| Abd paracentesis w/imaging (49083) |
$802.48 |
$1,069.98 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,836.49 |
$2,448.65 |
2.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,419.74 |
$1,892.99 |
0.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,128.68 |
$1,504.91 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,375.92 |
$1,834.56 |
0.4× |
| Amputation Finger/Thumb (26951) |
$3,509.26 |
$4,679.01 |
1.1× |
| Anoscopy diagnostic (46600) |
$126.51 |
$168.68 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$595.35 |
$793.80 |
0.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$219.12 |
$292.16 |
0.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$55.40 |
$73.87 |
0.3× |
| Application cast elbow finger short arm (29075) |
$111.22 |
$148.28 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$186.05 |
$248.06 |
0.7× |
| Application finger splint static (29130) |
$67.81 |
$90.41 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$142.22 |
$189.63 |
0.9× |
| Application of long leg cast (29345) |
$172.82 |
$230.42 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$214.16 |
$285.55 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$132.72 |
$176.95 |
1.0× |
| Apply long leg splint (29505) |
$216.23 |
$288.30 |
1.3× |
| Apply short leg cast (29405) |
$143.05 |
$190.73 |
0.5× |
| Apply short leg cast (29425) |
$99.64 |
$132.86 |
0.4× |
| Apply short leg splint (29515) |
$211.27 |
$281.69 |
1.3× |
| Arterial puncture (36600) |
$124.91 |
$166.55 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$125.69 |
$167.58 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$185.22 |
$246.96 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$124.86 |
$166.48 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$199.28 |
$265.70 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$119.90 |
$159.86 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$2,573.65 |
$3,431.54 |
0.1× |
| Arthroplasty interphalangeal joint each (26535) |
$1,055.09 |
$1,406.79 |
0.3× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure |
$2,493.03 |
$3,324.04 |
0.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,572.72 |
$2,096.96 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,241.14 |
$1,654.85 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,671.11 |
$2,228.15 |
0.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,685.18 |
$2,246.90 |
0.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,069.15 |
$1,425.53 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,220.47 |
$1,627.29 |
0.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,411.48 |
$1,881.97 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,120.93 |
$2,827.91 |
0.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,762.07 |
$2,349.43 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,928.27 |
$2,571.03 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,515.66 |
$2,020.88 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$2,082.15 |
$2,776.20 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,587.29 |
$3,449.72 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$981.50 |
$1,308.67 |
0.3× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure |
$1,593.39 |
$2,124.52 |
0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,559.49 |
$2,079.32 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$797.94 |
$1,063.92 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$149.66 |
$199.55 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$220.94 |
$294.59 |
1.1× |
| Bladder Irrigation Simple (51700) |
$212.51 |
$283.34 |
0.9× |
| Blood patch (62273) |
$805.38 |
$1,073.84 |
1.2× |
| Blood transfusion service (36430) |
$878.97 |
$1,171.96 |
2.0× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$841.76 |
$1,122.35 |
0.1× |
| Canthoplasty (67950) |
$3,279.56 |
$4,372.75 |
1.4× |
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466)
unusually low: confirm this is the full procedure |
$2,743.58 |
$3,658.10 |
0.4× |
| Change of cystostomy tube simple (51705) |
$215.81 |
$287.75 |
0.9× |
| Chemical cautery tissue (17250) |
$161.66 |
$215.54 |
0.8× |
| Circumcision (54150) |
$248.06 |
$330.75 |
0.1× |
| Circumcision Neonate (54160) |
$363 |
$484 |
0.5× |
| Claviculectomy partial (23120) |
$1,461.92 |
$1,949.22 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$491.17 |
$654.89 |
2.0× |
| Closed Rx Radial Shaft Fx (25500) |
$542.59 |
$723.45 |
2.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$860.78 |
$1,147.70 |
3.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,037.01 |
$2,716.01 |
1.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$434.70 |
$579.60 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,026.15 |
$1,368.20 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$603.62 |
$804.82 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$973.24 |
$1,297.64 |
0.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,721.56 |
$2,295.40 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,090.65 |
$1,454.20 |
4.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$469.67 |
$626.22 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,371.79 |
$1,829.05 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$833.08 |
$1,110.77 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,073.29 |
$1,431.05 |
4.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$740.06 |
$986.74 |
3.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,059.64 |
$1,412.86 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,155.14 |
$1,540.19 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,103.88 |
$1,471.84 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$445.72 |
$594.30 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,239.08 |
$1,652.10 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$617.68 |
$823.57 |
2.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,518.70 |
$2,024.92 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$772.72 |
$1,030.29 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$748.32 |
$997.76 |
3.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$955.87 |
$1,274.49 |
3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$567 |
$756 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$678.45 |
$904.60 |
2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$612.71 |
$816.95 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,122.90 |
$1,497.20 |
0.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,748.02 |
$2,330.69 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$344.93 |
$459.90 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$909.56 |
$1,212.75 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$522.59 |
$696.78 |
2.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,157.63 |
$1,543.50 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$305.94 |
$407.92 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$820.26 |
$1,093.68 |
3.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$494.55 |
$659.40 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$783.88 |
$1,045.17 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$538.65 |
$718.20 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$582.54 |
$776.71 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$715.25 |
$953.66 |
2.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,730.65 |
$2,307.54 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$866.16 |
$1,154.87 |
3.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,490.34 |
$1,987.12 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,055.09 |
$1,406.79 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$336.13 |
$448.17 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,338.72 |
$1,784.95 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$973.64 |
$1,298.20 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$124.91 |
$166.55 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$438.25 |
$584.33 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$445.69 |
$594.25 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$464.71 |
$619.61 |
0.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$534.99 |
$713.32 |
0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$311.73 |
$415.64 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$351.42 |
$468.56 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$221.60 |
$295.47 |
1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,136.65 |
$2,848.86 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$360.94 |
$481.24 |
2.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,254.37 |
$1,672.50 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$878.97 |
$1,171.96 |
1.3× |
| Debride nail 1-5 (11720) |
$115.76 |
$154.35 |
2.0× |
| Debride tissue/muscle (11043) |
$363.83 |
$485.10 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$245.58 |
$327.44 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$504.40 |
$672.52 |
0.3× |
| Delivery placenta separate procedure (59414) |
$233.18 |
$310.91 |
0.1× |
| Destroy internal hemorrhoids (46930) |
$411.79 |
$549.05 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$262.95 |
$350.60 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$218.30 |
$291.06 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$347.29 |
$463.05 |
1.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$168.68 |
$224.91 |
0.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$297.68 |
$396.90 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$132.30 |
$176.40 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$332.41 |
$443.21 |
0.4× |
| Dilation and curettage (58120) |
$544.09 |
$725.45 |
0.2× |
| Drainage of gum lesion (41800) |
$384.91 |
$513.22 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$352.25 |
$469.67 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$367.96 |
$490.62 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.97 |
$261.30 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$276.18 |
$368.24 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$388.64 |
$518.18 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$336.54 |
$448.72 |
0.2× |
| Egd dilate stricture (43245) |
$1,257.68 |
$1,676.90 |
0.7× |
| Egd flexible foreign body removal (43247) |
$844.07 |
$1,125.43 |
0.9× |
| Egd place gastrostomy tube (43246) |
$411.79 |
$549.05 |
0.2× |
| Egd remove lesion snare (43251) |
$929.41 |
$1,239.21 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$195.14 |
$260.19 |
1.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,277.52 |
$1,703.36 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,046.83 |
$1,395.77 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$985.64 |
$1,314.18 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$253.58 |
$338.10 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$249.72 |
$332.96 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$425.02 |
$566.69 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$480.83 |
$641.10 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$270.39 |
$360.52 |
0.4× |
| Exc back les sc < 3 cm (21930) |
$1,063.37 |
$1,417.82 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$266.26 |
$355.01 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$444.86 |
$593.15 |
0.3× |
| Exc neck tum deep < 5 cm (21556) |
$1,067.50 |
$1,423.33 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$184.40 |
$245.86 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$296.03 |
$394.70 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$350.60 |
$467.46 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$558.14 |
$744.19 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$667.46 |
$889.94 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$674.32 |
$899.09 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$976.54 |
$1,302.05 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$367.96 |
$490.61 |
0.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$855.82 |
$1,141.09 |
0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$942.64 |
$1,256.85 |
0.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,100.57 |
$1,467.43 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,377.58 |
$1,836.77 |
0.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$995.14 |
$1,326.86 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,179.12 |
$1,572.16 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$494.48 |
$659.30 |
0.3× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,162.35 |
$1,549.80 |
0.4× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,705.85 |
$2,274.46 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$416.34 |
$555.11 |
0.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$867.39 |
$1,156.52 |
0.3× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,298.25 |
$5,731 |
1.8× |
| Excision H/P/P/U Complex Repair (11471) |
$707.81 |
$943.74 |
0.2× |
| Excision interdigital morton neuroma single each (28080) |
$924.45 |
$1,232.60 |
0.6× |
| Excision lesion meniscus/capsule knee (27347) |
$1,279.18 |
$1,705.57 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$406 |
$541.33 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$423.78 |
$565.04 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$563.10 |
$750.80 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$625.94 |
$834.59 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$498.61 |
$664.81 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$315.04 |
$420.06 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$372.92 |
$497.23 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$786.36 |
$1,048.48 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$352.25 |
$469.67 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$388.64 |
$518.18 |
0.3× |
| Excision olecranon bursa (24105) |
$702.85 |
$937.13 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,036.91 |
$1,382.54 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,762.76 |
$2,350.34 |
1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$806.37 |
$1,075.16 |
0.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$918.66 |
$1,224.88 |
0.6× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,338.71 |
$1,784.95 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$950.91 |
$1,267.88 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$827.70 |
$1,103.60 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$776.85 |
$1,035.80 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$814.47 |
$1,085.96 |
0.3× |
| Explore/Treat Elbow Joint (24101) |
$1,244.45 |
$1,659.26 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$1,188.22 |
$1,584.29 |
0.4× |
| Fasciectomy Palm Only (26121) |
$1,492.51 |
$1,990.01 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,044.04 |
$2,725.38 |
0.6× |
| Fetal non-stress test (59025) |
$180.26 |
$240.35 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$399.26 |
$532.35 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$317.52 |
$423.36 |
0.8× |
| Fixation of shoulder (23700) |
$3,028.02 |
$4,037.36 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$295.61 |
$394.14 |
1.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,112.15 |
$1,482.86 |
0.3× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$1,580.29 |
$2,107.05 |
0.1× |
| Hemorrhoidectomy (46255) |
$1,036.35 |
$1,381.80 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$961.66 |
$1,282.21 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$631.74 |
$842.31 |
2.7× |
| I&d abscess simple (10060) |
$247.24 |
$329.65 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,345.33 |
$1,793.77 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$441.14 |
$588.18 |
0.6× |
| I&d vulva/perineal abscess (56405) |
$234.87 |
$313.16 |
0.8× |
| Incise external hemorrhoid (46083) |
$353.08 |
$470.77 |
1.4× |
| Incise finger tendon sheath (26055) |
$773.13 |
$1,030.84 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$405.17 |
$540.23 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$302.64 |
$403.52 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$287.37 |
$383.16 |
1.4× |
| Incision and drainage perianal abscess superficial (46050) |
$492.82 |
$657.09 |
0.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$554.84 |
$739.78 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$673.91 |
$898.54 |
0.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$335.72 |
$447.62 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$291.89 |
$389.18 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$92.61 |
$123.48 |
0.3× |
| Inj therapeutic carpal tunnel (20526) |
$199.70 |
$266.26 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$91.79 |
$122.38 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$331.58 |
$442.10 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$141.40 |
$188.53 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$127.34 |
$169.79 |
0.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$158.76 |
$211.68 |
0.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$826.15 |
$1,101.54 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$199.69 |
$266.26 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$337.78 |
$450.38 |
1.1× |
| Injection anesthetic agent femoral nerve single (64447) |
$265.92 |
$354.56 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$137.27 |
$183.02 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$107.50 |
$143.33 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$148.84 |
$198.45 |
0.2× |
| Insert cath pleura w/ image (32557) |
$980.26 |
$1,307.02 |
0.6× |
| Insert cath pleura w/o image (32556) |
$1,575.20 |
$2,100.26 |
0.8× |
| Insert Drug Implant Device (11981) |
$280.31 |
$373.75 |
2.1× |
| Insert non-tunnel cv cath (36556) |
$1,029.46 |
$1,372.61 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$291.06 |
$388.08 |
2.2× |
| Insert tunneled cv cath (36561) |
$478.76 |
$638.35 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$186.88 |
$249.17 |
1.4× |
| Insj picc rs&i 5 yr+ (36573) |
$3,613.05 |
$4,817.40 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$692.10 |
$922.79 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$354.73 |
$472.97 |
1.5× |
| Knee Arthroscopy/Surgery (29874) |
$1,284.97 |
$1,713.29 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$1,662.02 |
$2,216.03 |
0.5× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,290.75 |
$1,721 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$699.54 |
$932.72 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,978.71 |
$2,638.28 |
0.3× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
likely a partial charge, not the full procedure |
$1,366 |
$1,821.33 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$703.84 |
$938.45 |
0.1× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,810.03 |
$2,413.37 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$506.87 |
$675.83 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$1,526 |
$2,034.66 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$377.88 |
$503.84 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$217.06 |
$289.41 |
0.5× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,067.50 |
$1,423.33 |
0.6× |
| Njx aa&/strd sciatic nerve (64445) |
$103.36 |
$137.81 |
0.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$363 |
$484 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$397.73 |
$530.30 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$914.94 |
$1,219.92 |
1.3× |
| Occipital Nerve Block (64405) |
$250.55 |
$334.06 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$894.68 |
$1,192.91 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,934.89 |
$2,579.85 |
0.3× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$2,566.62 |
$3,422.16 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,489.20 |
$1,985.60 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$659.85 |
$879.80 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,806.72 |
$2,408.96 |
0.3× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure |
$2,096.33 |
$2,795.10 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
likely a partial charge, not the full procedure |
$1,634.73 |
$2,179.64 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge, not the full procedure |
$2,072.98 |
$2,763.96 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
likely a partial charge, not the full procedure |
$1,013.76 |
$1,351.67 |
0.1× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$2,020.47 |
$2,693.96 |
0.2× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$2,669.98 |
$3,559.97 |
0.4× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,635.56 |
$2,180.75 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,023.68 |
$1,364.90 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,743.88 |
$2,325.17 |
0.2× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$1,800.11 |
$2,400.14 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,440.42 |
$1,920.56 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,521.45 |
$2,028.60 |
0.5× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$1,299.85 |
$1,733.13 |
0.2× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,521.45 |
$2,028.60 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,658.72 |
$2,211.62 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$2,108.54 |
$2,811.38 |
0.3× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
likely a partial charge, not the full procedure |
$1,513.19 |
$2,017.58 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure |
$2,478.62 |
$3,304.82 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$1,782.74 |
$2,376.99 |
0.1× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure |
$2,989.98 |
$3,986.64 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,662.02 |
$2,216.03 |
0.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,044.35 |
$1,392.46 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$231.53 |
$308.70 |
0.3× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,176.34 |
$2,901.78 |
0.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,187.39 |
$1,583.19 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$493.65 |
$658.20 |
2.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,658.72 |
$2,211.62 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$321.89 |
$429.19 |
0.7× |
| Placement of seton (46020) |
$234.01 |
$312.01 |
0.1× |
| Proctosigmoid w/biopsy (45305) |
$165.38 |
$220.50 |
0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$787.19 |
$1,049.58 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$1,189.05 |
$1,585.40 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$248.89 |
$331.85 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$288.58 |
$384.77 |
0.7× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
likely a partial charge, not the full procedure |
$1,262.64 |
$1,683.52 |
0.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,074.11 |
$1,432.15 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$376.43 |
$501.90 |
0.5× |
| Removal foreign body intranasal (30300) |
$242.69 |
$323.58 |
1.8× |
| Removal foreign body pharynx (42809) |
$507.29 |
$676.38 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$104.19 |
$138.92 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$122.38 |
$163.17 |
2.1× |
| Removal implant deep (20680) |
$1,062.53 |
$1,416.71 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$716.90 |
$955.87 |
0.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$281.96 |
$375.95 |
0.4× |
| Removal of embedded foreign body, eyelid (67938) |
$341.50 |
$455.34 |
1.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,789.77 |
$2,386.36 |
1.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$145.53 |
$194.04 |
0.3× |
| Removal of implant from finger or hand (26320) |
$864.92 |
$1,153.22 |
0.5× |
| Removal of iud (58301) |
$160.42 |
$213.89 |
0.5× |
| Removal of nail bed (11750) |
$379.96 |
$506.60 |
0.9× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Facility (24160) |
$2,274.24 |
$3,032.32 |
0.7× |
| Removal Of Tendon Lesion (27630) |
$1,423.05 |
$1,897.40 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$182.70 |
$243.60 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$81.04 |
$108.04 |
0.3× |
| Remove anal fist subq (46270) |
$813.65 |
$1,084.86 |
0.3× |
| Remove drug implant device (11982) |
$388.64 |
$518.18 |
0.9× |
| Remove ext hem groups 2+ (46250) |
$645.75 |
$861 |
0.2× |
| Remove Lower Leg Bone Lesion (27635) |
$1,466.88 |
$1,955.84 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$874.01 |
$1,165.34 |
0.3× |
| Remove Tendon Sheath Lesion (26160) |
$833.49 |
$1,111.32 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$417.57 |
$556.76 |
0.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,731.29 |
$2,308.38 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$164.55 |
$219.40 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$139.74 |
$186.32 |
1.1× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,641.35 |
$2,188.46 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,056.04 |
$1,408.05 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$548.64 |
$731.51 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$632.56 |
$843.41 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$426.26 |
$568.34 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$962.48 |
$1,283.31 |
2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,518.14 |
$2,024.19 |
2.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,129.52 |
$1,506.02 |
0.7× |
| Repair hand tendon (26410) |
$1,388.33 |
$1,851.10 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,095.61 |
$1,460.81 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,267.18 |
$1,689.58 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,256.85 |
$1,675.80 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$594.11 |
$792.14 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$438.24 |
$584.32 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$425.84 |
$567.79 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$812.82 |
$1,083.76 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$457.68 |
$610.24 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$480 |
$640 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$421.71 |
$562.28 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$405.17 |
$540.23 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$446.10 |
$594.80 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$946.36 |
$1,261.81 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$469.67 |
$626.22 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$467.18 |
$622.91 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$790.90 |
$1,054.54 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$460.16 |
$613.54 |
1.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,395.11 |
$1,860.14 |
0.2× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,498.30 |
$1,997.73 |
0.2× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$907.91 |
$1,210.55 |
0.1× |
| Repair of leg tendon each (27658) |
$948.43 |
$1,264.57 |
0.3× |
| Repair of nail bed (11760) |
$258.81 |
$345.08 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
unusually low: confirm this is the full procedure |
$2,645.18 |
$3,526.90 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$1,668.22 |
$2,224.30 |
0.2× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,432.67 |
$3,243.56 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,539.65 |
$2,052.86 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,208.90 |
$1,611.86 |
0.3× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$2,225.12 |
$2,966.82 |
0.3× |
| Repair Spica Body Cast/Jacket (29720) |
$152.56 |
$203.42 |
1.0× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,609.93 |
$2,146.57 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,213.85 |
$1,618.47 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,373.44 |
$1,831.25 |
0.2× |
| Repeat control of nosebleed (30906) |
$672.92 |
$897.22 |
2.9× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,225.54 |
$2,967.38 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$1,275.87 |
$1,701.16 |
0.7× |
| Revise/graft eyelid lining (68320) |
$2,886.38 |
$3,848.50 |
1.2× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure |
$2,409.93 |
$3,213.24 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
likely a partial charge, not the full procedure |
$2,949.19 |
$3,932.25 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
likely a partial charge, not the full procedure |
$3,668.85 |
$4,891.80 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure |
$3,801.26 |
$5,068.35 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$301.82 |
$402.42 |
2.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$607.76 |
$810.34 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$377.06 |
$502.74 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$278.66 |
$371.54 |
0.4× |
| Rplc gtube revj gstrst trc (43763) |
$528.79 |
$705.05 |
2.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,202.28 |
$1,603.04 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,585.95 |
$2,114.60 |
0.4× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,198.97 |
$1,598.63 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$881.45 |
$1,175.27 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$964.14 |
$1,285.52 |
0.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,054.27 |
$1,405.69 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$133.96 |
$178.61 |
0.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$194.32 |
$259.09 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$243.11 |
$324.14 |
1.2× |
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure |
$1,340.36 |
$1,787.15 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$205.89 |
$274.52 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$253.70 |
$338.26 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$339.85 |
$453.13 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$205.89 |
$274.52 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$189 |
$252 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$312.56 |
$416.75 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$263.78 |
$351.70 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$296.85 |
$395.80 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$178.61 |
$238.14 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$547.39 |
$729.86 |
2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$252.20 |
$336.26 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$835.97 |
$1,114.62 |
1.1× |
| Skin sub graft trnk/arm/leg (15271) |
$408.48 |
$544.64 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,520.63 |
$2,027.50 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$177.78 |
$237.04 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$348.53 |
$464.70 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$377.06 |
$502.74 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$492.41 |
$656.54 |
0.7× |
| Strapping hand/finger (29280) |
$228.22 |
$304.29 |
3.9× |
| Strapping unna boot (29580) |
$19.85 |
$26.46 |
0.1× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,421.40 |
$1,895.20 |
0.4× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,192.36 |
$1,589.81 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,435.46 |
$1,913.94 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$193.96 |
$258.62 |
0.5× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,868.74 |
$2,491.65 |
0.3× |
| Tenotomy flexor finger open each tendon (26455) |
$991.43 |
$1,321.90 |
0.6× |
| Therapeutic pneumothorax (32960) |
$222.43 |
$296.57 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$734.34 |
$979.12 |
1.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,651.27 |
$2,201.69 |
0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$758.24 |
$1,010.99 |
0.2× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,699.75 |
$3,599.66 |
0.2× |
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,216.86 |
$2,955.80 |
0.2× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,182.13 |
$2,909.50 |
0.2× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,949.36 |
$2,599.14 |
0.3× |
| Treat humerus fracture (23600) |
$595.74 |
$794.32 |
2.4× |
| Treat knee fracture (27532) |
$1,330.44 |
$1,773.92 |
0.4× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,886.10 |
$2,514.80 |
0.3× |
Treat Lower Leg Fracture (27828)
likely a partial charge, not the full procedure |
$2,657.58 |
$3,543.44 |
0.2× |
Treat Thigh Fracture (27245)
unusually low: confirm this is the full procedure |
$3,096.65 |
$4,128.86 |
0.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,186.57 |
$1,582.09 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$651.58 |
$868.78 |
2.7× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,096.65 |
$4,128.86 |
0.4× |
| Trim skin lesion (11055) |
$75.25 |
$100.33 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$238.31 |
$317.74 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$23.98 |
$31.97 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$970.76 |
$1,294.34 |
0.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,751.33 |
$2,335.10 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,431.93 |
$4,575.90 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,093.13 |
$1,457.50 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$479.59 |
$639.45 |
0.7× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$2,112.67 |
$2,816.89 |
0.2× |
| Tympanostomy general anesthesia (69436) |
$400.21 |
$533.61 |
0.3× |
| Unlisted procedure anus (46999) |
$607.76 |
$810.34 |
0.7× |
| Unlisted procedure humerus/elbow (24999) |
$1,658.72 |
$2,211.62 |
6.8× |
| Unlisted procedure nervous system (64999) |
$103.36 |
$137.81 |
0.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,454.17 |
$3,272.22 |
10.1× |
| Us urine capacity measure (51798) |
$185.22 |
$246.96 |
3.2× |
| Vaginal delivery only (59409) |
$1,646.31 |
$2,195.08 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$549.05 |
$732.06 |
0.3× |
| Venipuncture (36415) |
$21.63 |
$28.84 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$431.96 |
$575.95 |
0.6× |