| Abd paracentesis w/imaging (49083) |
$337.33 |
$337.33 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$225.42 |
$225.42 |
0.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$5,488.23 |
$5,488.23 |
2.6× |
| Amputation Finger/Thumb (26951) |
$5,052.80 |
$5,052.80 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$6,310.51 |
$6,310.51 |
1.9× |
| Amputation thigh through femur any level (27590) |
$2,462.47 |
$2,462.47 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,310.51 |
$6,310.51 |
1.9× |
| Amputation, leg, through tibia and fibula; (27880) |
$34,649.65 |
$34,649.65 |
4.8× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$6,905.35 |
$6,905.35 |
2.5× |
| Anoscopy Ablation Lesion (46615) |
$8,170.91 |
$8,170.91 |
2.9× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$3,367.81 |
$3,367.81 |
2.8× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$9,826.43 |
$9,826.43 |
2.0× |
| Appendectomy (44950) |
$7,508.89 |
$7,508.89 |
1.2× |
| Application cast elbow finger short arm (29075) |
$144.85 |
$144.85 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$226.09 |
$226.09 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$229.21 |
$229.21 |
0.8× |
| Application finger splint static (29130) |
$117.98 |
$117.98 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$153.15 |
$153.15 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$135.50 |
$135.50 |
0.8× |
| Application of long leg cast (29345) |
$593.83 |
$593.83 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$94.70 |
$94.70 |
0.7× |
| Application short leg splint calf foot (29515) |
$135.94 |
$135.94 |
0.8× |
| Apply short leg cast (29405) |
$639.70 |
$639.70 |
2.3× |
| Apply short leg cast (29425) |
$703.67 |
$703.67 |
2.5× |
| Arterial puncture (36600) |
$210.91 |
$210.91 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$340.19 |
$340.19 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$388.16 |
$388.16 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$207.82 |
$207.82 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$271.19 |
$271.19 |
1.3× |
| Biopsy Breast Open Incisional (19101) |
$10,895.37 |
$10,895.37 |
2.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,424.59 |
$1,424.59 |
1.5× |
| Biopsy of uterus lining (58100) |
$213.09 |
$213.09 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$10,932.20 |
$10,932.20 |
2.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,843.49 |
$1,843.49 |
2.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$8,122.05 |
$8,122.05 |
2.8× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$8,241.98 |
$8,241.98 |
2.5× |
| Biopsy/removal lymph nodes (38525) |
$10,932.20 |
$10,932.20 |
2.8× |
| Biopsy/removal lymph nodes (38510) |
$10,932.20 |
$10,932.20 |
2.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$1,988.58 |
$1,988.58 |
2.8× |
| Bladder Irrigation Simple (51700) |
$101.25 |
$101.25 |
0.4× |
| Bladder Scan (51798) |
$35.58 |
$35.58 |
0.6× |
| Blood patch (62273) |
$1,168.40 |
$1,168.40 |
1.6× |
| Blood transfusion service (36430) |
$912.80 |
$912.80 |
2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$4,248.06 |
$4,248.06 |
2.6× |
| Bx vulva/perineum 1 lesion (56605) |
$137.60 |
$137.60 |
0.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$164.34 |
$164.34 |
0.7× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$851.06 |
$851.06 |
2.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$8,241.98 |
$8,241.98 |
2.5× |
| Change Cystostomy Tube Simple (51705) |
$314.18 |
$314.18 |
1.3× |
| Chemical Cautery Tissue (17250) |
$125.29 |
$125.29 |
0.6× |
| Chest tube placement (32551) |
$1,814.63 |
$1,814.63 |
1.1× |
| Chromotubation of oviduct, including materials (58350) |
$9,826.43 |
$9,826.43 |
2.0× |
| Circum 28 days or older (54161) |
$4,183.86 |
$4,183.86 |
2.0× |
| Circumcision (54150) |
$306.60 |
$306.60 |
0.1× |
| Circumcision Neonate (54160) |
$335.81 |
$335.81 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,101.34 |
$2,101.34 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,501.46 |
$1,501.46 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,188.89 |
$2,188.89 |
1.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,447.12 |
$1,447.12 |
0.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$562 |
$562 |
0.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$440.53 |
$440.53 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$945.21 |
$945.21 |
3.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,300.82 |
$2,300.82 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,030.04 |
$1,030.04 |
4.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$505.62 |
$505.62 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,063.90 |
$1,063.90 |
4.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$899.54 |
$899.54 |
3.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,392.49 |
$1,392.49 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,586.34 |
$1,586.34 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,477.37 |
$2,477.37 |
1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$409.50 |
$409.50 |
1.7× |
| Closure of gastrostomy surgical (43870) |
$10,368.99 |
$10,368.99 |
2.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$838.18 |
$838.18 |
3.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,393.26 |
$2,393.26 |
1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$588.02 |
$588.02 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,520.95 |
$1,520.95 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$564.32 |
$564.32 |
2.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,315.56 |
$1,315.56 |
5.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$839.20 |
$839.20 |
3.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$457.42 |
$457.42 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$658.10 |
$658.10 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,410.20 |
$1,410.20 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,194.06 |
$3,194.06 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$428.05 |
$428.05 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$526.14 |
$526.14 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,684.44 |
$1,684.44 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$377.30 |
$377.30 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$446.34 |
$446.34 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,030.38 |
$1,030.38 |
4.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$992.98 |
$992.98 |
4.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$736.66 |
$736.66 |
3.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$807.56 |
$807.56 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$654.79 |
$654.79 |
2.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,298.30 |
$2,298.30 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$423.57 |
$423.57 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,669.24 |
$2,669.24 |
1.7× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$13,032.53 |
$13,032.53 |
2.6× |
| Colonoscopy flex w/rem forcep (45384) |
$2,286.29 |
$2,286.29 |
1.9× |
| Colonoscopy stoma w/biopsy (44389) |
$3,367.81 |
$3,367.81 |
2.8× |
| Colonoscopy stoma w/snare (44394) |
$3,367.81 |
$3,367.81 |
2.8× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$3,367.81 |
$3,367.81 |
2.8× |
| Colonoscopy thru stoma (44388) |
$2,394.73 |
$2,394.73 |
2.6× |
| Colonoscopy w/fb removal (45379) |
$3,367.81 |
$3,367.81 |
2.8× |
| Colonoscopy w/resection (45390) |
$6,895.53 |
$6,895.53 |
2.5× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$20,188 |
$20,188 |
2.7× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$14,682.18 |
$14,682.18 |
2.0× |
| Colporrhaphy suture injury vagina (57200) |
$5,994.17 |
$5,994.17 |
1.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$448.31 |
$448.31 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$502.94 |
$502.94 |
2.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,495.62 |
$4,495.62 |
1.4× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$4,495.62 |
$4,495.62 |
1.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$796.74 |
$796.74 |
2.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$596.73 |
$596.73 |
1.9× |
| Colposcopy vulva (56820) |
$566.45 |
$566.45 |
2.8× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$596.73 |
$596.73 |
1.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,864.19 |
$1,864.19 |
2.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,091.99 |
$3,091.99 |
2.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,440.80 |
$1,440.80 |
1.2× |
| Complex Drainage, Wound (10180) |
$5,414.70 |
$5,414.70 |
1.9× |
| Conization of cervix (57522) |
$6,124.72 |
$6,124.72 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$298.14 |
$298.14 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$226.57 |
$226.57 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$453.50 |
$453.50 |
3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$554.36 |
$554.36 |
2.3× |
| Curettage postpartum (59160) |
$436.26 |
$436.26 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,932.34 |
$3,932.34 |
1.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$638.19 |
$638.19 |
0.2× |
| Cysto w/destruction of lesions (52214) |
$10,562.62 |
$10,562.62 |
3.0× |
| Cysto w/removal of tumors small (52234) |
$10,192.28 |
$10,192.28 |
2.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$6,171.29 |
$6,171.29 |
2.9× |
| Cysto w/ureter stricture tx (52341) |
$10,562.62 |
$10,562.62 |
3.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$9,985.32 |
$9,985.32 |
2.8× |
| Cysto/uretero w/lithotripsy (52356) |
$14,758.59 |
$14,758.59 |
2.7× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$8,227.84 |
$8,227.84 |
1.5× |
| Cystometrogram w/vp (51728) |
$1,952.58 |
$1,952.58 |
2.8× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$11,338.72 |
$11,338.72 |
1.2× |
| Cystoscopy w/biopsy (52204) |
$4,915.43 |
$4,915.43 |
2.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$4,180.22 |
$4,180.22 |
2.0× |
| Cystoscopy,insert ureteral stent (52332) |
$9,985.32 |
$9,985.32 |
2.8× |
| Cystourethroscopy (52000) |
$2,099.59 |
$2,099.59 |
3.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$5,805.56 |
$5,805.56 |
2.8× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$9,964.74 |
$9,964.74 |
2.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$760.05 |
$760.05 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$9,964.74 |
$9,964.74 |
2.8× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$10,192.28 |
$10,192.28 |
2.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$114.50 |
$114.50 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,392.23 |
$1,392.23 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$278 |
$278 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,047.20 |
$1,047.20 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,861.88 |
$3,861.88 |
2.3× |
| Declot vascular device (36593) |
$721.72 |
$721.72 |
2.2× |
| Delivery placenta separate procedure (59414) |
$2,840.33 |
$2,840.33 |
0.9× |
| Destroy internal hemorrhoids (46930) |
$3,575.46 |
$3,575.46 |
3.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$208.12 |
$208.12 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$333.81 |
$333.81 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$226.22 |
$226.22 |
1.1× |
| Destruction Lesions Vulva Simple (56501) |
$5,030.88 |
$5,030.88 |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$316.10 |
$316.10 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$572.25 |
$572.25 |
2.8× |
| Diagnostic sigmoidoscopy (45330) |
$1,733.01 |
$1,733.01 |
1.9× |
| Dilate Urethra Stricture (53600) |
$748.82 |
$748.82 |
3.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$8,241.98 |
$8,241.98 |
2.5× |
| Dilation of anal sphincter (45905) |
$3,091.99 |
$3,091.99 |
2.6× |
| Division of fallopian tube (58600) |
$8,241.98 |
$8,241.98 |
2.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$400.48 |
$400.48 |
0.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$605.82 |
$605.82 |
2.5× |
| Drainage Finger Abscess Simple (26010) |
$385.35 |
$385.35 |
1.9× |
| Drainage of gum lesion (41800) |
$367.75 |
$367.75 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$397.37 |
$397.37 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$563.55 |
$563.55 |
0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$8,936.31 |
$8,936.31 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$695.18 |
$695.18 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$371.01 |
$371.01 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$189.32 |
$189.32 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$38.16 |
$38.16 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$5,335.38 |
$5,335.38 |
1.9× |
| Dx gastr intub w/asp spec (43754) |
$132.50 |
$132.50 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$5,538.25 |
$5,538.25 |
2.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,692.17 |
$3,692.17 |
1.9× |
| Egd flexible foreign body removal (43247) |
$1,154.74 |
$1,154.74 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,161.93 |
$2,161.93 |
1.1× |
| Egd rem tumr/polyp forcep (43250) |
$3,548.39 |
$3,548.39 |
1.8× |
| Egd remove lesion snare (43251) |
$3,548.39 |
$3,548.39 |
1.8× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,985.72 |
$4,985.72 |
2.6× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$9,628.66 |
$9,628.66 |
1.9× |
| Enterorrhaphy single perforation (44602) |
$6,929.03 |
$6,929.03 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$5,994.17 |
$5,994.17 |
1.8× |
| Esoph endoscopy dilation (43226) |
$5,538.25 |
$5,538.25 |
2.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$3,692.17 |
$3,692.17 |
1.9× |
| Esophagoscopy lesion ablate (43229) |
$10,680.06 |
$10,680.06 |
2.8× |
| Evacuate mole of uterus (59870) |
$8,241.98 |
$8,241.98 |
2.5× |
| Evacuation of subungual hematoma (11740) |
$167.29 |
$167.29 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$6,845.61 |
$6,845.61 |
2.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$6,122.44 |
$6,122.44 |
2.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,179.04 |
$3,179.04 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$640.26 |
$640.26 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$577.35 |
$577.35 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$2,865.11 |
$2,865.11 |
1.7× |
| Exc face les sbq 2 cm/> (21012) |
$3,612.18 |
$3,612.18 |
2.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$594.72 |
$594.72 |
0.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$2,865.11 |
$2,865.11 |
1.7× |
| Exc forearm les sc 3 cm/> (25071) |
$4,608.48 |
$4,608.48 |
2.8× |
| Exc frenum labial/buccal (40819) |
$661.47 |
$661.47 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$2,958.92 |
$2,958.92 |
1.8× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$10,192.28 |
$10,192.28 |
2.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$286.09 |
$286.09 |
0.1× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$16,980.15 |
$16,980.15 |
2.9× |
| Exc rect tum transanal part (45171) |
$8,170.91 |
$8,170.91 |
2.9× |
| Exc shoulder les sc 3 cm/> (23071) |
$4,248.06 |
$4,248.06 |
2.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$5,476.49 |
$5,476.49 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,446.45 |
$1,446.45 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$224.64 |
$224.64 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$375.51 |
$375.51 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$410.88 |
$410.88 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$4,371.18 |
$4,371.18 |
2.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$553.70 |
$553.70 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$6,134.02 |
$6,134.02 |
2.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,956.50 |
$4,956.50 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$781.89 |
$781.89 |
0.5× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$8,122.05 |
$8,122.05 |
2.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$8,214.73 |
$8,214.73 |
2.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,940.56 |
$1,940.56 |
1.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,521.47 |
$1,521.47 |
2.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,201.64 |
$5,201.64 |
1.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$7,445.21 |
$7,445.21 |
2.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,935.69 |
$4,935.69 |
1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,935.69 |
$4,935.69 |
1.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$651.63 |
$651.63 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$8,122.05 |
$8,122.05 |
2.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$5,837.90 |
$5,837.90 |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,865.11 |
$2,865.11 |
1.7× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,801.47 |
$3,801.47 |
2.4× |
| Excise/repair mouth lesion (40812) |
$427.94 |
$427.94 |
0.3× |
| Excision Chalazion Single (67800) |
$342.48 |
$342.48 |
1.1× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$6,091.54 |
$6,091.54 |
2.1× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$6,091.54 |
$6,091.54 |
2.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$310.76 |
$310.76 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,592.10 |
$1,592.10 |
2.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$340.86 |
$340.86 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,011.08 |
$2,011.08 |
2.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$292.43 |
$292.43 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$419.72 |
$419.72 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$650.32 |
$650.32 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$7,934.22 |
$7,934.22 |
2.8× |
| Excision of bartholin's gland or cyst (56740) |
$8,489.24 |
$8,489.24 |
2.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,203.84 |
$1,203.84 |
1.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,173.13 |
$1,173.13 |
1.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$373.48 |
$373.48 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$4,860.72 |
$4,860.72 |
2.9× |
| Excision of local lesion of epididymis (54830) |
$9,342.92 |
$9,342.92 |
2.6× |
| Excision of nail fold toe (11765) |
$790.90 |
$790.90 |
1.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,530.17 |
$7,530.17 |
2.6× |
| Excision of submandibular (submaxillary) gland (42440) |
$15,344.20 |
$15,344.20 |
2.6× |
| Excision of tongue lesion (41112) |
$5,368.34 |
$5,368.34 |
1.6× |
| Excision of vaginal cyst or tumor (57135) |
$7,844.46 |
$7,844.46 |
2.4× |
| Excision olecranon bursa (24105) |
$6,310.51 |
$6,310.51 |
1.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,817.40 |
$1,817.40 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$4,935.69 |
$4,935.69 |
1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,248.06 |
$4,248.06 |
2.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,712.13 |
$4,712.13 |
2.8× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$6,845.61 |
$6,845.61 |
2.3× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$4,935.69 |
$4,935.69 |
1.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,206.09 |
$5,206.09 |
1.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$4,737.86 |
$4,737.86 |
1.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$6,768.38 |
$6,768.38 |
2.3× |
| Expl retroperitoneum w/wo bx spx (49010) |
$6,951.28 |
$6,951.28 |
1.1× |
| Explo/Drain Breast Abscess (19020) |
$4,634.25 |
$4,634.25 |
2.8× |
| Explore parathyroid glands (60500) |
$16,517.77 |
$16,517.77 |
2.8× |
| External Cephalic Version (59412) |
$9,538.59 |
$9,538.59 |
2.9× |
| Fetal non-stress test (59025) |
$163.51 |
$163.51 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$943.97 |
$943.97 |
2.3× |
| Frenulotomy of penis (54164) |
$5,898.51 |
$5,898.51 |
2.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$413.58 |
$413.58 |
1.9× |
| Hemorrhoidectomy (46255) |
$8,507.26 |
$8,507.26 |
3.1× |
| Hemorrhoidectomy external complete (46250) |
$5,447.27 |
$5,447.27 |
2.0× |
| Hysteroscopy ablation (58563) |
$14,739.64 |
$14,739.64 |
2.9× |
| Hysteroscopy biopsy (58558) |
$5,728.03 |
$5,728.03 |
1.8× |
| Hysteroscopy dx sep proc (58555) |
$5,994.17 |
$5,994.17 |
1.8× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$13,916.68 |
$13,916.68 |
2.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,994.17 |
$5,994.17 |
1.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$9,826.43 |
$9,826.43 |
2.0× |
| I&D Abscess Peritonsillar (42700) |
$560.92 |
$560.92 |
2.4× |
| I&d abscess simple (10060) |
$264.36 |
$264.36 |
1.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$8,214.73 |
$8,214.73 |
2.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$8,122.05 |
$8,122.05 |
2.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,396.16 |
$3,396.16 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,356.57 |
$2,356.57 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,051.72 |
$1,051.72 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$1,013.88 |
$1,013.88 |
1.4× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$7,490 |
$7,490 |
2.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,703.31 |
$2,703.31 |
1.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,768.38 |
$6,768.38 |
2.3× |
| I&d vaginal hematoma, non-ob (57023) |
$7,530.17 |
$7,530.17 |
2.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$2,406.35 |
$2,406.35 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$380.66 |
$380.66 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$8,122.05 |
$8,122.05 |
2.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,321.86 |
$1,321.86 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,240.64 |
$2,240.64 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$498.86 |
$498.86 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$426.10 |
$426.10 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$507.26 |
$507.26 |
1.7× |
| Incision labial frenum frenotomy (40806) |
$97.08 |
$97.08 |
0.2× |
| Incision of lingual frenum (41010) |
$256.83 |
$256.83 |
0.2× |
| Incision of rectal abscess (46040) |
$2,123.22 |
$2,123.22 |
1.8× |
| Incision thrombosed hemorrhoid external (46083) |
$647.57 |
$647.57 |
2.6× |
| Incisional biopsy skin single lesion (11106) |
$190.06 |
$190.06 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$242.80 |
$242.80 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$503.52 |
$503.52 |
1.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$922.44 |
$922.44 |
1.3× |
| Inject Nerv Blck,Pudendal (64430) |
$2,020.30 |
$2,020.30 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$454.20 |
$454.20 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$741.88 |
$741.88 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$340.32 |
$340.32 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$354.83 |
$354.83 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$376.28 |
$376.28 |
1.2× |
| Insert cervical dilator (59200) |
$883.51 |
$883.51 |
2.9× |
| Insert Drug Implant Device (11981) |
$132.92 |
$132.92 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,689 |
$4,689 |
1.5× |
| Insert pessary/other device (57160) |
$314.98 |
$314.98 |
1.6× |
| Insert picc cath (36569) |
$4,467.19 |
$4,467.19 |
2.8× |
| Insert Temp Bladder Cath (51702) |
$294.30 |
$294.30 |
2.2× |
| Insert tunneled cv cath (36561) |
$7,021.78 |
$7,021.78 |
2.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$191.95 |
$191.95 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,508.89 |
$7,508.89 |
2.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,814.83 |
$3,814.83 |
2.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,317.99 |
$7,317.99 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$8,944.21 |
$8,944.21 |
2.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$8,435.96 |
$8,435.96 |
2.5× |
| Intubation endotracheal emergency procedure (31500) |
$354.46 |
$354.46 |
1.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$446.59 |
$446.59 |
1.8× |
| Lap ing hernia repair init (49650) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laparo sling operation (51992) |
$11,049.75 |
$11,049.75 |
1.8× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$19,265.07 |
$19,265.07 |
1.8× |
| Laparoscopy appendectomy (44970) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laparoscopy biopsy (49321) |
$11,049.75 |
$11,049.75 |
1.8× |
| Laparoscopy Remove Adnexa (58661) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$19,265.07 |
$19,265.07 |
1.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$19,450.76 |
$19,450.76 |
1.8× |
| Laparoscopy tubal block (58671) |
$15,193.41 |
$15,193.41 |
2.5× |
| Laparoscopy Tubal Cautery (58670) |
$15,193.41 |
$15,193.41 |
2.5× |
| Laparoscopy w/lysis of adhesions (58660) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$13,743.98 |
$13,743.98 |
2.3× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$15,649.21 |
$15,649.21 |
2.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$19,265.07 |
$19,265.07 |
1.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$25,174.36 |
$25,174.36 |
2.4× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$15,649.21 |
$15,649.21 |
2.6× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$25,174.36 |
$25,174.36 |
2.4× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$28,897.61 |
$28,897.61 |
2.7× |
| Laparoscopy, surgical, splenectomy (38120) |
$19,843.03 |
$19,843.03 |
1.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$19,450.76 |
$19,450.76 |
1.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$19,843.03 |
$19,843.03 |
1.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$13,743.98 |
$13,743.98 |
2.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$11,049.98 |
$11,049.98 |
1.8× |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
$15,118.37 |
$15,118.37 |
2.5× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$11,049.75 |
$11,049.75 |
1.8× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$19,450.76 |
$19,450.76 |
1.8× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$16,574.63 |
$16,574.63 |
2.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$157.54 |
$157.54 |
0.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$462.02 |
$462.02 |
2.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,042.85 |
$4,042.85 |
2.3× |
| Late closure of wound (13160) |
$4,343.83 |
$4,343.83 |
1.2× |
| Ligation of abdomen artery (37617) |
$6,436.18 |
$6,436.18 |
1.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,964.74 |
$9,964.74 |
2.8× |
| Lithotripsy (50590) |
$10,192.28 |
$10,192.28 |
2.9× |
| Liver Biopsy (47000) |
$3,179.04 |
$3,179.04 |
1.9× |
| Lysis of labial adhesions (56441) |
$8,991.25 |
$8,991.25 |
2.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$463.42 |
$463.42 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$5,994.17 |
$5,994.17 |
1.8× |
| Mastectomy gynecomastia (19300) |
$10,941.95 |
$10,941.95 |
2.8× |
| Mastectomy simple complete (19303) |
$18,639.72 |
$18,639.72 |
2.8× |
| Muscle-skin graft trunk (15734) |
$11,435.97 |
$11,435.97 |
3.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$542.34 |
$542.34 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.86 |
$32.86 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$926.18 |
$926.18 |
2.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$327.64 |
$327.64 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,782.34 |
$1,782.34 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$9,079.48 |
$9,079.48 |
2.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,440.94 |
$5,440.94 |
1.7× |
| Open tx interphalangeal joint dislocation (26785) |
$3,808.99 |
$3,808.99 |
1.2× |
| Orchiectomy radical tumor inguinal approach (54530) |
$11,263.33 |
$11,263.33 |
3.1× |
| Ostectomy of sternum partial (21620) |
$1,643.47 |
$1,643.47 |
0.5× |
| Ovarian cystectomy (58925) |
$9,826.43 |
$9,826.43 |
2.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,801.47 |
$3,801.47 |
2.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,069.44 |
$4,069.44 |
1.3× |
| Partial removal of thyroid (60220) |
$16,574.63 |
$16,574.63 |
2.7× |
| Pelvic exam under anesthesia (57410) |
$8,241.98 |
$8,241.98 |
2.5× |
| Peritoneal Lavage (49084) |
$501.38 |
$501.38 |
0.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$4,731.36 |
$4,731.36 |
3.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,093.77 |
$1,093.77 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$491.32 |
$491.32 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$553.89 |
$553.89 |
1.2× |
| Placement of seton (46020) |
$5,448.16 |
$5,448.16 |
2.0× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$15,193.41 |
$15,193.41 |
2.5× |
| Preputial Stretching (54450) |
$315.48 |
$315.48 |
1.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$2,242.96 |
$2,242.96 |
2.4× |
| Prostate Saturation Sampling (55706) |
$10,192.28 |
$10,192.28 |
2.9× |
| Prostatectomy (turp) (52601) |
$14,952.93 |
$14,952.93 |
2.8× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$11,570.64 |
$11,570.64 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$137.54 |
$137.54 |
0.3× |
| Puncture Aspiration (10160) |
$558.26 |
$558.26 |
1.4× |
| Removal fb intranasal (30300) |
$218.06 |
$218.06 |
1.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,737.86 |
$4,737.86 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$447.10 |
$447.10 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,838.12 |
$1,838.12 |
1.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$6,031.46 |
$6,031.46 |
1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$150.90 |
$150.90 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$150.90 |
$150.90 |
2.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$8,241.98 |
$8,241.98 |
2.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,891.75 |
$1,891.75 |
2.7× |
| Removal of anal fissure (46200) |
$7,490.67 |
$7,490.67 |
2.7× |
| Removal of cervix (57530) |
$13,511.34 |
$13,511.34 |
2.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,351.67 |
$1,351.67 |
2.1× |
| Removal of intrauterine device (iud) (58301) |
$493.74 |
$493.74 |
1.6× |
| Removal of nail bed (11750) |
$556.50 |
$556.50 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$176.85 |
$176.85 |
0.9× |
| Removal of sperm cord lesion (55520) |
$10,192.28 |
$10,192.28 |
2.9× |
| Removal of testis (54520) |
$10,192.28 |
$10,192.28 |
2.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$9,472.48 |
$9,472.48 |
2.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$9,473.12 |
$9,473.12 |
3.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$193.16 |
$193.16 |
0.7× |
| Remove anal fist 2 stage (46285) |
$8,170.91 |
$8,170.91 |
2.9× |
| Remove anal fist subq (46270) |
$5,335.38 |
$5,335.38 |
1.9× |
| Remove by ligat int hem grps (46946) |
$6,809.10 |
$6,809.10 |
2.4× |
| Remove cerclage suture (59871) |
$8,991.25 |
$8,991.25 |
2.8× |
| Remove drug implant device (11982) |
$232.50 |
$232.50 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$396.19 |
$396.19 |
1.2× |
| Remove in/ex hem groups 2+ (46260) |
$5,335.38 |
$5,335.38 |
1.9× |
| Remove in/ex hem grps w/fist (46262) |
$8,170.91 |
$8,170.91 |
2.9× |
| Remove Pilonidal Cyst Exten (11771) |
$8,122.05 |
$8,122.05 |
2.8× |
| Remove prostate regrowth (52630) |
$14,952.93 |
$14,952.93 |
2.8× |
| Remove wrist tendon lesion (25111) |
$3,041.18 |
$3,041.18 |
1.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,569.62 |
$4,569.62 |
2.8× |
| Remv Ext Canal Foreign Body (69200) |
$245.98 |
$245.98 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$173.08 |
$173.08 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,094.38 |
$1,094.38 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$908.78 |
$908.78 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,018.99 |
$1,018.99 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,308.50 |
$1,308.50 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$904.44 |
$904.44 |
2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,795.20 |
$1,795.20 |
2.4× |
| Repair finger/hand tendon (26370) |
$2,947.92 |
$2,947.92 |
0.9× |
| Repair forearm tendon/muscle (25270) |
$9,197.45 |
$9,197.45 |
2.8× |
| Repair inguinal hernia, sliding, any age (49525) |
$10,324.72 |
$10,324.72 |
2.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,324.72 |
$10,324.72 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,007.90 |
$1,007.90 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$698.21 |
$698.21 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$811.02 |
$811.02 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$725.23 |
$725.23 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,031.31 |
$1,031.31 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$639.66 |
$639.66 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$803.98 |
$803.98 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$699.79 |
$699.79 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$879.50 |
$879.50 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$367.90 |
$367.90 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$401.69 |
$401.69 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,369.22 |
$1,369.22 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$470.44 |
$470.44 |
1.2× |
| Repair lumbar hernia (49540) |
$16,574.63 |
$16,574.63 |
2.7× |
| Repair of anal sphincter (46750) |
$2,327.67 |
$2,327.67 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,263.33 |
$11,263.33 |
1.7× |
| Repair of nail bed (11760) |
$425 |
$425 |
0.6× |
| Repair of rectocele (45560) |
$7,356.91 |
$7,356.91 |
2.6× |
| Repair of vagina (57260) |
$9,826.43 |
$9,826.43 |
2.0× |
| Repair rectum & vagina (57250) |
$9,826.43 |
$9,826.43 |
2.0× |
| Repair Tongue Laceration (41250) |
$518.81 |
$518.81 |
1.2× |
| Repair/graft achilles tendon (27652) |
$21,431.19 |
$21,431.19 |
2.9× |
| Replace g/c tube perc (49450) |
$1,443.84 |
$1,443.84 |
1.6× |
| Rerepair ing hernia blocked (49521) |
$7,508.89 |
$7,508.89 |
1.2× |
| Rerepair ing hernia reduce (49520) |
$7,508.89 |
$7,508.89 |
2.1× |
| Revise median n/carpal tunnel surg (64721) |
$4,763.42 |
$4,763.42 |
2.4× |
| Revise ulnar nerve at elbow (64718) |
$5,702.72 |
$5,702.72 |
2.9× |
| Revise vag graft via vagina (57295) |
$9,538.59 |
$9,538.59 |
2.9× |
| Revision of cervix (57720) |
$7,844.46 |
$7,844.46 |
2.4× |
| Revision of colostomy simple (44340) |
$11,435.97 |
$11,435.97 |
3.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$666.84 |
$666.84 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$464.14 |
$464.14 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$268.84 |
$268.84 |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,156.68 |
$3,156.68 |
2.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$8,122.05 |
$8,122.05 |
2.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,022.16 |
$3,022.16 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$457.60 |
$457.60 |
0.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$901.62 |
$901.62 |
2.0× |
| Rplc gtube revj gstrst trc (43763) |
$486.83 |
$486.83 |
1.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$17,482.33 |
$17,482.33 |
2.9× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$11,263.33 |
$11,263.33 |
1.7× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$16,574.63 |
$16,574.63 |
2.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,143.27 |
$1,143.27 |
0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$4,467.19 |
$4,467.19 |
2.8× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$651.18 |
$651.18 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,062.75 |
$1,062.75 |
2.0× |
| Scrotal exploration (55110) |
$9,985.32 |
$9,985.32 |
2.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$140.90 |
$140.90 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$126.75 |
$126.75 |
0.6× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,251.38 |
$3,251.38 |
2.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$2,394.73 |
$2,394.73 |
2.6× |
| Simple destruction of growth of penis using electric current (54055) |
$3,768.58 |
$3,768.58 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$223.42 |
$223.42 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$269.94 |
$269.94 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$324.41 |
$324.41 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$300 |
$300 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$229.32 |
$229.32 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$476.88 |
$476.88 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$334.07 |
$334.07 |
1.7× |
| Skin pinch graft (15050) |
$1,556.41 |
$1,556.41 |
2.1× |
| Skin Tissue Procedure (17999) |
$383.03 |
$383.03 |
1.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,628.66 |
$9,628.66 |
1.9× |
| Slitting of prepuce (54001) |
$2,160.92 |
$2,160.92 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$405.10 |
$405.10 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$554.95 |
$554.95 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$563.38 |
$563.38 |
1.4× |
| Sphincterotomy (46080) |
$7,356.91 |
$7,356.91 |
2.6× |
| Spinal puncture lumbar diagnostic (62270) |
$268 |
$268 |
0.4× |
| Strapping ankle (29540) |
$236.19 |
$236.19 |
1.4× |
| Strapping hand/finger (29280) |
$67.38 |
$67.38 |
1.1× |
| Strapping knee (29530) |
$199.15 |
$199.15 |
1.5× |
| Strapping shoulder (29240) |
$81 |
$81 |
0.6× |
| Strapping toes (29550) |
$41 |
$41 |
0.7× |
| Strapping unna boot (29580) |
$150.13 |
$150.13 |
0.9× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$721.40 |
$721.40 |
1.6× |
| Suspension of testis (54640) |
$1,377.21 |
$1,377.21 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$87.58 |
$87.58 |
0.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$2,261.20 |
$2,261.20 |
0.7× |
| Ther Apheresis,Platelets (36513) |
$1,034.03 |
$1,034.03 |
2.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$337.08 |
$337.08 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$297.01 |
$297.01 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$705.15 |
$705.15 |
2.1× |
| Thyroidectomy, total or complete (60240) |
$16,574.63 |
$16,574.63 |
2.7× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$5,562.64 |
$5,562.64 |
2.7× |
| Transurethral resection of bladder neck (52500) |
$10,192.28 |
$10,192.28 |
2.9× |
| Treat ectopic pregnancy (59151) |
$11,049.75 |
$11,049.75 |
1.8× |
| Treat finger dislocation (26775) |
$1,226.74 |
$1,226.74 |
4.4× |
| Treat Vaginal Bleeding (57180) |
$379.92 |
$379.92 |
1.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,636.42 |
$1,636.42 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$652.53 |
$652.53 |
2.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$6,720.55 |
$6,720.55 |
2.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$23.70 |
$23.70 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,686.08 |
$3,686.08 |
1.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,240.77 |
$1,240.77 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$634.60 |
$634.60 |
0.9× |
| Unlisted craniofacial & maxillofacial procedure (21299) |
$698.19 |
$698.19 |
2.9× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$519.25 |
$519.25 |
2.6× |
| Unlisted laparoscopic procedure liver (47379) |
$11,049.98 |
$11,049.98 |
1.8× |
| Unlisted laparoscopic procedure, ureter (50949) |
$15,649.21 |
$15,649.21 |
2.6× |
| Unlisted laparoscopy procedure, appendix (44979) |
$11,049.98 |
$11,049.98 |
1.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$11,381.24 |
$11,381.24 |
1.9× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$11,049.75 |
$11,049.75 |
1.8× |
| Unlisted procedure anus (46999) |
$2,242.96 |
$2,242.96 |
2.4× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$340.36 |
$340.36 |
1.4× |
| Unlisted procedure maternity care & delivery (59899) |
$433.98 |
$433.98 |
2.1× |
| Unlisted Procedure Small Intestine (44799) |
$3,028.42 |
$3,028.42 |
3.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,405.96 |
$2,405.96 |
2.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$519.25 |
$519.25 |
2.6× |
| Urine Flow Measurement (51736) |
$386.70 |
$386.70 |
2.9× |
| Urology Surgery Procedure (53899) |
$626.34 |
$626.34 |
2.5× |
| Vaginal delivery only (59409) |
$8,991.25 |
$8,991.25 |
2.8× |
| Vasectomy (55250) |
$3,915.17 |
$3,915.17 |
1.9× |
| Vbac delivery only (59612) |
$4,270.08 |
$4,270.08 |
1.3× |
| Venipuncture (36415) |
$31.86 |
$31.86 |
3.4× |
| Vulvectomy simple partial (56620) |
$8,776.63 |
$8,776.63 |
2.7× |