| Abd paracentesis w/imaging (49083) |
$1,218.50 |
$1,218.50 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,231.50 |
$1,231.50 |
1.2× |
| Abortion (59841) |
$2,313 |
$2,313 |
0.6× |
| Acne surgery (10040) |
$450 |
$450 |
2.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,657 |
$1,657 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,493 |
$1,493 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,537.50 |
$2,537.50 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$3,677.50 |
$3,677.50 |
1.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,440.50 |
$3,440.50 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,596 |
$3,596 |
1.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,508 |
$3,508 |
1.5× |
| Amniocentesis diagnostic (59000) |
$318 |
$318 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,884.50 |
$1,884.50 |
0.5× |
| Amputation Finger/Thumb (26951) |
$5,485 |
$5,485 |
1.5× |
| Amputation Foot Midtarsal (28800) |
$1,209 |
$1,209 |
0.3× |
| Amputation foot transmetarsal (28805) |
$1,592 |
$1,592 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$969 |
$969 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,804 |
$1,804 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$2,400 |
$2,400 |
0.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,200 |
$3,200 |
0.9× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$469 |
$469 |
0.5× |
| Anoscopy diagnostic (46600) |
$290 |
$290 |
2.0× |
| Anoscopy w/control bleeding (46614) |
$400 |
$400 |
0.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,303.50 |
$1,303.50 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$532 |
$532 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$252 |
$252 |
0.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) unusually low: confirm this is the full procedure |
$2,388 |
$2,388 |
0.4× |
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) likely a partial charge, not the full procedure |
$1,414 |
$1,414 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$704 |
$704 |
0.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$452.50 |
$452.50 |
2.5× |
| Application cast elbow finger short arm (29075) |
$850 |
$850 |
2.7× |
| Application Cast Finger (29086) |
$483 |
$483 |
2.7× |
| Application cast shoulder hand long arm (29065) |
$882.50 |
$882.50 |
2.8× |
| Application finger splint static (29130) |
$236 |
$236 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$398.50 |
$398.50 |
2.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$333 |
$333 |
1.1× |
| Application of long leg cast (29345) |
$320 |
$320 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$1,409 |
$1,409 |
4.5× |
| Application short arm splint forearm-hand static (29125) |
$378 |
$378 |
2.5× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,364 |
$1,364 |
0.2× |
| Apply Hand/Wrist Cast (29085) |
$483 |
$483 |
2.7× |
| Apply long leg splint (29505) |
$451.50 |
$451.50 |
2.5× |
| Apply short leg cast (29405) |
$485 |
$485 |
1.6× |
| Apply short leg cast (29425) |
$206 |
$206 |
0.7× |
| Apply short leg splint (29515) |
$418 |
$418 |
2.3× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$4,926 |
$4,926 |
1.4× |
| Arterial puncture (36600) |
$112.50 |
$112.50 |
0.8× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,808 |
$1,808 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$400 |
$400 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,016 |
$1,016 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$700 |
$700 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$485 |
$485 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$400 |
$400 |
1.2× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,946 |
$1,946 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,979.50 |
$4,979.50 |
0.3× |
Arthroplasty patella w/prosthesis (27438) likely a partial charge, not the full procedure |
$1,866 |
$1,866 |
0.1× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,937 |
$1,937 |
0.5× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) likely a partial charge, not the full procedure |
$2,627 |
$2,627 |
0.2× |
Arthroplasty, radial head; with implant Facility (24366) likely a partial charge, not the full procedure |
$1,600 |
$1,600 |
0.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$79.88 |
$79.88 |
0.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,800 |
$4,800 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$958 |
$958 |
0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,197 |
$3,197 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$3,403 |
$3,403 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$2,403 |
$2,403 |
0.7× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,267 |
$1,267 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,206 |
$1,206 |
0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,256 |
$2,256 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,800 |
$4,800 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,200 |
$4,200 |
1.2× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,039 |
$2,039 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$4,149 |
$4,149 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,479 |
$1,479 |
0.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,316.50 |
$4,316.50 |
0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,698 |
$4,698 |
0.6× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$1,275 |
$1,275 |
0.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,614 |
$1,614 |
0.4× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$1,229 |
$1,229 |
0.3× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$196.60 |
$196.60 |
0.1× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$1,680 |
$1,680 |
0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,200 |
$7,200 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,464 |
$1,464 |
0.4× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$2,753.50 |
$2,753.50 |
0.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,598 |
$1,598 |
0.4× |
| Artificial insemination; intra-cervical Facility (58321) |
$320 |
$320 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$420 |
$420 |
0.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$450 |
$450 |
1.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$736 |
$736 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,415 |
$1,415 |
0.6× |
| Aspiration bladder needle (51100) |
$2,035 |
$2,035 |
7.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$400 |
$400 |
1.8× |
Axillary lymphadenectomy; superficial Facility (38740) likely a partial charge, not the full procedure |
$1,608 |
$1,608 |
0.2× |
| Biopsy bone open deep (20245) |
$451 |
$451 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$3,524.50 |
$3,524.50 |
1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$323 |
$323 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$650 |
$650 |
0.6× |
| Biopsy external ear (69100) |
$524 |
$524 |
2.0× |
| Biopsy muscle deep (20205) |
$1,088 |
$1,088 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$2,486.50 |
$2,486.50 |
1.4× |
| Biopsy of breast; open, incisional (19101) |
$794 |
$794 |
0.2× |
| Biopsy of lip (40490) |
$604.50 |
$604.50 |
2.3× |
| Biopsy of mouth lesion (40808) |
$444 |
$444 |
0.7× |
| Biopsy of tongue (41100) |
$364 |
$364 |
0.6× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$2,200 |
$2,200 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,800 |
$1,800 |
0.4× |
| Biopsy Oropharynx (42800) |
$447 |
$447 |
0.3× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$880 |
$880 |
0.2× |
| Biopsy pleura percutaneous needle (32400) |
$3,482.50 |
$3,482.50 |
1.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$921 |
$921 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$1,079 |
$1,079 |
1.4× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$601 |
$601 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$561 |
$561 |
0.3× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$696 |
$696 |
0.4× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$605 |
$605 |
0.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$415 |
$415 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,001 |
$1,001 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$588 |
$588 |
0.6× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$693 |
$693 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$1,800 |
$1,800 |
0.4× |
| Biopsy/removal lymph nodes (38510) |
$1,800 |
$1,800 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$519.50 |
$519.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$607 |
$607 |
2.2× |
| Blepharotomy drain absc eyelid (67700) |
$762.50 |
$762.50 |
2.2× |
| Blood patch (62273) |
$2,100 |
$2,100 |
2.7× |
| Blood transfusion service (36430) |
$1,795.50 |
$1,795.50 |
3.7× |
| Bone marrow aspiration only (38220) |
$2,818 |
$2,818 |
1.5× |
| Bone Marrow Biopsy (38221) |
$1,578 |
$1,578 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$526 |
$526 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$614 |
$614 |
0.3× |
| Bronchoscopy Balloon Occlusion (31634) |
$4,591 |
$4,591 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,600 |
$1,600 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$435 |
$435 |
0.2× |
| Bx anorectal wall anal approach (45100) |
$1,200 |
$1,200 |
0.4× |
| Bx breast 1st lesion mr imag (19085) |
$5,808 |
$5,808 |
3.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,319 |
$2,319 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$2,086 |
$2,086 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,200 |
$1,200 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$436 |
$436 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,871.50 |
$1,871.50 |
0.5× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450) likely a partial charge, not the full procedure |
$1,577 |
$1,577 |
0.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$988 |
$988 |
0.6× |
| Casting/strapping procedure (29799) |
$445 |
$445 |
2.5× |
| Cautery cervix laser ablation (57513) |
$311 |
$311 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$363 |
$363 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$390 |
$390 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$483 |
$483 |
0.6× |
| Change of cystostomy tube simple (51705) |
$601 |
$601 |
2.2× |
| Chemical cautery tissue (17250) |
$200 |
$200 |
0.9× |
| Chemodenervation internal anal sphincter (46505) |
$2,200 |
$2,200 |
1.6× |
| Chromotubation oviduct (58350) |
$4,800 |
$4,800 |
0.9× |
| Circum 28 days or older (54161) |
$1,136.50 |
$1,136.50 |
0.5× |
| Circumcision (54150) |
$558 |
$558 |
0.2× |
| Claviculectomy partial (23120) |
$3,000 |
$3,000 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$806 |
$806 |
2.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,591 |
$1,591 |
5.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,666 |
$3,666 |
2.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,069 |
$1,069 |
3.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$2,988.50 |
$2,988.50 |
1.7× |
| Closed Rx Radial Shaft Fx (25500) |
$779 |
$779 |
2.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$806 |
$806 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,800 |
$1,800 |
6.5× |
| Closed treat wrist dislocation (25660) |
$1,277.50 |
$1,277.50 |
4.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,332 |
$3,332 |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,108 |
$1,108 |
4.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,235.50 |
$1,235.50 |
4.5× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,542 |
$1,542 |
2.6× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,084 |
$1,084 |
0.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,097 |
$1,097 |
4.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,200 |
$1,200 |
4.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,185.50 |
$1,185.50 |
4.3× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$1,455 |
$1,455 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$509 |
$509 |
1.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,668.50 |
$1,668.50 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,263 |
$1,263 |
4.6× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$998.50 |
$998.50 |
3.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,293 |
$1,293 |
4.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,458 |
$1,458 |
5.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,005 |
$1,005 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,185 |
$1,185 |
4.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,666 |
$3,666 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,209 |
$1,209 |
4.4× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$3,838.50 |
$3,838.50 |
2.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,153.50 |
$1,153.50 |
4.2× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,682.50 |
$2,682.50 |
1.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,385.50 |
$1,385.50 |
2.3× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$300.46 |
$300.46 |
0.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$800 |
$800 |
2.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,538.50 |
$3,538.50 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,645 |
$2,645 |
1.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$6,657 |
$6,657 |
1.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,411 |
$1,411 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$948 |
$948 |
3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,457 |
$2,457 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,100 |
$1,100 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,123.50 |
$2,123.50 |
1.2× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,128 |
$3,128 |
1.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$810.50 |
$810.50 |
2.9× |
| Closed tx septal&nose fx (21337) |
$4,359 |
$4,359 |
1.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,002 |
$1,002 |
3.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$468 |
$468 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$780 |
$780 |
2.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,666 |
$3,666 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$903 |
$903 |
3.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,387 |
$1,387 |
5.0× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$1,219 |
$1,219 |
0.3× |
Closure of vesicovaginal fistula; vaginal approach Facility (57320) likely a partial charge, not the full procedure |
$1,136 |
$1,136 |
0.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$866 |
$866 |
3.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$945 |
$945 |
3.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$270 |
$270 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,492 |
$2,492 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,339.50 |
$1,339.50 |
4.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,198 |
$1,198 |
4.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,092 |
$2,092 |
1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$447 |
$447 |
1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,666 |
$3,666 |
2.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,508.50 |
$1,508.50 |
5.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$3,666 |
$3,666 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,110.50 |
$1,110.50 |
4.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,369 |
$1,369 |
5.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$995.50 |
$995.50 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,000 |
$1,000 |
3.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,400 |
$1,400 |
5.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,973.50 |
$2,973.50 |
1.7× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,814 |
$2,814 |
1.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,225 |
$1,225 |
4.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$861.50 |
$861.50 |
3.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,578 |
$2,578 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$459 |
$459 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$775 |
$775 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$779.50 |
$779.50 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$903 |
$903 |
3.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,736 |
$1,736 |
6.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,399.50 |
$2,399.50 |
8.7× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,266 |
$1,266 |
4.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,666 |
$3,666 |
2.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,428.50 |
$2,428.50 |
1.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,073 |
$1,073 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$363 |
$363 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$664 |
$664 |
2.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$893 |
$893 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$900 |
$900 |
3.3× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,250 |
$1,250 |
4.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,497.50 |
$1,497.50 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,196.50 |
$1,196.50 |
4.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$878 |
$878 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,359 |
$2,359 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$896.50 |
$896.50 |
3.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$478 |
$478 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$931 |
$931 |
3.4× |
| Cltx post ankle fx w/mnpj (27768) |
$2,693.50 |
$2,693.50 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,789 |
$1,789 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,248 |
$2,248 |
8.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,863 |
$1,863 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,400 |
$1,400 |
5.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,311 |
$2,311 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$650 |
$650 |
2.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,440.50 |
$2,440.50 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,087 |
$3,087 |
1.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,083.50 |
$2,083.50 |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$2,153 |
$2,153 |
7.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$413 |
$413 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,170 |
$2,170 |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,463 |
$1,463 |
5.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$742 |
$742 |
2.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$340 |
$340 |
2.3× |
| Colonoscopy flex w/blln dilat (45386) |
$1,425 |
$1,425 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$218 |
$218 |
0.2× |
| Colonoscopy flex w/rem forcep (45384) |
$248 |
$248 |
0.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$938 |
$938 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$965 |
$965 |
0.7× |
| Colonoscopy thru stoma (44388) |
$2,300 |
$2,300 |
2.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$867 |
$867 |
0.7× |
| Colonoscopy w/ablation (45388) |
$295 |
$295 |
0.2× |
| Colonoscopy w/band ligation (45398) |
$3,500 |
$3,500 |
2.6× |
| Colonoscopy w/fb removal (45379) |
$875 |
$875 |
0.7× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$3,200 |
$3,200 |
2.4× |
Colpocentesis (57020) likely a partial charge, not the full procedure |
$232 |
$232 |
0.0× |
Colpocleisis (le fort type) (57120) unusually low: confirm this is the full procedure |
$2,234 |
$2,234 |
0.4× |
| Colpoperineorrhaphy non ob (57210) |
$918 |
$918 |
0.3× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) likely a partial charge, not the full procedure |
$1,069 |
$1,069 |
0.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,439.50 |
$2,439.50 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$571 |
$571 |
1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$273 |
$273 |
1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$359 |
$359 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$794 |
$794 |
0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,400 |
$1,400 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$541.50 |
$541.50 |
1.6× |
| Colposcopy vulva (56820) |
$280 |
$280 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$370 |
$370 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$337 |
$337 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$339 |
$339 |
0.3× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$1,078 |
$1,078 |
0.3× |
| Colpotomy; with exploration (57000) |
$461 |
$461 |
0.1× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) unusually low: confirm this is the full procedure |
$1,951 |
$1,951 |
0.3× |
Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$2,080 |
$2,080 |
0.4× |
| Complex Uroflowmetry (51741) |
$71 |
$71 |
0.3× |
| Conization of cervix (57520) |
$655 |
$655 |
0.2× |
| Conization of cervix (57522) |
$1,777.50 |
$1,777.50 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$712 |
$712 |
4.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$745 |
$745 |
5.0× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$507 |
$507 |
0.8× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) likely a partial charge, not the full procedure |
$3,784 |
$3,784 |
0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,478 |
$3,478 |
1.9× |
| Correction hammertoe (28285) |
$1,223 |
$1,223 |
0.3× |
| Correction of bunion (28292) |
$1,842 |
$1,842 |
0.5× |
| Correction of inverted nipples Facility (19355) |
$1,653 |
$1,653 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,673 |
$1,673 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$777.50 |
$777.50 |
5.2× |
| Curettage postpartum (59160) |
$1,158 |
$1,158 |
0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$824 |
$824 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,700 |
$1,700 |
0.7× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,000 |
$3,000 |
0.8× |
| Cysto w/destruction of lesions (52214) |
$3,000 |
$3,000 |
0.8× |
| Cysto w/insert ureteral stent (52332) |
$885.50 |
$885.50 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,400 |
$2,400 |
0.6× |
| Cysto w/removal of tumors small (52234) |
$1,536 |
$1,536 |
0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,050 |
$1,050 |
0.5× |
| Cysto w/ureter stricture tx (52341) |
$884 |
$884 |
0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,731.50 |
$1,731.50 |
0.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,200 |
$3,200 |
0.8× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) unusually low: confirm this is the full procedure |
$1,847.50 |
$1,847.50 |
0.3× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$988 |
$988 |
0.2× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) likely a partial charge, not the full procedure |
$1,104 |
$1,104 |
0.2× |
Cystolithotomy (51050) unusually low: confirm this is the full procedure |
$2,400 |
$2,400 |
0.4× |
| Cystometrogram w/vp (51728) |
$1,878 |
$1,878 |
2.4× |
| Cystometrogram W/Vp&Up (51729) |
$3,495 |
$3,495 |
4.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$1,027 |
$1,027 |
0.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,750 |
$2,750 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,832 |
$1,832 |
0.8× |
| Cystouretero & or pyeloscope (52351) |
$882 |
$882 |
0.2× |
| Cystourethroscopy (52000) |
$900 |
$900 |
1.2× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$626 |
$626 |
0.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,352.50 |
$1,352.50 |
0.6× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$465 |
$465 |
0.6× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,900.50 |
$1,900.50 |
0.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,600 |
$1,600 |
0.7× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$333 |
$333 |
0.1× |
| Cystourethroscopy with biopsy (52204) |
$2,800 |
$2,800 |
1.2× |
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) unusually low: confirm this is the full procedure |
$2,260.50 |
$2,260.50 |
0.4× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,338 |
$1,338 |
0.6× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) likely a partial charge, not the full procedure |
$1,765.50 |
$1,765.50 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$590 |
$590 |
0.3× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$347 |
$347 |
0.1× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$389 |
$389 |
0.1× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$1,108 |
$1,108 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$500 |
$500 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,134.50 |
$2,134.50 |
0.7× |
| Dcmprn fasct leg post compartment only (27601) |
$1,680 |
$1,680 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,061 |
$1,061 |
1.3× |
| Debride nail 1-5 (11720) |
$110 |
$110 |
1.7× |
| Debride nail 6 or more (11721) |
$168 |
$168 |
2.6× |
| Debride skin musc at fx site (11011) |
$3,133.50 |
$3,133.50 |
4.0× |
| Debride tissue/muscle (11043) |
$940.50 |
$940.50 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$649 |
$649 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$736 |
$736 |
0.4× |
| Declot vascular device (36593) |
$867.50 |
$867.50 |
2.4× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,443 |
$1,443 |
0.8× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$1,675 |
$1,675 |
0.5× |
| Decompression of lower leg (27600) |
$900 |
$900 |
0.2× |
| Delivery placenta separate procedure (59414) |
$1,800 |
$1,800 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$448 |
$448 |
0.3× |
| Destruction anal lesion(s) (46924) |
$1,128 |
$1,128 |
0.4× |
| Destruction Benign Lesions 15/> (17111) |
$309 |
$309 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$650 |
$650 |
2.9× |
| Destruction Lesions Vulva Extensive (56515) |
$566 |
$566 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$1,201.50 |
$1,201.50 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$339 |
$339 |
1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$333 |
$333 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$355 |
$355 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$386 |
$386 |
1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$224 |
$224 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$427 |
$427 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$287 |
$287 |
0.1× |
| Destruction of skin lesions (17106) |
$845 |
$845 |
1.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$600 |
$600 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$650 |
$650 |
2.9× |
| Destruction Vaginal Lesions Extensive (57065) |
$4,240 |
$4,240 |
1.2× |
| Destruction Vaginal Lesions Simple (57061) |
$285 |
$285 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$105 |
$105 |
0.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$422 |
$422 |
0.3× |
| Dilate urethra stricture (53600) |
$926 |
$926 |
3.3× |
| Dilation and curettage (58120) |
$1,622 |
$1,622 |
0.4× |
| Dilation and curettage of cervical stump Facility (57558) |
$240 |
$240 |
0.1× |
| Dilation of anal sphincter (45905) |
$650 |
$650 |
0.5× |
| Dilation of cervical canal (57800) |
$152 |
$152 |
0.0× |
| Dilation of vagina (57400) |
$333 |
$333 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$465 |
$465 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$584 |
$584 |
1.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$571.50 |
$571.50 |
2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,073 |
$1,073 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,748 |
$1,748 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$611 |
$611 |
2.7× |
| Drainage Mouth Roof Lesion (42000) |
$533.50 |
$533.50 |
2.0× |
| Drainage of gum lesion (41800) |
$1,211 |
$1,211 |
8.2× |
| Drainage of hematoma/fluid (10140) |
$800 |
$800 |
0.4× |
| Drainage of hydrocele (55000) |
$320 |
$320 |
0.4× |
| Drainage of lymph node abscess or lymphadenitis; extensive Facility (38305) |
$1,085 |
$1,085 |
0.3× |
| Drainage of mouth lesion (41017) |
$3,876.50 |
$3,876.50 |
1.0× |
| Drainage of ovarian abscess; vaginal approach, open Facility (58820) |
$777 |
$777 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$506 |
$506 |
0.3× |
| Draw blood off venous device (36591) |
$254 |
$254 |
1.7× |
| Dressing change under anesthesia (15852) |
$248 |
$248 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$607 |
$607 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$506 |
$506 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$468 |
$468 |
2.1× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,492 |
$1,492 |
1.8× |
| Dstrj lesion anus simple chemical (46900) |
$793 |
$793 |
1.8× |
| Dstrj lesion anus simple surg excision (46922) |
$1,550 |
$1,550 |
0.5× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$591 |
$591 |
0.3× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$559 |
$559 |
1.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$590 |
$590 |
2.6× |
| Dstrj lesion penis simple surg excision (54060) |
$391 |
$391 |
0.2× |
| Dx bone marrow bx & aspir (38222) |
$1,830 |
$1,830 |
0.6× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,805 |
$1,805 |
0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,700 |
$3,700 |
1.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$168 |
$168 |
0.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$705 |
$705 |
0.3× |
| Egd control bleeding any (43255) |
$3,300 |
$3,300 |
1.5× |
| Egd dilate stricture (43245) |
$192 |
$192 |
0.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$768 |
$768 |
0.4× |
| Egd flexible foreign body removal (43247) |
$2,600 |
$2,600 |
2.6× |
| Egd guide wire insertion (43248) |
$182 |
$182 |
0.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$638 |
$638 |
0.3× |
| Egd place gastrostomy tube (43246) |
$3,800 |
$3,800 |
1.8× |
| Egd remove lesion snare (43251) |
$3,600 |
$3,600 |
1.7× |
| Egd tube/cath insertion (43241) |
$327 |
$327 |
0.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$500 |
$500 |
3.5× |
| Endocervical Curettage (57505) |
$253 |
$253 |
0.2× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353) unusually low: confirm this is the full procedure |
$2,484 |
$2,484 |
0.4× |
| Endometrial Biopsy (58100) |
$428 |
$428 |
1.9× |
| Enterorrhaphy single perforation (44602) |
$4,200 |
$4,200 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$310 |
$310 |
0.1× |
| Epididymectomy unilateral (54860) |
$3,200 |
$3,200 |
0.8× |
| Episiotomy or vaginal repair (59300) |
$1,600 |
$1,600 |
0.4× |
| Ercp Duct Stent Placement (43274) |
$5,200 |
$5,200 |
0.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,063 |
$2,063 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,827 |
$1,827 |
0.4× |
| Ercp remove forgn body duct (43275) |
$1,890 |
$1,890 |
0.9× |
Ercp Stent Exchange W/Dilate (43276) unusually low: confirm this is the full procedure |
$2,363 |
$2,363 |
0.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,790 |
$1,790 |
0.4× |
| Escharotomy initial incision (16035) |
$609 |
$609 |
1.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,400 |
$2,400 |
2.4× |
| Esophagoscopy flexible guide wire dilation (43226) |
$6,049 |
$6,049 |
2.8× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$371 |
$371 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$113 |
$113 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$691 |
$691 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$150 |
$150 |
1.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,436 |
$1,436 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$942 |
$942 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,581 |
$1,581 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,235 |
$1,235 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$600 |
$600 |
0.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$800 |
$800 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,800 |
$1,800 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,400 |
$2,400 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,100 |
$1,100 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$1,112 |
$1,112 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$1,900 |
$1,900 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$312 |
$312 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$526 |
$526 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,400 |
$1,400 |
0.8× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,030 |
$2,030 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,092 |
$1,092 |
0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,800 |
$1,800 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$1,722 |
$1,722 |
0.5× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$1,592 |
$1,592 |
0.5× |
| Exc rect tum transanal part (45171) |
$5,400 |
$5,400 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,000 |
$1,000 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$515.50 |
$515.50 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,500 |
$1,500 |
1.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$657 |
$657 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$906 |
$906 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$774 |
$774 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,500 |
$2,500 |
1.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,212 |
$1,212 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$958 |
$958 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,095 |
$4,095 |
2.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$998 |
$998 |
0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,630 |
$1,630 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,000 |
$2,000 |
1.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,085 |
$1,085 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,036 |
$2,036 |
0.6× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,142 |
$1,142 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,587 |
$1,587 |
0.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,654 |
$1,654 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,288 |
$1,288 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,098 |
$1,098 |
0.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,916 |
$1,916 |
0.6× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$1,178 |
$1,178 |
0.4× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,344 |
$1,344 |
0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,756 |
$1,756 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,193 |
$1,193 |
0.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,414 |
$1,414 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,172.50 |
$1,172.50 |
0.4× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,828 |
$1,828 |
0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,429 |
$1,429 |
0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,033 |
$1,033 |
0.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$7,284 |
$7,284 |
3.4× |
| Excise lesion testis (54512) |
$1,946.50 |
$1,946.50 |
0.5× |
| Excise/repair mouth lesion (40812) |
$680 |
$680 |
0.4× |
| Excision Breast Lesion (19125) |
$1,600 |
$1,600 |
0.4× |
| Excision lesion meniscus/capsule knee (27347) |
$1,238 |
$1,238 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$737 |
$737 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,017 |
$1,017 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$541.50 |
$541.50 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,600 |
$2,600 |
3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$833 |
$833 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$467 |
$467 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$560 |
$560 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$638 |
$638 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$754 |
$754 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$929 |
$929 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$375 |
$375 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$457.50 |
$457.50 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$518 |
$518 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$705 |
$705 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$794 |
$794 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,100 |
$1,100 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$392 |
$392 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,500 |
$1,500 |
1.9× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) likely a partial charge, not the full procedure |
$1,283 |
$1,283 |
0.2× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) likely a partial charge, not the full procedure |
$1,328 |
$1,328 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,028.50 |
$1,028.50 |
0.6× |
| Excision of hydrocele unilateral (55040) |
$3,600 |
$3,600 |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$638 |
$638 |
0.6× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,928 |
$1,928 |
0.5× |
| Excision of lesion of tongue without closure (41110) |
$494 |
$494 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$912 |
$912 |
0.5× |
| Excision of local lesion of epididymis (54830) |
$2,000 |
$2,000 |
0.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$879 |
$879 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$637 |
$637 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,200 |
$1,200 |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$1,089 |
$1,089 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$1,283.50 |
$1,283.50 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,300 |
$1,300 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$2,400 |
$2,400 |
0.7× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$845 |
$845 |
0.2× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) likely a partial charge, not the full procedure |
$597 |
$597 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,415 |
$1,415 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,800 |
$1,800 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,259.50 |
$1,259.50 |
0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,700 |
$2,700 |
0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$920 |
$920 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,072.50 |
$1,072.50 |
0.6× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,069 |
$1,069 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,062 |
$1,062 |
0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,891 |
$1,891 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,273 |
$1,273 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$964 |
$964 |
0.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$1,167 |
$1,167 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$807 |
$807 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,608.50 |
$1,608.50 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,117 |
$1,117 |
0.3× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$1,003 |
$1,003 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$788 |
$788 |
0.3× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$3,200 |
$3,200 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,918.50 |
$1,918.50 |
1.1× |
| Explo/Drain Breast Abscess (19020) |
$1,092 |
$1,092 |
0.6× |
| Exploration of knee joint (27310) |
$3,200 |
$3,200 |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$1,045 |
$1,045 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,703 |
$1,703 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,584.50 |
$1,584.50 |
2.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$760 |
$760 |
0.2× |
Explore Parathyroid Glands (60500) unusually low: confirm this is the full procedure |
$2,269 |
$2,269 |
0.3× |
| Explore/Treat Knee Joint (27331) |
$1,114 |
$1,114 |
0.3× |
| External cephalic version (59412) |
$1,600 |
$1,600 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$2,250 |
$2,250 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$668 |
$668 |
0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,951 |
$1,951 |
0.5× |
| Fetal contraction stress test (59020) |
$411 |
$411 |
1.8× |
| Fetal non-stress test (59025) |
$925 |
$925 |
4.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,871 |
$1,871 |
2.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$180 |
$180 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$158 |
$158 |
0.3× |
| Fit/Insert Intravag Support Device (57160) |
$389 |
$389 |
1.7× |
| Fitting of diaphragm/cap (57170) |
$151 |
$151 |
0.7× |
| Fixation of shoulder (23700) |
$459 |
$459 |
0.3× |
| Fluid pressure muscle (20950) |
$733 |
$733 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$1,387 |
$1,387 |
5.2× |
| Foreskin manipulation (54450) |
$899.50 |
$899.50 |
3.2× |
| Frenulotomy of penis (54164) |
$1,064 |
$1,064 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,641 |
$3,641 |
1.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,357.50 |
$3,357.50 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$118 |
$118 |
0.5× |
| Gastrocnemius recession (27687) |
$1,103 |
$1,103 |
0.3× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$5,800 |
$5,800 |
1.3× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$3,800 |
$3,800 |
1.8× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$3,496 |
$3,496 |
1.5× |
| Guide Cathet Fluid Drainage (10030) |
$2,453 |
$2,453 |
3.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,653 |
$1,653 |
0.5× |
| Hemorrhoidectomy (46255) |
$2,400 |
$2,400 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,200 |
$3,200 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$3,800 |
$3,800 |
1.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$978 |
$978 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$2,800 |
$2,800 |
0.9× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$995 |
$995 |
0.3× |
| Hemorrhoidopexy by stapling (46947) |
$4,800 |
$4,800 |
1.6× |
| Hysteroscopy biopsy (58558) |
$1,522 |
$1,522 |
0.4× |
Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$731 |
$731 |
0.1× |
Hysteroscopy removal leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,382 |
$2,382 |
0.4× |
| Hysteroscopy w endometrial ablation (58563) |
$3,953.50 |
$3,953.50 |
0.7× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$754 |
$754 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$877 |
$877 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$1,373.50 |
$1,373.50 |
5.2× |
| I&d abscess simple (10060) |
$629 |
$629 |
2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,573 |
$1,573 |
0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,072 |
$1,072 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,211 |
$1,211 |
0.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,135 |
$1,135 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,462 |
$1,462 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$1,400 |
$1,400 |
1.8× |
| I&d submucosal abscess rectum (45005) |
$630 |
$630 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,757 |
$1,757 |
1.0× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$419 |
$419 |
0.1× |
| I&d vulva/perineal abscess (56405) |
$1,050 |
$1,050 |
3.1× |
| Ileoscopy thru stoma (44380) |
$295 |
$295 |
0.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$589 |
$589 |
0.6× |
| Image Cath Fluid Colxn Visc (49405) |
$6,747 |
$6,747 |
3.7× |
| Image Cath Fluid Peri/Retro (49406) |
$4,773.50 |
$4,773.50 |
2.6× |
| Incise external hemorrhoid (46083) |
$1,400 |
$1,400 |
5.0× |
| Incise finger tendon sheath (26055) |
$1,600 |
$1,600 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,100 |
$1,100 |
2.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$877 |
$877 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,200 |
$2,200 |
2.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,100 |
$1,100 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$650 |
$650 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$700 |
$700 |
3.1× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,032 |
$1,032 |
0.3× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$666 |
$666 |
0.2× |
| Incision and drainage perianal abscess superficial (46050) |
$953.50 |
$953.50 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,046.50 |
$3,046.50 |
0.9× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,644.50 |
$3,644.50 |
1.1× |
| Incision bone cortex foot (28005) |
$1,397 |
$1,397 |
0.4× |
| Incision extensor tendon sheath wrist (25000) |
$1,175.50 |
$1,175.50 |
0.7× |
| Incision of eyelid fold (67715) |
$3,109 |
$3,109 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$3,221 |
$3,221 |
1.9× |
| Incision of lymph channels (38308) |
$968 |
$968 |
0.2× |
| Incision of rectal abscess (46045) |
$1,000 |
$1,000 |
0.3× |
| Incision of rectal abscess (46040) |
$2,000 |
$2,000 |
1.5× |
Incision of tibia & fibula (27709) likely a partial charge, not the full procedure |
$2,636 |
$2,636 |
0.2× |
| Incision of urethra (53020) |
$1,700 |
$1,700 |
0.7× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Facility (25001) |
$742 |
$742 |
0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$509 |
$509 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$700 |
$700 |
0.8× |
| Induced abortion by d&c (59840) |
$457 |
$457 |
0.1× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) likely a partial charge, not the full procedure |
$1,829 |
$1,829 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$260 |
$260 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$300 |
$300 |
0.9× |
| Inj therapeutic carpal tunnel (20526) |
$700 |
$700 |
2.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,575 |
$1,575 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,900 |
$1,900 |
1.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,500 |
$1,500 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,400 |
$1,400 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$693 |
$693 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$300 |
$300 |
0.9× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,700 |
$1,700 |
1.7× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,800 |
$1,800 |
1.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$944.50 |
$944.50 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,405.50 |
$1,405.50 |
4.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$480.50 |
$480.50 |
1.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$748.50 |
$748.50 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,465 |
$1,465 |
1.9× |
| Injection for identification of sentinel node (38792) |
$766 |
$766 |
1.7× |
| Injection into skin lesions (11900) |
$200 |
$200 |
0.9× |
| Injection peyronie disease (54200) |
$206 |
$206 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$350 |
$350 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$600 |
$600 |
1.8× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,900 |
$1,900 |
1.9× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$450 |
$450 |
0.0× |
| Insert Bladder Cath Complex (51703) |
$551 |
$551 |
3.8× |
| Insert cath pleura w/ image (32557) |
$458 |
$458 |
0.3× |
| Insert cath pleura w/o image (32556) |
$269 |
$269 |
0.1× |
| Insert cervical dilator (59200) |
$182 |
$182 |
0.5× |
| Insert Drug Implant Device (11981) |
$390 |
$390 |
2.6× |
| Insert gastrostomy tube percutaneous (49440) |
$3,200 |
$3,200 |
1.5× |
Insert heart pm atrial (33206) likely a partial charge, not the full procedure |
$400 |
$400 |
0.0× |
Insert heart pm ventricular (33207) likely a partial charge, not the full procedure |
$415 |
$415 |
0.0× |
| Insert non-tunnel cv cath (36556) |
$3,000 |
$3,000 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,926 |
$4,926 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$431 |
$431 |
2.9× |
Insert testicular prosthesis (54660) likely a partial charge, not the full procedure |
$935 |
$935 |
0.2× |
| Insert tun ip cath perc (49418) |
$2,100 |
$2,100 |
0.5× |
| Insert tunneled cv cath (36561) |
$2,200 |
$2,200 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$527.50 |
$527.50 |
3.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,805 |
$1,805 |
0.5× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) likely a partial charge, not the full procedure |
$967 |
$967 |
0.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285) likely a partial charge, not the full procedure |
$240 |
$240 |
0.0× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) likely a partial charge, not the full procedure |
$330 |
$330 |
0.0× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) likely a partial charge, not the full procedure |
$330 |
$330 |
0.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,325 |
$2,325 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,991.50 |
$4,991.50 |
0.5× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$479 |
$479 |
1.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,200 |
$2,200 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$750.50 |
$750.50 |
2.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$570 |
$570 |
2.0× |
| Knee Arthroscopy/Surgery (29874) |
$2,890 |
$2,890 |
0.8× |
| Knee Arthroscopy/Surgery (29879) |
$3,601.50 |
$3,601.50 |
1.0× |
| Lap ing hernia repair init (49650) |
$8,000 |
$8,000 |
1.2× |
| Lap insert tunnel ip cath (49324) |
$3,600 |
$3,600 |
0.5× |
Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$3,410 |
$3,410 |
0.3× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$4,414.50 |
$4,414.50 |
0.7× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$664 |
$664 |
0.1× |
Laparoscopy biopsy (49321) unusually low: confirm this is the full procedure |
$2,655.50 |
$2,655.50 |
0.4× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$6,472.50 |
$6,472.50 |
0.5× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$778 |
$778 |
0.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$5,923.50 |
$5,923.50 |
0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$4,594.50 |
$4,594.50 |
0.7× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$1,512 |
$1,512 |
0.2× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$2,417 |
$2,417 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) unusually low: confirm this is the full procedure |
$2,150 |
$2,150 |
0.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$6,800 |
$6,800 |
0.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$2,174 |
$2,174 |
0.5× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) likely a partial charge, not the full procedure |
$1,938 |
$1,938 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) likely a partial charge, not the full procedure |
$1,583 |
$1,583 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$1,666 |
$1,666 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) likely a partial charge, not the full procedure |
$1,885 |
$1,885 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) likely a partial charge, not the full procedure |
$2,469 |
$2,469 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) likely a partial charge, not the full procedure |
$2,378 |
$2,378 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$2,944 |
$2,944 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$790 |
$790 |
0.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$12,500 |
$12,500 |
1.1× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$7,333 |
$7,333 |
0.6× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$6,104 |
$6,104 |
0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,000 |
$9,000 |
1.3× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$6,260 |
$6,260 |
0.5× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$1,640 |
$1,640 |
0.1× |
Laparoscopy, surgical; with fimbrioplasty Facility (58672) likely a partial charge, not the full procedure |
$1,570 |
$1,570 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$779 |
$779 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,442 |
$1,442 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) likely a partial charge, not the full procedure |
$1,705 |
$1,705 |
0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,600 |
$3,600 |
0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,759 |
$3,759 |
0.6× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,560 |
$1,560 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) unusually low: confirm this is the full procedure |
$2,299 |
$2,299 |
0.3× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,676 |
$1,676 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$202 |
$202 |
0.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$582 |
$582 |
1.3× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$474 |
$474 |
2.1× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$2,044 |
$2,044 |
3.3× |
| Late closure of wound (13160) |
$2,456 |
$2,456 |
0.6× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,546 |
$1,546 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,416 |
$2,416 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,519 |
$1,519 |
1.5× |
| Ligation or biopsy temporal artery (37609) |
$748 |
$748 |
0.4× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Facility (38562) likely a partial charge, not the full procedure |
$1,644 |
$1,644 |
0.2× |
| Lip Surgery Procedure (40799) |
$2,275 |
$2,275 |
8.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$1,863 |
$1,863 |
0.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,262 |
$1,262 |
0.3× |
| Lithotripsy (50590) |
$5,787.50 |
$5,787.50 |
1.5× |
| Liver Biopsy (47000) |
$1,546.50 |
$1,546.50 |
0.8× |
| Lysis of labial adhesions (56441) |
$2,764 |
$2,764 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$481 |
$481 |
0.2× |
| Manipulation knee joint under general anesthesia (27570) |
$4,200 |
$4,200 |
2.3× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$747 |
$747 |
0.4× |
| Marsupialization Bartholins Gland Cyst (56440) |
$978 |
$978 |
0.3× |
Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,769 |
$2,769 |
0.4× |
| Mastectomy for gynecomastia (19300) |
$1,121 |
$1,121 |
0.3× |
| Mastectomy partial (19301) |
$6,500 |
$6,500 |
1.5× |
| Mastectomy simple complete (19303) |
$5,200 |
$5,200 |
0.7× |
| Metatarsectomy (28140) |
$1,293 |
$1,293 |
0.4× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$4,833 |
$4,833 |
1.2× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,172 |
$1,172 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,120 |
$1,120 |
1.4× |
| N Block Inj, Plantar Digit (64455) |
$700 |
$700 |
2.0× |
| Nasal endoscopy dx (31231) |
$417 |
$417 |
1.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$900 |
$900 |
1.8× |
| Needle biopsy of pancreas (48102) |
$6,747 |
$6,747 |
3.7× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,800 |
$3,800 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$675 |
$675 |
1.6× |
| Nipple exploration (19110) |
$1,124 |
$1,124 |
0.3× |
| Nipple/areola reconstruction (19350) |
$2,125 |
$2,125 |
0.5× |
| Njx aa&/strd sciatic nerve (64445) |
$1,239 |
$1,239 |
1.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$492.50 |
$492.50 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$7,848 |
$7,848 |
2.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$263 |
$263 |
0.3× |
| Occipital Nerve Block (64405) |
$930.50 |
$930.50 |
2.7× |
Omntc epiploectomy rescj omentum spx (49255) likely a partial charge, not the full procedure |
$1,848 |
$1,848 |
0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,600 |
$2,600 |
0.6× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$1,940 |
$1,940 |
0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,400 |
$6,400 |
0.8× |
Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$2,544 |
$2,544 |
0.3× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,792 |
$2,792 |
0.2× |
Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$1,674 |
$1,674 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$889 |
$889 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$3,348 |
$3,348 |
0.4× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,936 |
$1,936 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$1,215 |
$1,215 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,808 |
$1,808 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$3,343.50 |
$3,343.50 |
0.4× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) unusually low: confirm this is the full procedure |
$2,958 |
$2,958 |
0.4× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$2,958 |
$2,958 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$3,284 |
$3,284 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$3,759 |
$3,759 |
0.3× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) likely a partial charge, not the full procedure |
$942 |
$942 |
0.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) likely a partial charge, not the full procedure |
$1,688 |
$1,688 |
0.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$1,805 |
$1,805 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) likely a partial charge, not the full procedure |
$2,024 |
$2,024 |
0.1× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) likely a partial charge, not the full procedure |
$1,665 |
$1,665 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) likely a partial charge, not the full procedure |
$265.39 |
$265.39 |
0.0× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) likely a partial charge, not the full procedure |
$3,272 |
$3,272 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,514 |
$1,514 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$1,426 |
$1,426 |
0.1× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$2,741 |
$2,741 |
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 |
$2,348 |
$2,348 |
0.3× |
Open treatment talus fracture (28445) likely a partial charge, not the full procedure |
$2,310 |
$2,310 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$2,141 |
$2,141 |
0.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,626 |
$2,626 |
0.7× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,329 |
$1,329 |
0.4× |
Open tx carpal scaphoid navicular fracture (25628) unusually low: confirm this is the full procedure |
$3,282.50 |
$3,282.50 |
0.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,800 |
$5,800 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,162 |
$1,162 |
0.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,600 |
$7,600 |
0.9× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,212 |
$1,212 |
0.3× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$1,812 |
$1,812 |
0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,129 |
$2,129 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$10,679 |
$10,679 |
2.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,300 |
$7,300 |
0.9× |
Open tx ulnar fx proximal end (24685) unusually low: confirm this is the full procedure |
$3,185 |
$3,185 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$3,562.50 |
$3,562.50 |
0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$4,625.50 |
$4,625.50 |
0.6× |
Optx dstl radl x-artic fx/epiphysl sep (25607) unusually low: confirm this is the full procedure |
$3,258 |
$3,258 |
0.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$8,850 |
$8,850 |
1.1× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$3,928.50 |
$3,928.50 |
0.3× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$3,242 |
$3,242 |
0.4× |
| Orchiectomy partial (54522) |
$2,300 |
$2,300 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,800 |
$3,800 |
1.0× |
| Ostectomy calcaneus (28118) |
$1,380 |
$1,380 |
0.4× |
| Ostectomy complete 5th metatarsal head (28113) |
$2,796 |
$2,796 |
0.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,150 |
$1,150 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,310 |
$1,310 |
0.4× |
| Ovarian cystectomy (58925) |
$3,200.50 |
$3,200.50 |
0.6× |
P-mastectomy w/ln removal (19302) likely a partial charge, not the full procedure |
$2,081 |
$2,081 |
0.3× |
| Palatopharyngoplasty (42145) |
$8,829 |
$8,829 |
1.3× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) unusually low: confirm this is the full procedure |
$2,036 |
$2,036 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,299 |
$1,299 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,181 |
$1,181 |
0.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,156 |
$1,156 |
0.6× |
| Partial hymenectomy or revision (56700) |
$466 |
$466 |
0.1× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,703 |
$1,703 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,524 |
$1,524 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$933 |
$933 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$271 |
$271 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$3,468 |
$3,468 |
0.4× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$548 |
$548 |
0.2× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$7,403 |
$7,403 |
2.0× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Facility (26706) |
$7,403 |
$7,403 |
2.0× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$1,280 |
$1,280 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$7,403 |
$7,403 |
2.0× |
Pereyra procedure, including anterior colporrhaphy Facility (57289) likely a partial charge, not the full procedure |
$1,573 |
$1,573 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,604.50 |
$1,604.50 |
0.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$1,625 |
$1,625 |
0.5× |
| Perq dev breast 1st mr guide (19287) |
$4,647 |
$4,647 |
5.9× |
| Perq dev breast 1st strtctc (19283) |
$3,098 |
$3,098 |
3.9× |
| Perq dev breast 1st us imag (19285) |
$1,816.50 |
$1,816.50 |
2.3× |
| Perq device breast 1st imag (19281) |
$3,098 |
$3,098 |
1.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,000 |
$1,000 |
3.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,296.50 |
$1,296.50 |
1.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,477 |
$2,477 |
0.7× |
| Picc line placement (36569) |
$3,356 |
$3,356 |
1.9× |
| Pin hand dislocation (26676) |
$3,116 |
$3,116 |
0.9× |
| Place duod/jej tube perc (49441) |
$3,600 |
$3,600 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$2,418.50 |
$2,418.50 |
4.9× |
| Placement of seton (46020) |
$637 |
$637 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,969 |
$1,969 |
0.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$1,729 |
$1,729 |
0.4× |
| Plastic Repair Of Urethrocele (57230) |
$982 |
$982 |
0.3× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) unusually low: confirm this is the full procedure |
$1,686 |
$1,686 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$287 |
$287 |
0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,000 |
$2,000 |
0.6× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$403 |
$403 |
0.1× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$2,400 |
$2,400 |
1.8× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,200 |
$3,200 |
0.9× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,742 |
$1,742 |
0.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$7,403 |
$7,403 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$138 |
$138 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$766.50 |
$766.50 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$750 |
$750 |
1.7× |
| Puncture/clear windpipe (31612) |
$3,744 |
$3,744 |
1.0× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$2,200 |
$2,200 |
2.8× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,700 |
$1,700 |
2.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$3,113 |
$3,113 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$2,640 |
$2,640 |
0.8× |
Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$1,568 |
$1,568 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,590 |
$1,590 |
0.2× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$2,843 |
$2,843 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,605 |
$1,605 |
0.2× |
| Reconstruction of nail bed with graft (11762) |
$2,715.50 |
$2,715.50 |
1.2× |
| Reduce testis torsion (54600) |
$4,200 |
$4,200 |
1.1× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) unusually low: confirm this is the full procedure |
$3,200 |
$3,200 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,154 |
$1,154 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$938 |
$938 |
0.5× |
| Removal foreign body foot deep (28192) |
$1,521.50 |
$1,521.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$700 |
$700 |
0.9× |
| Removal foreign body intranasal (30300) |
$684 |
$684 |
4.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,095 |
$1,095 |
0.6× |
| Removal foreign body pharynx (42809) |
$1,600 |
$1,600 |
3.2× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,424 |
$1,424 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,779 |
$1,779 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$275 |
$275 |
4.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$350 |
$350 |
5.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$358 |
$358 |
0.1× |
| Removal implant deep (20680) |
$1,800 |
$1,800 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,195 |
$1,195 |
0.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$313 |
$313 |
0.4× |
| Removal Intact Mammary Implant (19328) |
$777 |
$777 |
0.2× |
| Removal of anal fissure (46200) |
$1,600 |
$1,600 |
0.5× |
| Removal of arm foreign body (24200) |
$869 |
$869 |
0.5× |
Removal of cervix (57530) likely a partial charge, not the full procedure |
$738 |
$738 |
0.1× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,114 |
$1,114 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$761 |
$761 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$650 |
$650 |
1.3× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$3,462 |
$3,462 |
0.2× |
| Removal of implant material (19330) |
$982 |
$982 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$357 |
$357 |
0.5× |
| Removal of iud (58301) |
$900 |
$900 |
2.7× |
| Removal of kidney stone (50081) |
$5,546 |
$5,546 |
0.5× |
Removal Of Knee Prosthesis (27488) likely a partial charge, not the full procedure |
$2,828 |
$2,828 |
0.2× |
| Removal of nail bed (11750) |
$900 |
$900 |
2.0× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Facility (24164) |
$1,134 |
$1,134 |
0.3× |
| Removal Of Tendon Lesion (27630) |
$788 |
$788 |
0.2× |
| Removal of testis (54520) |
$2,800 |
$2,800 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,200 |
$1,200 |
0.3× |
| Removal of wrist bone (25210) |
$947 |
$947 |
0.3× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,139 |
$2,139 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$251 |
$251 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$240 |
$240 |
0.3× |
| Removal, under anesthesia, of external fixation system (20694) |
$958 |
$958 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$442 |
$442 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$410 |
$410 |
1.3× |
| Remove anal fist subq (46270) |
$2,200 |
$2,200 |
0.7× |
| Remove cerclage suture (59871) |
$341 |
$341 |
0.1× |
| Remove drug implant device (11982) |
$600 |
$600 |
1.2× |
| Remove ext hem groups 2+ (46250) |
$2,200 |
$2,200 |
0.7× |
| Remove Lower Leg Bone Lesion (27635) |
$1,318 |
$1,318 |
0.4× |
| Remove Pilonidal Cyst Exten (11771) |
$2,500 |
$2,500 |
0.8× |
Remove Prostate Regrowth (52630) unusually low: confirm this is the full procedure |
$2,385.50 |
$2,385.50 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$1,505 |
$1,505 |
0.8× |
| Remove vagina gland lesion (56740) |
$754 |
$754 |
0.2× |
Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$300 |
$300 |
0.0× |
| Remove/Insert Drug Implant (11983) |
$800 |
$800 |
1.6× |
| Remv Ext Canal Foreign Body (69200) |
$386 |
$386 |
2.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$400 |
$400 |
2.7× |
Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$315 |
$315 |
0.0× |
Remv&replc pm gen mult leads (33229) likely a partial charge, not the full procedure |
$325 |
$325 |
0.0× |
| Renal Biopsy Percutaneous (50200) |
$3,521 |
$3,521 |
1.9× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$695 |
$695 |
0.2× |
Repair achilles tendon (27650) unusually low: confirm this is the full procedure |
$3,187 |
$3,187 |
0.4× |
| Repair anal fistula (46288) |
$1,241 |
$1,241 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,803 |
$1,803 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,051 |
$2,051 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,470 |
$1,470 |
3.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,245.50 |
$2,245.50 |
5.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$909 |
$909 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,340 |
$1,340 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,349.50 |
$1,349.50 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,234 |
$1,234 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,925.50 |
$2,925.50 |
1.6× |
Repair Fibula Nonunion (27726) likely a partial charge, not the full procedure |
$2,094 |
$2,094 |
0.3× |
| Repair Finger Tendon (26433) |
$1,508.50 |
$1,508.50 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,652 |
$1,652 |
0.5× |
| Repair hand tendon (26410) |
$2,861 |
$2,861 |
1.6× |
| Repair incomplete circumcision (54163) |
$1,202 |
$1,202 |
0.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,800 |
$4,800 |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,469 |
$1,469 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,343 |
$1,343 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,200 |
$2,200 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,839.50 |
$1,839.50 |
4.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$779 |
$779 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,600 |
$1,600 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,071.50 |
$1,071.50 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,285 |
$1,285 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$891 |
$891 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,133 |
$1,133 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$919 |
$919 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$900 |
$900 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,280 |
$1,280 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$948 |
$948 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,958 |
$2,958 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,024 |
$1,024 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$725 |
$725 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,000 |
$1,000 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,308 |
$1,308 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,700 |
$1,700 |
3.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,505 |
$1,505 |
0.7× |
| Repair Lower Leg Tendons (27675) |
$1,101 |
$1,101 |
0.3× |
| Repair of anal fistula with fibrin glue (46706) |
$389 |
$389 |
0.1× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$7,200 |
$7,200 |
1.0× |
Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,380 |
$1,380 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) likely a partial charge, not the full procedure |
$1,032 |
$1,032 |
0.2× |
Repair of knee cartilage (27403) likely a partial charge, not the full procedure |
$1,382 |
$1,382 |
0.2× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$782 |
$782 |
0.1× |
| Repair of nail bed (11760) |
$1,237.50 |
$1,237.50 |
1.5× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$2,337 |
$2,337 |
0.3× |
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) likely a partial charge, not the full procedure |
$2,082 |
$2,082 |
0.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$4,800 |
$4,800 |
0.6× |
Repair of shoulder (23420) likely a partial charge, not the full procedure |
$2,325 |
$2,325 |
0.3× |
Repair of tibia (27720) likely a partial charge, not the full procedure |
$1,895 |
$1,895 |
0.2× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,686 |
$1,686 |
0.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,397 |
$1,397 |
0.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$5,200 |
$5,200 |
0.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$4,200 |
$4,200 |
1.1× |
Repair rotator cuff acute (23410) unusually low: confirm this is the full procedure |
$3,155.50 |
$3,155.50 |
0.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,032 |
$1,032 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,558 |
$1,558 |
0.2× |
| Repair tongue laceration (41252) |
$1,050 |
$1,050 |
4.0× |
| Repair Tongue Laceration (41250) |
$602.50 |
$602.50 |
1.2× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$695 |
$695 |
0.1× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) unusually low: confirm this is the full procedure |
$2,564 |
$2,564 |
0.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$4,200 |
$4,200 |
0.5× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$2,230 |
$2,230 |
0.3× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) likely a partial charge, not the full procedure |
$1,450 |
$1,450 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$1,218 |
$1,218 |
0.3× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$1,266 |
$1,266 |
0.2× |
| Repeat control of nosebleed (30906) |
$568.50 |
$568.50 |
2.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,027 |
$2,027 |
2.0× |
| Replace tunneled cv cath (36578) |
$962 |
$962 |
0.3× |
| Reposition cv cath w/fluoro (36597) |
$322 |
$322 |
0.2× |
| Reposition gastric feeding tube thru duodenum (43761) |
$833 |
$833 |
3.0× |
| Resection of scrotum (55150) |
$1,185 |
$1,185 |
0.3× |
Resection or transplantation of long tendon of biceps (23440) likely a partial charge, not the full procedure |
$1,467 |
$1,467 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$490 |
$490 |
0.1× |
| Revis reconst shoulder joint (23473) |
$7,600 |
$7,600 |
0.5× |
Revise Lower Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,768 |
$1,768 |
0.2× |
| Revise ulnar nerve at elbow (64718) |
$3,039 |
$3,039 |
1.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$2,460 |
$2,460 |
0.6× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$2,187 |
$2,187 |
0.6× |
| Revision of leg vein (37780) |
$635 |
$635 |
0.2× |
| Revision of lower leg tendon (27685) |
$1,494 |
$1,494 |
0.4× |
| Revision of penis (54300) |
$1,547 |
$1,547 |
0.4× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) likely a partial charge, not the full procedure |
$3,316 |
$3,316 |
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 |
$4,152 |
$4,152 |
0.2× |
Revision of urethra (57220) likely a partial charge, not the full procedure |
$794 |
$794 |
0.1× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$4,288 |
$4,288 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138) likely a partial charge, not the full procedure |
$3,619 |
$3,619 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$327 |
$327 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$238 |
$238 |
1.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$227 |
$227 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$912 |
$912 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,232 |
$2,232 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$900 |
$900 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,764 |
$2,764 |
0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,200 |
$7,200 |
1.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,800 |
$4,800 |
1.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$8,200 |
$8,200 |
1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,400 |
$6,400 |
0.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,800 |
$5,800 |
0.9× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,637.50 |
$2,637.50 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$674 |
$674 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$960.50 |
$960.50 |
1.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$3,448.50 |
$3,448.50 |
5.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,153 |
$2,153 |
3.6× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,101 |
$1,101 |
0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$353 |
$353 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,319.50 |
$2,319.50 |
0.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$270 |
$270 |
0.1× |
| Salpingostomy (salpingoneostomy) (58770) |
$1,819 |
$1,819 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$2,021 |
$2,021 |
1.1× |
| Scrotal exploration (55110) |
$932 |
$932 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,400 |
$2,400 |
2.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,200 |
$3,200 |
2.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$529.50 |
$529.50 |
1.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$224 |
$224 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$832 |
$832 |
3.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$419 |
$419 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$276 |
$276 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$327 |
$327 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$344 |
$344 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$400 |
$400 |
1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$365 |
$365 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$250 |
$250 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$355 |
$355 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$483.50 |
$483.50 |
2.2× |
| Sigmoidoscopy & decompress (45337) |
$2,200 |
$2,200 |
2.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$344 |
$344 |
0.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$873 |
$873 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$630 |
$630 |
0.6× |
| Sigmoidoscopy w/biopsy (45331) |
$83 |
$83 |
0.1× |
| Sigmoidoscopy w/fb removal (45332) |
$2,200 |
$2,200 |
1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,150 |
$1,150 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$516 |
$516 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$600 |
$600 |
2.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$942 |
$942 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$704 |
$704 |
3.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$887 |
$887 |
4.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$531 |
$531 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$500 |
$500 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,173 |
$1,173 |
5.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$900 |
$900 |
4.0× |
| Skin splt grft trnk/arm/leg (15100) |
$2,039 |
$2,039 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$650 |
$650 |
0.8× |
| Skin sub graft trnk/arm/leg (15271) |
$525 |
$525 |
0.6× |
| Skin sub grft t/arm/lg child (15273) |
$754 |
$754 |
0.3× |
| Skin Tissue Procedure (17999) |
$583 |
$583 |
2.6× |
| Skin tissue rearrangement (14040) |
$4,043.50 |
$4,043.50 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$5,537.50 |
$5,537.50 |
2.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,200 |
$4,200 |
0.8× |
| Slitting of prepuce (54001) |
$1,200 |
$1,200 |
0.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$513 |
$513 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$561 |
$561 |
2.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$814 |
$814 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,042 |
$1,042 |
2.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$578 |
$578 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,259 |
$1,259 |
1.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$1,612 |
$1,612 |
0.5× |
| Strapping ankle (29540) |
$168 |
$168 |
0.9× |
| Strapping elbow or wrist (29260) |
$172.50 |
$172.50 |
2.6× |
| Strapping hand/finger (29280) |
$191 |
$191 |
2.9× |
| Strapping knee (29530) |
$182.50 |
$182.50 |
1.2× |
| Strapping shoulder (29240) |
$219 |
$219 |
1.5× |
| Strapping toes (29550) |
$154 |
$154 |
2.3× |
| Strapping unna boot (29580) |
$276 |
$276 |
1.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,576.50 |
$2,576.50 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,800 |
$2,800 |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$1,151 |
$1,151 |
0.4× |
| Suspension of testis (54640) |
$1,036 |
$1,036 |
0.3× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,313 |
$1,313 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,404 |
$1,404 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$350 |
$350 |
0.8× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$2,276 |
$2,276 |
0.3× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$982 |
$982 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,260 |
$1,260 |
0.7× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,175 |
$1,175 |
0.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$375 |
$375 |
0.2× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$630 |
$630 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,449 |
$1,449 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,953 |
$1,953 |
2.8× |
| Throat Surgery Procedure (42999) |
$429 |
$429 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$2,104 |
$2,104 |
5.7× |
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) unusually low: confirm this is the full procedure |
$2,570 |
$2,570 |
0.4× |
| Thyroidectomy, total or complete (60240) |
$9,600 |
$9,600 |
1.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,486 |
$1,486 |
0.4× |
| Tongue and mouth surg unlisted (41599) |
$536.50 |
$536.50 |
2.0× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$4,800 |
$4,800 |
0.3× |
| Total Knee Arthroplasty (27447) |
$8,400 |
$8,400 |
0.6× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) unusually low: confirm this is the full procedure |
$2,195 |
$2,195 |
0.3× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$654 |
$654 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$667 |
$667 |
2.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$525 |
$525 |
0.3× |
| Tracheotomy tube change (31502) |
$472.50 |
$472.50 |
1.8× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,130 |
$3,130 |
1.4× |
| Transplant hand tendon (26480) |
$1,814 |
$1,814 |
0.5× |
| Transplant/graft hand tendon (26483) |
$1,781 |
$1,781 |
0.5× |
| Transur electr resection of prostate (52601) |
$3,708 |
$3,708 |
0.6× |
| Transurethral incision of prostate (52450) |
$3,200 |
$3,200 |
0.8× |
| Transurethral resection bladder neck (52500) |
$566 |
$566 |
0.1× |
| Treat clavicle dislocation (23540) |
$680 |
$680 |
2.5× |
| Treat clavicle fracture (23505) |
$2,058 |
$2,058 |
1.1× |
Treat fracture radius/ulna (25575) unusually low: confirm this is the full procedure |
$2,753 |
$2,753 |
0.3× |
| Treat humerus fracture (24500) |
$1,332 |
$1,332 |
4.8× |
| Treat humerus fracture (23600) |
$1,617 |
$1,617 |
5.9× |
| Treat Knee Fracture (27535) |
$5,311 |
$5,311 |
0.7× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,768 |
$1,768 |
0.2× |
| Treat Lower Leg Bone Lesion (27607) |
$1,444 |
$1,444 |
0.4× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$2,959 |
$2,959 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$1,194 |
$1,194 |
4.3× |
| Treat radius fracture (24665) |
$4,150 |
$4,150 |
0.5× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$2,122 |
$2,122 |
0.3× |
| Treat shoulder blade fx (23575) |
$3,855.50 |
$3,855.50 |
2.2× |
| Treat Thigh Fracture (27246) |
$867 |
$867 |
3.2× |
| Treat Thigh Fracture (27245) |
$6,200 |
$6,200 |
0.8× |
| Treat Thumb Dislocation (26641) |
$1,501.50 |
$1,501.50 |
5.5× |
| Treat thumb fracture (26665) |
$1,464 |
$1,464 |
0.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,666 |
$3,666 |
2.0× |
| Treat vagina infection (57150) |
$114 |
$114 |
1.7× |
| Treat Vaginal Bleeding (57180) |
$234 |
$234 |
1.0× |
| Treat wrist bone fracture (25622) |
$1,126.50 |
$1,126.50 |
4.1× |
| Treat Wrist Bone Fracture (25630) |
$1,293 |
$1,293 |
4.7× |
| Treatment closed elbow dislocation req anes (24605) |
$3,666 |
$3,666 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,153 |
$1,153 |
4.2× |
| Treatment of anal fissure (46940) |
$527 |
$527 |
0.2× |
| Treatment of foot infection (28003) |
$1,652 |
$1,652 |
0.5× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,893 |
$2,893 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$2,000 |
$2,000 |
0.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$966 |
$966 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,333 |
$1,333 |
4.8× |
| Trim skin lesion (11055) |
$300 |
$300 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$286.50 |
$286.50 |
1.3× |
| Trim skin lesions over 4 (11057) |
$166 |
$166 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$164 |
$164 |
2.5× |
| Trurl drainage prostatic abscess (52700) |
$1,062 |
$1,062 |
0.3× |
| Tubal ligation (58600) |
$777 |
$777 |
0.2× |
| Tube thoracostomy includes water seal (32551) |
$2,459 |
$2,459 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,600 |
$3,600 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,002 |
$2,002 |
0.6× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,005 |
$1,005 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,553 |
$3,553 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$644 |
$644 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$693.50 |
$693.50 |
1.5× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$4,276 |
$4,276 |
0.3× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,848 |
$1,848 |
0.5× |
| Unlisted laparoscopic procedure liver (47379) |
$4,800 |
$4,800 |
0.7× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$930 |
$930 |
0.1× |
Unlisted laparoscopy procedure, spleen (38129) unusually low: confirm this is the full procedure |
$2,288 |
$2,288 |
0.3× |
Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$804 |
$804 |
0.1× |
| Unlisted procedure anus (46999) |
$2,400 |
$2,400 |
2.3× |
| Unlisted procedure arthroscopy (29999) |
$4,500 |
$4,500 |
16.4× |
| Unlisted procedure colon (45399) |
$3,600 |
$3,600 |
3.5× |
| Unlisted procedure dentoalveolar structures (41899) |
$745 |
$745 |
2.8× |
| Unlisted procedure foot or toes (28899) |
$860 |
$860 |
3.1× |
| Unlisted Procedure Male Genital System (55899) |
$3,400 |
$3,400 |
12.2× |
| Unlisted procedure nervous system (64999) |
$1,279 |
$1,279 |
3.7× |
| Unlisted procedure rectum (45999) |
$128 |
$128 |
0.1× |
| Unlisted Procedure Small Intestine (44799) |
$1,830 |
$1,830 |
1.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,500 |
$1,500 |
2.1× |
| Unlisted procedure, hands or fingers (26989) |
$62.78 |
$62.78 |
0.2× |
| Unlisted procedure, maternity care and delivery (59899) |
$1,652.50 |
$1,652.50 |
7.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$3,581 |
$3,581 |
15.9× |
| Urology Surgery Procedure (53899) |
$377 |
$377 |
1.4× |
| Us urine capacity measure (51798) |
$176 |
$176 |
2.7× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,195 |
$1,195 |
0.3× |
Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$2,861 |
$2,861 |
0.3× |
| Vaginal delivery only (59409) |
$5,900 |
$5,900 |
1.6× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,336 |
$2,336 |
0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,929.50 |
$4,929.50 |
0.9× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) unusually low: confirm this is the full procedure |
$2,463 |
$2,463 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) unusually low: confirm this is the full procedure |
$1,883 |
$1,883 |
0.3× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$3,649 |
$3,649 |
0.7× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,285.50 |
$5,285.50 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,800 |
$1,800 |
0.8× |
| Venipuncture (36415) |
$55 |
$55 |
5.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$726.50 |
$726.50 |
1.5× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$622 |
$622 |
0.6× |
| Vulvectomy Simple Partial (56620) |
$2,958.50 |
$2,958.50 |
0.8× |
| Wedge excision skin nail fold (11765) |
$400 |
$400 |
0.9× |
| Wedging of cast (29740) |
$645.50 |
$645.50 |
2.1× |
| Wound Prep F/N/Hf/G (15004) |
$915 |
$915 |
2.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$772 |
$772 |
0.9× |