Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$619.50–$2,318.25 |
$826–$3,091 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$430.50 |
$574 |
0.4× |
| Acromiopl/Acromionect Partial (23130) |
$1,083 |
$1,444 |
0.3× |
| Amputation metatarsal with toe single (28810) |
$4,129.50 |
$5,506 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$1,799.25 |
$2,399 |
0.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$733.50 |
$978 |
0.2× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$201.75 |
$269 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,718.25 |
$2,291 |
0.3× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$399 |
$532 |
0.2× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$164.25 |
$219 |
1.0× |
| Application cast elbow finger short arm (29075) |
$106.50 |
$142 |
0.4× |
| Application finger splint static (29130) |
$127.50 |
$170 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$204 |
$272 |
1.2× |
| Application Long Leg Splint (29505) |
$210.75 |
$281 |
1.2× |
| Application of long leg cast (29345) |
$203.25 |
$271 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$236.25 |
$315 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$161.25 |
$215 |
1.1× |
| Application short leg splint calf foot (29515) |
$177 |
$236 |
1.0× |
| Apply hand/wrist cast (29085) |
$210.75 |
$281 |
1.2× |
| Apply long arm cast (29065) |
$199.50 |
$266 |
0.7× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$114–$176.25 |
$152–$235 |
varies |
| Apply Short Leg Cast (29405) |
$223.50 |
$298 |
0.8× |
| Apply short leg cast (29425) |
$225 |
$300 |
0.8× |
| Arterial puncture (36600) |
$134.25 |
$179 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$159.75 |
$213 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$147.75 |
$197 |
0.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$177–$759.75 |
$236–$1,013 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$675.75 |
$901 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$150 |
$200 |
0.5× |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,398 |
$1,864 |
0.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,394.75 |
$3,193 |
0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,641.50 |
$3,522 |
0.8× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$3,521.25 |
$4,695 |
0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,064.50 |
$4,086 |
0.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,379.75 |
$3,173 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,518.50 |
$3,358 |
0.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$2,167.50 |
$2,890 |
0.6× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$3,639 |
$4,852 |
0.5× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure |
$5,999.25 |
$7,999 |
0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$5,159.25 |
$6,879 |
0.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,471.25 |
$3,295 |
0.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,216.75 |
$4,289 |
0.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$741 |
$988 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$898.50 |
$1,198 |
0.3× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$983.25 |
$1,311 |
0.3× |
| Artificial insemination intra-uterine (58322) |
$231 |
$308 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,668 |
$2,224 |
2.5× |
| Aspirate/Inj Ganglion Cyst (20612) |
$112.50 |
$150 |
0.3× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,103.25 |
$1,471 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$191.25 |
$255 |
0.9× |
| Biopsy Abdominal Mass (49180) |
$1,217.25 |
$1,623 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,473.75 |
$1,965 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,710.75 |
$2,281 |
1.0× |
| Biopsy external ear (69100) |
$103.50 |
$138 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,391.25 |
$1,855 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$162 |
$216 |
0.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,368.75 |
$1,825 |
0.8× |
| Biopsy of rectum (45100) |
$567.75 |
$757 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$408 |
$544 |
0.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$297 |
$396 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$150 |
$200 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$258 |
$344 |
0.3× |
| Bladder Irrigation (51700) |
$148.50 |
$198 |
0.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$189.75 |
$253 |
0.6× |
| Blood Transfusion Service (36430) |
$1,134 |
$1,512 |
2.4× |
| Bone Marrow Biopsy (38221) |
$1,545 |
$2,060 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$876.75 |
$1,169 |
0.5× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,265.25 |
$1,687 |
0.4× |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$1,204.50–$2,750.25 |
$1,606–$3,667 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$447 |
$596 |
0.3× |
| Bx Cervix (57500) |
$271.50 |
$362 |
0.3× |
| Bx/exc lymph node open deep axillary node (38525) |
$843 |
$1,124 |
0.2× |
| Bx/exc lymph node open superficial (38500) |
$631.50 |
$842 |
0.2× |
| Carpal Tunnel Surgery (64721) |
$1,423.50 |
$1,898 |
0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$402.75 |
$537 |
1.2× |
| Chemical Cautery Tissue (17250) |
$113.25 |
$151 |
0.5× |
| Chest tube placement (32551) |
$387.75 |
$517 |
0.2× |
| Circumcision Neonate (54160) |
$523.50 |
$698 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$379.50 |
$506 |
0.2× |
| Claviculectomy partial (23120) |
$1,356.75 |
$1,809 |
0.4× |
| Clear outer ear canal (69200) |
$199.50 |
$266 |
1.4× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$1,026.75 |
$1,369 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$934.50 |
$1,246 |
3.6× |
| Closed Treatment Sternum Fracture (21820) |
$459 |
$612 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$655.50 |
$874 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$840.75 |
$1,121 |
3.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$543 |
$724 |
2.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$669 |
$892 |
2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$590.25 |
$787 |
2.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$789.75 |
$1,053 |
3.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$624.75 |
$833 |
2.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$637.50 |
$850 |
2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,182 |
$1,576 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$635.25 |
$847 |
2.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$437.25 |
$583 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$513 |
$684 |
2.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$257.25 |
$343 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$534 |
$712 |
2.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$580.50 |
$774 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$529.50 |
$706 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$393.75 |
$525 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$690 |
$920 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,101 |
$1,468 |
0.6× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$837 |
$1,116 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,092 |
$1,456 |
4.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$322.50 |
$430 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$301.50 |
$402 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$693.75 |
$925 |
2.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$620.25 |
$827 |
2.4× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$927.75 |
$1,237 |
3.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$571.50 |
$762 |
2.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$564.75 |
$753 |
2.2× |
| Cltx Medial Ankle Fx (27760) |
$789.75 |
$1,053 |
3.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$642.75 |
$857 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$552.75 |
$737 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$419.25 |
$559 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$785.25 |
$1,047 |
3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$411 |
$548 |
1.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,348.50 |
$1,798 |
0.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$716.25 |
$955 |
2.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$873.75 |
$1,165 |
3.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$936.75 |
$1,249 |
3.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$840.75 |
$1,121 |
3.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$134.25 |
$179 |
1.0× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$16.50–$21.75 |
$22–$29 |
varies |
| Colonoscopy thru stoma (44388) |
$694.50 |
$926 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$528.75 |
$705 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$411 |
$548 |
1.3× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$328.50 |
$438 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$239.25 |
$319 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$351 |
$468 |
1.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$760.50 |
$1,014 |
0.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,361.25 |
$1,815 |
1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,374 |
$1,832 |
1.1× |
| Complex drainage wound (10180) |
$426 |
$568 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$213 |
$284 |
1.5× |
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure |
$6,791.25 |
$9,055 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,974.75 |
$2,633 |
1.1× |
| Correction hammertoe (28285) |
$1,018.50 |
$1,358 |
0.3× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure |
$1,104 |
$1,472 |
0.1× |
| Curettage postpartum (59160) |
$853.50 |
$1,138 |
0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$390 |
$520 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$255.75 |
$341 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$182.25 |
$243 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$525.75 |
$701 |
0.7× |
| Debride nail 1-5 (11720) |
$73.50 |
$98 |
1.2× |
| Debride nail 6 or more (11721) |
$113.25 |
$151 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$666.75 |
$889 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$251.25 |
$335 |
0.6× |
| Declot vascular device (36593) |
$514.50 |
$686 |
1.5× |
| Delivery of placenta (59414) |
$207 |
$276 |
0.1× |
| Destruct B9 Lesion 1-14 (17110) |
$211.50 |
$282 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$199.50 |
$266 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$237.75 |
$317 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$459 |
$612 |
2.2× |
| Destruction of skin lesions (17106) |
$870 |
$1,160 |
2.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$540 |
$720 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$156 |
$208 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$267.75 |
$357 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$132.75 |
$177 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$335.25 |
$447 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$781.50 |
$1,042 |
0.4× |
| Drainage lymph node lesion (38305) |
$849 |
$1,132 |
0.3× |
| Drainage of gum lesion (41800) |
$277.50 |
$370 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$298.50 |
$398 |
0.2× |
| Drainage of scrotum (54700) |
$1,212.75 |
$1,617 |
0.5× |
| Draw Blood Off Venous Device (36591) |
$217.50 |
$290 |
1.5× |
| Dressing Change Under Anesthesia (15852) |
$81 |
$108 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$177 |
$236 |
0.8× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$462 |
$616 |
0.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,982.75 |
$3,977 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$810 |
$1,080 |
0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$705.75 |
$941 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$639.75 |
$853 |
0.3× |
| Egd Flexible Foreign Body Removal (43247) |
$958.50 |
$1,278 |
1.0× |
| Egd guide wire insertion (43248) |
$1,001.25 |
$1,335 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,470 |
$1,960 |
0.7× |
| Endocervical curettage (57505) |
$279.75 |
$373 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure |
$2,405.25 |
$3,207 |
0.5× |
| Endometrial Biopsy (58100) |
$244.50 |
$326 |
1.1× |
| Episiotomy or vaginal repair (59300) |
$456.75 |
$609 |
0.1× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$740.25 |
$987 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$100.50 |
$134 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$751.50 |
$1,002 |
0.4× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,253.25 |
$1,671 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,053 |
$1,404 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$308.25 |
$411 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$511.50 |
$682 |
0.3× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,109.25 |
$1,479 |
0.6× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,313 |
$3,084 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$568.50 |
$758 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$633.75 |
$845 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$988.50 |
$1,318 |
0.6× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$613.50 |
$818 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$378 |
$504 |
0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$420 |
$560 |
0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$556.50 |
$742 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$704.25 |
$939 |
0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$723 |
$964 |
0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$806.25 |
$1,075 |
0.5× |
| Exc Frenum Labial/Buccal (40819) |
$549.75 |
$733 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$290.25 |
$387 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$420 |
$560 |
0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$437.25 |
$583 |
0.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,006.50 |
$1,342 |
0.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,075.50 |
$1,434 |
0.6× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$710.25 |
$947 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$469.50 |
$626 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$666.75 |
$889 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$617.25 |
$823 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$764.25 |
$1,019 |
0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$915.75 |
$1,221 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$678 |
$904 |
0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$358.50 |
$478 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$403.50 |
$538 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$519 |
$692 |
0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$802.50 |
$1,070 |
0.3× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$685.50 |
$914 |
0.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$1,083 |
$1,444 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,285.50 |
$1,714 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,180.50 |
$1,574 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$836.25 |
$1,115 |
0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$966.75 |
$1,289 |
0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,385.25 |
$1,847 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$820.50 |
$1,094 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,155.75 |
$1,541 |
0.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,029.50 |
$2,706 |
0.6× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,289.25 |
$1,719 |
0.8× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$366.75 |
$489 |
0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$554.25 |
$739 |
0.7× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$1,934.25 |
$2,579 |
0.6× |
| Excision lesion meniscus/capsule knee (27347) |
$2,240.25 |
$2,987 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$404.25 |
$539 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$390 |
$520 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$465 |
$620 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$500.25 |
$667 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$603 |
$804 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$427.50 |
$570 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$867.75 |
$1,157 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$385.50 |
$514 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$481.50 |
$642 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$550.50 |
$734 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$636.75 |
$849 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$897 |
$1,196 |
0.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$651 |
$868 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$600.75 |
$801 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$500.25 |
$667 |
0.4× |
| Excision olecranon bursa (24105) |
$870.75 |
$1,161 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,761.75 |
$2,349 |
0.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,443 |
$1,924 |
0.5× |
| Excision prepatellar bursa (27340) |
$932.25 |
$1,243 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,087 |
$4,116 |
1.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$482.25 |
$643 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,366.50 |
$1,822 |
0.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,144.50 |
$1,526 |
0.7× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$885 |
$1,180 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$783.75 |
$1,045 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$617.25 |
$823 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$743.25 |
$991 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$940.50 |
$1,254 |
0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$678.75 |
$905 |
0.4× |
| Excision; trochanteric bursa or calcification (27062) |
$1,074.75 |
$1,433 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,340.25 |
$1,787 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$1,056 |
$1,408 |
0.6× |
| External cephalic version (59412) |
$213.75 |
$285 |
0.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,246.50 |
$1,662 |
0.4× |
| Fasciotomy, foot and/or toe (28008) |
$1,187.25 |
$1,583 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$150 |
$200 |
0.7× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$111–$225.75 |
$148–$301 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,530 |
$2,040 |
2.0× |
| Fluoro exam of g/colon tube (49465) |
$183.75 |
$245 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$1,213.50 |
$1,618 |
1.6× |
| Foreskin manipulation (54450) |
$279.75 |
$373 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,072.75 |
$4,097 |
1.4× |
Hemiarthroplasty hip partial (27125)
unusually low: confirm this is the full procedure |
$4,144.50 |
$5,526 |
0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,361.25 |
$1,815 |
0.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$958.50 |
$1,278 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,560 |
$2,080 |
0.5× |
| Hysteroscopy Biopsy (58558) |
$801 |
$1,068 |
0.2× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,937.50 |
$5,250 |
0.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$815.25 |
$1,087 |
0.2× |
| I&d abscess simple (10060) |
$225 |
$300 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$979.50 |
$1,306 |
0.3× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$841.50 |
$1,122 |
0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,977 |
$2,636 |
0.6× |
| I&d perianal abscess superficial (46050) |
$194.25 |
$259 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$303.75 |
$405 |
0.4× |
| Incise external hemorrhoid (46083) |
$492.75 |
$657 |
1.9× |
| Incise finger tendon sheath (26055) |
$710.25 |
$947 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$445.50 |
$594 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$547.50 |
$730 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$288.75 |
$385 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$339.75 |
$453 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$249.75 |
$333 |
0.8× |
| Incision of Foot Tendon (28234) |
$1,338.75 |
$1,785 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$465.75 |
$621 |
0.3× |
| Incision of rectal abscess (46040) |
$1,105.50 |
$1,474 |
0.9× |
| Incision of urethra (53020) |
$184.50 |
$246 |
0.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$609.75 |
$813 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$376.50 |
$502 |
0.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$407.25 |
$543 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$160.50 |
$214 |
0.5× |
| Injection for identification of sentinel node (38792) |
$459 |
$612 |
1.1× |
| Injection single tendon origin/insertion (20551) |
$159.75 |
$213 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$167.25 |
$223 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$167.25 |
$223 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$142.50 |
$190 |
0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$127.50 |
$170 |
0.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$201.75 |
$269 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$86.25 |
$115 |
0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$150 |
$200 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$120 |
$160 |
0.6× |
| Insert cath pleura w/ image (32557) |
$1,202.25 |
$1,603 |
0.7× |
| Insert cervical dilator (59200) |
$203.25 |
$271 |
0.6× |
| Insert Drug Implant Device (11981) |
$246 |
$328 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$646.50 |
$862 |
0.2× |
| Insert pessary/other device (57160) |
$203.25 |
$271 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$836.25 |
$1,115 |
0.5× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$201.75–$280.50 |
$269–$374 |
varies |
| Insert tunneled cv cath (36561) |
$2,175.75 |
$2,901 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$148.50 |
$198 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,164.50 |
$2,886 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$658.50 |
$878 |
0.2× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$525.75–$580.50 |
$701–$774 |
varies |
| Knee arthroscopy/drainage (29871) |
$1,114.50 |
$1,486 |
0.3× |
| Knee Arthroscopy/Surgery (29874) |
$2,188.50 |
$2,918 |
0.6× |
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure |
$1,999.50 |
$2,666 |
0.2× |
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure |
$690 |
$920 |
0.1× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure |
$1,842 |
$2,456 |
0.3× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$837 |
$1,116 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$930 |
$1,240 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,281.50 |
$3,042 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,359.75 |
$1,813 |
0.2× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,173 |
$1,564 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$3,088.50 |
$4,118 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure |
$2,022.75 |
$2,697 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,083 |
$1,444 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure |
$1,582.50 |
$2,110 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$658.50 |
$878 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,487.25 |
$1,983 |
0.2× |
| Laryngoscopy flexible diagnostic (31575) |
$213 |
$284 |
1.0× |
| Late closure of wound (13160) |
$1,705.50 |
$2,274 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$561.75 |
$749 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$610.50 |
$814 |
0.3× |
| Manipulation knee joint under general anesthesia (27570) |
$470.25 |
$627 |
0.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$546.75 |
$729 |
0.3× |
| Mastectomy partial (19301) |
$1,230.75 |
$1,641 |
0.3× |
| Myelography Lumbar Injection (62304) |
$769.50 |
$1,026 |
0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$239.25 |
$319 |
0.3× |
| N Block Inj Plantar Digit (64455) |
$62.25 |
$83 |
0.2× |
| Nasal Endoscopy Dx (31231) |
$335.25 |
$447 |
1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$660 |
$880 |
1.4× |
| Needle Biopsy Lymph Nodes (38505) |
$1,626.75 |
$2,169 |
0.9× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,423.50 |
$1,898 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$366.75 |
$489 |
0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,056 |
$1,408 |
0.3× |
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure |
$2,730 |
$3,640 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,383.50 |
$3,178 |
0.3× |
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure |
$1,948.50 |
$2,598 |
0.3× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$2,159.25 |
$2,879 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,985.25 |
$2,647 |
0.3× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,177.50 |
$1,570 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,369.50 |
$1,826 |
0.2× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$6,147.75 |
$8,197 |
0.8× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,075.50 |
$1,434 |
0.1× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,730.25 |
$2,307 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$2,226.75 |
$2,969 |
0.3× |
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure |
$2,506.50 |
$3,342 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,206 |
$1,608 |
0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$1,119 |
$1,492 |
0.3× |
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure |
$2,655.75 |
$3,541 |
0.3× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$2,856.75 |
$3,809 |
0.4× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$2,006.25 |
$2,675 |
0.3× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,824.75 |
$2,433 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$2,079.75 |
$2,773 |
0.3× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,480.50 |
$5,974 |
0.6× |
| Ostectomy calcaneus (28118) |
$1,090.50 |
$1,454 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,908.75 |
$2,545 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,027.50 |
$1,370 |
0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$423.75 |
$565 |
0.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,397.25 |
$1,863 |
0.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$302.25 |
$403 |
0.1× |
| Peritoneal Lavage (49084) |
$187.50 |
$250 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$528 |
$704 |
0.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,824.75 |
$2,433 |
0.5× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$149.25 |
$199 |
0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,226.25 |
$1,635 |
1.0× |
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure |
$3,078 |
$4,104 |
0.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$1,758.75 |
$2,345 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$225.75 |
$301 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$198 |
$264 |
0.5× |
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure |
$2,428.50 |
$3,238 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure |
$2,484.75 |
$3,313 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,180.50 |
$1,574 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$620.25 |
$827 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$637.50 |
$850 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$24.75 |
$33 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$85.50 |
$114 |
1.4× |
| Removal Implant Deep (20680) |
$786 |
$1,048 |
0.3× |
| Removal implantable contraceptive capsules (11976) |
$342 |
$456 |
0.5× |
| Removal of nail bed (11750) |
$554.25 |
$739 |
1.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$166.50 |
$222 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$188.25 |
$251 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$132 |
$176 |
0.4× |
| Remove drug implant device (11982) |
$287.25 |
$383 |
0.6× |
| Remove elbow lesion (24120) |
$1,482.75 |
$1,977 |
0.4× |
| Remove foreign body from eye (65205) |
$309 |
$412 |
2.2× |
| Remove Intrauterine Device (58301) |
$267 |
$356 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$311.25 |
$415 |
2.2× |
| Remove Tendon Sheath Lesion (26160) |
$1,035.75 |
$1,381 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$403.50 |
$538 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$923.25 |
$1,231 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$798.75 |
$1,065 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$797.25 |
$1,063 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$646.50 |
$862 |
1.5× |
| Repair Elbow Perc (24357) |
$730.50 |
$974 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$909 |
$1,212 |
0.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$1,027.50 |
$1,370 |
0.3× |
| Repair Hallux Rigidus (28289) |
$1,187.25 |
$1,583 |
0.3× |
| Repair Hand Tendon (26410) |
$978.75 |
$1,305 |
0.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$987.75 |
$1,317 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,830.75 |
$2,441 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$447 |
$596 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$531 |
$708 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$592.50 |
$790 |
1.4× |
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure |
$2,471.25 |
$3,295 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure |
$1,272 |
$1,696 |
0.2× |
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure |
$3,132 |
$4,176 |
0.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$873.75 |
$1,165 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,281 |
$1,708 |
0.2× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure |
$755.25 |
$1,007 |
0.1× |
| Rerepair ing hernia reduce (49520) |
$1,830.75 |
$2,441 |
0.5× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$1,222.50 |
$1,630 |
0.4× |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure |
$5,115.75 |
$6,821 |
0.3× |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure |
$4,680 |
$6,240 |
0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$167.25 |
$223 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$901.50 |
$1,202 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$390.75 |
$521 |
1.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,476 |
$1,968 |
0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$372 |
$496 |
0.1× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,123.50 |
$1,498 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$742.50 |
$990 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$624 |
$832 |
0.1× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$516.75 |
$689 |
0.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,194.75 |
$1,593 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,318.50 |
$1,758 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$147.75 |
$197 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$207 |
$276 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$161.25 |
$215 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$204 |
$272 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$276.75 |
$369 |
1.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,184 |
$2,912 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$287.25 |
$383 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$334.50 |
$446 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$194.25 |
$259 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$333.75 |
$445 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$244.50 |
$326 |
1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$320.25 |
$427 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$405 |
$540 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$452.25 |
$603 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$534 |
$712 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$389.25 |
$519 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$435 |
$580 |
2.0× |
| Sperm washing artificial insemination (58323) |
$12 |
$16 |
0.1× |
Strapping ankle (29540)
range across 2 matching MRF lines |
$87.75–$177 |
$117–$236 |
varies |
| Strapping hand/finger (29280) |
$186.75 |
$249 |
3.0× |
| Strapping shoulder (29240) |
$123.75 |
$165 |
0.9× |
| Strapping toes (29550) |
$129.75 |
$173 |
2.1× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$147.75–$276.75 |
$197–$369 |
varies |
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure |
$1,875.75 |
$2,501 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
likely a partial charge, not the full procedure |
$1,506 |
$2,008 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$225.75 |
$301 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$387 |
$516 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$517.50 |
$690 |
0.3× |
| Thyroid biopsy (60100) |
$1,381.50 |
$1,842 |
1.8× |
| Tnot elbow lateral/medial debride open (24358) |
$1,047 |
$1,396 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,985.25 |
$2,647 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,349.25 |
$1,799 |
0.4× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$6,429 |
$8,572 |
0.5× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$592.50 |
$790 |
0.2× |
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure |
$2,847 |
$3,796 |
0.4× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$2,432.25 |
$3,243 |
0.3× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$1,824.75 |
$2,433 |
0.2× |
| Treat humerus fracture (24500) |
$785.25 |
$1,047 |
3.0× |
| Treat humerus fracture (23600) |
$798 |
$1,064 |
3.1× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,370.75 |
$3,161 |
0.3× |
| Trim skin lesion (11055) |
$92.25 |
$123 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$132 |
$176 |
0.6× |
| Trim skin lesions over 4 (11057) |
$151.50 |
$202 |
0.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$69.75 |
$93 |
1.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$763.50 |
$1,018 |
0.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$4,177.50 |
$5,570 |
0.5× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$943.50 |
$1,258 |
0.3× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$712.50 |
$950 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$537 |
$716 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$390 |
$520 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$632.25 |
$843 |
2.4× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure |
$1,365.75 |
$1,821 |
0.2× |
| Unlisted procedure foot or toes (28899) |
$1,112.25 |
$1,483 |
4.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$148.50 |
$198 |
0.7× |
| Vaginal delivery only (59409) |
$1,648.50 |
$2,198 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$693.75 |
$925 |
0.3× |
| Wedge excision skin nail fold (11765) |
$184.50 |
$246 |
0.4× |