 |
0.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,569.72 |
$8,759.63 |
1.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,076.84 |
$1,435.78 |
0.6× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,076.84 |
$1,435.78 |
0.6× |
Tissue expander placement breast reconstruction (19357)
likely a partial charge, not the full procedure |
$3,806.29 |
$5,075.05 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,453 |
$3,270.66 |
0.8× |
| Total thyroid lobectomy unilateral (60225) |
$3,120.46 |
$4,160.62 |
0.5× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |
| Trach Tube Change (31502) |
$240 |
$320 |
1.1× |
| Transcatheter biopsy (37200) |
$6,077.25 |
$8,103 |
1.2× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$1,086.82 |
$1,449.09 |
0.6× |
| Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) |
$1,750.32 |
$2,333.76 |
0.6× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$1,750.32 |
$2,333.76 |
0.6× |
| Transplant forearm tendon (25310) |
$2,563.77 |
$3,418.36 |
0.8× |
| Transplant hand tendon (26480) |
$2,427.46 |
$3,236.62 |
0.8× |
| Transplant/graft hand tendon (26483) |
$1,750.32 |
$2,333.76 |
0.6× |
| Transplant/graft palm tendon (26489) |
$1,750.32 |
$2,333.76 |
0.6× |
| Treat ankle dislocation (27848) |
$8,737.90 |
$11,650.53 |
1.3× |
| Treat ankle dislocation (27846) |
$6,934.97 |
$9,246.63 |
1.0× |
Treat clavicle dislocation (23530)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
Treat clavicle dislocation (23532)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
| Treat clavicle dislocation (23552) |
$7,330.37 |
$9,773.83 |
1.1× |
| Treat dislocation/fracture (23670) |
$4,227.95 |
$5,637.27 |
0.6× |
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure |
$3,239.36 |
$4,319.14 |
0.3× |
| Treat elbow dislocation (24615) |
$4,227.95 |
$5,637.27 |
0.6× |
Treat elbow fracture (24586)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Treat elbow fracture (24635) |
$4,227.95 |
$5,637.27 |
0.6× |
Treat elbow fracture (24587)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Treat eyelid lesion (67850) |
$151.60 |
$202.14 |
0.2× |
| Treat Finger Fracture Each (26727) |
$1,875 |
$2,500 |
0.6× |
Treat fracture of radius (25526)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Treat Fracture Radius & Ulna (25560) |
$422.25 |
$563 |
1.8× |
| Treat fracture radius/ulna (25575) |
$4,227.95 |
$5,637.27 |
0.6× |
| Treat fx distal radial (25606) |
$2,342.43 |
$3,123.24 |
0.8× |
| Treat fx rad extra-articul (25607) |
$6,765.86 |
$9,021.15 |
1.0× |
| Treat heel fracture (28415) |
$6,692 |
$8,922.66 |
1.0× |
| Treat humerus fracture (23630) |
$4,227.95 |
$5,637.27 |
0.6× |
| Treat humerus fracture (24500) |
$438.75 |
$585 |
1.9× |
| Treat humerus fracture (24566) |
$681.41 |
$908.55 |
0.4× |
Treat humerus fracture (23616)
likely a partial charge, not the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Treat humerus fracture (23600) |
$438.75 |
$585 |
1.9× |
| Treat knee fracture (27532) |
$983.36 |
$1,311.14 |
0.3× |
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Treat lower leg fracture (27826) |
$6,159.03 |
$8,212.04 |
0.9× |
| Treat lower leg fracture (27828) |
$12,601.18 |
$16,801.58 |
1.0× |
| Treat Lower Leg Fracture (27827) |
$12,697.57 |
$16,930.10 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$136.22 |
$181.63 |
0.6× |
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
Treat radius fracture (24665)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
Treat sesamoid bone fracture (28531)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
| Treat thumb fracture (26665) |
$3,239.36 |
$4,319.14 |
1.1× |
| Treat toe fracture (28525) |
$1,580.25 |
$2,107 |
0.5× |
Treat ulnar fracture (24685)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Treat wrist bone fracture (25622) |
$422.25 |
$563 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$422.25 |
$563 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,396.06 |
$1,861.42 |
0.9× |
| Treatment of anal fissure (46942) |
$1,125 |
$1,500 |
1.3× |
| Treatment of anal fissure (46940) |
$1,500 |
$2,000 |
0.6× |
| Treatment of ankle fracture (27822) |
$6,131.97 |
$8,175.96 |
0.9× |
| Treatment of ankle fracture (28436) |
$5,186.95 |
$6,915.93 |
0.8× |
| Treatment of ankle fracture (27792) |
$6,061.02 |
$8,081.36 |
0.9× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$3,239.36 |
$4,319.14 |
0.5× |
| Treatment of foot infection (28003) |
$2,195.91 |
$2,927.88 |
0.7× |
Treatment of heel fracture (28406)
unusually low: confirm this is the full procedure |
$2,625 |
$3,500 |
0.4× |
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure |
$1,480.08 |
$1,973.44 |
0.3× |
| Treatment of nose fracture (21340) |
$2,799.48 |
$3,732.64 |
0.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$167.49 |
$223.32 |
0.7× |
| Treatment of tibia fracture (27759) |
$7,500 |
$10,000 |
0.6× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$1,580.25 |
$2,107 |
0.2× |
| Trim skin lesion (11055) |
$297.75 |
$397 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$579.75 |
$773 |
3.1× |
| Trim skin lesions over 4 (11057) |
$900 |
$1,200 |
4.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$128.25 |
$171 |
2.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$16,601.25 |
$22,135 |
3.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$16,601.25 |
$22,135 |
3.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,499.37 |
$1,999.16 |
0.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
unusually low: confirm this is the full procedure |
$4,227.95 |
$5,637.27 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$289.42 |
$385.89 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$959.25 |
$1,279 |
1.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$188.05 |
$250.73 |
0.1× |
| Unlisted Cardiac Surgery (33999) |
$2,166 |
$2,888 |
3.7× |
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure |
$1,866 |
$2,488 |
0.3× |
| Unlisted procedure anus (46999) |
$1,650 |
$2,200 |
1.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$253.50 |
$338 |
1.7× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$8.57 |
$11.43 |
0.0× |
| Unlisted procedure femur or knee (27599) |
$4,682.37 |
$6,243.16 |
20.1× |
| Unlisted procedure foot or toes (28899) |
$1,090.43 |
$1,453.91 |
4.7× |
| Unlisted Procedure Lungs & Pleura (32999) |
$2,265.75 |
$3,021 |
3.8× |
| Unlisted procedure maternity care & delivery (59899) |
$56.25 |
$75 |
0.3× |
| Unlisted procedure shoulder (23929) |
$757.50 |
$1,010 |
3.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$11,456.25 |
$15,275 |
19.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,917.75 |
$2,557 |
2.2× |
| Unlisted procedure, male genital system (55899) |
$1,303.50 |
$1,738 |
5.5× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$38,844 |
$51,792 |
3.9× |
| Uppr gi opticl endomicrscopy (43252) |
$1,125 |
$1,500 |
0.6× |
| Uvulectomy excision uvula (42140) |
$956.40 |
$1,275.20 |
0.3× |
| Vasc embolize/occlude artery (37242) |
$25,952.25 |
$34,603 |
1.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$25,952.25 |
$34,603 |
2.4× |
| Vasc embolize/occlude organ (37243) |
$23,592.75 |
$31,457 |
2.2× |
| Vasc embolize/occlude venous (37241) |
$23,592.75 |
$31,457 |
2.2× |
| Venipuncture (36415) |
$28.50 |
$38 |
3.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,179 |
$1,572 |
0.4× |
| Vulvectomy simple partial (56620) |
$1,981.06 |
$2,641.42 |
0.6× |
| Wrist arthroscop,excis triang cart (29846) |
$2,398.77 |
$3,198.36 |
0.8× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$2,969.86 |
$3,959.81 |
0.4× |