| Abd paracentesis w/imaging (49083) |
$1,810.90 |
$2,786 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,058.20 |
$1,628 |
1.1× |
| Acne Surgery (10040) |
$247.65 |
$381 |
1.2× |
| Amputation Finger/Thumb (26951) |
$2,460.25 |
$3,785 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$1,376.70 |
$2,118 |
0.4× |
| Amputation of finger/thumb (26952) |
$2,499.90 |
$3,846 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$1,114.75 |
$1,715 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,206.40 |
$1,856 |
0.3× |
| Amputation, foot; transmetatarsal (28805) |
$2,636.40 |
$4,056 |
0.8× |
| Anoscopy diagnostic (46600) |
$897.65 |
$1,381 |
6.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$373.75 |
$575 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$42,210.94 |
$64,939.90 |
7.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$328.25 |
$505 |
1.9× |
| Application cast elbow finger short arm (29075) |
$268.45 |
$413 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$286.65 |
$441 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$295.10 |
$454 |
1.0× |
| Application finger splint static (29130) |
$392.60 |
$604 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$514.15 |
$791 |
3.0× |
| Application long leg splint thigh ankle/toes (29505) |
$485.55 |
$747 |
2.8× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$2,971.15 |
$4,571 |
0.2× |
| Application short arm splint forearm-hand static (29125) |
$524.55 |
$807 |
3.7× |
| Application short leg splint calf foot (29515) |
$462.80 |
$712 |
2.7× |
| Apply multlay comprs arm/hand (29584) |
$337.35 |
$519 |
1.9× |
| Arterial puncture (36600) |
$27,573.65 |
$42,421 |
194.2× |
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760)
likely a partial charge, not the full procedure |
$1,895.40 |
$2,916 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$676 |
$1,040 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$783.90 |
$1,206 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$5,943.93 |
$9,144.51 |
18.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$5,067.40 |
$7,796 |
15.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$690.30 |
$1,062 |
2.1× |
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure |
$3,195.40 |
$4,916 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,012.05 |
$1,557 |
0.1× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$48,955.17 |
$75,315.64 |
6.3× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$2,326.35 |
$3,579 |
0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$72,676.92 |
$111,810.65 |
3.9× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$76,085.92 |
$117,055.26 |
5.6× |
| Arthroscopy ankle; ext debridem (29898) |
$32,240.22 |
$49,600.34 |
9.2× |
| Arthroscopy of joint (29999) |
$3,762.85 |
$5,789 |
14.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,720.55 |
$2,647 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$17,395.60 |
$26,762.45 |
5.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,753.05 |
$2,697 |
0.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$43,012.31 |
$66,172.78 |
5.6× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,138.85 |
$4,829 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$43,142.75 |
$66,373.46 |
12.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$34,230.96 |
$52,663.02 |
9.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$39,478.82 |
$60,736.64 |
11.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$72,522.23 |
$111,572.66 |
20.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$39,878.50 |
$61,351.54 |
5.2× |
Arthrotomy hip w/drainage (27030)
unusually low: confirm this is the full procedure |
$2,832.05 |
$4,357 |
0.4× |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
$46,104.25 |
$70,929.61 |
13.2× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$1,036.75 |
$1,595 |
0.3× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$2,022.15 |
$3,111 |
0.6× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$20,422.36 |
$31,419.02 |
5.8× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,469 |
$2,260 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$782.60 |
$1,204 |
2.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,588.95 |
$3,983 |
1.2× |
| Aspiration bladder needle (51100) |
$3,303.30 |
$5,082 |
12.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$708.50 |
$1,090 |
3.3× |
| Biopsy Bone Open Deep (20245) |
$1,033.50 |
$1,590 |
0.3× |
| Biopsy bone open superficial (20240) |
$14,840.06 |
$22,830.86 |
4.8× |
| Biopsy bone trocar/needle deep (20225) |
$2,489.50 |
$3,830 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,206.40 |
$1,856 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$165.75 |
$255 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$976.95 |
$1,503 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$785.85 |
$1,209 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$1,302.60 |
$2,004 |
1.7× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$81,615.31 |
$125,562.01 |
26.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$81,615.31 |
$125,562.01 |
46.3× |
| Biopsy soft tissue neck/thorax (21550) |
$443.30 |
$682 |
0.3× |
| Biopsy soft tissue of back (21920) |
$683.80 |
$1,052 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,948.40 |
$4,536 |
1.7× |
| Biopsy tongue posterior one-third (41105) |
$473.85 |
$729 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$13,336.70 |
$20,518 |
3.2× |
| Biopsy/removal lymph nodes (38510) |
$1,397.50 |
$2,150 |
0.3× |
| Bladder Irrigation Simple (51700) |
$16,708.15 |
$25,704.84 |
62.7× |
| Bladder Scan (51798) |
$7,863.04 |
$12,096.99 |
124.9× |
| Blood transfusion service (36430) |
$1,168.70 |
$1,798 |
2.5× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$622.05 |
$957 |
0.1× |
| Bone marrow aspiration only (38220) |
$1,023.10 |
$1,574 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,236.95 |
$1,903 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,425.45 |
$2,193 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,411.85 |
$5,249 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,833.36 |
$5,897.48 |
2.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,133.60 |
$1,744 |
0.6× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$10,775.05 |
$16,577 |
2.9× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$9,360.70 |
$14,401.07 |
2.5× |
| Bx prst8 trct us guided (55707) |
$9,718.79 |
$14,951.98 |
2.6× |
| Bx vulva/perineum 1 lesion (56605) |
$587.60 |
$904 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,184.30 |
$1,822 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$33,743.92 |
$51,913.73 |
9.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$86.45 |
$133 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$1,498.90 |
$2,306 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$900.25 |
$1,385 |
3.4× |
| Chemical Cautery Tissue (17250) |
$572.65 |
$881 |
2.7× |
| Chest tube placement (32551) |
$32,142.80 |
$49,450.46 |
19.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$6,721.65 |
$10,341 |
47.3× |
| Circum 28 days or older (54161) |
$16,455.16 |
$25,315.63 |
7.4× |
| Circumcision (54150) |
$329.55 |
$507 |
0.1× |
| Claviculectomy; partial (23120) |
$19,095.79 |
$29,378.14 |
5.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,249.30 |
$1,922 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$302.90 |
$466 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,559.35 |
$2,399 |
0.9× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$685.75 |
$1,055 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$796.25 |
$1,225 |
0.5× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,173.25 |
$1,805 |
0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$3,002.35 |
$4,619 |
11.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$542.75 |
$835 |
2.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,183.35 |
$3,359 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$1,189.50 |
$1,830 |
4.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,112.15 |
$1,711 |
4.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,204.45 |
$1,853 |
4.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,489.80 |
$2,292 |
5.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$919.75 |
$1,415 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$651.95 |
$1,003 |
2.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$924.95 |
$1,423 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$690.95 |
$1,063 |
2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$379.60 |
$584 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$555.75 |
$855 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,733.55 |
$2,667 |
6.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,478.10 |
$2,274 |
5.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,220.05 |
$1,877 |
4.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$768.30 |
$1,182 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$470.60 |
$724 |
1.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$284.70 |
$438 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$633.75 |
$975 |
2.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,126.45 |
$1,733 |
4.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$409.50 |
$630 |
1.6× |
| Closure of vagina (57120) |
$26,358.09 |
$40,550.90 |
4.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$397.80 |
$612 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$427.05 |
$657 |
1.6× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$523.90 |
$806 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,129.70 |
$1,738 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,043.90 |
$1,606 |
4.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$945.10 |
$1,454 |
3.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,018.55 |
$1,567 |
3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$596.05 |
$917 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$988.65 |
$1,521 |
3.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$643.50 |
$990 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$646.75 |
$995 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$988.65 |
$1,521 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$685.75 |
$1,055 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$369.85 |
$569 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$148.85 |
$229 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$427.70 |
$658 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,058.85 |
$1,629 |
4.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,288.95 |
$1,983 |
4.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,192.75 |
$1,835 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$503.75 |
$775 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$465.40 |
$716 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$633.75 |
$975 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$581.75 |
$895 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,185.60 |
$1,824 |
4.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$287.95 |
$443 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$693.55 |
$1,067 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$877.50 |
$1,350 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$704.60 |
$1,084 |
2.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,253.20 |
$1,928 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,423.50 |
$2,190 |
5.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$588.90 |
$906 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315.25 |
$485 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,336.10 |
$3,594 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,162.85 |
$1,789 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$10,168.78 |
$15,644.27 |
8.0× |
| Colonoscopy stoma w/biopsy (44389) |
$625.30 |
$962 |
0.5× |
| Colonoscopy w/fb removal (45379) |
$887.25 |
$1,365 |
0.7× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$42,901.05 |
$66,001.61 |
5.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$300.30 |
$462 |
1.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$300.30 |
$462 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$10,194.60 |
$15,684 |
8.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$11,033.63 |
$16,974.82 |
8.6× |
| Complex Drainage, Wound (10180) |
$17,685.20 |
$27,208 |
5.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$609.05 |
$937 |
2.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$573.95 |
$883 |
4.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$607.10 |
$934 |
4.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,724.45 |
$2,653 |
1.0× |
| Correction hammertoe (28285) |
$44,769.22 |
$68,875.73 |
12.8× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$1,606.80 |
$2,472 |
0.2× |
| Correction of bunion (28299) |
$45,804.53 |
$70,468.51 |
5.9× |
| Correction of bunion (28297) |
$45,911.78 |
$70,633.50 |
3.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,712.10 |
$2,634 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$553.15 |
$851 |
3.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$650.65 |
$1,001 |
2.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$19,239.43 |
$29,599.13 |
8.6× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$11,702.33 |
$18,003.58 |
3.1× |
| Cysto w/destruction of lesions (52214) |
$603.20 |
$928 |
0.2× |
| Cysto w/removal of tumors small (52234) |
$12,532.65 |
$19,281 |
3.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,500.20 |
$2,308 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$25,271.39 |
$38,879.06 |
6.7× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$1,162.85 |
$1,789 |
0.3× |
| Cysto/uretero w/lithotripsy (52356) |
$36,540.39 |
$56,215.99 |
6.4× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$1,292.20 |
$1,988 |
0.2× |
| Cystoscopy w/biopsy (52204) |
$10,201.59 |
$15,694.75 |
4.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$11,510.08 |
$17,707.82 |
5.2× |
| Cystoscopy,insert ureteral stent (52332) |
$19,151.40 |
$29,463.70 |
5.1× |
| Cystourethroscopy (52000) |
$10,284.95 |
$15,823 |
13.8× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$14,877.11 |
$22,887.86 |
6.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$21,158.80 |
$32,552 |
5.6× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$13,103.68 |
$20,159.50 |
3.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$560.95 |
$863 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$17,108.34 |
$26,320.53 |
5.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$869.05 |
$1,337 |
1.2× |
| Debride nail 1-5 (11720) |
$95.55 |
$147 |
1.5× |
| Debride nail 6 or more (11721) |
$81.90 |
$126 |
1.3× |
| Debride skin musc at fx site (11011) |
$89,205.60 |
$137,239.39 |
118.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$13,928.31 |
$21,428.17 |
32.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$22,739.15 |
$34,983.31 |
28.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$399.75 |
$615 |
0.2× |
| Declot vascular device (36593) |
$667.55 |
$1,027 |
1.9× |
| Decompression of tibia nerve (28035) |
$1,084.20 |
$1,668 |
0.5× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$14,863.56 |
$22,867.01 |
6.8× |
| Delivery placenta separate procedure (59414) |
$962 |
$1,480 |
0.3× |
| Dermabrasion regional other than face (15782) |
$1,222 |
$1,880 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$7,937.01 |
$12,210.78 |
3.8× |
| Destroy lumb/sac facet jnt (64635) |
$8,465.14 |
$13,023.29 |
4.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$403 |
$620 |
0.9× |
| Destruction benign lesions 15 or more (17111) |
$277.55 |
$427 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$767 |
$1,180 |
3.6× |
| Destruction Lesions Vulva Simple (56501) |
$306.15 |
$471 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$515.45 |
$793 |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$443.30 |
$682 |
2.1× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$551.85 |
$849 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$644.80 |
$992 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$871 |
$1,340 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$373.75 |
$575 |
1.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$479.70 |
$738 |
2.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$394.55 |
$607 |
1.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$423.80 |
$652 |
1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$496.60 |
$764 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$371.80 |
$572 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$412.10 |
$634 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$455.65 |
$701 |
2.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$392.60 |
$604 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$446.55 |
$687 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$542.10 |
$834 |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$299 |
$460 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$8,261.50 |
$12,710 |
4.0× |
| Destruction premalignant lesion 1st (17000) |
$191.10 |
$294 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,483.30 |
$2,282 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$6,710.78 |
$10,324.27 |
6.8× |
| Dilate Urethra Stricture (53600) |
$211.90 |
$326 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$429.65 |
$661 |
0.6× |
| Drain shoulder bursa (23031) |
$579.15 |
$891 |
0.2× |
| Drain shoulder lesion (23030) |
$633.75 |
$975 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$1,390.35 |
$2,139 |
4.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$357.50 |
$550 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$599.30 |
$922 |
2.8× |
| Drainage of gum lesion (41800) |
$576.55 |
$887 |
4.1× |
| Drainage of hematoma/fluid (10140) |
$1,372.80 |
$2,112 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,325.35 |
$2,039 |
0.8× |
| Draw blood off venous device (36591) |
$88.40 |
$136 |
0.6× |
| Dressing change under anesthesia (15852) |
$179.40 |
$276 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$650 |
$1,000 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$441.35 |
$679 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$447.85 |
$689 |
2.1× |
| Dstrj lesion anus simple surg excision (46922) |
$566.80 |
$872 |
0.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$655.20 |
$1,008 |
1.5× |
| Dx bone marrow bx & aspir (38222) |
$1,287.65 |
$1,981 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$11,243.38 |
$17,297.50 |
5.5× |
| Egd place gastrostomy tube (43246) |
$739.05 |
$1,137 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$8,553.35 |
$13,159 |
4.2× |
| Egd remove lesion snare (43251) |
$9,771.96 |
$15,033.79 |
4.8× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$739.05 |
$1,137 |
0.4× |
| Endoscopic Injection/Implant (51715) |
$22,437.58 |
$34,519.36 |
6.0× |
| Endoscopic Plantar Fasciotomy (29893) |
$23,003.18 |
$35,389.50 |
6.6× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,693.65 |
$7,221 |
1.4× |
| Endoven ther chem adhes 1st (36482) |
$3,023.15 |
$4,651 |
0.5× |
| Esophagoscopy flex biopsy (43202) |
$356.20 |
$548 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$506.35 |
$779 |
0.2× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$21,018.19 |
$32,335.67 |
21.7× |
| Esophagoscopy w/us needle bx (43232) |
$21,018.19 |
$32,335.67 |
10.3× |
| Esophagoscp rig trnso biopsy (43193) |
$21,018.19 |
$32,335.67 |
10.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$344.50 |
$530 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$436.15 |
$671 |
3.1× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$12,192.86 |
$18,758.25 |
6.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,123.20 |
$1,728 |
0.6× |
| Exc abd les sc 3 cm/> (22903) |
$12,842.54 |
$19,757.75 |
4.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$11,028.71 |
$16,967.25 |
3.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$10,207.16 |
$15,703.33 |
5.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$12,705.06 |
$19,546.24 |
7.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$11,391.78 |
$17,525.81 |
6.5× |
| Exc back les sc < 3 cm (21930) |
$1,171.95 |
$1,803 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$11,533.60 |
$17,744 |
3.7× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$18,381.40 |
$28,279.08 |
5.3× |
| Exc face les sbq 2 cm/> (21012) |
$1,278.55 |
$1,967 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$430.95 |
$663 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$924.95 |
$1,423 |
0.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,141.40 |
$1,756 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$1,723.15 |
$2,651 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$1,375.40 |
$2,116 |
0.8× |
| Exc hand les sc < 1.5 cm (26115) |
$13,006.52 |
$20,010.04 |
7.4× |
| Exc neck tum deep < 5 cm (21556) |
$15,184.38 |
$23,360.58 |
4.9× |
| Exc rect tum transanal part (45171) |
$15,533.13 |
$23,897.13 |
5.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$15,429.28 |
$23,737.34 |
8.8× |
| Exc shoulder tum deep 5 cm/> (23073) |
$33,232.97 |
$51,127.64 |
10.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$884.65 |
$1,361 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$808.60 |
$1,244 |
1.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$693.55 |
$1,067 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$15,309.53 |
$23,553.12 |
20.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$13,451.10 |
$20,694 |
7.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$14,530.60 |
$22,354.77 |
8.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,007.50 |
$1,550 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$14,971.13 |
$23,032.51 |
4.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$13,315.62 |
$20,485.57 |
7.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$13,451.10 |
$20,694 |
7.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$13,287.05 |
$20,441.61 |
4.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$13,561.28 |
$20,863.50 |
4.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,137.50 |
$1,750 |
0.6× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$1,086.80 |
$1,672 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$10,504.65 |
$16,161 |
3.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$801.45 |
$1,233 |
1.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$11,708.44 |
$18,012.99 |
3.8× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$15,372.50 |
$23,650 |
8.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,413.75 |
$2,175 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,725.10 |
$2,654 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,190.15 |
$1,831 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,478.10 |
$2,274 |
0.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$1,433.90 |
$2,206 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,396.85 |
$2,149 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$11,575.21 |
$17,808.01 |
3.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$12,723.69 |
$19,574.90 |
4.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$15,372.50 |
$23,650 |
8.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,616.55 |
$2,487 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$6,993.44 |
$10,759.12 |
4.1× |
| Excision Distal Ulna Partial/Complete (25240) |
$19,615.21 |
$30,177.25 |
5.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$867.75 |
$1,335 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
$997.10 |
$1,534 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$737.10 |
$1,134 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$369.20 |
$568 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$726.05 |
$1,117 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$657.80 |
$1,012 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$701.35 |
$1,079 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$831.35 |
$1,279 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,183 |
$1,820 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,202.50 |
$1,850 |
1.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$10,107.88 |
$15,550.58 |
13.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$10,107.88 |
$15,550.58 |
5.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$374.40 |
$576 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,154.40 |
$1,776 |
1.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$939.90 |
$1,446 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$13,706.34 |
$21,086.67 |
7.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$887.90 |
$1,366 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$260.65 |
$401 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$597.35 |
$919 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$7,532.85 |
$11,589 |
10.0× |
| Excision of hydrocele; unilateral (55040) |
$21,901.26 |
$33,694.25 |
5.7× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$13,720.85 |
$21,109 |
3.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$8,594.38 |
$13,222.12 |
4.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$794.95 |
$1,223 |
0.5× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$19,689.66 |
$30,291.79 |
11.5× |
| Excision of nail fold toe (11765) |
$620.75 |
$955 |
1.4× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$10,051.36 |
$15,463.63 |
4.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$16,315.33 |
$25,100.50 |
5.3× |
Excision of rib partial (21600)
likely a partial charge, not the full procedure |
$1,506.05 |
$2,317 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$999.70 |
$1,538 |
0.8× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$1,006.85 |
$1,549 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$771.55 |
$1,187 |
0.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$835.25 |
$1,285 |
0.4× |
| Excision olecranon bursa (24105) |
$690.30 |
$1,062 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$14,840.06 |
$22,830.86 |
4.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,524.90 |
$2,346 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$12,749.62 |
$19,614.80 |
7.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$12,543.05 |
$19,297 |
7.3× |
| Excision, nasal polyp(s), simple (30110) |
$349.05 |
$537 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$17,661.80 |
$27,172 |
5.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$8,996 |
$13,840 |
2.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,036.75 |
$1,595 |
0.6× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$10,824.98 |
$16,653.80 |
3.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$1,478.10 |
$2,274 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$10,672.92 |
$16,419.87 |
3.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$11,682.94 |
$17,973.75 |
3.8× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,101.45 |
$3,233 |
0.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$448.50 |
$690 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$794.30 |
$1,222 |
0.5× |
| Exploration Of Foot Joint (28020) |
$1,068.60 |
$1,644 |
0.3× |
| Exploration of hip joint (27033) |
$42,831.50 |
$65,894.61 |
5.5× |
| Exploration of knee joint (27310) |
$67,531.69 |
$103,894.90 |
19.3× |
| Exploration penetrating wound spx extremity (20103) |
$908.05 |
$1,397 |
0.5× |
| Exploratory shoulder surgery (23044) |
$1,574.30 |
$2,422 |
0.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,209.65 |
$1,861 |
0.3× |
| Explore/treat ankle joint (27620) |
$40,754.35 |
$62,699 |
11.7× |
| Explore/treat ankle joint (27610) |
$2,380.30 |
$3,662 |
0.7× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$9,864.58 |
$15,176.27 |
5.7× |
| Fasciotomy foot and/or toe (28008) |
$650.65 |
$1,001 |
0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$15,738.34 |
$24,212.82 |
4.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,537.90 |
$2,366 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$919.75 |
$1,415 |
2.1× |
| Finger tendon transfer (26497) |
$44,547.10 |
$68,534 |
12.8× |
| Fixation of knee joint (27570) |
$371.80 |
$572 |
0.2× |
| Fixation of shoulder (23700) |
$533 |
$820 |
0.3× |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
$17,108.34 |
$26,320.53 |
7.8× |
| Fusion Finger Joint (26860) |
$931.45 |
$1,433 |
0.3× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$2,293.20 |
$3,528 |
0.2× |
| Fusion of foot bones (28740) |
$64,030.67 |
$98,508.72 |
8.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$426.40 |
$656 |
1.9× |
| Gastrocnemius Recession (27687) |
$36,873.92 |
$56,729.11 |
10.6× |
| Guide Cathet Fluid Drainage (10030) |
$2,287.35 |
$3,519 |
3.0× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$1,662.05 |
$2,557 |
0.2× |
| Hemorrhoidectomy (46255) |
$16,571.93 |
$25,495.27 |
5.6× |
| I&D Abscess Peritonsillar (42700) |
$521.95 |
$803 |
2.1× |
| I&d abscess simple (10060) |
$547.95 |
$843 |
2.6× |
| I&d below fascia foot 1 bursal space (28002) |
$481 |
$740 |
0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$826.15 |
$1,271 |
0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,118 |
$1,720 |
0.3× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,649.05 |
$2,537 |
0.5× |
| I&d perianal abscess superficial (46050) |
$1,181.70 |
$1,818 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$450.45 |
$693 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$381.55 |
$587 |
0.2× |
| I&d vaginal hematoma, non-ob (57023) |
$1,363.70 |
$2,098 |
0.4× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$9,465.10 |
$14,561.69 |
9.8× |
| Incise finger tendon sheath (26055) |
$9,034.72 |
$13,899.57 |
5.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$709.80 |
$1,092 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,043.90 |
$1,606 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,860.95 |
$2,863 |
2.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$8,254.42 |
$12,699.10 |
4.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$7,842.90 |
$12,066 |
18.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$447.20 |
$688 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$9,256.66 |
$14,241.02 |
28.5× |
| Incision extensor tendon sheath wrist (25000) |
$6,717.75 |
$10,335 |
3.9× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
unusually low: confirm this is the full procedure |
$2,432.30 |
$3,742 |
0.4× |
| Incision of heel bone (28300) |
$39,964.14 |
$61,483.29 |
5.2× |
| Incision of lingual frenum (41010) |
$429.65 |
$661 |
0.3× |
| Incision of metatarsal (28308) |
$50,776.32 |
$78,117.41 |
14.5× |
| Incision of rectal abscess (46045) |
$1,218.10 |
$1,874 |
0.4× |
| Incision of rectal abscess (46040) |
$1,044.55 |
$1,607 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$673.40 |
$1,036 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$865.80 |
$1,332 |
1.1× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$1,077.70 |
$1,658 |
2.6× |
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
unusually low: confirm this is the full procedure |
$2,824.25 |
$4,345 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$308.10 |
$474 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$5,832.61 |
$8,973.25 |
6.2× |
| Inj tendon sheath/ligament (20550) |
$4,480.21 |
$6,892.63 |
13.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,319.85 |
$3,569 |
2.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$3,437.20 |
$5,288 |
4.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,304.90 |
$3,546 |
2.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$182.65 |
$281 |
0.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,139.15 |
$3,291 |
2.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$11,269.38 |
$17,337.50 |
15.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$420.55 |
$647 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$995.15 |
$1,531 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$6,603.03 |
$10,158.50 |
7.0× |
| Inject Nerv Blck,Pudendal (64430) |
$914.55 |
$1,407 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$182.65 |
$281 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$6,492.20 |
$9,988 |
8.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$3,824.83 |
$5,884.35 |
5.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$659.10 |
$1,014 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$9,533.78 |
$14,667.35 |
12.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$6,027.76 |
$9,273.47 |
18.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$892.45 |
$1,373 |
2.7× |
| Injection therapeutic carpal tunnel (20526) |
$362.05 |
$557 |
1.1× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,660.10 |
$2,554 |
1.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$897 |
$1,380 |
2.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$135.85 |
$209 |
0.6× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$7,855.90 |
$12,086 |
8.3× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$7,855.90 |
$12,086 |
8.3× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$925.60 |
$1,424 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$1,631.50 |
$2,510 |
11.9× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$937.30 |
$1,442 |
0.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$815.10 |
$1,254 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,851.20 |
$2,848 |
0.5× |
| Insert pessary/other device (57160) |
$109.85 |
$169 |
0.5× |
| Insert picc cath (36569) |
$2,529.15 |
$3,891 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$9,242.42 |
$14,219.10 |
65.1× |
| Insert tunneled cv cath (36561) |
$1,201.85 |
$1,849 |
0.4× |
| Insert Tunneled Cv Cath With Pump (36563) |
$20,460.70 |
$31,478 |
3.4× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$20,460.70 |
$31,478 |
3.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$20,578.56 |
$31,659.33 |
145.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$54,647.86 |
$84,073.62 |
2.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$25,218.90 |
$38,798.30 |
15.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$263.90 |
$406 |
0.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,161 |
$7,940 |
1.5× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$20,460.70 |
$31,478 |
6.1× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$20,460.70 |
$31,478 |
3.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$20,460.70 |
$31,478 |
6.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$20,460.70 |
$31,478 |
6.1× |
| Intubation endotracheal emergency procedure (31500) |
$1,088.75 |
$1,675 |
4.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$1,325.35 |
$2,039 |
5.0× |
| Knee arthroscopy/surgery (29876) |
$17,180.66 |
$26,431.79 |
4.9× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$1,961.05 |
$3,017 |
0.3× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$861.25 |
$1,325 |
0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$27,016.79 |
$41,564.29 |
4.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,732.95 |
$5,743 |
0.3× |
| Late closure of wound (13160) |
$1,661.40 |
$2,556 |
0.4× |
| Lateral retinacular release open (27425) |
$1,118 |
$1,720 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$633.10 |
$974 |
0.4× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$1,530.75 |
$2,355 |
0.5× |
| Lithotripsy (50590) |
$18,949.33 |
$29,152.82 |
5.0× |
| Liver Biopsy (47000) |
$5,080.40 |
$7,816 |
2.9× |
| Manipulation Ankle Under General Anesthesia (27860) |
$436.80 |
$672 |
0.1× |
| Manipulation finger joint under anes each joint (26340) |
$596.70 |
$918 |
0.3× |
| Muscle-skin graft trunk (15734) |
$4,769.05 |
$7,337 |
1.3× |
| Myelography Lumbar Injection (62305) |
$2,064.40 |
$3,176 |
2.5× |
| Myelography Lumbar Injection (62304) |
$2,000.05 |
$3,077 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,040.35 |
$3,139 |
2.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,057.25 |
$3,165 |
2.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$742.30 |
$1,142 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$779.35 |
$1,199 |
25.3× |
| Neuroplasty; nerve of hand or foot (64704) |
$973.05 |
$1,497 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$37,128.03 |
$57,120.05 |
89.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$767 |
$1,180 |
2.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$6,455.07 |
$9,930.87 |
6.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$4,712.86 |
$7,250.55 |
6.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$4,532.22 |
$6,972.66 |
6.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,581.15 |
$3,971 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,995.50 |
$3,070 |
0.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$1,301.30 |
$2,002 |
3.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,572.35 |
$2,419 |
3.6× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,397.50 |
$2,150 |
0.3× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$2,190.50 |
$3,370 |
0.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$44,986.38 |
$69,209.81 |
5.8× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$2,202.20 |
$3,388 |
0.3× |
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure |
$2,372.50 |
$3,650 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,635.40 |
$2,516 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,542.45 |
$2,373 |
0.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$54,030.20 |
$83,123.38 |
7.0× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$3,651.70 |
$5,618 |
0.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$68,168.43 |
$104,874.51 |
5.0× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
unusually low: confirm this is the full procedure |
$2,342.60 |
$3,604 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$2,150.85 |
$3,309 |
0.3× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low: confirm this is the full procedure |
$3,606.20 |
$5,548 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
unusually low: confirm this is the full procedure |
$2,780.70 |
$4,278 |
0.4× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
unusually low: confirm this is the full procedure |
$2,729.35 |
$4,199 |
0.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$48,703.20 |
$74,928 |
6.3× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,982.20 |
$4,588 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,542.45 |
$2,373 |
0.4× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,825.20 |
$2,808 |
0.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$68,168.43 |
$104,874.51 |
5.0× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,607.45 |
$2,473 |
0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$11,742.69 |
$18,065.68 |
3.4× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$1,068.60 |
$1,644 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$15,388.10 |
$23,674 |
4.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$874.90 |
$1,346 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,248.65 |
$1,921 |
0.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$36,102 |
$55,541.54 |
4.7× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$19,689.66 |
$30,291.79 |
2.5× |
| Partial excision bone talus/calcaneus (28120) |
$43,463.41 |
$66,866.79 |
12.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$15,808.65 |
$24,321 |
4.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$11,479.57 |
$17,660.88 |
3.3× |
| Percutaneous diskectomy (62287) |
$9,742.20 |
$14,988 |
4.7× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$2,695.55 |
$4,147 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$26,358.09 |
$40,550.90 |
7.6× |
| Perq dev breast 1st us imag (19285) |
$1,437.15 |
$2,211 |
1.9× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,505.75 |
$3,855 |
1.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,353.30 |
$2,082 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$654.55 |
$1,007 |
2.5× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,598.85 |
$13,229 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,011.90 |
$12,326 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$6,760 |
$10,400 |
1.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$7,208.50 |
$11,090 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$378.95 |
$583 |
0.8× |
| Placement of seton (46020) |
$622.05 |
$957 |
0.2× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$35,778.38 |
$55,043.66 |
10.2× |
| Preputial Stretching (54450) |
$447.20 |
$688 |
1.7× |
| Proctosigmoidoscopy w/bx (45305) |
$239.85 |
$369 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$172.25 |
$265 |
0.2× |
| Prostate Saturation Sampling (55706) |
$9,576.24 |
$14,732.67 |
2.5× |
| Prostatectomy (turp) (52601) |
$23,581.78 |
$36,279.66 |
4.1× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$53,385.72 |
$82,131.86 |
7.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,396.60 |
$6,764 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$263.90 |
$406 |
0.6× |
| Puncture Aspiration (10160) |
$322.40 |
$496 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$263.90 |
$406 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) (27430)
likely a partial charge, not the full procedure |
$2,106.65 |
$3,241 |
0.3× |
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149)
unusually low: confirm this is the full procedure |
$3,363.10 |
$5,174 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,269.15 |
$3,491 |
1.1× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure |
$1,651 |
$2,540 |
0.2× |
| Realignment extensor tendon hand each tendon (26437) |
$12,552.84 |
$19,312.06 |
3.6× |
| Reconstruction of urethra (53430) |
$36,779.35 |
$56,583.61 |
6.4× |
| Release palm contracture (26121) |
$18,260.67 |
$28,093.34 |
5.2× |
| Removal fb intranasal (30300) |
$197.60 |
$304 |
1.4× |
| Removal Foreign Body Foot Complicated (28193) |
$497.90 |
$766 |
0.3× |
| Removal foreign body foot deep (28192) |
$990.60 |
$1,524 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,049.10 |
$1,614 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$221.65 |
$341 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$8,695.05 |
$13,377 |
138.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$339.95 |
$523 |
5.4× |
| Removal Implant Deep (20680) |
$23,830.67 |
$36,662.56 |
7.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,027 |
$1,580 |
0.6× |
| Removal of arm foreign body (24200) |
$518.70 |
$798 |
0.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$781.30 |
$1,202 |
0.5× |
| Removal of heel bone (28118) |
$38,400.38 |
$59,077.51 |
11.0× |
| Removal of heel spur (28119) |
$45,371.07 |
$69,801.64 |
13.0× |
Removal of hip prosthesis (27090)
likely a partial charge, not the full procedure |
$2,013.70 |
$3,098 |
0.3× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
$42,831.50 |
$65,894.61 |
3.1× |
| Removal of intrauterine device (iud) (58301) |
$352.62 |
$542.50 |
1.1× |
| Removal of nail bed (11750) |
$47,714.74 |
$73,407.29 |
110.0× |
| Removal of sesamoid bone (28315) |
$19,689.66 |
$30,291.79 |
5.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$715.65 |
$1,101 |
3.3× |
| Removal of wrist bone (25210) |
$1,269.45 |
$1,953 |
0.4× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,920.75 |
$2,955 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$242.45 |
$373 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$208 |
$320 |
0.7× |
| Remove anal fist 2 stage (46285) |
$989.30 |
$1,522 |
0.3× |
| Remove bladder stone (52318) |
$21,561.40 |
$33,171.38 |
5.7× |
| Remove by ligat int hem grp (46945) |
$458.90 |
$706 |
0.2× |
| Remove by ligat int hem grps (46946) |
$546 |
$840 |
0.2× |
| Remove drug implant device (11982) |
$338 |
$520 |
0.7× |
| Remove femur lesion/bursa (27062) |
$65,869.69 |
$101,337.99 |
18.9× |
| Remove foreign body from eye (65210) |
$642.85 |
$989 |
1.3× |
| Remove in/ex hem groups 2+ (46260) |
$21,524.76 |
$33,115.02 |
7.3× |
| Remove Pilonidal Cyst Exten (11771) |
$1,262.95 |
$1,943 |
0.4× |
| Remove shoulder foreign body (23330) |
$1,278.55 |
$1,967 |
0.7× |
| Remove vagina wall partial (57106) |
$26,358.09 |
$40,550.90 |
7.6× |
| Remove wrist tendon lesion (25111) |
$10,886.64 |
$16,748.68 |
6.3× |
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure |
$2,138.50 |
$3,290 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$807.30 |
$1,242 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$377.65 |
$581 |
2.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$531.05 |
$817 |
3.7× |
| Renal biopsy (50200) |
$3,294.85 |
$5,069 |
1.9× |
| Repair achilles tendon (27650) |
$40,024.54 |
$61,576.22 |
5.2× |
| Repair collat ankle ligmnt,secondary (27698) |
$31,711.15 |
$48,786.38 |
4.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$856.05 |
$1,317 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$828.75 |
$1,275 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$768.95 |
$1,183 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$908.70 |
$1,398 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$697.45 |
$1,073 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$4,858.75 |
$7,475 |
11.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$421.20 |
$648 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$14,829.75 |
$22,815 |
18.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$927.55 |
$1,427 |
0.5× |
| Repair hallux rigidus (28289) |
$19,082.05 |
$29,357 |
5.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,703.65 |
$2,621 |
0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,811.55 |
$2,787 |
0.5× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,641.90 |
$2,526 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$28,493.44 |
$43,836.06 |
7.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$836.55 |
$1,287 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$945.75 |
$1,455 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$11,974.63 |
$18,422.50 |
27.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$942.50 |
$1,450 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$759.20 |
$1,168 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$643.50 |
$990 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$644.80 |
$992 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$14,037.14 |
$21,595.60 |
32.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$645.45 |
$993 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$854.10 |
$1,314 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$647.40 |
$996 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$13,514.85 |
$20,792.07 |
31.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$761.80 |
$1,172 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$13,362.53 |
$20,557.74 |
30.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$909.35 |
$1,399 |
0.4× |
| Repair of ankle ligament (27695) |
$40,754.35 |
$62,699 |
5.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure |
$2,779.40 |
$4,276 |
0.4× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$43,364.95 |
$66,715.30 |
8.1× |
| Repair Of Foot Tendon (28208) |
$35,740.25 |
$54,985 |
10.2× |
| Repair of hammertoe (28286) |
$30,880.20 |
$47,508 |
8.8× |
| Repair of leg tendon each (27658) |
$1,061.45 |
$1,633 |
0.3× |
| Repair of nail bed (11760) |
$617.50 |
$950 |
0.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$48,594.33 |
$74,760.51 |
6.3× |
| Repair of thigh musc (27385) |
$32,035.92 |
$49,286.03 |
4.1× |
Repair radius & ulna (25415)
unusually low: confirm this is the full procedure |
$3,541.85 |
$5,449 |
0.5× |
| Repair rectum & vagina (57250) |
$43,364.95 |
$66,715.30 |
8.1× |
| Repair rotator cuff acute (23410) |
$48,818.87 |
$75,105.95 |
6.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$43,779.45 |
$67,353 |
5.7× |
| Repair wrist joints (25447) |
$2,309.45 |
$3,553 |
0.7× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$1,524.90 |
$2,346 |
0.4× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$982.80 |
$1,512 |
0.3× |
| Repair/graft achilles tendon (27652) |
$56,471.35 |
$86,879 |
7.3× |
| Repair/revise wrist joint (25320) |
$24,968.15 |
$38,412.54 |
3.2× |
| Replace duod/jej tube perc (49451) |
$1,506.70 |
$2,318 |
1.6× |
| Replace g/c tube perc (49450) |
$1,103.70 |
$1,698 |
1.1× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,317.25 |
$3,565 |
2.4× |
Rerepair ing hernia blocked (49521)
unusually low: confirm this is the full procedure |
$2,380.30 |
$3,662 |
0.3× |
| Rerepair ing hernia reduce (49520) |
$29,442.67 |
$45,296.42 |
7.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$13,268.13 |
$20,412.50 |
3.8× |
| Revise knuckle with implant (26531) |
$44,547.10 |
$68,534 |
5.8× |
| Revise leg vein (37700) |
$12,556.70 |
$19,318 |
3.7× |
| Revise median n/carpal tunnel surg (64721) |
$10,255.49 |
$15,777.68 |
4.9× |
| Revise ulnar nerve at elbow (64718) |
$12,653.55 |
$19,467 |
6.1× |
| Revise ulnar nerve at wrist (64719) |
$1,031.55 |
$1,587 |
0.5× |
| Revise vag graft via vagina (57295) |
$36,779.35 |
$56,583.61 |
10.6× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$1,155.70 |
$1,778 |
0.1× |
| Revision of lower leg tendon (27685) |
$58,991.12 |
$90,755.58 |
16.9× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
unusually low: confirm this is the full procedure |
$4,914.65 |
$7,561 |
0.4× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$87,680.51 |
$134,893.09 |
4.7× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$4,379.05 |
$6,737 |
0.3× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$13,550.55 |
$20,847 |
3.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$55,844.19 |
$85,914.14 |
15.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$599.30 |
$922 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$418.60 |
$644 |
2.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$15,068.39 |
$23,182.14 |
4.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$8,331.05 |
$12,817 |
5.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$8,837.54 |
$13,596.21 |
13.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,034.80 |
$1,592 |
0.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$25,618.61 |
$39,413.25 |
4.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$21,990.70 |
$33,831.85 |
3.2× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$22,760.76 |
$35,016.55 |
3.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$21,660.28 |
$33,323.50 |
5.7× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$23,713.46 |
$36,482.24 |
3.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$25,058.15 |
$38,551 |
3.9× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$31,593.60 |
$48,605.54 |
9.0× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$1,296.75 |
$1,995 |
0.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$845 |
$1,300 |
3.3× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$1,762.15 |
$2,711 |
0.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,292.55 |
$3,527 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$14,496.14 |
$22,301.75 |
14.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$15,878.20 |
$24,428 |
12.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$241.80 |
$372 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$393.90 |
$606 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$208.65 |
$321 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$258.70 |
$398 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$304.85 |
$469 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$319.15 |
$491 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$206.70 |
$318 |
0.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$24,631.59 |
$37,894.75 |
7.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$234 |
$360 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$339.95 |
$523 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$254.15 |
$391 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$331.50 |
$510 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$300.30 |
$462 |
1.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$7,993.91 |
$12,298.33 |
8.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$13,917.96 |
$21,412.25 |
14.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$676.65 |
$1,041 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$559.65 |
$861 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$14,074.58 |
$21,653.20 |
65.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$624 |
$960 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$586.95 |
$903 |
2.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$4,308.20 |
$6,628 |
20.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$605.80 |
$932 |
2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$564.85 |
$869 |
2.6× |
| Skin pinch graft (15050) |
$1,155.70 |
$1,778 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,873.65 |
$4,421 |
3.6× |
| Skin sub graft trnk/arm/leg (15271) |
$2,736.50 |
$4,210 |
3.5× |
| Skin tissue rearrangement (14040) |
$12,616.69 |
$19,410.29 |
5.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$4,239.89 |
$6,522.90 |
19.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$659.75 |
$1,015 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$728.65 |
$1,121 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,297.40 |
$1,996 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$1,396.85 |
$2,149 |
1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,169.70 |
$3,338 |
0.6× |
| Strapping ankle (29540) |
$17.55 |
$27 |
0.1× |
| Strapping unna boot (29580) |
$316.55 |
$487 |
1.8× |
| Suspension of testis (54620) |
$17,383.48 |
$26,743.81 |
4.6× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381)
likely a partial charge, not the full procedure |
$2,145.65 |
$3,301 |
0.3× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$898.30 |
$1,382 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$24,968.15 |
$38,412.54 |
14.6× |
| Tangential biopsy skin single lesion (11102) |
$219.70 |
$338 |
0.5× |
| Tenodesis long tendon biceps (23430) |
$48,818.87 |
$75,105.95 |
6.3× |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
$969.15 |
$1,491 |
0.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$43,107.20 |
$66,318.77 |
25.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$616.85 |
$949 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$689 |
$1,060 |
0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,229.80 |
$1,892 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,867.45 |
$2,873 |
2.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,071.20 |
$1,648 |
1.6× |
| Throat Surgery Procedure (42999) |
$546.65 |
$841 |
2.2× |
| Thyroid biopsy (60100) |
$1,310.40 |
$2,016 |
1.7× |
| Total hip arthroplasty (27130) |
$69,664.14 |
$107,175.60 |
5.1× |
| Total knee arthroplasty (27447) |
$74,006.12 |
$113,855.57 |
5.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,088.75 |
$1,675 |
0.7× |
| Transplant forearm tendon (25310) |
$24,968.15 |
$38,412.54 |
7.2× |
| Transplant hand tendon (26480) |
$1,431.30 |
$2,202 |
0.4× |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
$11,719.18 |
$18,029.50 |
3.1× |
| Transurethral resection of bladder neck (52500) |
$775.45 |
$1,193 |
0.2× |
Treat elbow fracture (24635)
likely a partial charge, not the full procedure |
$1,825.20 |
$2,808 |
0.2× |
| Treat finger dislocation (26775) |
$945.10 |
$1,454 |
3.2× |
| Treat Finger Fracture Each (26727) |
$31,593.60 |
$48,605.54 |
9.0× |
| Treat Fracture Radius & Ulna (25560) |
$542.10 |
$834 |
2.1× |
| Treat fracture radius/ulna (25575) |
$89,205.60 |
$137,239.39 |
11.5× |
| Treat humerus fracture (24500) |
$684.45 |
$1,053 |
2.6× |
| Treat humerus fracture (23600) |
$622.70 |
$958 |
2.4× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$3,822 |
$5,880 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$271.70 |
$418 |
1.0× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,736.15 |
$2,671 |
0.2× |
| Treat Wrist Bone Fracture (25630) |
$541.45 |
$833 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$834.60 |
$1,284 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$604.50 |
$930 |
2.3× |
| Treatment of ankle fracture (27822) |
$54,636.99 |
$84,056.90 |
7.1× |
| Treatment of ankle fracture (27792) |
$70,025.80 |
$107,732 |
9.0× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$3,770 |
$5,800 |
0.5× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,770 |
$5,800 |
0.5× |
Treatment of thigh fracture (27513)
likely a partial charge, not the full procedure |
$3,515.20 |
$5,408 |
0.3× |
| Treatment of tibia fracture (27759) |
$68,668.93 |
$105,644.50 |
5.0× |
| Trim skin lesion (11055) |
$134.55 |
$207 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$132.60 |
$204 |
0.6× |
| Trim skin lesions over 4 (11057) |
$91.65 |
$141 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$76.05 |
$117 |
1.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,274.65 |
$1,961 |
0.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$2,528.50 |
$3,890 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$859.30 |
$1,322 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$459.55 |
$707 |
1.1× |
| Unlisted laparoscopic procedure liver (47379) |
$26,373.75 |
$40,575 |
4.1× |
| Unlisted procedure anus (46999) |
$933.40 |
$1,436 |
0.9× |
| Unlisted Procedure Biliary Tract (47999) |
$248.95 |
$383 |
0.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$711.10 |
$1,094 |
2.8× |
| Unlisted procedure femur or knee (27599) |
$371.80 |
$572 |
1.4× |
| Unlisted procedure foot or toes (28899) |
$1,166.10 |
$1,794 |
4.4× |
| Unlisted Procedure Nervous System (64999) |
$6,779.50 |
$10,430 |
20.7× |
| Unlisted procedure pelvis/hip joint (27299) |
$66,247.73 |
$101,919.59 |
251.7× |
| Unlisted procedure shoulder (23929) |
$3,762.85 |
$5,789 |
14.3× |
| Unlisted procedure spine (22899) |
$2,001.35 |
$3,079 |
7.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$742.30 |
$1,142 |
0.8× |
| Unlisted procedure, hands or fingers (26989) |
$1,053.65 |
$1,621 |
4.0× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$2,239.25 |
$3,445 |
0.6× |
| Vaginal delivery only (59409) |
$8,507.85 |
$13,089 |
2.5× |
| Vasectomy (55250) |
$11,460.01 |
$17,630.78 |
5.1× |
| Venipuncture (36415) |
$32.50 |
$50 |
3.5× |
| Wrist arthroscop,excis triang cart (29846) |
$1,428.70 |
$2,198 |
0.4× |
| Xfer single deep low leg tendon (27691) |
$56,471.35 |
$86,879 |
7.3× |