| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,276.80 |
$1,596 |
1.5× |
| Ablate inf turbinate submuc (30802) |
$424 |
$530 |
0.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,520 |
$1,900 |
0.8× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,256 |
$1,570 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$147.20 |
$184 |
0.9× |
| Application cast elbow finger short arm (29075) |
$118.40 |
$148 |
0.4× |
| Application finger splint static (29130) |
$56 |
$70 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$132 |
$165 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$108 |
$135 |
0.7× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$244.80 |
$306 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$120 |
$150 |
0.9× |
| Application short leg splint calf foot (29515) |
$113.60 |
$142 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$99.36 |
$124.20 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$126.40 |
$158 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$342.40 |
$428 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$91.20 |
$114 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$308.16 |
$385.20 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$156 |
$195 |
0.8× |
| Biopsy external auditory canal (69105) |
$168.80 |
$211 |
0.1× |
| Biopsy external ear (69100) |
$149.60 |
$187 |
0.7× |
| Biopsy intranasal (30100) |
$151.20 |
$189 |
0.1× |
| Biopsy of lip (40490) |
$217.60 |
$272 |
1.0× |
| Biopsy of mouth lesion (40808) |
$301.68 |
$377.10 |
0.6× |
| Biopsy of tongue (41100) |
$300.96 |
$376.20 |
0.6× |
| Biopsy of uterus lining (58100) |
$212.40 |
$265.50 |
1.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$608 |
$760 |
0.2× |
| Biopsy Oropharynx (42800) |
$352 |
$440 |
0.2× |
| Biopsy tongue posterior one-third (41105) |
$316.80 |
$396 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$4,441.97 |
$5,552.46 |
1.2× |
| Bladder Irrigation Simple (51700) |
$171.20 |
$214 |
0.7× |
| Bladder Scan (51798) |
$48 |
$60 |
0.8× |
| Blood patch (62273) |
$809.20 |
$1,011.50 |
1.2× |
| Blood transfusion service (36430) |
$644 |
$805 |
1.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$584 |
$730 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$1,768 |
$2,210 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$187.20 |
$234 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$92 |
$115 |
0.4× |
| Cautery cervix laser ablation (57513) |
$604.80 |
$756 |
0.2× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,149.60 |
$2,687 |
0.7× |
| Chest tube placement (32551) |
$426.40 |
$533 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$149.60 |
$187 |
1.2× |
| Circumcision (54150) |
$308 |
$385 |
0.2× |
| Clean out mastoid cavity (69222) |
$236 |
$295 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$622.40 |
$778 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,040 |
$1,300 |
0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$716.80 |
$896 |
3.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$588 |
$735 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$584 |
$730 |
0.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$278.26 |
$347.83 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$888.80 |
$1,111 |
3.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$860 |
$1,075 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,173.60 |
$1,467 |
0.8× |
| Closed tx septal&nose fx (21337) |
$880 |
$1,100 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,856.47 |
$2,320.59 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$175.20 |
$219 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$857.60 |
$1,072 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$655.20 |
$819 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$642.40 |
$803 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,280 |
$1,600 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$521.60 |
$652 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$593.60 |
$742 |
2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$754.40 |
$943 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$697.60 |
$872 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,522.40 |
$1,903 |
6.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$216 |
$270 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$960 |
$1,200 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$342.40 |
$428 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$240 |
$300 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$760 |
$950 |
0.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$308 |
$385 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$304 |
$380 |
1.0× |
| Conization of cervix (57520) |
$753.60 |
$942 |
0.2× |
| Conization of cervix (57522) |
$700 |
$875 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$396 |
$495 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$210.96 |
$263.70 |
1.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$380 |
$475 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$376.26 |
$470.33 |
0.1× |
| Create eardrum opening (69436) |
$372 |
$465 |
0.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$194.40 |
$243 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$169.60 |
$212 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$827.20 |
$1,034 |
1.2× |
| Declot vascular device (36593) |
$384.76 |
$480.95 |
1.2× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$1,020.80 |
$1,276 |
0.5× |
| Delivery placenta separate procedure (59414) |
$3,688.26 |
$4,610.32 |
1.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$230.40 |
$288 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$172.80 |
$216 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$151.20 |
$189 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$90 |
$112.50 |
0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$640 |
$800 |
0.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$293.60 |
$367 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$648 |
$810 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$300 |
$375 |
1.6× |
| Drainage of gum lesion (41800) |
$432 |
$540 |
3.4× |
| Drainage of hematoma/fluid (10140) |
$252.80 |
$316 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$394.80 |
$493.50 |
0.2× |
| Draw blood off venous device (36591) |
$102 |
$127.50 |
0.8× |
| Dressing change under anesthesia (15852) |
$103.68 |
$129.60 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$208.80 |
$261 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$179.20 |
$224 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$54.40 |
$68 |
2.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,349.60 |
$5,437 |
2.4× |
| Evacuation of subungual hematoma (11740) |
$78.40 |
$98 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$351.20 |
$439 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$687.20 |
$859 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$201.60 |
$252 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$396.80 |
$496 |
0.2× |
| Exc frenum labial/buccal (40819) |
$313.60 |
$392 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$280 |
$350 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$210.24 |
$262.80 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$209.52 |
$261.90 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$230.40 |
$288 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$280 |
$350 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$324 |
$405 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$790.40 |
$988 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$411.12 |
$513.90 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$868 |
$1,085 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$310 |
$387.50 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$655.20 |
$819 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$240 |
$300 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$169.92 |
$212.40 |
0.2× |
| Excise pharynx lesion (42808) |
$376 |
$470 |
0.1× |
| Excise/repair mouth lesion (40812) |
$400 |
$500 |
0.3× |
| Excision external ear partial simple repair (69110) |
$686.40 |
$858 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$471.60 |
$589.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$289.44 |
$361.80 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$148 |
$185 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$284.40 |
$355.50 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$318.24 |
$397.80 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$119.60 |
$149.50 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$277.60 |
$347 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$297.36 |
$371.70 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$360 |
$450 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$288 |
$360 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$320 |
$400 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$270 |
$337.50 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$149.76 |
$187.20 |
0.1× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$677.60 |
$847 |
0.2× |
| Excision of nail fold toe (11765) |
$275.20 |
$344 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$924 |
$1,155 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$482.40 |
$603 |
0.2× |
| Excision Prepatellar Bursa (27340) |
$3,764 |
$4,705 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$797.76 |
$997.20 |
0.5× |
| Excision, nasal polyp(s), simple (30110) |
$272 |
$340 |
0.2× |
Explore parathyroid glands (60500)
unusually low: confirm this is the full procedure |
$1,824.80 |
$2,281 |
0.3× |
| External Cephalic Version (59412) |
$3,805.60 |
$4,757 |
1.2× |
| Fetal Contraction Stress Test (59020) |
$280 |
$350 |
1.4× |
| Fetal non-stress test (59025) |
$277.60 |
$347 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,072 |
$1,340 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$181.76 |
$227.20 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$960 |
$1,200 |
0.5× |
| Hysteroscopy ablation (58563) |
$2,971.20 |
$3,714 |
0.6× |
| Hysteroscopy biopsy (58558) |
$1,520 |
$1,900 |
0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$864 |
$1,080 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$392.80 |
$491 |
1.7× |
| I&d abscess simple (10060) |
$171.36 |
$214.20 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$507.20 |
$634 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$475.26 |
$594.08 |
0.2× |
| I&d perianal abscess superficial (46050) |
$252.80 |
$316 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$202 |
$252.50 |
0.3× |
| Incise inner ear (69801) |
$1,718.40 |
$2,148 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$420 |
$525 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,988 |
$3,735 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$201.60 |
$252 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$280.80 |
$351 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$248 |
$310 |
0.8× |
| Incision labial frenum frenotomy (40806) |
$160 |
$200 |
0.3× |
| Incision of eardrum (69421) |
$343.20 |
$429 |
0.1× |
| Incision of eardrum (69420) |
$276 |
$345 |
1.2× |
| Incision of lingual frenum (41010) |
$240 |
$300 |
0.2× |
| Incision of rectal abscess (46040) |
$780.80 |
$976 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$342.40 |
$428 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$280 |
$350 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$117.60 |
$147 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$377.60 |
$472 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$160 |
$200 |
0.2× |
| Injection for identification of sentinel node (38792) |
$624 |
$780 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$109.60 |
$137 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$156.96 |
$196.20 |
0.5× |
| Injection, anesthetic agent; vagus nerve (64408) |
$165.20 |
$206.50 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$420 |
$525 |
2.2× |
| Insert cervical dilator (59200) |
$172 |
$215 |
0.6× |
| Insert Drug Implant Device (11981) |
$256 |
$320 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$280 |
$350 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,651.20 |
$4,564 |
1.2× |
| Insert pessary/other device (57160) |
$114.48 |
$143.10 |
0.6× |
| Insert picc cath (36569) |
$1,880 |
$2,350 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$182.40 |
$228 |
1.4× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,270.62 |
$7,838.27 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$182.40 |
$228 |
1.4× |
| Insertion of cannula (36810) |
$3,651.10 |
$4,563.88 |
1.2× |
| Insertion of cannula (36800) |
$6,270.62 |
$7,838.27 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,651.10 |
$4,563.88 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,651.10 |
$4,563.88 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$345.20 |
$431.50 |
1.5× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,567.20 |
$1,959 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$2,041.60 |
$2,552 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$872.80 |
$1,091 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$952 |
$1,190 |
0.2× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$1,520 |
$1,900 |
0.3× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,618.40 |
$2,023 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$900.80 |
$1,126 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,647.20 |
$2,059 |
0.3× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
unusually low: confirm this is the full procedure |
$2,000 |
$2,500 |
0.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$819.20 |
$1,024 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$218.88 |
$273.60 |
1.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$154.08 |
$192.60 |
0.8× |
| Laryngoscopy w/biopsy (31535) |
$504 |
$630 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$645.60 |
$807 |
0.2× |
| Laryngoscopy w/exc of tumor (31540) |
$745.60 |
$932 |
0.2× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$640 |
$800 |
0.4× |
| Larynscop w/tumr exc + scope (31541) |
$873.60 |
$1,092 |
0.2× |
| Lysis Intranasal Synechia (30560) |
$292.80 |
$366 |
0.6× |
| Marsup Bartholin Gland Cyst (56440) |
$471.20 |
$589 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,801.99 |
$2,252.49 |
1.2× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,651.10 |
$4,563.88 |
1.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$381.60 |
$477 |
2.0× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$282.40 |
$353 |
0.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$389.60 |
$487 |
0.2× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
likely a partial charge, not the full procedure |
$344 |
$430 |
0.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$680.40 |
$850.50 |
0.4× |
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
likely a partial charge, not the full procedure |
$1,372.44 |
$1,715.55 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$658.80 |
$823.50 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$36 |
$45 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$463.28 |
$579.10 |
1.1× |
| Occlude fallopian tube(s) (58615) |
$613.60 |
$767 |
0.2× |
| Open tx septal fx w/wo stabj (21336) |
$1,360 |
$1,700 |
0.4× |
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145)
likely a partial charge, not the full procedure |
$1,600 |
$2,000 |
0.3× |
| Perq device breast 1st imag (19281) |
$640.80 |
$801 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$464.80 |
$581 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$297.60 |
$372 |
0.7× |
| Proctopexy Perineal Approach (45541) |
$2,262.40 |
$2,828 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$254.88 |
$318.60 |
0.7× |
| Puncture Aspiration (10160) |
$208 |
$260 |
0.5× |
| Removal fb intranasal (30300) |
$276 |
$345 |
2.2× |
| Removal foreign body foot subcutaneous (28190) |
$352 |
$440 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$321.60 |
$402 |
0.2× |
| Removal foreign body pharynx (42809) |
$390 |
$487.50 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$400 |
$500 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56 |
$70 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90.80 |
$113.50 |
1.6× |
| Removal of adenoids (42835) |
$412 |
$515 |
0.1× |
| Removal of adenoids (42831) |
$480 |
$600 |
0.2× |
| Removal of adenoids (42830) |
$476 |
$595 |
0.1× |
| Removal of arm foreign body (24200) |
$304 |
$380 |
0.2× |
| Removal of intranasal lesion (30118) |
$1,600 |
$2,000 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$200 |
$250 |
0.7× |
| Removal of nail bed (11750) |
$236.16 |
$295.20 |
0.6× |
| Removal of nose polyp(s) (30115) |
$809.60 |
$1,012 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$122.40 |
$153 |
0.6× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$604 |
$755 |
0.1× |
| Removal of tonsils (42826) |
$580 |
$725 |
0.2× |
| Remove cerclage suture (59871) |
$3,805.60 |
$4,757 |
1.2× |
| Remove drug implant device (11982) |
$272 |
$340 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$244.80 |
$306 |
0.8× |
| Remove Peritoneal Foreign Body (49402) |
$1,920 |
$2,400 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$224 |
$280 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$186.48 |
$233.10 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$100 |
$125 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$724 |
$905 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$972 |
$1,215 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$627.20 |
$784 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,068 |
$1,335 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$444.80 |
$556 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$744 |
$930 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$412 |
$515 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$492 |
$615 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$497.60 |
$622 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$464 |
$580 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$399.20 |
$499 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$452 |
$565 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$497.60 |
$622 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$587.20 |
$734 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$364.80 |
$456 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$440 |
$550 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$710.07 |
$887.59 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$499.20 |
$624 |
1.3× |
Repair nasal vestibular stenosis (30465)
unusually low: confirm this is the full procedure |
$2,160 |
$2,700 |
0.4× |
| Repair of nail bed (11760) |
$156 |
$195 |
0.2× |
| Repair of nasal septum (30520) |
$1,392 |
$1,740 |
0.4× |
| Repair of vagina (57260) |
$1,619.20 |
$2,024 |
0.3× |
| Repair rectum & vagina (57250) |
$1,318.40 |
$1,648 |
0.3× |
| Repair tympanic membrane (69610) |
$1,740 |
$2,175 |
1.2× |
| Resect Inferior Turbinate (30140) |
$960 |
$1,200 |
0.3× |
Rhinoplasty, Primary; Including Major Septal Repair (30420)
likely a partial charge, not the full procedure |
$340 |
$425 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$102.40 |
$128 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$132 |
$165 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,801.99 |
$2,252.49 |
1.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$402.40 |
$503 |
0.9× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,651.10 |
$4,563.88 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$176.80 |
$221 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$151.20 |
$189 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$552 |
$690 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$214.56 |
$268.20 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$347.20 |
$434 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$366.40 |
$458 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$461.60 |
$577 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$220.32 |
$275.40 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276 |
$345 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$226.80 |
$283.50 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$279.20 |
$349 |
0.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,932 |
$2,415 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$220.32 |
$275.40 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$409.60 |
$512 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$504.80 |
$631 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$810 |
$1,012.50 |
1.2× |
| Strapping ankle (29540) |
$48 |
$60 |
0.3× |
| Strapping elbow/wrist (29260) |
$48 |
$60 |
0.8× |
| Strapping hand/finger (29280) |
$133.60 |
$167 |
2.4× |
| Strapping knee (29530) |
$99.20 |
$124 |
0.8× |
| Strapping shoulder (29240) |
$96 |
$120 |
0.8× |
| Strapping unna boot (29580) |
$228 |
$285 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$182.12 |
$227.65 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$356.80 |
$446 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,248.80 |
$1,561 |
2.1× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260)
unusually low: confirm this is the full procedure |
$2,131.20 |
$2,664 |
0.4× |
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure |
$1,740 |
$2,175 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$700 |
$875 |
0.2× |
Total thyroid lobectomy unilateral (60225)
unusually low: confirm this is the full procedure |
$1,792.80 |
$2,241 |
0.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$621.60 |
$777 |
2.1× |
| Transfer Any Pedicle Flap Any Location (15650) |
$1,040 |
$1,300 |
0.5× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,717.60 |
$2,147 |
0.3× |
| Treat finger dislocation (26775) |
$488.80 |
$611 |
1.8× |
| Treat knuckle dislocation (26715) |
$576 |
$720 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,020 |
$1,275 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$864 |
$1,080 |
3.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$756 |
$945 |
0.2× |
| Trim skin lesion (11055) |
$1,848 |
$2,310 |
9.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$16 |
$20 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$712.80 |
$891 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$855.20 |
$1,069 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$720 |
$900 |
0.5× |
| Tympanostomy (69433) |
$284 |
$355 |
0.5× |
Unlisted laparoscopy procedure, uterus (58578)
unusually low: confirm this is the full procedure |
$2,400 |
$3,000 |
0.4× |
| Uvulectomy excision uvula (42140) |
$360 |
$450 |
0.1× |
| Vaginal delivery only (59409) |
$2,782.80 |
$3,478.50 |
0.9× |
| Vaginal hysterectomy (58260) |
$1,780.80 |
$2,226 |
0.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$2,000 |
$2,500 |
0.4× |
| Vbac delivery only (59612) |
$2,011.20 |
$2,514 |
0.6× |
| Venipuncture (36415) |
$12 |
$15 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$164.80 |
$206 |
0.1× |