| Abd paracentesis w/imaging (49083) |
$678.75 |
$905 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$539.62 |
$719.50 |
0.6× |
| Acne Surgery (10040) |
$90.75 |
$121 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,750.25 |
$3,667 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$7,071.75 |
$9,429 |
2.4× |
| Amputation thigh through femur any level (27590) |
$3,708 |
$4,944 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$5,711.25 |
$7,615 |
1.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,194.25 |
$8,259 |
2.1× |
| Amputation, foot; transmetatarsal (28805) |
$13,536 |
$18,048 |
4.5× |
| Amputation, leg, through tibia and fibula; (27880) |
$8,863.50 |
$11,818 |
1.3× |
| Anoscopy diagnostic (46600) |
$225 |
$300 |
1.8× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,456.50 |
$1,942 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$343.12 |
$457.50 |
2.3× |
| Application cast elbow finger short arm (29075) |
$181.88 |
$242.50 |
0.7× |
| Application Cast Finger (29086) |
$159.38 |
$212.50 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$332.25 |
$443 |
2.2× |
| Application cast shoulder hand long arm (29065) |
$192 |
$256 |
0.7× |
| Application finger splint static (29130) |
$61.88 |
$82.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$121.12 |
$161.50 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$176.25 |
$235 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$189 |
$252 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$243.75 |
$325 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$224.62 |
$299.50 |
1.8× |
| Application short leg splint calf foot (29515) |
$101.25 |
$135 |
0.7× |
| Apply multlay comprs arm/hand (29584) |
$401.25 |
$535 |
2.7× |
| Apply short leg cast (29405) |
$121.12 |
$161.50 |
0.5× |
| Apply short leg cast (29425) |
$126 |
$168 |
0.5× |
| Arterial puncture (36600) |
$100.50 |
$134 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$145.50 |
$194 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$476.25 |
$635 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$330 |
$440 |
1.2× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$12,306 |
$16,408 |
1.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,159.25 |
$2,879 |
1.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,095.50 |
$2,794 |
0.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$78.75 |
$105 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,455 |
$1,940 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$153.75 |
$205 |
0.8× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$4,927.50 |
$6,570 |
0.9× |
| Biopsy Bone Open Deep (20245) |
$1,713.75 |
$2,285 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$580.50 |
$774 |
0.4× |
| Biopsy of mouth lesion (40808) |
$536.25 |
$715 |
1.1× |
| Biopsy of nail unit (11755) |
$96 |
$128 |
0.1× |
| Biopsy of palate, uvula (42100) |
$138.75 |
$185 |
0.1× |
| Biopsy of tongue (41100) |
$579.75 |
$773 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,209.25 |
$4,279 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,023 |
$1,364 |
0.7× |
| Biopsy/removal lymph nodes (38525) |
$5,445 |
$7,260 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$5,703.75 |
$7,605 |
1.6× |
| Bladder Irrigation Simple (51700) |
$450 |
$600 |
2.0× |
| Bladder Scan (51798) |
$100.50 |
$134 |
1.9× |
| Blood patch (62273) |
$345 |
$460 |
0.5× |
| Blood transfusion service (36430) |
$742.50 |
$990 |
1.8× |
| Bone marrow aspiration only (38220) |
$1,158 |
$1,544 |
0.8× |
| Bone Marrow Biopsy (38221) |
$1,165.50 |
$1,554 |
0.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,560 |
$2,080 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,494.12 |
$3,325.50 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$963.75 |
$1,285 |
0.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$11,985 |
$15,980 |
4.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$1,028.25 |
$1,371 |
5.1× |
| Chemical Cautery Tissue (17250) |
$90.75 |
$121 |
0.5× |
| Chest tube placement (32551) |
$157.50 |
$210 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$208.50 |
$278 |
1.7× |
| Circum 28 days or older (54161) |
$3,963.75 |
$5,285 |
2.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$517.50 |
$690 |
2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$393.75 |
$525 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$966 |
$1,288 |
4.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$393.38 |
$524.50 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$487.50 |
$650 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,029 |
$1,372 |
4.5× |
| Colonoscopy stoma w/biopsy (44389) |
$1,777.50 |
$2,370 |
1.6× |
| Colonoscopy stoma w/snare (44394) |
$1,451.25 |
$1,935 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,451.25 |
$1,935 |
1.7× |
| Colonoscopy w/ablation (45388) |
$2,096.25 |
$2,795 |
1.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$2,095.50 |
$2,794 |
1.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,633.50 |
$2,178 |
1.5× |
| Complex Drainage, Wound (10180) |
$625.50 |
$834 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$274.88 |
$366.50 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$192 |
1.2× |
| Correction hammertoe (28285) |
$5,181 |
$6,908 |
1.7× |
| Correction of bunion (28298) |
$4,863 |
$6,484 |
0.7× |
| Correction of bunion (28292) |
$4,324.50 |
$5,766 |
1.4× |
| Correction of bunion (28299) |
$11,502 |
$15,336 |
1.7× |
| Correction of bunion (28297) |
$11,502 |
$15,336 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,791.75 |
$6,389 |
1.6× |
| Cryotherapy of skin (17340) |
$38.25 |
$51 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$195 |
$260 |
1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,300 |
$4,400 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$39.75 |
$53 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$351.75 |
$469 |
0.5× |
| Debride nail 1-5 (11720) |
$50.25 |
$67 |
0.9× |
| Debride nail 6 or more (11721) |
$84.75 |
$113 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$444.38 |
$592.50 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$264.38 |
$352.50 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$360 |
$480 |
0.2× |
| Decompression; plantar digital nerve (64726) |
$1,410 |
$1,880 |
0.8× |
| Destroy internal hemorrhoids (46930) |
$2,913.75 |
$3,885 |
2.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$150 |
$200 |
0.4× |
| Destruction anal lesion(s) (46924) |
$598.50 |
$798 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$116.25 |
$155 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$691.12 |
$921.50 |
3.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$127.12 |
$169.50 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$147 |
$196 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$201.75 |
$269 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$258.75 |
$345 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$102.75 |
$137 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$125.62 |
$167.50 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$136.88 |
$182.50 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$100.50 |
$134 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$107.25 |
$143 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$116.62 |
$155.50 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$133.12 |
$177.50 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$68.62 |
$91.50 |
0.4× |
| Destruction of skin lesions (17106) |
$337.50 |
$450 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$225 |
$300 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,467.75 |
$1,957 |
1.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,748.75 |
$3,665 |
0.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,181.25 |
$1,575 |
1.4× |
| Division of fallopian tube (58600) |
$4,942.50 |
$6,590 |
1.7× |
| Drain hand tendon sheath (26020) |
$2,236.50 |
$2,982 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$386.25 |
$515 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$133.88 |
$178.50 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$279.38 |
$372.50 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$204 |
$272 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$420.75 |
$561 |
0.3× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$1,150.12 |
$1,533.50 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$475.50 |
$634 |
0.3× |
| Draw blood off venous device (36591) |
$182.25 |
$243 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$220.50 |
$294 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$174 |
$232 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$135.38 |
$180.50 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$27 |
$36 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$165 |
$220 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$2,025 |
$2,700 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,938.75 |
$2,585 |
1.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,954.50 |
$2,606 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,618.50 |
$2,158 |
1.9× |
| Egd place gastrostomy tube (43246) |
$2,642.25 |
$3,523 |
1.5× |
| Endoven ther chem adhes 1st (36482) |
$5,251.50 |
$7,002 |
1.0× |
| Esoph endoscopy dilation (43226) |
$1,131.75 |
$1,509 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$35.62 |
$47.50 |
0.3× |
| Exc abd les sc 3 cm/> (22903) |
$2,790 |
$3,720 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,488.50 |
$3,318 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$147 |
$196 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$170.25 |
$227 |
0.1× |
| Exc back les sc < 3 cm (21930) |
$2,157 |
$2,876 |
1.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$97.50 |
$130 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$162.75 |
$217 |
0.1× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,455 |
$1,940 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$2,580 |
$3,440 |
1.7× |
| Exc forearm les sc < 3 cm (25075) |
$1,728.75 |
$2,305 |
1.1× |
| Exc frenum labial/buccal (40819) |
$262.50 |
$350 |
0.2× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$2,594.25 |
$3,459 |
1.4× |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
$3,119.25 |
$4,159 |
1.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$9,289.50 |
$12,386 |
1.7× |
| Exc rect tum transanal part (45171) |
$2,387.25 |
$3,183 |
0.9× |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
$2,760.75 |
$3,681 |
1.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,790 |
$3,720 |
1.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$113.25 |
$151 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$108.75 |
$145 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$120 |
$160 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$138.75 |
$185 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$202.50 |
$270 |
0.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$155.25 |
$207 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$282.38 |
$376.50 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$243.75 |
$325 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$228.75 |
$305 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$233.25 |
$311 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$378.75 |
$505 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$299.25 |
$399 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$329.25 |
$439 |
0.2× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$366.75 |
$489 |
0.1× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,111.50 |
$5,482 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,437.50 |
$3,250 |
2.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$90 |
$120 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,860 |
$6,480 |
1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,395.25 |
$4,527 |
2.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,467.50 |
$3,290 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,033 |
$4,044 |
2.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,128.75 |
$5,505 |
1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,128.75 |
$5,505 |
2.8× |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
$4,128.75 |
$5,505 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,196.50 |
$4,262 |
2.2× |
| Excise parotid gland/lesion (42410) |
$4,125 |
$5,500 |
0.8× |
| Excise/repair mouth lesion (40812) |
$988.12 |
$1,317.50 |
0.7× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$295.50 |
$394 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$136.88 |
$182.50 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$162.75 |
$217 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$180 |
$240 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$206.25 |
$275 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$229.50 |
$306 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$145.50 |
$194 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$172.50 |
$230 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$197.25 |
$263 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$288 |
$384 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$138.38 |
$184.50 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$164.25 |
$219 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$186 |
$248 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$219.75 |
$293 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$247.50 |
$330 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$122.25 |
$163 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$136.50 |
$182 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$127.50 |
$170 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$88.12 |
$117.50 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$4,128.75 |
$5,505 |
2.8× |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
$1,201.50 |
$1,602 |
0.4× |
| Excision of nail fold toe (11765) |
$119.62 |
$159.50 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,471.25 |
$3,295 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$2,133.75 |
$2,845 |
1.9× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,355.75 |
$356 |
0.9× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,455 |
$1,940 |
0.8× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$6,126 |
$8,168 |
1.1× |
| Excision olecranon bursa (24105) |
$3,810 |
$5,080 |
1.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,290.62 |
$4,387.50 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,003.75 |
$4,005 |
2.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$446.25 |
$595 |
0.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,926.50 |
$3,902 |
2.0× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$3,166.50 |
$4,222 |
1.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$3,146.25 |
$4,195 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$1,991.25 |
$2,655 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$533.25 |
$711 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$1,465.50 |
$1,954 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$450 |
$600 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$4,423.50 |
$5,898 |
1.7× |
| Explo/Drain Breast Abscess (19020) |
$2,723.25 |
$3,631 |
1.8× |
| Exploration penetrating wound spx extremity (20103) |
$459.75 |
$613 |
0.3× |
| Explore/treat elbow joint (24101) |
$468.75 |
$625 |
0.2× |
| Explore/treat hand joint (26070) |
$318.75 |
$425 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$363.75 |
$485 |
0.2× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$2,095.50 |
$2,794 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$5,181 |
$6,908 |
1.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$4,773.75 |
$6,365 |
2.5× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,129.25 |
$2,839 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$502.50 |
$670 |
0.3× |
| Fusion of foot bones (28740) |
$21,219 |
$28,292 |
3.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$218.25 |
$291 |
1.1× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,811.25 |
$2,415 |
0.5× |
| Guide Cathet Fluid Drainage (10030) |
$2,080.50 |
$2,774 |
3.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,108.75 |
$4,145 |
1.0× |
| Hemorrhoidectomy (46255) |
$3,273.75 |
$4,365 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$4,640.25 |
$6,187 |
1.8× |
| I&d abscess simple (10060) |
$558.38 |
$744.50 |
3.0× |
| I&d below fascia foot 1 bursal space (28002) |
$2,096.25 |
$2,795 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,023.75 |
$1,365 |
0.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,455 |
$1,940 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$552 |
$736 |
0.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,236.50 |
$2,982 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$131.25 |
$175 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$810.38 |
$1,080.50 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$732.38 |
$976.50 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,277.25 |
$1,703 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$201.38 |
$268.50 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$200.25 |
$267 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$339.75 |
$453 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$176.62 |
$235.50 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$187.50 |
$250 |
0.7× |
| Incision bone cortex foot (28005) |
$2,387.25 |
$3,183 |
0.8× |
| Incision labial frenum frenotomy (40806) |
$86.25 |
$115 |
0.2× |
| Incision of metatarsal (28308) |
$3,108.75 |
$4,145 |
1.0× |
| Incision of rectal abscess (46040) |
$3,356.25 |
$4,475 |
3.0× |
| Incision thrombosed hemorrhoid external (46083) |
$223.12 |
$297.50 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$560.62 |
$747.50 |
0.8× |
| Inj dupuytren cord w/enzyme (20527) |
$61.50 |
$82 |
0.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$772.50 |
$1,030 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$50.25 |
$67 |
0.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$446.25 |
$595 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$528.75 |
$705 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$756.75 |
$1,009 |
0.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$446.25 |
$595 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,091.25 |
$1,455 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$446.25 |
$595 |
0.7× |
| Inject Nerv Blck,Pudendal (64430) |
$2,367.75 |
$3,157 |
2.9× |
| Inject Tendon Origin/Insert (20551) |
$50.62 |
$67.50 |
0.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$528.75 |
$705 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$521.25 |
$695 |
1.8× |
| Injection anes other peripheral nerve/branch (64450) |
$673.50 |
$898 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$337.50 |
$450 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$337.50 |
$450 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$57 |
$76 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$461.25 |
$615 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,417.50 |
$1,890 |
5.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$50.25 |
$67 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$39.75 |
$53 |
0.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$25,738.50 |
$34,318 |
2.7× |
| Insert Drug Implant Device (11981) |
$101.25 |
$135 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$3,842.25 |
$5,123 |
1.3× |
| Insert picc cath (36569) |
$3,252.75 |
$4,337 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$193.12 |
$257.50 |
1.6× |
| Insert tun ip cath perc (49418) |
$5,448.75 |
$7,265 |
1.7× |
| Insert tunneled cv cath (36561) |
$5,166.75 |
$6,889 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$213 |
$284 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,784.75 |
$3,713 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,300.75 |
$4,401 |
2.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,384.38 |
$8,512.50 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,520.75 |
$7,361 |
1.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,521.38 |
$6,028.50 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$439.50 |
$586 |
2.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$403.50 |
$538 |
1.8× |
Lap insert tunnel ip cath (49324) unusually low: confirm this is the full procedure |
$2,137.50 |
$2,850 |
0.4× |
| Laparoscopy appendectomy (44970) |
$7,856.25 |
$10,475 |
1.4× |
| Laparoscopy biopsy (49321) |
$7,470 |
$9,960 |
1.3× |
| Laparoscopy Remove Adnexa (58661) |
$9,007.50 |
$12,010 |
1.6× |
| Laparoscopy tubal block (58671) |
$6,904.50 |
$9,206 |
1.2× |
| Laparoscopy w/lysis of adhesions (58660) |
$6,930 |
$9,240 |
1.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,977.75 |
$6,637 |
0.9× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,903.75 |
$9,205 |
1.2× |
| Late closure of wound (13160) |
$2,937 |
$3,916 |
0.9× |
| Ligation or biopsy temporal artery (37609) |
$1,158 |
$1,544 |
0.8× |
| Mast mod rad (19307) |
$11,988 |
$15,984 |
2.0× |
| Mastectomy partial (19301) |
$8,067.75 |
$10,757 |
2.2× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$4,296.75 |
$5,729 |
1.3× |
| Muscle-skin graft trunk (15734) |
$5,701.50 |
$7,602 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$138.75 |
$185 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$36 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,613.25 |
$2,151 |
3.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,031.25 |
$1,375 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$997.50 |
$1,330 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,645.50 |
$2,194 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,645.50 |
$2,194 |
2.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,166.25 |
$1,555 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$6,193.50 |
$8,258 |
2.1× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$7,896 |
$10,528 |
2.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$3,108.75 |
$4,145 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,102.50 |
$5,470 |
1.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,062 |
$5,416 |
1.3× |
| Partial excision bone talus/calcaneus (28120) |
$3,108.75 |
$4,145 |
1.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$5,672.25 |
$7,563 |
1.9× |
| Partial Removal Foot Fascia (28060) |
$3,977.25 |
$5,303 |
1.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,108.75 |
$4,145 |
1.0× |
| Pelvic exam under anesthesia (57410) |
$2,216.25 |
$2,955 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$258.75 |
$345 |
1.1× |
| Phalangectomy toe each toe (28150) |
$4,436.25 |
$5,915 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$289.50 |
$386 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$170.62 |
$227.50 |
0.5× |
| Puncture Aspiration (10160) |
$116.25 |
$155 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$600 |
$800 |
0.9× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$2,096.25 |
$2,795 |
0.8× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,796 |
$7,728 |
0.9× |
| Reconstruction of nail bed with graft (11762) |
$203.25 |
$271 |
0.1× |
| Removal fb intranasal (30300) |
$133.12 |
$177.50 |
1.1× |
| Removal foreign body foot deep (28192) |
$1,850.25 |
$2,467 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,181.25 |
$1,575 |
1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$433.12 |
$577.50 |
8.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$57 |
$76 |
1.1× |
| Removal Implant Deep (20680) |
$4,057.50 |
$5,410 |
1.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,496.25 |
$1,995 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$103.50 |
$138 |
0.2× |
| Removal of heel bone (28118) |
$9,424.50 |
$12,566 |
3.1× |
| Removal of heel spur (28119) |
$3,223.50 |
$4,298 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$153.75 |
$205 |
0.5× |
| Removal of nail bed (11750) |
$131.25 |
$175 |
0.4× |
| Removal of sesamoid bone (28315) |
$5,142.75 |
$6,857 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$425.25 |
$567 |
2.3× |
| Removal of testis (54520) |
$2,490 |
$3,320 |
0.8× |
| Removal subq cardiac rhythm monitor (33286) |
$502.50 |
$670 |
0.8× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$5,167.50 |
$6,890 |
1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$90 |
$120 |
0.3× |
| Remove drug implant device (11982) |
$115.12 |
$153.50 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$262.50 |
$350 |
0.9× |
| Remove foreign body from eye (65210) |
$356.25 |
$475 |
0.9× |
| Remove hip pressure sore (15941) |
$3,867 |
$5,156 |
1.4× |
| Remove in/ex hem groups 2+ (46260) |
$4,132.50 |
$5,510 |
1.6× |
| Remove in/ex hem grps w/fist (46262) |
$4,331.25 |
$5,775 |
1.7× |
| Remove Pilonidal Cyst Exten (11771) |
$415.50 |
$554 |
0.2× |
| Remove sacrum pressure sore (15937) |
$2,594.25 |
$3,459 |
1.4× |
| Remove thigh pressure sore (15956) |
$2,784.75 |
$3,713 |
1.5× |
| Remove thigh pressure sore (15958) |
$2,626.50 |
$3,502 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$74.62 |
$99.50 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$73.88 |
$98.50 |
0.6× |
| Remv&replc pm gen dual lead (33228) |
$25,738.50 |
$34,318 |
2.7× |
| Repair achilles tendon (27650) |
$6,418.50 |
$8,558 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$741.75 |
$989 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$940.88 |
$1,254.50 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$777 |
$1,036 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$777 |
$1,036 |
1.1× |
| Repair hallux rigidus (28289) |
$4,788.75 |
$6,385 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,917.50 |
$3,890 |
0.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,916.75 |
$3,889 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$5,748 |
$7,664 |
1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,647.50 |
$7,530 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$187.50 |
$250 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$827.25 |
$1,103 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,313.75 |
$3,085 |
6.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,290.38 |
$1,720.50 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$345 |
$460 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$288.38 |
$384.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$172.50 |
$230 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$494.25 |
$659 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$260.25 |
$347 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$370.88 |
$494.50 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$318 |
$424 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$171.75 |
$229 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$652.50 |
$870 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$658.88 |
$878.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$726 |
$968 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$343.50 |
$458 |
0.2× |
| Repair Of Foot Tendon (28208) |
$4,754.25 |
$6,339 |
1.6× |
| Repair of hammertoe (28286) |
$3,108.75 |
$4,145 |
1.0× |
| Repair of hydrocele (55060) |
$2,587.50 |
$3,450 |
0.8× |
| Repair of leg tendon each (27665) |
$4,671.75 |
$6,229 |
0.7× |
| Repair of leg tendon each (27658) |
$5,709.75 |
$7,613 |
1.9× |
| Repair of nail bed (11760) |
$140.25 |
$187 |
0.2× |
| Repair rectum & vagina (57250) |
$1,956 |
$2,608 |
0.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,418.50 |
$8,558 |
1.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$4,978.50 |
$6,638 |
1.7× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$3,108.75 |
$4,145 |
1.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$4,228.50 |
$5,638 |
1.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,340 |
$3,120 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$3,573.75 |
$4,765 |
2.0× |
Revision of big toe (28310) unusually low: confirm this is the full procedure |
$3,108.75 |
$4,145 |
0.5× |
| Revision of foot (28116) |
$2,096.25 |
$2,795 |
0.7× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,054 |
$4,072 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$82.50 |
$110 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,748.75 |
$3,665 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,381.50 |
$1,842 |
2.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$161.25 |
$215 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,647.50 |
$7,530 |
1.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$5,553.23 |
$7,404.30 |
0.9× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,647.50 |
$7,530 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,493 |
$7,324 |
1.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$6,465 |
$8,620 |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,204.75 |
$4,273 |
2.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$340.12 |
$453.50 |
0.5× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$5,532 |
$7,376 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,642.50 |
$2,190 |
1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$82.50 |
$110 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$135 |
$180 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$72.75 |
$97 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$87.75 |
$117 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$105 |
$140 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$108.75 |
$145 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$71.25 |
$95 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$81 |
$108 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$112.50 |
$150 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$116.25 |
$155 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$111 |
$148 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$100.50 |
$134 |
0.5× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,162.50 |
$1,550 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,164 |
$1,552 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$472.88 |
$630.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200.62 |
$267.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218.25 |
$291 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$423.38 |
$564.50 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$254.62 |
$339.50 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$492 |
$656 |
2.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$380.62 |
$507.50 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$300.75 |
$401 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$346.12 |
$461.50 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$258 |
$344 |
1.4× |
| Skin splt grft trnk/arm/leg (15100) |
$5,398.50 |
$7,198 |
2.8× |
| Skin sub graft face/nk/hf/g (15275) |
$656.25 |
$875 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$656.25 |
$875 |
1.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,143.50 |
$2,858 |
1.1× |
| Skin Tissue Procedure (17999) |
$954.75 |
$1,273 |
5.2× |
| Skin tissue rearrangement (14040) |
$2,563.50 |
$3,418 |
1.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$5,533.50 |
$7,378 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,160.25 |
$1,547 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$207.75 |
$277 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$443.62 |
$591.50 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$578.62 |
$771.50 |
1.5× |
| Sphincterotomy (46080) |
$1,780.50 |
$2,374 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$322.50 |
$430 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$624 |
$832 |
1.0× |
| Strapping hand/finger (29280) |
$48.75 |
$65 |
0.9× |
| Strapping unna boot (29580) |
$354.38 |
$472.50 |
2.4× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$66.63 |
$88.84 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$116.25 |
$155 |
0.3× |
| Tenolysis extensor foot single tendon (28225) |
$2,502.75 |
$3,337 |
0.8× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,347.50 |
$3,130 |
1.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$875.25 |
$1,167 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$814.50 |
$1,086 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$690.38 |
$920.50 |
1.2× |
| Thrombolytic Therapy, Stroke (37195) |
$1,049.25 |
$1,399 |
3.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,953.75 |
$6,605 |
1.6× |
| Trach Tube Change (31502) |
$127.50 |
$170 |
0.6× |
| Treat Fracture Radius & Ulna (25560) |
$300 |
$400 |
1.3× |
| Trim skin lesion (11055) |
$65.62 |
$87.50 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$67.50 |
$90 |
0.4× |
| Trim skin lesions over 4 (11057) |
$75 |
$100 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$10.50 |
$14 |
0.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,162.50 |
$1,550 |
0.5× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$445.50 |
$594 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,491 |
$1,988 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$207 |
$276 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$120.38 |
$160.50 |
0.3× |
| Unlisted procedure anus (46999) |
$1,543.50 |
$2,058 |
1.8× |
| Unlisted Procedure Nervous System (64999) |
$271.88 |
$362.50 |
1.0× |
| Unlisted procedure, male genital system (55899) |
$1,575 |
$2,100 |
6.9× |
| Vaginal delivery only (59409) |
$2,301.75 |
$3,069 |
0.8× |
| Vasectomy (55250) |
$3,232.50 |
$4,310 |
1.7× |
| Venipuncture (36415) |
$17.25 |
$23 |
1.8× |