| Abd paracentesis w/imaging (49083) |
$1,572.80 |
$1,966 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$520 |
$650 |
0.5× |
| Acne surgery (10040) |
$99.20 |
$124 |
0.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,817.60 |
$3,522 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,154.40 |
$3,943 |
0.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,668 |
$3,335 |
1.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,487.20 |
$3,109 |
1.1× |
| Amputation Finger/Thumb (26951) |
$2,588.80 |
$3,236 |
0.7× |
| Amputation foot transmetarsal (28805) |
$2,733.60 |
$3,417 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$1,608 |
$2,010 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$1,399.20 |
$1,749 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,496 |
$1,870 |
0.4× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$2,532 |
$3,165 |
0.7× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$3,366.40 |
$4,208 |
0.4× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$2,502.40 |
$3,128 |
0.7× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$1,768.80 |
$2,211 |
0.5× |
| Anoscopy diagnostic (46600) |
$106.40 |
$133 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,375.20 |
$1,719 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$263.20 |
$329 |
0.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$374.40 |
$468 |
0.1× |
Anterior tibial tubercleplasty (27418)
unusually low: confirm this is the full procedure |
$3,347.20 |
$4,184 |
0.4× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,372.80 |
$2,966 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$119.20 |
$149 |
0.7× |
| Application cast elbow finger short arm (29075) |
$162.40 |
$203 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$178 |
$222.50 |
0.6× |
| Application finger splint static (29130) |
$71.20 |
$89 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$155.60 |
$194.50 |
0.9× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge, not the full procedure |
$4,155.20 |
$5,194 |
0.3× |
| Application of long leg cast (29345) |
$244.80 |
$306 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$222.40 |
$278 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$206.40 |
$258 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$104 |
$130 |
0.7× |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$2,199.20 |
$2,749 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$168.40 |
$210.50 |
0.9× |
| Apply long leg splint (29505) |
$303.20 |
$379 |
1.7× |
| Apply short leg cast (29405) |
$151.20 |
$189 |
0.5× |
| Apply short leg cast (29425) |
$390.40 |
$488 |
1.3× |
| Apply short leg splint (29515) |
$106.80 |
$133.50 |
0.6× |
| Arterial puncture (36600) |
$250.40 |
$313 |
1.7× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$2,728.80 |
$3,411 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$125.20 |
$156.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$133.60 |
$167 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$179.20 |
$224 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$133.20 |
$166.50 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$83.20 |
$104 |
0.2× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$3,600 |
$4,500 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,184.80 |
$1,481 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$2,176.80 |
$2,721 |
0.3× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$2,115.20 |
$2,644 |
0.6× |
Arthrodesis triple (28715)
likely a partial charge, not the full procedure |
$3,493.60 |
$4,367 |
0.2× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge, not the full procedure |
$2,075.20 |
$2,594 |
0.3× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$2,900.80 |
$3,626 |
0.2× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$3,575.20 |
$4,469 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$5,374.40 |
$6,718 |
0.3× |
| Arthroplasty interphalangeal joint each (26535) |
$1,564.80 |
$1,956 |
0.4× |
Arthroplasty patella w/prosthesis (27438)
likely a partial charge, not the full procedure |
$3,118.40 |
$3,898 |
0.2× |
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure |
$2,373.60 |
$2,967 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,091.20 |
$3,864 |
0.8× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
likely a partial charge, not the full procedure |
$4,275.20 |
$5,344 |
0.3× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889)
unusually low: confirm this is the full procedure |
$4,520 |
$5,650 |
0.3× |
Arthroscopy Hip W/Femoroplasty (29914)
unusually low: confirm this is the full procedure |
$3,868.80 |
$4,836 |
0.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,537.60 |
$1,922 |
0.4× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,441.60 |
$3,052 |
0.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,846.40 |
$2,308 |
0.5× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,804.80 |
$3,506 |
0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,498.40 |
$3,123 |
0.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,112.80 |
$2,641 |
0.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$1,786.40 |
$2,233 |
0.5× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Facility (29899)
unusually low: confirm this is the full procedure |
$3,841.60 |
$4,802 |
0.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,489.60 |
$3,112 |
0.7× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$1,820.80 |
$2,276 |
0.5× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
unusually low: confirm this is the full procedure |
$3,012.80 |
$3,766 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,962.40 |
$2,453 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,092.80 |
$2,616 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,121.60 |
$3,902 |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,600 |
$3,250 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,403.20 |
$4,254 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,928 |
$4,910 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,313.60 |
$2,892 |
0.6× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$3,836.80 |
$4,796 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,939.20 |
$4,924 |
0.5× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$1,860 |
$2,325 |
0.5× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,408 |
$3,010 |
0.7× |
| Arthrotomy w/synovectomy ankle (27625) |
$2,146.40 |
$2,683 |
0.6× |
| Arthrotomy wrist joint with synovectomy (25105) |
$1,773.60 |
$2,217 |
0.5× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$2,268 |
$2,835 |
0.6× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$2,081.60 |
$2,602 |
0.6× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$2,520 |
$3,150 |
0.7× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$3,645.60 |
$4,557 |
0.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,313.60 |
$2,892 |
0.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,465.60 |
$1,832 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$985.20 |
$1,231.50 |
1.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$84.80 |
$106 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$682 |
$852.50 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$160 |
$200 |
0.7× |
| Biopsy bone open deep (20245) |
$1,311.20 |
$1,639 |
0.4× |
| Biopsy bone open superficial (20240) |
$567.20 |
$709 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$492 |
$615 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$826.40 |
$1,033 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$916 |
$1,145 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$608.80 |
$761 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$126.40 |
$158 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$1,620.80 |
$2,026 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$120.80 |
$151 |
0.2× |
| Bladder Irrigation Simple (51700) |
$74.40 |
$93 |
0.3× |
| Blepharotomy drain absc eyelid (67700) |
$940 |
$1,175 |
2.7× |
| Blood patch (62273) |
$701.20 |
$876.50 |
0.9× |
| Blood transfusion service (36430) |
$1,200 |
$1,500 |
2.4× |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
$4,823.20 |
$6,029 |
0.6× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$798.40 |
$998 |
0.1× |
| Bone Marrow Biopsy (38221) |
$829.60 |
$1,037 |
0.5× |
| Bone Marrow Harvest Autolog (38232) |
$756.80 |
$946 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,460 |
$1,825 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,860 |
$2,325 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$138.40 |
$173 |
0.1× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,510.40 |
$1,888 |
0.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,178.40 |
$1,473 |
0.3× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge, not the full procedure |
$2,155.20 |
$2,694 |
0.3× |
| Capsulodesis, metacarpophalangeal joint; single digit Facility (26516) |
$2,535.20 |
$3,169 |
0.7× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462)
unusually low: confirm this is the full procedure |
$3,912 |
$4,890 |
0.5× |
| Carpectomy All Bones Proximal Row (25215) |
$2,298.40 |
$2,873 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$428 |
$535 |
1.8× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$283.20 |
$354 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$224 |
$280 |
0.3× |
| Change of cystostomy tube simple (51705) |
$353.20 |
$441.50 |
1.3× |
| Chemical cautery tissue (17250) |
$84 |
$105 |
0.4× |
| Chemodenerv musc migraine (64615) |
$308 |
$385 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$271.60 |
$339.50 |
0.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$429.60 |
$537 |
0.5× |
| Chemodenerv trunk musc 6/> (64647) |
$499.20 |
$624 |
0.6× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$444.80 |
$556 |
0.6× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$266 |
$332.50 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$301.20 |
$376.50 |
0.9× |
| Circum 28 days or older (54161) |
$483.20 |
$604 |
0.2× |
| Circumcision (54150) |
$204 |
$255 |
0.1× |
| Circumcision Neonate (54160) |
$354.40 |
$443 |
0.5× |
| Claviculectomy partial (23120) |
$2,165.60 |
$2,707 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$696 |
$870 |
2.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$964.80 |
$1,206 |
3.5× |
| Closed Rx Radial Shaft Fx (25500) |
$580 |
$725 |
2.1× |
| Closed treat wrist dislocation (25660) |
$442.40 |
$553 |
1.6× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$1,035.20 |
$1,294 |
0.3× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,812 |
$3,515 |
1.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,612.40 |
$2,015.50 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,649.60 |
$2,062 |
6.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$403.20 |
$504 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,102.40 |
$2,628 |
1.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$562.40 |
$703 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,808.80 |
$2,261 |
6.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,277.60 |
$1,597 |
4.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$487.20 |
$609 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,691.20 |
$2,114 |
0.9× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$1,227.20 |
$1,534 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$608.80 |
$761 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,286.40 |
$1,608 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,148 |
$1,435 |
4.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$516 |
$645 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$618.40 |
$773 |
2.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$812.80 |
$1,016 |
0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$572 |
$715 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$723.20 |
$904 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,398.40 |
$1,748 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$422.40 |
$528 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$322.40 |
$403 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$392.80 |
$491 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$330.40 |
$413 |
1.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$329.60 |
$412 |
0.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,081.20 |
$1,351.50 |
0.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,712.80 |
$2,141 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$824 |
$1,030 |
3.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,726.40 |
$3,408 |
8.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$450.40 |
$563 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$559.60 |
$699.50 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,046.40 |
$1,308 |
3.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$246.40 |
$308 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$902.40 |
$1,128 |
3.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,152 |
$2,690 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$182.40 |
$228 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$136 |
$170 |
0.9× |
| Colonoscopy flex w/blln dilat (45386) |
$789.60 |
$987 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$748.80 |
$936 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$853.60 |
$1,067 |
0.6× |
| Colonoscopy stoma w/balloon dilation (44405) |
$632.80 |
$791 |
0.5× |
| Colonoscopy stoma w/biopsy (44389) |
$605.60 |
$757 |
0.5× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$596 |
$745 |
0.4× |
| Colonoscopy thru stoma (44388) |
$541.60 |
$677 |
0.5× |
| Colonoscopy w/ablation (45388) |
$953.60 |
$1,192 |
0.7× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$941.60 |
$1,177 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$277.60 |
$347 |
0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$197.60 |
$247 |
0.6× |
| Complex Cystometrogram (51726) |
$232.80 |
$291 |
0.8× |
| Complex cystometrogram urethral press profile (51727) |
$293.60 |
$367 |
0.4× |
| Complex Uroflowmetry (51741) |
$38.40 |
$48 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$646.40 |
$808 |
2.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$244.80 |
$306 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$139.20 |
$174 |
0.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$449.60 |
$562 |
0.7× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415)
unusually low: confirm this is the full procedure |
$2,565.60 |
$3,207 |
0.3× |
| Correction hammertoe (28285) |
$1,422.40 |
$1,778 |
0.4× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$2,297.60 |
$2,872 |
0.3× |
| Correction of bunion (28292) |
$1,805.60 |
$2,257 |
0.5× |
Correction of bunion (28299)
likely a partial charge, not the full procedure |
$2,134.40 |
$2,668 |
0.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$2,239.20 |
$2,799 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,969.60 |
$2,462 |
0.5× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$1,992.80 |
$2,491 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$358.40 |
$448 |
2.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$479.60 |
$599.50 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$528.80 |
$661 |
0.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$556 |
$695 |
0.1× |
| Cysto w/insert ureteral stent (52332) |
$432 |
$540 |
0.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$792 |
$990 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$526.40 |
$658 |
0.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$1,532.80 |
$1,916 |
0.4× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$1,728.80 |
$2,161 |
0.3× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$1,721.60 |
$2,152 |
0.3× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$1,622.40 |
$2,028 |
0.3× |
| Cystometrogram w/vp (51728) |
$286.40 |
$358 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$347.20 |
$434 |
0.4× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$1,097.60 |
$1,372 |
0.5× |
| Cystouretero & or pyeloscope (52351) |
$1,257.60 |
$1,572 |
0.3× |
| Cystourethroscopy (52000) |
$288.40 |
$360.50 |
0.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$585.60 |
$732 |
0.3× |
| Cystourethroscopy with biopsy (52204) |
$491.60 |
$614.50 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$59.20 |
$74 |
0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,568.80 |
$1,961 |
0.5× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,808.80 |
$2,261 |
0.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,034.40 |
$1,293 |
1.3× |
| Debride nail 1-5 (11720) |
$32 |
$40 |
0.5× |
| Debride nail 6 or more (11721) |
$88.80 |
$111 |
1.4× |
| Debride tissue/muscle (11043) |
$576 |
$720 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$172.80 |
$216 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$856 |
$1,070 |
0.5× |
| Declot vascular device (36593) |
$369.60 |
$462 |
1.0× |
| Decompression Of Tibia Nerve (28035) |
$1,338.40 |
$1,673 |
0.6× |
| Decompressive fasciotomy hand (26037) |
$1,996 |
$2,495 |
0.5× |
| Delivery placenta separate procedure (59414) |
$336 |
$420 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$789.60 |
$987 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$324 |
$405 |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$756.80 |
$946 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$183.20 |
$229 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$167.20 |
$209 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,133.60 |
$1,417 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,135.20 |
$1,419 |
0.5× |
| Destruction of skin lesions (17106) |
$531.20 |
$664 |
1.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$254.40 |
$318 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$121.60 |
$152 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$335.20 |
$419 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$197.60 |
$247 |
0.2× |
| Dil urethra,female,subsequent (53661) |
$112.80 |
$141 |
0.8× |
| Dilate Urethra Stricture (53620) |
$242.40 |
$303 |
0.3× |
| Dilate urethra stricture (53600) |
$176 |
$220 |
0.6× |
| Dilation and curettage (58120) |
$848 |
$1,060 |
0.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$116.80 |
$146 |
0.8× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$146.40 |
$183 |
1.0× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$1,496 |
$1,870 |
0.4× |
Division of scalenus anticus; without resection of cervical rib Facility (21700)
likely a partial charge, not the full procedure |
$1,369.60 |
$1,712 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$252.80 |
$316 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$247.20 |
$309 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$754.40 |
$943 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$444.80 |
$556 |
2.0× |
| Drainage of gum lesion (41800) |
$319.20 |
$399 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$383.20 |
$479 |
0.2× |
| Drainage of hydrocele (55000) |
$238.40 |
$298 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$592.80 |
$741 |
0.3× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,059.20 |
$2,574 |
0.6× |
| Draw blood off venous device (36591) |
$111.20 |
$139 |
0.8× |
| Dressing change under anesthesia (15852) |
$88 |
$110 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$553.60 |
$692 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$256.40 |
$320.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$140 |
$175 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$490.40 |
$613 |
0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$207.20 |
$259 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$291.20 |
$364 |
0.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$573.60 |
$717 |
0.3× |
| Egd control bleeding any (43255) |
$748.80 |
$936 |
0.4× |
| Egd dilate stricture (43245) |
$656.80 |
$821 |
0.3× |
| Egd flexible foreign body removal (43247) |
$624 |
$780 |
0.6× |
| Egd guide wire insertion (43248) |
$618.40 |
$773 |
0.6× |
| Egd place gastrostomy tube (43246) |
$705.60 |
$882 |
0.3× |
| Egd remove lesion snare (43251) |
$713.60 |
$892 |
0.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$103.20 |
$129 |
0.7× |
| Endometrial Biopsy (58100) |
$152.80 |
$191 |
0.7× |
| Endoscopy bowel pouch/biop (44386) |
$324.80 |
$406 |
0.3× |
| Endoscopy of bowel pouch (44385) |
$263.20 |
$329 |
0.3× |
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure |
$338.40 |
$423 |
0.1× |
| Endovenous rf 1st vein (36475) |
$523.20 |
$654 |
0.1× |
| Enterorrhaphy single perforation (44602) |
$5,652 |
$7,065 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$575.20 |
$719 |
0.2× |
| Esoph Scope W/Submucous Inj (43201) |
$359.20 |
$449 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$484.80 |
$606 |
0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$364 |
$455 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$66.40 |
$83 |
0.4× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,031.20 |
$2,539 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,212.80 |
$1,516 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$178 |
$222.50 |
0.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$178 |
$222.50 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$338.40 |
$423 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$388.80 |
$486 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$312 |
$390 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$2,439.20 |
$3,049 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$224.80 |
$281 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$361.60 |
$452 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,561.60 |
$1,952 |
0.8× |
| Exc ganglion wrist recurrent (25112) |
$1,445.60 |
$1,807 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,170.40 |
$1,463 |
0.7× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$1,540.80 |
$1,926 |
0.7× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,040 |
$3,800 |
1.0× |
| Exc rect tum transanal part (45171) |
$2,287.20 |
$2,859 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$251.20 |
$314 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$238 |
$297.50 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$325.60 |
$407 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$462.40 |
$578 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$560.80 |
$701 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$601.60 |
$752 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$736 |
$920 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$651.60 |
$814.50 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$783.20 |
$979 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$804.80 |
$1,006 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$497.20 |
$518 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,220.80 |
$1,526 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,720.80 |
$3,401 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,003.20 |
$2,504 |
0.6× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,556.80 |
$3,196 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,006.40 |
$2,508 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,083.20 |
$2,604 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$924.80 |
$1,156 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,123.20 |
$1,404 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$2,545.60 |
$3,182 |
0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,455.20 |
$1,819 |
0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,247.20 |
$1,559 |
0.3× |
| Excision Breast Lesion (19125) |
$1,699.20 |
$2,124 |
0.4× |
| Excision Chalazion Single (67800) |
$190.40 |
$238 |
0.5× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,604.80 |
$2,006 |
0.4× |
| Excision external ear partial simple repair (69110) |
$604.80 |
$756 |
0.2× |
| Excision H/P/P/U Complex Repair (11471) |
$1,280.80 |
$1,601 |
0.4× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$1,039.20 |
$1,299 |
0.3× |
| Excision interdigital morton neuroma single each (28080) |
$1,330.40 |
$1,663 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$329.60 |
$412 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$424 |
$530 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$419.20 |
$524 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$400 |
$500 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$499.20 |
$624 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$618.40 |
$773 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$251.20 |
$314 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$304 |
$380 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$346.40 |
$433 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$430.40 |
$538 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$488 |
$610 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$266.40 |
$333 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$295.20 |
$369 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$741.20 |
$926.50 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$1,403.20 |
$1,754 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$294.40 |
$368 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,160 |
$1,450 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$244.80 |
$306 |
0.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$1,374.40 |
$1,718 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$319.20 |
$399 |
0.2× |
| Excision olecranon bursa (24105) |
$1,314.40 |
$1,643 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,491.20 |
$1,864 |
0.4× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638)
unusually low: confirm this is the full procedure |
$2,786.40 |
$3,483 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,528.80 |
$3,161 |
0.8× |
| Excision prepatellar bursa (27340) |
$1,677.60 |
$2,097 |
0.5× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,781.60 |
$2,227 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,721.60 |
$2,152 |
0.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$1,268 |
$1,585 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,157.60 |
$1,447 |
0.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$604.80 |
$756 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,413.60 |
$1,767 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,680.80 |
$2,101 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,273.60 |
$4,092 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,861.60 |
$6,077 |
2.1× |
| Exploration of knee joint (27310) |
$2,693.60 |
$3,367 |
0.7× |
| Exploration penetrating wound spx chest (20101) |
$4,861.60 |
$6,077 |
2.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,775.20 |
$2,219 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$4,861.60 |
$6,077 |
8.1× |
| External cephalic version (59412) |
$365.60 |
$457 |
0.1× |
| Fasciotomy foot and/or toe (28008) |
$1,093.60 |
$1,367 |
0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,097.60 |
$3,872 |
0.8× |
| Fetal non-stress test (59025) |
$260 |
$325 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$153.60 |
$192 |
0.3× |
| Fit/Insert Intravag Support Device (57160) |
$94.80 |
$118.50 |
0.4× |
| Fixation of shoulder (23700) |
$730.40 |
$913 |
0.4× |
| Fluid pressure muscle (20950) |
$344 |
$430 |
0.4× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$10,664.80 |
$13,331 |
1.3× |
Fusion of foot bones (28740)
likely a partial charge, not the full procedure |
$2,308.80 |
$2,886 |
0.3× |
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure |
$2,515.20 |
$3,144 |
0.3× |
Fusion of thumb (26841)
unusually low: confirm this is the full procedure |
$2,696 |
$3,370 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$289.60 |
$362 |
1.2× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure |
$2,698.40 |
$3,373 |
0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,062.40 |
$2,578 |
0.6× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$4,193.60 |
$5,242 |
0.3× |
| Hemorrhoidectomy (46255) |
$3,034.40 |
$3,793 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,780 |
$2,225 |
0.6× |
| Hemorrhoidopexy by stapling (46947) |
$1,319.20 |
$1,649 |
0.4× |
| Hip arthro acetabuloplasty (29915) |
$4,081.60 |
$5,102 |
0.5× |
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure |
$3,430.40 |
$4,288 |
0.4× |
| Hysteroscopy biopsy (58558) |
$870.40 |
$1,088 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$618.40 |
$773 |
2.3× |
| I&d abscess simple (10060) |
$224.80 |
$281 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,852.80 |
$2,316 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,018.40 |
$1,273 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$249.60 |
$312 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$752.80 |
$941 |
2.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$257.60 |
$322 |
0.3× |
| Incise external hemorrhoid (46083) |
$264 |
$330 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,170.40 |
$1,463 |
0.7× |
| Incise wrist/forearm tendon (25290) |
$1,636.80 |
$2,046 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$444.80 |
$556 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,440.80 |
$1,801 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,176 |
$2,720 |
2.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$688 |
$860 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$258.40 |
$323 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$214.40 |
$268 |
1.0× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,736.80 |
$2,171 |
0.6× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$796.80 |
$996 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,268 |
$1,585 |
0.7× |
| Incision of eardrum (69421) |
$541.60 |
$677 |
0.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$400.80 |
$501 |
0.2× |
| Incision of rectal abscess (46040) |
$1,046.40 |
$1,308 |
0.8× |
| Incision of urethra (53020) |
$269.60 |
$337 |
0.1× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$3,438.40 |
$4,298 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$137.60 |
$172 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$371.20 |
$464 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$406.40 |
$508 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$144.80 |
$181 |
0.4× |
| Inj therapeutic carpal tunnel (20526) |
$133.20 |
$166.50 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$379.20 |
$474 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$504.80 |
$631 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$111.20 |
$139 |
0.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$638 |
$797.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$379.20 |
$474 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$504.80 |
$631 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$100.80 |
$126 |
0.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$222.40 |
$278 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$303.20 |
$379 |
0.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$151.20 |
$189 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$260.80 |
$326 |
0.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$176.80 |
$221 |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$379.20 |
$474 |
0.5× |
| Injection for identification of sentinel node (38792) |
$112.80 |
$141 |
0.3× |
| Injection into skin lesions (11900) |
$57.60 |
$72 |
0.3× |
| Injection peyronie disease (54200) |
$250.40 |
$313 |
0.9× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$71.20 |
$89 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$142.40 |
$178 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$114.40 |
$143 |
0.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$86.40 |
$108 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$741.60 |
$927 |
5.2× |
| Insert cath pleura w/o image (32556) |
$460 |
$575 |
0.2× |
| Insert Drug Implant Device (11981) |
$205.20 |
$256.50 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$858 |
$1,072.50 |
0.2× |
Insert spine infusion device (62360)
likely a partial charge, not the full procedure |
$1,155.20 |
$1,444 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$61.20 |
$76.50 |
0.4× |
| Insert Tissue Expander(S) (11960) |
$3,546.40 |
$4,433 |
0.9× |
| Insert tunneled cv cath (36561) |
$1,220 |
$1,525 |
0.3× |
Insert Tunneled Cv Cath With Pump (36563)
likely a partial charge, not the full procedure |
$1,433.60 |
$1,792 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$259.20 |
$324 |
1.7× |
| Insj picc rs&i 5 yr+ (36573) |
$318.40 |
$398 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,097.60 |
$1,372 |
0.3× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$271.20 |
$339 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$70.40 |
$88 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$655.20 |
$819 |
2.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$464 |
$580 |
1.7× |
| Knee Arthroscopy/Surgery (29874) |
$1,999.20 |
$2,499 |
0.5× |
| Knee Arthroscopy/Surgery (29879) |
$2,460.80 |
$3,076 |
0.7× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low: confirm this is the full procedure |
$4,003.20 |
$5,004 |
0.5× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
unusually low: confirm this is the full procedure |
$3,522.40 |
$4,403 |
0.4× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,596.80 |
$1,996 |
0.2× |
| Lap paraesoph her rpr w/mesh (43282) |
$6,380 |
$7,975 |
0.5× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$5,676 |
$7,095 |
0.5× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,224 |
$2,780 |
0.3× |
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure |
$2,239.20 |
$2,799 |
0.3× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,388.80 |
$4,236 |
0.5× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$3,977.60 |
$4,972 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$3,799.20 |
$4,749 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$3,748 |
$4,685 |
0.9× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,652 |
$3,315 |
0.4× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure |
$2,879.20 |
$3,599 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,079.20 |
$2,599 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
likely a partial charge, not the full procedure |
$1,470.40 |
$1,838 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660)
unusually low: confirm this is the full procedure |
$2,438.40 |
$3,048 |
0.4× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$1,212.80 |
$1,516 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,383.20 |
$1,729 |
0.2× |
Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648)
unusually low: confirm this is the full procedure |
$2,841.60 |
$3,552 |
0.5× |
| Late closure of wound (13160) |
$2,281.60 |
$2,852 |
0.6× |
| Lateral retinacular release open (27425) |
$1,668.80 |
$2,086 |
0.5× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$2,261.60 |
$2,827 |
0.6× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
unusually low: confirm this is the full procedure |
$2,635.20 |
$3,294 |
0.3× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
unusually low: confirm this is the full procedure |
$4,599.20 |
$5,749 |
0.3× |
| Ligate leg veins open (37761) |
$1,256 |
$1,570 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$785.60 |
$982 |
0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,509.60 |
$1,887 |
0.4× |
| Lithotripsy (50590) |
$2,552.80 |
$3,191 |
0.6× |
| Liver Biopsy (47000) |
$3,021.60 |
$3,777 |
1.6× |
| Manipulation knee joint under general anesthesia (27570) |
$561.60 |
$702 |
0.3× |
| Mast mod rad (19307) |
$4,367.20 |
$5,459 |
0.6× |
| Mastectomy partial (19301) |
$2,370.40 |
$2,963 |
0.5× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$3,532.80 |
$4,416 |
0.5× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$4,748.80 |
$5,936 |
0.6× |
| Muscle-skin graft trunk (15734) |
$5,509.60 |
$6,887 |
1.4× |
| Myelography Lumbar Injection (62305) |
$325.60 |
$407 |
0.4× |
| Myelography Lumbar Injection (62304) |
$2,476 |
$3,095 |
2.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,476 |
$3,095 |
2.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,476 |
$3,095 |
2.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$379.20 |
$474 |
0.5× |
| N Block Inj, Plantar Digit (64455) |
$71.20 |
$89 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$371.20 |
$464 |
0.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$552.80 |
$691 |
0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,916 |
$2,395 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$66.40 |
$83 |
2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$99.20 |
$124 |
3.1× |
Nerve repair w/allograft (64910)
unusually low: confirm this is the full procedure |
$3,092.80 |
$3,866 |
0.3× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,499.20 |
$1,874 |
0.7× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,598.40 |
$1,998 |
0.7× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$2,686.40 |
$3,358 |
1.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$2,124.80 |
$2,656 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,854.40 |
$2,318 |
0.9× |
| Njx aa&/strd sciatic nerve (64445) |
$182.80 |
$228.50 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$504.80 |
$631 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$208.80 |
$261 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$226.40 |
$283 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$372 |
$465 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$118.40 |
$148 |
0.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,092 |
$1,365 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$111.20 |
$139 |
0.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$143.20 |
$179 |
0.3× |
| Occipital Nerve Block (64405) |
$161.60 |
$202 |
0.5× |
Omntc epiploectomy rescj omentum spx (49255)
unusually low: confirm this is the full procedure |
$2,784 |
$3,480 |
0.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,616 |
$2,020 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,824.80 |
$3,531 |
0.3× |
| Open treatment calcaneal fracture (28415) |
$4,148 |
$5,185 |
0.5× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$3,986.40 |
$4,983 |
0.3× |
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure |
$2,768 |
$3,460 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$2,250.40 |
$2,813 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$2,008 |
$2,510 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
likely a partial charge, not the full procedure |
$2,086.40 |
$2,608 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
unusually low: confirm this is the full procedure |
$2,708.80 |
$3,386 |
0.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$2,669.60 |
$3,337 |
0.3× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure |
$3,597.60 |
$4,497 |
0.4× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$4,942.40 |
$6,178 |
0.6× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge, not the full procedure |
$3,676.80 |
$4,596 |
0.3× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$3,098.40 |
$3,873 |
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 |
$2,720.80 |
$3,401 |
0.2× |
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 |
$3,294.40 |
$4,118 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
likely a partial charge, not the full procedure |
$2,172 |
$2,715 |
0.3× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$2,324.80 |
$2,906 |
0.3× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$3,276 |
$4,095 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low: confirm this is the full procedure |
$3,005.60 |
$3,757 |
0.4× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$2,607.20 |
$3,259 |
0.7× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$2,686.40 |
$3,358 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$2,425.60 |
$3,032 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$990.40 |
$1,238 |
0.3× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,542.40 |
$3,178 |
0.3× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,856.80 |
$2,321 |
0.5× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$2,696.80 |
$3,371 |
0.2× |
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure |
$3,436.80 |
$4,296 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,127.20 |
$2,659 |
0.6× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$3,166.40 |
$3,958 |
0.4× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$2,432 |
$3,040 |
0.3× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Facility (26492) |
$3,332 |
$4,165 |
0.9× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$3,038.40 |
$3,798 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$3,858.40 |
$4,823 |
0.5× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$2,734.40 |
$3,418 |
0.3× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,421.60 |
$5,527 |
0.5× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$3,260.80 |
$4,076 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,178.40 |
$1,473 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,074.40 |
$1,343 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,608 |
$2,010 |
0.4× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$4,431.20 |
$5,539 |
0.3× |
Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391)
likely a partial charge, not the full procedure |
$3,695.20 |
$4,619 |
0.3× |
Osteoplasty, radius OR ulna; shortening Facility (25390)
unusually low: confirm this is the full procedure |
$2,796 |
$3,495 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,403.20 |
$1,754 |
0.4× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure |
$2,169.60 |
$2,712 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$2,600 |
$3,250 |
0.7× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
unusually low: confirm this is the full procedure |
$3,358.40 |
$4,198 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Facility (25150) |
$2,079.20 |
$2,599 |
0.6× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,850.40 |
$2,313 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,632.80 |
$2,041 |
0.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,278.40 |
$2,848 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,224.80 |
$1,531 |
0.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$371.20 |
$464 |
0.1× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$1,973.60 |
$2,467 |
0.5× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$3,364 |
$4,205 |
0.4× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,784 |
$2,230 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$804 |
$1,005 |
0.5× |
| Peritoneal Lavage (49084) |
$940 |
$1,175 |
0.9× |
| Perq dev breast 1st strtctc (19283) |
$638.40 |
$798 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$247.60 |
$309.50 |
0.3× |
| Perq device breast 1st imag (19281) |
$638.40 |
$798 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$79.20 |
$99 |
0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,464.80 |
$3,081 |
0.7× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure |
$2,522.40 |
$3,153 |
0.3× |
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure |
$2,522.40 |
$3,153 |
0.3× |
| Picc line placement (36569) |
$1,712.80 |
$2,141 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$210.40 |
$263 |
0.4× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$287.20 |
$359 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$899.20 |
$1,124 |
0.4× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$84 |
$105 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$192 |
$240 |
0.2× |
| Proctosigmoid w/biopsy (45305) |
$259.20 |
$324 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$397.60 |
$497 |
0.3× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure |
$416.80 |
$521 |
0.1× |
| Prostatic microwave thermotx (53850) |
$1,011.20 |
$1,264 |
0.3× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
likely a partial charge, not the full procedure |
$847.20 |
$1,059 |
0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,570.40 |
$1,963 |
0.4× |
| Prq skel fixj metar fx w/manj (28476) |
$1,297.60 |
$1,622 |
0.4× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,759.20 |
$2,199 |
0.5× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure |
$2,738.40 |
$3,423 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$153.60 |
$192 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$237.60 |
$297 |
0.5× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$292 |
$365 |
0.4× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$277.60 |
$347 |
0.4× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$2,835.20 |
$3,544 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
$3,779.20 |
$4,724 |
1.2× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,271.20 |
$1,589 |
0.3× |
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure |
$2,706.40 |
$3,383 |
0.3× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,731.20 |
$2,164 |
0.2× |
Reconstruct Shoulder Joint (23470)
unusually low: confirm this is the full procedure |
$4,477.60 |
$5,597 |
0.3× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$4,071.20 |
$5,089 |
0.5× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24346)
likely a partial charge, not the full procedure |
$4,056.80 |
$5,071 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure |
$2,744 |
$3,430 |
0.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes… (26541) |
$2,975.20 |
$3,719 |
0.8× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
unusually low: confirm this is the full procedure |
$2,888.80 |
$3,611 |
0.4× |
| Relieve pressure on nerve(s) (64722) |
$1,371.20 |
$1,714 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$270 |
$337.50 |
0.3× |
| Removal foreign body intranasal (30300) |
$202.80 |
$253.50 |
1.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$767.20 |
$959 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$46 |
$57.50 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$71.20 |
$89 |
1.1× |
| Removal implant deep (20680) |
$1,099.20 |
$1,374 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$383.60 |
$479.50 |
0.2× |
| Removal of anal fissure (46200) |
$1,212.80 |
$1,516 |
0.4× |
Removal of bone for graft (20902)
likely a partial charge, not the full procedure |
$1,214.40 |
$1,518 |
0.2× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$228.80 |
$286 |
0.2× |
| Removal of embedded foreign body, eyelid (67938) |
$596.80 |
$746 |
1.7× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$824.80 |
$1,031 |
0.6× |
| Removal of finger lesion (26210) |
$1,625.60 |
$2,032 |
0.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$107.20 |
$120 |
0.2× |
| Removal of iud (58301) |
$180.80 |
$226 |
0.5× |
Removal Of Knee Prosthesis (27488)
unusually low: confirm this is the full procedure |
$4,435.20 |
$5,544 |
0.3× |
| Removal of nail bed (11750) |
$403.20 |
$504 |
0.9× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$4,741.60 |
$5,927 |
0.6× |
| Removal of salivary stone (42330) |
$208.80 |
$261 |
0.1× |
| Removal Of Tendon Lesion (27630) |
$1,368 |
$1,710 |
0.4× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$972 |
$1,215 |
0.1× |
| Removal of tonsils (42826) |
$929.60 |
$1,162 |
0.3× |
| Removal of wrist bone (25210) |
$1,804 |
$2,255 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$160.80 |
$201 |
0.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$156 |
$195 |
0.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,256 |
$1,570 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$64.80 |
$81 |
0.2× |
| Remove anal fist subq (46270) |
$1,622.40 |
$2,028 |
0.5× |
| Remove drug implant device (11982) |
$244.80 |
$306 |
0.5× |
| Remove Elbow Joint Lining (24102) |
$2,291.20 |
$2,864 |
0.6× |
| Remove Lower Leg Bone Lesion (27635) |
$2,164 |
$2,705 |
0.6× |
| Remove Peritoneal Foreign Body (49402) |
$3,054.40 |
$3,818 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$585.60 |
$732 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$1,256.80 |
$1,571 |
0.7× |
| Remove tissue expander (11971) |
$1,192 |
$1,490 |
0.4× |
| Remove vagina gland lesion (56740) |
$616.80 |
$771 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$385.60 |
$482 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$134 |
$167.50 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$89.60 |
$112 |
0.6× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,439.20 |
$3,049 |
0.3× |
| Repair blood vessel direct hand finger (35207) |
$2,800.80 |
$3,501 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,925.60 |
$3,657 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$846.40 |
$1,058 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$683.60 |
$854.50 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$608.80 |
$761 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,343.20 |
$1,679 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$703.20 |
$879 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$723.20 |
$904 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$701.60 |
$877 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$834 |
$1,042.50 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,665.20 |
$2,081.50 |
0.9× |
Repair Fibula Nonunion (27726)
unusually low: confirm this is the full procedure |
$3,579.20 |
$4,474 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,688.80 |
$2,111 |
0.5× |
| Repair hand tendon (26410) |
$1,288.80 |
$1,611 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$2,112 |
$2,640 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$953.60 |
$1,192 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$389.60 |
$487 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$664 |
$830 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$995.20 |
$1,244 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$693.60 |
$867 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$783.20 |
$979 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,161.60 |
$1,452 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$809.60 |
$1,012 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$377.60 |
$472 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$413.60 |
$517 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$746.40 |
$933 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,122.40 |
$1,403 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$762.40 |
$953 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480 |
$600 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$487.20 |
$609 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$834.40 |
$1,043 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$450 |
$562.50 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$956 |
$1,195 |
0.4× |
| Repair Lower Leg Tendons (27675) |
$1,808 |
$2,260 |
0.5× |
Repair medial collateral ligament, elbow, with local tissue Facility (24345)
unusually low: confirm this is the full procedure |
$2,615.20 |
$3,269 |
0.3× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$2,284 |
$2,855 |
0.3× |
Repair of leg tendon each (27664)
likely a partial charge, not the full procedure |
$1,340.80 |
$1,676 |
0.2× |
| Repair of leg tendon each (27658) |
$1,376 |
$1,720 |
0.4× |
| Repair of nail bed (11760) |
$504.80 |
$631 |
0.6× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435)
likely a partial charge, not the full procedure |
$3,988 |
$4,985 |
0.3× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$4,644.80 |
$5,806 |
0.6× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$3,149.60 |
$3,937 |
0.4× |
Repair of tibia (27720)
unusually low: confirm this is the full procedure |
$3,240 |
$4,050 |
0.4× |
| Repair Profundus Tendon,Primary (26370) |
$2,746.40 |
$3,433 |
0.8× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$2,527.20 |
$3,159 |
0.4× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$3,053.60 |
$3,817 |
0.4× |
| Repair sciatic nerve (64858) |
$4,386.40 |
$5,483 |
2.0× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure |
$2,776.80 |
$3,471 |
0.3× |
| Repair Tongue Laceration (41250) |
$572.80 |
$716 |
1.2× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
likely a partial charge, not the full procedure |
$2,080 |
$2,600 |
0.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,760 |
$2,200 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$2,497.60 |
$3,122 |
0.3× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407)
unusually low: confirm this is the full procedure |
$2,858.40 |
$3,573 |
0.4× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698)
likely a partial charge, not the full procedure |
$2,384 |
$2,980 |
0.3× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
likely a partial charge, not the full procedure |
$1,617.60 |
$2,022 |
0.2× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$2,510.40 |
$3,138 |
0.3× |
Repair/revise wrist joint (25320)
unusually low: confirm this is the full procedure |
$3,689.60 |
$4,612 |
0.5× |
| Replace tunneled cv cath (36578) |
$4,689.60 |
$5,862 |
1.3× |
| Reposition gastric feeding tube thru duodenum (43761) |
$364 |
$455 |
1.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,627.20 |
$3,284 |
0.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$966.40 |
$1,208 |
0.3× |
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure |
$5,976.80 |
$7,471 |
0.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$6,457.60 |
$8,072 |
0.5× |
| Revise Hand/Foot Nerve (64704) |
$1,199.20 |
$1,499 |
0.6× |
Revise Lower Leg Tendon (27691)
unusually low: confirm this is the full procedure |
$2,794.40 |
$3,493 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$2,212 |
$2,765 |
1.0× |
| Revise/Remove Neuroreceiver (63688) |
$1,388 |
$1,735 |
0.4× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$4,200.80 |
$5,251 |
1.1× |
| Revision of lower leg tendon (27685) |
$1,720.80 |
$2,151 |
0.5× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure |
$5,456.80 |
$6,821 |
0.4× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$5,188.80 |
$6,486 |
0.4× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
unusually low: confirm this is the full procedure |
$6,472.80 |
$8,091 |
0.3× |
| Revision of urethra (53450) |
$1,695.20 |
$2,119 |
0.4× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$7,046.40 |
$8,808 |
0.5× |
Revj tot hip arthrp fem only w/wo algrft (27138)
unusually low: confirm this is the full procedure |
$5,636.80 |
$7,046 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$403.20 |
$504 |
2.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$160 |
$200 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$404.80 |
$506 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$857.60 |
$1,072 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$4,689.60 |
$5,862 |
2.7× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure |
$2,615.20 |
$3,269 |
0.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,200 |
$1,500 |
0.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,844.80 |
$2,306 |
0.5× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$2,008 |
$2,510 |
0.3× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,668 |
$2,085 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,450.40 |
$3,063 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$956 |
$1,195 |
1.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,468.80 |
$1,836 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$808 |
$1,010 |
1.2× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,723.20 |
$3,404 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,918.40 |
$3,648 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$232.80 |
$291 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$64 |
$80 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$95.20 |
$119 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$100.80 |
$126 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$145.60 |
$182 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$150.40 |
$188 |
0.3× |
| Shoulder Arthroscopy/Surgery (29819) |
$2,176.80 |
$2,721 |
0.6× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,161.60 |
$2,702 |
0.6× |
Shoulder prosthesis removal (23334)
unusually low: confirm this is the full procedure |
$3,979.20 |
$4,974 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$124.80 |
$156 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$148.80 |
$186 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$100.80 |
$126 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$148 |
$185 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$114.40 |
$143 |
0.5× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$415.20 |
$519 |
0.3× |
| Sigmoidoscopy w/biopsy (45331) |
$263.20 |
$329 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$746.40 |
$933 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$134 |
$167.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$138 |
$172.50 |
0.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$686.40 |
$858 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$540.80 |
$676 |
2.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$636.80 |
$796 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$776.80 |
$971 |
3.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$109.60 |
$137 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$788.80 |
$986 |
3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$161.60 |
$202 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$2,662.40 |
$3,328 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$316.80 |
$396 |
0.4× |
| Skin Tissue Procedure (17999) |
$328.80 |
$411 |
1.5× |
| Skin tissue rearrangement (14040) |
$2,179.20 |
$2,724 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,608 |
$3,260 |
0.7× |
| Slitting of prepuce (54001) |
$399.20 |
$499 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$143.60 |
$179.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$571.20 |
$714 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$681.60 |
$852 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$513.60 |
$642 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$834.40 |
$1,043 |
1.1× |
| Strapping ankle (29540) |
$210.40 |
$263 |
1.2× |
| Strapping elbow or wrist (29260) |
$356.80 |
$446 |
5.4× |
| Strapping hand/finger (29280) |
$42.80 |
$53.50 |
0.7× |
| Strapping knee (29530) |
$180.80 |
$226 |
1.2× |
| Strapping shoulder (29240) |
$44.80 |
$56 |
0.3× |
| Strapping thorax (29200) |
$363.20 |
$454 |
2.0× |
| Strapping toes (29550) |
$232 |
$290 |
3.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,119.20 |
$2,649 |
0.6× |
| Suspension of testis (54640) |
$1,830.40 |
$2,288 |
0.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,532.80 |
$3,166 |
1.2× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$2,204 |
$2,755 |
0.3× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure |
$2,949.60 |
$3,687 |
0.4× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$2,129.60 |
$2,662 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure |
$3,049.60 |
$3,812 |
0.4× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$1,889.60 |
$2,362 |
1.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,911.20 |
$2,389 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$92 |
$115 |
0.2× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924)
likely a partial charge, not the full procedure |
$1,876.80 |
$2,346 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$2,643.20 |
$3,304 |
0.7× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$2,760.80 |
$3,451 |
0.3× |
| Tenolysis flexor foot single tendon (28220) |
$1,073.60 |
$1,342 |
0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,575.20 |
$1,969 |
0.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$1,601.60 |
$2,002 |
0.4× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$987.20 |
$1,234 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$453.20 |
$566.50 |
0.3× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$2,310.40 |
$2,888 |
0.3× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Facility (27006) |
$2,721.60 |
$3,402 |
0.7× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,759.20 |
$2,199 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$900 |
$1,125 |
0.5× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$972 |
$1,215 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$676.80 |
$846 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$1,586.40 |
$1,983 |
0.5× |
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure |
$2,896.80 |
$3,621 |
0.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,432 |
$3,040 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,113.60 |
$1,392 |
0.3× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,000 |
$6,250 |
0.3× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$4,999.20 |
$6,249 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$2,002.40 |
$2,503 |
0.9× |
| Transplant hand tendon (26480) |
$2,720 |
$3,400 |
0.7× |
| Treat Big Toe Fracture (28505) |
$1,883.20 |
$2,354 |
0.5× |
Treat elbow dislocation (24615)
unusually low: confirm this is the full procedure |
$2,643.20 |
$3,304 |
0.3× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$3,338.40 |
$4,173 |
0.4× |
| Treat Hand Dislocation (26685) |
$2,134.40 |
$2,668 |
0.6× |
| Treat humerus fracture (23600) |
$520 |
$650 |
1.9× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$3,313.60 |
$4,142 |
0.4× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,786.40 |
$3,483 |
0.3× |
Treat Lower Leg Fracture (27828)
unusually low: confirm this is the full procedure |
$4,771.20 |
$5,964 |
0.3× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$2,356 |
$2,945 |
0.3× |
| Treat Thigh Fracture (27245) |
$4,551.20 |
$5,689 |
0.6× |
| Treatment closed elbow dislocation req anes (24605) |
$1,752 |
$2,190 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$458.40 |
$573 |
1.7× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$2,656 |
$3,320 |
0.3× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,368.80 |
$5,461 |
0.5× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,390.40 |
$1,738 |
0.4× |
| Trim skin lesion (11055) |
$70 |
$87.50 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$82.80 |
$103.50 |
0.4× |
| Trim skin lesions over 4 (11057) |
$56.80 |
$71 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$26.40 |
$33 |
0.4× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$793.60 |
$992 |
0.5× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$1,081.60 |
$1,352 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$1,596.80 |
$1,996 |
0.9× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$3,180 |
$3,975 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,135.20 |
$1,419 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$581.60 |
$727 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$504.80 |
$631 |
1.1× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$3,692 |
$4,615 |
0.3× |
| Tympanostomy general anesthesia (69436) |
$579.20 |
$724 |
0.3× |
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure |
$464.80 |
$581 |
0.1× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$478.40 |
$598 |
0.1× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$464.80 |
$581 |
0.1× |
| Unlisted procedure femur or knee (27599) |
$770.40 |
$963 |
2.8× |
| Unlisted procedure foot or toes (28899) |
$2,698.40 |
$3,373 |
9.8× |
| Unlisted procedure nervous system (64999) |
$956 |
$1,195 |
2.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$716.80 |
$896 |
2.6× |
| Unlisted Procedure Small Intestine (44799) |
$240.80 |
$301 |
0.2× |
| Unlisted procedure, hands or fingers (26989) |
$464.80 |
$581 |
1.7× |
| Unlisted procedure, leg or ankle (27899) |
$2,425.60 |
$3,032 |
8.8× |
| Us urine capacity measure (51798) |
$59.20 |
$74 |
0.9× |
| Vaginal delivery only (59409) |
$3,036.80 |
$3,796 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$558.80 |
$698.50 |
0.2× |
| Venipuncture (36415) |
$24 |
$30 |
2.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$214.40 |
$268 |
0.1× |
| Wedge excision skin nail fold (11765) |
$195.20 |
$244 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$1,012 |
$1,265 |
2.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$844.80 |
$1,056 |
1.0× |