| Abd paracentesis w/imaging (49083) |
$490.34 |
$860.24 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$868.37 |
$1,523.45 |
0.9× |
| Amputate metacarpal bone (26910) |
$2,238.29 |
$3,926.83 |
0.6× |
| Amputation Finger/Thumb (26951) |
$3,135 |
$5,500 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$1,967.37 |
$3,451.53 |
0.6× |
| Amputation of finger/thumb (26952) |
$1,718.18 |
$3,014.36 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,744.50 |
$3,060.53 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,986.23 |
$3,484.62 |
0.6× |
| Amputation, foot; transmetatarsal (28805) |
$5,206.40 |
$9,134.04 |
1.5× |
| Analyze infusn pump+reprogram (62368) |
$100.80 |
$176.84 |
0.3× |
| Analyze spine infus pump (62367) |
$72.36 |
$126.96 |
0.2× |
| Anoscopy diagnostic (46600) |
$110.87 |
$194.51 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$159.06 |
$279.05 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,238.76 |
$2,173.26 |
0.4× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,946.16 |
$3,414.32 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$46.65 |
$81.84 |
0.3× |
| Application cast elbow finger short arm (29075) |
$176.13 |
$309 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$163.68 |
$287.16 |
0.5× |
| Application finger splint static (29130) |
$158.63 |
$278.29 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$198.82 |
$348.80 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$92.16 |
$161.68 |
0.5× |
| Application of long leg cast (29345) |
$246 |
$431.56 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$208.48 |
$365.75 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$181.56 |
$318.52 |
1.3× |
| Application short leg splint calf foot (29515) |
$83.53 |
$146.55 |
0.5× |
| Apply short leg cast (29405) |
$215.34 |
$377.78 |
0.7× |
| Apply short leg cast (29425) |
$170.86 |
$299.76 |
0.6× |
| Arterial puncture (36600) |
$96.33 |
$169 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$172.70 |
$302.99 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$285.42 |
$500.73 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$276.42 |
$484.94 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$226.39 |
$397.17 |
0.7× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$3,586.76 |
$6,292.56 |
0.5× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$2,778.64 |
$4,874.82 |
0.4× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$3,635.32 |
$6,377.74 |
0.5× |
| Arthroscopy ankle; ext debridem (29898) |
$1,656.24 |
$2,905.70 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$1,761.86 |
$3,090.99 |
0.5× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,952.90 |
$3,426.15 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$2,800.04 |
$4,912.36 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,148.34 |
$3,769.02 |
0.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,994.10 |
$5,252.81 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,106.06 |
$5,449.22 |
0.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,604.92 |
$4,570.04 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,964.04 |
$3,445.68 |
0.6× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,756.26 |
$3,081.15 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,808.65 |
$6,681.85 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,347.04 |
$5,872 |
1.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$109.08 |
$191.37 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,135.09 |
$1,991.38 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$238.80 |
$418.94 |
1.1× |
| Biopsy bone open superficial (20240) |
$2,609.46 |
$4,578 |
0.8× |
| Biopsy external ear (69100) |
$417.77 |
$732.93 |
1.7× |
| Biopsy of eyelid lining (68100) |
$1,978.04 |
$3,470.25 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,157.36 |
$5,539.22 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,372.38 |
$2,407.68 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$3,178.89 |
$5,577 |
0.8× |
| Bladder Irrigation Simple (51700) |
$309.51 |
$543 |
1.2× |
| Bladder Scan (51798) |
$61.96 |
$108.71 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$2,857.26 |
$5,012.74 |
1.3× |
| Blood patch (62273) |
$814.58 |
$1,429.10 |
1.1× |
| Blood transfusion service (36430) |
$380.08 |
$666.80 |
0.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,309.76 |
$2,297.82 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$442.80 |
$776.85 |
0.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,224.02 |
$2,147.41 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,152.62 |
$2,022.14 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,354.58 |
$2,376.46 |
0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$806.54 |
$1,414.98 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,099.94 |
$1,929.72 |
0.6× |
| Bx vulva/perineum 1 lesion (56605) |
$793.80 |
$1,392.64 |
0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,266.22 |
$2,221.44 |
0.4× |
| Cataract surgery complex (66982) |
$2,613.70 |
$4,585.43 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$154.84 |
$271.65 |
0.7× |
| Change Ureter Stent, Percut (50382) |
$2,288.89 |
$4,015.60 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$213.73 |
$374.97 |
0.7× |
| Chest tube placement (32551) |
$697.46 |
$1,223.62 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$114 |
$200 |
0.8× |
| Circum 28 days or older (54161) |
$325.12 |
$570.39 |
0.1× |
| Circumcision (54150) |
$201.86 |
$354.15 |
0.1× |
| Circumcision Neonate (54160) |
$365.03 |
$640.41 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$525.24 |
$921.48 |
0.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$119.75 |
$210.08 |
0.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,015.74 |
$1,782.01 |
0.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$972.70 |
$1,706.50 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$908.21 |
$1,593.35 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$374.49 |
$657 |
1.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$882.38 |
$1,548.04 |
0.5× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$570.10 |
$1,000.17 |
2.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$381.03 |
$668.48 |
1.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$423.86 |
$743.62 |
1.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,177.68 |
$2,066.10 |
0.7× |
| Closed Rx Trimalleolar Fx (27816) |
$388.74 |
$682 |
1.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$332 |
$582.45 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,350.31 |
$2,368.96 |
0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,144.15 |
$2,007.28 |
4.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$653.48 |
$1,146.45 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$750.03 |
$1,315.85 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$395.89 |
$694.55 |
1.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$681.66 |
$1,195.90 |
2.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$703.52 |
$1,234.24 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$578.54 |
$1,014.98 |
2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$357.09 |
$626.47 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,278.52 |
$2,243.02 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$476.23 |
$835.50 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$481.36 |
$844.50 |
1.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$359.20 |
$630.17 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$712.30 |
$1,249.64 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$143.30 |
$251.40 |
0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$812.31 |
$1,425.10 |
0.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$332.94 |
$584.10 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$726.50 |
$1,274.57 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$392 |
$687.72 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$418.63 |
$734.43 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$359.20 |
$630.17 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$777.60 |
$1,364.20 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$508.16 |
$891.51 |
1.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,214.05 |
$2,129.92 |
4.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,264.07 |
$2,217.67 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$259.40 |
$455.08 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$572.56 |
$1,004.50 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$498.40 |
$874.38 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$460.83 |
$808.48 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$333.14 |
$584.46 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$462.20 |
$810.88 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$895.52 |
$1,571.09 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$817.68 |
$1,434.52 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$568.92 |
$998.11 |
2.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$323.21 |
$567.04 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,102.06 |
$1,933.44 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$399 |
$700 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$359.20 |
$630.17 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$356.82 |
$625.98 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,476.56 |
$2,590.45 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$528.30 |
$926.85 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$385.06 |
$675.54 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$359.20 |
$630.17 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$389.60 |
$683.50 |
1.5× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,014.15 |
$1,779.21 |
0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$526.45 |
$923.60 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$430.03 |
$754.44 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$457.88 |
$803.31 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$201.56 |
$353.62 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$491.23 |
$861.80 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$359.20 |
$630.17 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,301.10 |
$2,282.63 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$593.92 |
$1,041.96 |
2.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,018.48 |
$1,786.80 |
0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,369.16 |
$4,156.42 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$152.39 |
$267.36 |
0.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$839.68 |
$1,473.12 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,282.38 |
$2,249.79 |
0.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$765.56 |
$1,343.08 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$905.08 |
$1,587.86 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$1,643.32 |
$2,883.01 |
1.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,914.03 |
$3,357.95 |
1.5× |
| Colonoscopy thru stoma (44388) |
$1,509.93 |
$2,649 |
1.5× |
| Colporrhaphy suture injury vagina (57200) |
$2,369.92 |
$4,157.76 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,228.10 |
$2,154.57 |
1.0× |
| Complex Drainage, Wound (10180) |
$1,233.38 |
$2,163.83 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$262.77 |
$461 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$261.53 |
$458.82 |
1.8× |
| Correction hammertoe (28285) |
$1,544.28 |
$2,709.25 |
0.4× |
| Correction of astigmatism (65772) |
$1,006.01 |
$1,764.93 |
0.9× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$3,405.74 |
$5,974.99 |
0.4× |
| Correction of bunion (28292) |
$3,622.52 |
$6,355.30 |
1.0× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$3,200.16 |
$5,614.31 |
0.4× |
| Correction of bunion (28297) |
$10,619.46 |
$18,630.64 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,775.54 |
$6,623.75 |
1.1× |
| Cryotherapy of skin (17340) |
$69.32 |
$121.61 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$230.38 |
$404.18 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$453.30 |
$795.28 |
1.8× |
| Curette/treat cornea (65435) |
$613.61 |
$1,076.50 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,085.03 |
$3,657.95 |
0.9× |
| Cysto w/ureter stricture tx (52341) |
$1,594.28 |
$2,796.99 |
0.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$1,598.74 |
$2,804.81 |
0.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,307.14 |
$5,802 |
0.6× |
| Cystoscopy implant stent (52282) |
$2,504.96 |
$4,394.66 |
0.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,178.80 |
$3,822.45 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$2,224.42 |
$3,902.49 |
0.6× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$1,365.59 |
$2,395.78 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,022.76 |
$3,548.70 |
0.9× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$1,624.59 |
$2,850.15 |
0.4× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,056.59 |
$3,608.05 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$46.02 |
$80.73 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$892.02 |
$1,564.94 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,193.89 |
$2,094.54 |
1.6× |
| Debride nail 1-5 (11720) |
$74.98 |
$131.55 |
1.2× |
| Debride nail 6 or more (11721) |
$74.57 |
$130.83 |
1.2× |
| Debride skin musc at fx site (11011) |
$1,246.84 |
$2,187.44 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$195.63 |
$343.21 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$440.94 |
$773.58 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$646.13 |
$1,133.56 |
0.4× |
| Decompression of tibia nerve (28035) |
$3,269.33 |
$5,735.67 |
1.6× |
| Delivery placenta separate procedure (59414) |
$683.92 |
$1,199.86 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$996.90 |
$1,748.94 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,089.12 |
$1,910.72 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$223.24 |
$391.65 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$109.90 |
$192.81 |
0.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$292.32 |
$512.85 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$44.41 |
$77.92 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$944.20 |
$1,656.49 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$389.45 |
$683.24 |
0.4× |
| Dilation Nasolacrimal Duct (68801) |
$469.11 |
$823 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$296.99 |
$521.04 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$224.42 |
$393.72 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$375.18 |
$658.20 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$324.58 |
$569.44 |
1.5× |
| Drainage mouth roof lesion (42000) |
$241.08 |
$422.94 |
1.0× |
| Drainage of eye (65810) |
$2,300.42 |
$4,035.83 |
0.9× |
| Drainage of gum lesion (41800) |
$283.48 |
$497.32 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$1,448.95 |
$2,542.02 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,648.58 |
$2,892.24 |
0.9× |
| Draw blood off venous device (36591) |
$116.28 |
$204 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$427.70 |
$750.35 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$268.06 |
$470.29 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$187.78 |
$329.44 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$32.71 |
$57.39 |
1.1× |
| Dx gastr intub w/asp spec (43754) |
$220.56 |
$386.95 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,136.83 |
$1,994.43 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,104.89 |
$1,938.41 |
0.5× |
| Egd flexible foreign body removal (43247) |
$1,373.28 |
$2,409.27 |
1.4× |
| Egd guide wire insertion (43248) |
$1,482 |
$2,600 |
1.5× |
| Egd place gastrostomy tube (43246) |
$1,490.86 |
$2,615.54 |
0.7× |
| Egd rem tumr/polyp forcep (43250) |
$1,392.70 |
$2,443.33 |
0.7× |
| Egd remove lesion snare (43251) |
$1,150.96 |
$2,019.23 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,675.32 |
$2,939.15 |
0.8× |
| Epididymectomy unilateral (54860) |
$2,460.51 |
$4,316.69 |
0.7× |
| Epidural lysis on single day (62264) |
$1,622.75 |
$2,846.93 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$104.03 |
$182.50 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,668.91 |
$2,927.92 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$402.28 |
$705.76 |
0.2× |
| Exc back tum deep < 5 cm (21932) |
$2,262.55 |
$3,969.38 |
0.7× |
| Exc face les sbq 2 cm/> (21012) |
$2,114.64 |
$3,709.90 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$268.05 |
$470.27 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$445.11 |
$780.89 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,562.18 |
$2,740.68 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$312.77 |
$548.72 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$296.57 |
$520.29 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$329.49 |
$578.06 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$381.13 |
$668.65 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,111.07 |
$1,949.25 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$931.86 |
$1,634.84 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,233.43 |
$3,918.30 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,875.07 |
$3,289.59 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,226.07 |
$2,151 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,782.58 |
$4,881.72 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,782.56 |
$3,127.29 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,535.32 |
$2,693.53 |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$247.51 |
$434.23 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,913.36 |
$3,356.77 |
1.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$572.73 |
$1,004.79 |
0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,486.57 |
$4,362.40 |
0.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,642.54 |
$2,881.64 |
0.5× |
| Exchange intraocular lens (66986) |
$3,567.53 |
$6,258.82 |
1.4× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$1,454.49 |
$2,551.73 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,830.62 |
$3,211.62 |
1.1× |
| Excision Chalazion Single (67800) |
$421.23 |
$739 |
1.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$444.24 |
$779.37 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$748.41 |
$1,313 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,183.83 |
$2,076.90 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,122.62 |
$1,969.50 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,430.13 |
$2,509 |
1.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,701.78 |
$2,985.58 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$533.10 |
$935.26 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$335.15 |
$587.99 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$373.67 |
$655.57 |
0.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,171.49 |
$2,055.25 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$349.16 |
$612.56 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$244.06 |
$428.18 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,944.05 |
$5,165 |
1.7× |
| Excision of nail fold toe (11765) |
$156.45 |
$274.47 |
0.4× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$1,597.64 |
$2,802.87 |
0.8× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,670.20 |
$4,684.56 |
0.9× |
| Excision olecranon bursa (24105) |
$2,406.01 |
$4,221.08 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$1,785.08 |
$3,131.72 |
0.5× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,854.41 |
$3,253.35 |
1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,614.11 |
$2,831.78 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$734.96 |
$1,289.41 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$1,784.86 |
$3,131.32 |
1.0× |
| Exploration of knee joint (27310) |
$1,642.40 |
$2,881.41 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$951.17 |
$1,668.72 |
0.5× |
| Explore/treat ankle joint (27610) |
$1,902.62 |
$3,337.94 |
0.5× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,652.29 |
$2,898.76 |
1.0× |
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991)
unusually low: confirm this is the full procedure |
$2,495.47 |
$4,378.02 |
0.4× |
| Fasciotomy foot and/or toe (28008) |
$3,004.64 |
$5,271.30 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,037.81 |
$5,329.49 |
0.9× |
| Fetal non-stress test (59025) |
$318.74 |
$559.19 |
1.5× |
| Fix ectropion,entensv lid repair (67917) |
$2,671.40 |
$4,686.66 |
1.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$855.58 |
$1,501.02 |
0.2× |
| Fusion of foot bones (28715) |
$15,460.66 |
$27,123.96 |
1.1× |
Fusion of foot bones (28730)
unusually low: confirm this is the full procedure |
$5,390.95 |
$9,457.80 |
0.4× |
| Fusion of foot bones (28740) |
$15,778.63 |
$27,681.81 |
2.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$239.97 |
$421 |
1.0× |
| Gastrocnemius Recession (27687) |
$769.02 |
$1,349.16 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$5,497.60 |
$9,644.92 |
0.7× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$1,889.37 |
$3,314.69 |
0.5× |
| Hemorrhoidectomy (46255) |
$1,675.12 |
$2,938.82 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$336.96 |
$591.15 |
1.3× |
| I&d abscess simple (10060) |
$218.28 |
$382.95 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,652.94 |
$4,654.29 |
0.9× |
| I&d perianal abscess superficial (46050) |
$740.46 |
$1,299.05 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$384.64 |
$674.80 |
0.5× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$2,508.21 |
$4,400.36 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,141.90 |
$2,003.34 |
0.7× |
| Incise inner eye adhesions (65875) |
$1,686.44 |
$2,958.66 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$309.85 |
$543.60 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,390.50 |
$2,439.48 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$439.09 |
$770.33 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$443.47 |
$778.02 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$222.69 |
$390.68 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$276.98 |
$485.94 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$250.52 |
$439.50 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,606.70 |
$2,818.76 |
0.9× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$2,466.42 |
$4,327.05 |
0.3× |
| Incision of metatarsal (28308) |
$1,520.64 |
$2,667.78 |
0.4× |
| Incision of rectal abscess (46045) |
$1,386.16 |
$2,431.86 |
0.5× |
| Incision of rectal abscess (46040) |
$1,557.84 |
$2,733.06 |
1.2× |
| Incision of urethra (53020) |
$1,458.29 |
$2,558.41 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$533.10 |
$935.26 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$195.63 |
$343.21 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$212.47 |
$372.75 |
1.0× |
| Inj neurolytic subarachnoid (62280) |
$655.03 |
$1,149.18 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$687.51 |
$1,206.16 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$94.64 |
$166.04 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,366.10 |
$2,396.67 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,467.87 |
$2,575.21 |
1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$617.08 |
$1,082.60 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$206.34 |
$362 |
0.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$267.92 |
$470.04 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,001.32 |
$1,756.70 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,328.99 |
$2,331.57 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$154.15 |
$270.43 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$383.75 |
$673.24 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$747.38 |
$1,311.19 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$262.24 |
$460.07 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$825.93 |
$1,449 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$154.15 |
$270.43 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$118.84 |
$208.49 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$38.71 |
$67.92 |
0.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$221.06 |
$387.82 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$119.55 |
$209.74 |
0.6× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$569.29 |
$998.75 |
0.6× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$654.68 |
$1,148.56 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$6,784.77 |
$11,903.11 |
0.6× |
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
unusually low: confirm this is the full procedure |
$4,411.95 |
$7,740.26 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$187.71 |
$329.32 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$353.21 |
$619.66 |
0.1× |
| Insert picc cath (36569) |
$1,331.04 |
$2,335.14 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$916.34 |
$1,607.61 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$112.65 |
$197.63 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,846.03 |
$4,993.03 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$134.13 |
$235.32 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,263.89 |
$7,480.50 |
1.3× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$592.96 |
$1,040.28 |
0.2× |
Insj stablj dev w/o dcmprn lumbar single level (22869)
unusually low: confirm this is the full procedure |
$5,889.22 |
$10,331.96 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$586.88 |
$1,029.62 |
0.1× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$2,087.07 |
$3,661.52 |
0.2× |
| Insrt/redo spine n generator (63685) |
$35,375.71 |
$62,062.65 |
1.1× |
| Intracapsular cataract extraction (66983) |
$4,589.77 |
$8,052.23 |
1.9× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$164.46 |
$288.53 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$508.92 |
$892.85 |
2.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$339.37 |
$595.39 |
1.3× |
| Knee arthroscopy/surgery (29883) |
$2,486.90 |
$4,362.98 |
0.7× |
| Knee arthroscopy/surgery (29876) |
$2,360.22 |
$4,140.74 |
0.7× |
| Lap ing hernia repair init (49650) |
$5,558.72 |
$9,752.14 |
0.9× |
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure |
$3,307.14 |
$5,802 |
0.3× |
| Laparo sling operation (51992) |
$3,739.25 |
$6,560.09 |
0.6× |
| Laparoscopy appendectomy (44970) |
$4,355.56 |
$7,641.34 |
0.7× |
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure |
$1,300.83 |
$2,282.16 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$2,029.30 |
$3,560.18 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,023.86 |
$8,813.79 |
0.8× |
| Laparoscopy, surgical; urethral suspension for stress incontinence (51990) |
$4,513.21 |
$7,917.92 |
0.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$258.68 |
$453.82 |
1.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$274.42 |
$481.44 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,643.12 |
$2,882.67 |
0.9× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low: confirm this is the full procedure |
$3,756 |
$6,589.47 |
0.5× |
| Manipulation of spine (22505) |
$236.64 |
$415.15 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$133.19 |
$233.66 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$25.19 |
$44.20 |
0.8× |
| Neuroplasty; nerve of hand or foot (64704) |
$1,378.34 |
$2,418.13 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,057.64 |
$1,855.51 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$202.18 |
$354.71 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,395.99 |
$2,449.11 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,314.23 |
$2,305.66 |
1.7× |
| Ocular reconst transplant (65780) |
$3,090.77 |
$5,422.41 |
0.7× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,998.24 |
$3,505.68 |
0.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,791.84 |
$8,406.73 |
0.6× |
| Open Treatment Medial Malleolus Fracture (27766) |
$9,124.35 |
$16,007.63 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$5,075.48 |
$8,904.35 |
0.7× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,736.76 |
$4,801.32 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$2,414.03 |
$4,235.14 |
0.2× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$2,162.14 |
$3,793.22 |
0.3× |
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758)
likely a partial charge, not the full procedure |
$2,052.28 |
$3,600.49 |
0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$351.32 |
$616.35 |
0.1× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$6,455.93 |
$11,326.20 |
0.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$595.15 |
$1,044.12 |
0.2× |
| Open tx nose fx uncomplicatd (21325) |
$748.28 |
$1,312.77 |
0.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,542.20 |
$14,986.32 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,506.52 |
$4,397.41 |
0.7× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
unusually low: confirm this is the full procedure |
$5,019.38 |
$8,805.94 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,422.88 |
$6,005.06 |
0.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,604.93 |
$2,815.66 |
0.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$1,551.60 |
$2,722.11 |
0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,597.07 |
$2,801.88 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,889.56 |
$3,315 |
0.5× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure |
$3,345.08 |
$5,868.56 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,178.06 |
$3,821.16 |
1.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$1,539.15 |
$2,700.26 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$562.09 |
$986.13 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$2,149.46 |
$3,770.99 |
0.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,187.55 |
$3,837.80 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,216.47 |
$2,134.16 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$263.57 |
$462.40 |
1.0× |
| Phalangectomy toe each toe (28150) |
$2,039.71 |
$3,578.44 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$254.35 |
$446.22 |
0.5× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$1,485.68 |
$2,606.44 |
0.4× |
| Preputial Stretching (54450) |
$371.07 |
$651 |
1.4× |
| Probe nasolacrimal duct (68811) |
$1,851.79 |
$3,248.75 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$869.94 |
$1,526.21 |
0.9× |
| Prostatectomy (turp) (52601) |
$3,853.80 |
$6,761.05 |
0.7× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$4,349.76 |
$7,631.16 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$109.90 |
$192.81 |
0.3× |
| Puncture Aspiration (10160) |
$199.39 |
$349.80 |
0.5× |
| Pvb thoracic single inj site (64461) |
$372.97 |
$654.33 |
0.5× |
| Reconstruc toe deform,soft tissue (28313) |
$31,297.88 |
$54,908.56 |
9.0× |
| Relieve inner eye pressure (65820) |
$2,022.31 |
$3,547.91 |
0.5× |
| Rem endovas vena cava filter (37193) |
$155.42 |
$272.66 |
0.0× |
| Removal fb intranasal (30300) |
$200.92 |
$352.50 |
1.4× |
| Removal foreign body foot subcutaneous (28190) |
$404.35 |
$709.38 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$734.96 |
$1,289.41 |
0.4× |
| Removal foreign body pharynx (42809) |
$239.78 |
$420.67 |
0.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$199.28 |
$349.61 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$26.57 |
$46.62 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$54.16 |
$95.01 |
0.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,302.18 |
$2,284.51 |
0.4× |
| Removal Implant Deep (20680) |
$956.86 |
$1,678.70 |
0.3× |
| Removal of ankle implant (27704) |
$2,352.93 |
$4,127.94 |
0.7× |
| Removal of arm foreign body (24200) |
$381.91 |
$670.02 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,486.16 |
$2,607.30 |
0.9× |
| Removal of heel bone (28118) |
$3,044.11 |
$5,340.55 |
0.9× |
| Removal of heel spur (28119) |
$3,259.88 |
$5,719.08 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$310.05 |
$543.94 |
1.0× |
| Removal of nail bed (11750) |
$185.30 |
$325.08 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$161.65 |
$283.59 |
0.8× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,629.57 |
$2,858.90 |
0.6× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,769.19 |
$4,858.22 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$228.57 |
$401 |
0.8× |
| Remove drug implant device (11982) |
$689.90 |
$1,210.35 |
1.4× |
| Remove eye implant material (67121) |
$3,040.19 |
$5,333.66 |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$615.34 |
$1,079.55 |
1.8× |
| Remove foreign body from eye (65235) |
$188.78 |
$331.20 |
0.1× |
| Remove foreign body from eye (65210) |
$157.14 |
$275.68 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$2,051.87 |
$3,599.77 |
0.7× |
| Remove spine infusion device (62365) |
$2,044.89 |
$3,587.53 |
0.6× |
| Remove Ureter Stent, Percut (50384) |
$1,942.87 |
$3,408.55 |
0.9× |
| Remove wrist tendon lesion (25111) |
$1,490.55 |
$2,615 |
0.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$118 |
$207.01 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$79.84 |
$140.07 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$130.42 |
$228.80 |
0.9× |
| Remv&replc pm gen dual lead (33228) |
$17,713.18 |
$31,075.75 |
1.6× |
Repair collat ankle ligmnt,secondary (27698)
unusually low: confirm this is the full procedure |
$3,084.32 |
$5,411.09 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$378.34 |
$663.76 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$760.11 |
$1,333.53 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$529.46 |
$928.88 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$721.18 |
$1,265.24 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$583.78 |
$1,024.17 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$680.62 |
$1,194.08 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$842.79 |
$1,478.58 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$835.98 |
$1,466.64 |
1.1× |
| Repair elbow deb/attch open (24359) |
$2,488.61 |
$4,365.98 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,443.28 |
$4,286.45 |
1.4× |
| Repair eyelid defect (67916) |
$2,169.28 |
$3,805.75 |
0.9× |
| Repair eyelid defect (67904) |
$3,525.54 |
$6,185.15 |
1.4× |
| Repair eyelid defect (67903) |
$2,975.46 |
$5,220.11 |
1.2× |
| Repair eyelid defect (67924) |
$1,860.85 |
$3,264.65 |
0.7× |
| Repair finger tendon (26432) |
$1,983.26 |
$3,479.40 |
1.2× |
Repair foot dislocation (28585)
unusually low: confirm this is the full procedure |
$2,378.91 |
$4,173.52 |
0.3× |
| Repair forearm tendon/muscle (25270) |
$1,382.53 |
$2,425.49 |
0.4× |
| Repair hand tendon (26410) |
$2,556.07 |
$4,484.33 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$739.13 |
$1,296.72 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$534.66 |
$938 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$528.39 |
$927 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$387.15 |
$679.21 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$538.14 |
$944.10 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$582.58 |
$1,022.07 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$642.96 |
$1,128 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$333.88 |
$585.76 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$326.92 |
$573.54 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$607.85 |
$1,066.40 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$402.45 |
$706.05 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$560.88 |
$984 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$617.31 |
$1,083 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$586.40 |
$1,028.78 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.90 |
$577.02 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$586.40 |
$1,028.78 |
0.3× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$1,924.16 |
$3,375.72 |
0.2× |
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure |
$1,969.48 |
$3,455.23 |
0.3× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$5,587.73 |
$9,803.03 |
0.7× |
| Repair Of Foot Tendon (28208) |
$1,883.22 |
$3,303.89 |
0.5× |
| Repair of hammertoe (28286) |
$1,131.22 |
$1,984.59 |
0.3× |
| Repair of hydrocele (55060) |
$2,416.89 |
$4,240.15 |
0.6× |
| Repair of leg tendon each (27658) |
$3,851.62 |
$6,757.22 |
1.1× |
| Repair of nail bed (11760) |
$468 |
$821.06 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$2,488.44 |
$4,365.68 |
0.3× |
Repair rectum & vagina (57250)
unusually low: confirm this is the full procedure |
$2,521.97 |
$4,424.51 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$15,153.28 |
$26,584.71 |
2.0× |
| Repair symblepharon (68340) |
$1,879.71 |
$3,297.74 |
0.7× |
| Repair Tongue Laceration (41250) |
$361.14 |
$633.58 |
0.8× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$3,306.26 |
$5,800.45 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,955.58 |
$3,430.85 |
0.6× |
| Rerepair ing hernia reduce (49520) |
$3,591.93 |
$6,301.64 |
0.9× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$1,833.76 |
$3,217.12 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$1,353.48 |
$2,374.53 |
0.4× |
| Revise arm/leg nerve (64708) |
$3,405.35 |
$5,974.29 |
1.6× |
| Revise finger joint (26535) |
$2,317.01 |
$4,064.93 |
0.7× |
| Revise finger joint each (26140) |
$1,108.08 |
$1,944 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$2,197.49 |
$3,855.25 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$2,090.71 |
$3,667.92 |
1.0× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$2,088.90 |
$3,664.74 |
0.3× |
| Revision of eyelid (67961) |
$3,174.75 |
$5,569.73 |
1.3× |
| Revision of iris (66761) |
$971.85 |
$1,705 |
1.7× |
| Revision of lower leg tendon (27685) |
$2,002.22 |
$3,512.67 |
0.6× |
| Revision of upper eyelid (15823) |
$2,769.07 |
$4,858.01 |
1.3× |
Rmvl & rplcmt non-nfltbl/nfltbl penile prosthesi (54416)
unusually low: confirm this is the full procedure |
$6,719.74 |
$11,789.01 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$177.07 |
$310.64 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$208.05 |
$365 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,164.58 |
$3,797.51 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,959.74 |
$3,438.14 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,001.99 |
$1,757.87 |
1.5× |
| Rmvl vitreous ant appr partial removal (67005) |
$2,173.13 |
$3,812.50 |
0.9× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$1,985.92 |
$3,484.08 |
0.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$510.12 |
$894.96 |
2.0× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure |
$2,939.84 |
$5,157.62 |
0.4× |
| Scrotal exploration (55110) |
$2,424.15 |
$4,252.89 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$131.67 |
$231 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$147.50 |
$258.78 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$156.75 |
$275 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$57.63 |
$101.10 |
0.1× |
| Shldr arthroscop,lyse adhesns (29825) |
$2,251.11 |
$3,949.32 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$130.34 |
$228.66 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,018.15 |
$1,786.23 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$389.31 |
$683 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$264.74 |
$464.45 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$211.36 |
$370.80 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$291.03 |
$510.58 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$241.43 |
$423.57 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$283.62 |
$497.59 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$338.23 |
$593.39 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$294.69 |
$517 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$519.99 |
$912.26 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$232.64 |
$408.14 |
1.1× |
| Skin pinch graft (15050) |
$490 |
$859.66 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$964.78 |
$1,692.59 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$266.56 |
$467.65 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$287.18 |
$503.82 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$373.60 |
$655.42 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$223.27 |
$391.71 |
0.3× |
| Strapping ankle (29540) |
$158.46 |
$278 |
0.9× |
| Strapping elbow/wrist (29260) |
$137.64 |
$241.47 |
2.2× |
| Strapping hand/finger (29280) |
$78.32 |
$137.40 |
1.2× |
| Strapping knee (29530) |
$100.70 |
$176.68 |
0.7× |
| Strapping shoulder (29240) |
$98.14 |
$172.18 |
0.7× |
| Strapping toes (29550) |
$60.94 |
$106.90 |
1.0× |
| Strapping unna boot (29580) |
$255.68 |
$448.56 |
1.5× |
| Subconjunctival injection (68200) |
$585.93 |
$1,027.94 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$63.42 |
$111.27 |
0.1× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$2,239.21 |
$3,928.44 |
0.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,114.57 |
$1,955.38 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$818.02 |
$1,435.12 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,399.16 |
$2,454.66 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$934.50 |
$1,639.48 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$638.35 |
$1,119.92 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$476.78 |
$836.46 |
1.4× |
| Thyroidectomy, total or complete (60240) |
$6,126.27 |
$10,747.84 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,170.27 |
$2,053.11 |
4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,108.30 |
$1,944.38 |
0.7× |
Transluminal dilation of aqueous outflow canal; with retention of device or stent (66175)
unusually low: confirm this is the full procedure |
$2,143.45 |
$3,760.43 |
0.4× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$2,244.32 |
$3,937.40 |
0.5× |
Treat elbow fracture (24635)
likely a partial charge, not the full procedure |
$1,673.01 |
$2,935.11 |
0.2× |
| Treat finger dislocation (26775) |
$609.78 |
$1,069.78 |
2.0× |
| Treat Finger Fracture Each (26727) |
$2,056.22 |
$3,607.40 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$405.84 |
$712 |
1.5× |
| Treat fracture radius/ulna (25575) |
$11,019.71 |
$19,332.83 |
1.4× |
| Treat fx distal radial (25606) |
$2,494.18 |
$4,375.74 |
0.7× |
| Treat heel fracture (28415) |
$4,848.31 |
$8,505.80 |
0.6× |
| Treat humerus fracture (24500) |
$330.78 |
$580.32 |
1.3× |
| Treat humerus fracture (23600) |
$341.82 |
$599.69 |
1.3× |
| Treat knee fracture (27532) |
$659.81 |
$1,157.56 |
0.2× |
| Treat lower leg fracture (27828) |
$11,019.71 |
$19,332.83 |
0.8× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$2,565.69 |
$4,501.21 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$541.50 |
$950 |
2.1× |
| Treat ulnar fracture (24685) |
$4,285.86 |
$7,519.06 |
0.6× |
| Treatment closed elbow dislocation req anes (24605) |
$951.48 |
$1,669.27 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$474.54 |
$832.53 |
1.8× |
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure |
$3,566.68 |
$6,257.33 |
0.5× |
| Treatment of ankle fracture (27792) |
$9,300.37 |
$16,316.44 |
1.2× |
| Treatment of fibula fracture (27784) |
$4,766.34 |
$8,362 |
0.6× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,956.37 |
$5,186.62 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$359.67 |
$631 |
1.4× |
Treatment of tibia fracture (27759)
likely a partial charge, not the full procedure |
$2,370.97 |
$4,159.59 |
0.2× |
| Trim skin lesion (11055) |
$109.90 |
$192.81 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$124.28 |
$218.02 |
0.6× |
| Trim skin lesions over 4 (11057) |
$48.87 |
$85.74 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$12.83 |
$22.50 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,818.14 |
$3,189.72 |
0.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$1,955.17 |
$3,430.13 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$466.31 |
$818.08 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$304.76 |
$534.67 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$371.43 |
$651.64 |
0.2× |
| Unlisted procedure foot or toes (28899) |
$1,168.95 |
$2,050.79 |
4.4× |
| Unlisted procedure, male genital system (55899) |
$7,518.30 |
$13,190 |
28.2× |
| Vaginal delivery only (59409) |
$1,468.84 |
$2,576.91 |
0.4× |
| Venipuncture (36415) |
$10.84 |
$19.02 |
1.2× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$385.40 |
$676.14 |
2.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$385.40 |
$676.14 |
0.8× |
Xcpsl ctrc rmvl cplx insj 1+ (66989)
unusually low: confirm this is the full procedure |
$2,495.47 |
$4,378.02 |
0.4× |