| Abd paracentesis w/imaging (49083) |
$1,346.71 |
$1,496.34 |
1.6× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,244.44 |
$4,716.04 |
0.3× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$4,459.13 |
$4,954.59 |
3.1× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$9,813.84 |
$10,904.26 |
1.4× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$6,489.99 |
$7,211.10 |
3.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$12,305.81 |
$13,673.12 |
3.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,331.86 |
$4,813.18 |
2.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$6,432.63 |
$7,147.37 |
3.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$7,062.84 |
$7,847.60 |
3.6× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$6,384.55 |
$7,093.94 |
3.3× |
| Allogeneic lymphocyte infusions (38242) |
$1,453.46 |
$1,614.95 |
1.0× |
| Amputate lower leg at knee (27598) |
$11,400.07 |
$12,666.74 |
3.7× |
| Amputation Finger/Thumb (26951) |
$4,828.21 |
$5,364.68 |
1.6× |
| Amputation of finger/thumb (26952) |
$5,681.46 |
$6,312.72 |
1.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,909.77 |
$7,677.52 |
2.2× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$8,703.47 |
$9,670.52 |
2.8× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$6,729.36 |
$7,477.07 |
2.2× |
| Anoscopy diagnostic (46600) |
$2,681.81 |
$2,979.79 |
21.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$5,573.74 |
$6,193.05 |
2.1× |
| Anterior Tibial Tubercleplasty (27418) |
$20,159.06 |
$22,398.95 |
3.0× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$2,976.08 |
$3,306.76 |
2.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$257.68 |
$286.31 |
1.7× |
| Application cast elbow finger short arm (29075) |
$97.86 |
$108.73 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$89.42 |
$99.35 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$163.70 |
$181.88 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$161.63 |
$179.59 |
2.9× |
| Application finger splint static (29130) |
$87.52 |
$97.24 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$381.16 |
$423.52 |
2.5× |
| Application long leg splint thigh ankle/toes (29505) |
$196.31 |
$218.12 |
1.3× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$42,378.97 |
$47,087.74 |
3.5× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$15,815.51 |
$17,572.79 |
2.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$168.54 |
$187.27 |
0.6× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$2,747.01 |
$3,052.23 |
10.5× |
| Application of long leg cast (29345) |
$345.43 |
$383.81 |
1.3× |
| Application of shoulder to hip body cast and thigh (29044) |
$5,875.87 |
$6,528.74 |
38.5× |
| Application Short Arm Splint Dynamic (29126) |
$342.05 |
$380.06 |
2.7× |
| Application short arm splint forearm-hand static (29125) |
$218.24 |
$242.49 |
1.7× |
| Application short leg splint calf foot (29515) |
$244.63 |
$271.81 |
1.6× |
| Apply Body Cast,Risser Jacket (29010) |
$217.77 |
$241.97 |
0.8× |
| Apply long leg cast brace (29358) |
$346.30 |
$384.77 |
1.3× |
| Apply of clubfoot cast (29450) |
$142.38 |
$158.20 |
0.9× |
| Apply patella tendon bearing cast (29435) |
$192.01 |
$213.34 |
0.7× |
| Apply short leg cast (29405) |
$159.27 |
$176.97 |
0.6× |
| Apply short leg cast (29425) |
$571.19 |
$634.66 |
2.2× |
| Apply/remove halo cranial (20661) |
$4,754.76 |
$5,283.07 |
3.1× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services (66179) |
$5,197.36 |
$5,774.84 |
1.0× |
| Aqueous shunt to extraocular reservoir (66180) |
$10,518.40 |
$11,687.12 |
2.1× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$7,467.02 |
$8,296.69 |
2.4× |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
$14,456.52 |
$16,062.80 |
2.1× |
| Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) |
$9,609.44 |
$10,677.15 |
1.4× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
$8,658.04 |
$9,620.04 |
1.3× |
| Arterial puncture (36600) |
$604.69 |
$671.88 |
4.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,013.34 |
$1,125.93 |
3.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,004.54 |
$2,227.27 |
3.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$590.90 |
$656.55 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$482.84 |
$536.50 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$903.30 |
$1,003.66 |
3.1× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$34,920.02 |
$38,800.02 |
2.1× |
| Arthrodesis; subtalar (28725) |
$14,511.12 |
$16,123.46 |
1.2× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$9,561.94 |
$10,624.38 |
1.4× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$15,246.05 |
$16,940.05 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$5,526.75 |
$6,140.83 |
1.8× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$2,642.75 |
$2,936.39 |
0.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$8,261.10 |
$9,179 |
2.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$5,803.70 |
$6,448.56 |
1.9× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$6,352.74 |
$7,058.60 |
2.1× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$10,295.52 |
$11,439.47 |
1.5× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,413.18 |
$7,125.75 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$12,453.86 |
$13,837.62 |
4.1× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$17,943.16 |
$19,936.84 |
2.6× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$14,389.97 |
$15,988.85 |
2.1× |
| Arthrotomy hip w/drainage (27030) |
$3,835.19 |
$4,261.32 |
0.6× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$8,448.71 |
$9,387.45 |
2.7× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$6,298.44 |
$6,998.27 |
2.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,896.21 |
$4,329.12 |
1.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,334.99 |
$3,705.54 |
1.7× |
| Autochondrocyte implant knee (27412) |
$87,082.83 |
$96,758.70 |
12.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$3,028.14 |
$3,364.60 |
16.1× |
| Biopsy Bone Open Deep (20245) |
$7,876.52 |
$8,751.69 |
2.9× |
| Biopsy bone open superficial (20240) |
$9,606.69 |
$10,674.10 |
3.5× |
| Biopsy bone trocar/needle deep (20225) |
$7,622.07 |
$8,468.97 |
4.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$6,518.81 |
$7,243.12 |
4.2× |
| Biopsy intranasal (30100) |
$450 |
$500 |
0.3× |
| Biopsy muscle deep (20205) |
$6,392.68 |
$7,102.98 |
2.3× |
| Biopsy muscle percutaneous needle (20206) |
$3,270.61 |
$3,634.01 |
2.1× |
| Biopsy of floor of mouth (41108) |
$3,237.53 |
$3,597.25 |
2.1× |
| Biopsy of mouth lesion (40808) |
$5,267.10 |
$5,852.34 |
10.4× |
| Biopsy of nail unit (11755) |
$3,167.34 |
$3,519.27 |
4.8× |
| Biopsy of ovary(s) (58900) |
$151.79 |
$168.66 |
0.0× |
| Biopsy of tongue (41100) |
$15,127.37 |
$16,808.19 |
29.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,368.84 |
$3,743.15 |
0.9× |
| Biopsy Salivary Gland Incisional (42405) |
$1,816.97 |
$2,018.86 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$929.65 |
$1,032.94 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$2,257.22 |
$2,508.02 |
1.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$4,849.34 |
$5,388.16 |
1.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$5,264.02 |
$5,848.91 |
3.4× |
| Biopsy testis incisional separate procedure (54505) |
$13,730.48 |
$15,256.09 |
4.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$5,802.07 |
$6,446.74 |
6.7× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$6,503.27 |
$7,225.86 |
4.2× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$3,842.24 |
$4,269.15 |
2.5× |
| Biopsy/removal lymph nodes (38525) |
$6,209.72 |
$6,899.69 |
1.7× |
| Biopsy/removal lymph nodes (38510) |
$4,981.21 |
$5,534.68 |
1.4× |
| Bladder Scan (51798) |
$103.81 |
$115.34 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$5,886.76 |
$6,540.84 |
4.0× |
| Blepharoplasty upper eyelid (15822) |
$6,405.17 |
$7,116.85 |
3.3× |
| Blood patch (62273) |
$1,773.65 |
$1,970.72 |
2.7× |
| Blood transfusion service (36430) |
$902.48 |
$1,002.76 |
2.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$10,192.08 |
$11,324.53 |
1.5× |
| Bone marrow aspiration only (38220) |
$1,435.54 |
$1,595.04 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,737.02 |
$1,930.02 |
1.1× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$923.78 |
$1,026.42 |
1.4× |
| Breast augmentation with implant (19325) |
$15,282.98 |
$16,981.09 |
2.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$945.46 |
$1,050.52 |
0.6× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,412.31 |
$1,569.23 |
0.8× |
| Brnchsc removal bronchial valve initial (31648) |
$1,412.31 |
$1,569.23 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,162.08 |
$4,624.54 |
1.2× |
| Bronch ebus samplng 1/2 node (31652) |
$1,412.31 |
$1,569.23 |
0.4× |
| Bronch ebus samplng 3/> node (31653) |
$1,412.31 |
$1,569.23 |
0.4× |
Bronchial Valve Init Insert (31647)
likely a partial charge, not the full procedure |
$1,412.31 |
$1,569.23 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,519.44 |
$1,162.44 |
0.9× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,412.31 |
$1,569.23 |
0.2× |
| Bronchoscopy dilate/fx repr (31630) |
$9,696.31 |
$10,773.68 |
2.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,586.73 |
$1,763.03 |
0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,240.86 |
$3,600.96 |
1.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$250.64 |
$278.49 |
0.1× |
| Bronchoscopy w/tumor excise (31640) |
$4,363.50 |
$4,848.33 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,525.91 |
$1,695.46 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,350.80 |
$2,612 |
1.5× |
| Bx anorectal wall anal approach (45100) |
$4,257.08 |
$4,730.10 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$4,752 |
$5,280 |
3.1× |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
$8,363.87 |
$9,293.19 |
2.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,724.62 |
$3,027.36 |
0.9× |
| Capsular Contracture Release (23020) |
$5,909.13 |
$6,565.70 |
1.9× |
| Car-t admn autologous (38228) |
$4,254.93 |
$4,727.70 |
13.7× |
| Cataract surgery complex (66982) |
$12,123.23 |
$13,470.25 |
5.6× |
| Cessj Therapy Cath Removal (37214) |
$955.55 |
$1,061.72 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$264.74 |
$294.15 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$260.03 |
$288.92 |
1.1× |
| Change g-tube to g-j perc (49446) |
$3,556.70 |
$3,951.89 |
2.0× |
| Chemical Cautery Tissue (17250) |
$1,859.52 |
$2,066.12 |
9.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,137.28 |
$1,263.65 |
1.7× |
| Chemodenerv Musc Migraine (64615) |
$8,742.99 |
$9,714.43 |
30.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$382.21 |
$424.68 |
1.3× |
| Chemodenervation internal anal sphincter (46505) |
$4,987.65 |
$5,541.83 |
4.4× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$403.23 |
$448.03 |
1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$517.28 |
$574.76 |
1.8× |
| Chest tube placement (32551) |
$2,507.33 |
$2,785.92 |
1.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$606.65 |
$674.06 |
4.9× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$5,462.82 |
$6,069.80 |
1.6× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
$2,781.80 |
$3,090.89 |
1.2× |
| Circum 28 days or older (54161) |
$891.03 |
$990.03 |
0.5× |
| Circumcision (54150) |
$438.62 |
$487.36 |
0.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$4,073.68 |
$4,526.31 |
17.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$18,694.54 |
$20,771.71 |
12.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$5,269.82 |
$5,855.36 |
3.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$4,074.73 |
$4,527.48 |
2.7× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,769.02 |
$4,187.80 |
1.2× |
| Closed treatment of broken top of shin bone at knee (27538) |
$14,858.14 |
$16,509.04 |
64.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$938.84 |
$1,043.16 |
0.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$9,720.29 |
$10,800.32 |
1.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$7,546.22 |
$8,384.69 |
5.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$11,122.79 |
$12,358.65 |
7.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$938.84 |
$1,043.16 |
0.6× |
| Closure of gastrostomy surgical (43870) |
$5,132.12 |
$5,702.35 |
1.4× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,773.65 |
$1,970.72 |
3.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,570.23 |
$2,855.81 |
1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$6,997.92 |
$7,775.47 |
4.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,841.52 |
$4,268.36 |
2.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$8,531.69 |
$9,479.66 |
5.6× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$4,941.23 |
$5,490.26 |
3.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$11,497.35 |
$12,774.83 |
3.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,191.21 |
$3,545.79 |
2.1× |
| Coccygectomy Primary (27080) |
$14,773.94 |
$16,415.49 |
4.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,552 |
$1,724.44 |
1.4× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,559.18 |
$1,732.42 |
1.4× |
| Colonoscopy w/ndl aspir/bx (44407) |
$1,559.18 |
$1,732.42 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$2,933.42 |
$3,259.35 |
15.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,649.84 |
$1,833.16 |
5.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$5,080.77 |
$5,645.30 |
5.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,196.07 |
$1,328.97 |
1.1× |
| Complete replacement picc rs&i (36584) |
$2,483.22 |
$2,759.13 |
1.7× |
| Complex Cystometrogram (51726) |
$2,715.69 |
$3,017.43 |
11.6× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$2,128.92 |
$2,365.47 |
3.2× |
| Complex Drainage, Wound (10180) |
$9,521.12 |
$10,579.02 |
3.5× |
| Complex Uroflowmetry (51741) |
$350.26 |
$389.17 |
1.7× |
| Contour cranial bone lesion (21181) |
$6,989.21 |
$7,765.79 |
1.3× |
| Contour of face bone lesion (21029) |
$3,723.92 |
$4,137.69 |
1.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$315.52 |
$350.58 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$4,830.05 |
$5,366.72 |
38.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,598.75 |
$1,776.39 |
12.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$5,335.30 |
$5,928.11 |
10.5× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$7,662.57 |
$8,513.97 |
2.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,672.07 |
$2,968.97 |
1.7× |
| Correction hammertoe (28285) |
$9,716.96 |
$10,796.62 |
3.2× |
| Correction of bunion (28298) |
$8,658.04 |
$9,620.04 |
1.3× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$900 |
$1,000 |
0.1× |
| Create eardrum opening (69436) |
$1,590.07 |
$1,766.74 |
1.1× |
| Create Tear Sac-Nasal Fistula (68720) |
$7,254.47 |
$8,060.52 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,642.39 |
$1,824.88 |
13.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,427.89 |
$2,697.66 |
1.2× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$6,568.88 |
$7,298.76 |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,915.04 |
$4,350.04 |
2.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,666.96 |
$7,407.73 |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$13,775.25 |
$15,305.83 |
2.7× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$4,978.52 |
$5,531.69 |
1.0× |
| Cystolithotomy w rem stone wo vn res (51050) |
$7,415.12 |
$8,239.02 |
1.5× |
| Cystometrogram w/vp (51728) |
$2,404.14 |
$2,671.27 |
3.7× |
| Cystometrogram W/Vp&Up (51729) |
$2,128.92 |
$2,365.47 |
3.2× |
| Cystoscopy and treatment (52301) |
$7,485.82 |
$8,317.58 |
2.3× |
| Cystoscopy inject material (52327) |
$2,747.15 |
$3,052.39 |
0.5× |
| Cystoscopy stone removal (52325) |
$12,480.62 |
$13,867.36 |
2.5× |
| Cystoscopy w/biopsy (52204) |
$4,380.85 |
$4,867.61 |
2.2× |
| Cystoscopy,insert ureteral stent (52332) |
$5,865.80 |
$6,517.56 |
1.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$13,392.23 |
$14,880.26 |
6.8× |
| Cystourethroscopy (52000) |
$3,764.67 |
$4,182.97 |
5.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,747.15 |
$3,052.39 |
1.4× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,002.23 |
$4,446.92 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,469.18 |
$3,854.64 |
1.3× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$5.22 |
$5.80 |
0.0× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$8,910.99 |
$9,901.10 |
2.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$6,718.63 |
$7,465.14 |
10.1× |
| Debride skin musc at fx site (11011) |
$849.47 |
$943.85 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$9,388.10 |
$10,431.22 |
24.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$9,432.72 |
$10,480.80 |
13.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$5,494.29 |
$6,104.77 |
3.5× |
| Declot vascular device (36593) |
$1,256.12 |
$1,395.70 |
4.0× |
| Decompression of thigh/knee (27496) |
$9,274.28 |
$10,304.76 |
3.0× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$2,259.02 |
$2,510.02 |
1.2× |
| Derma-fat-fascia graft (15770) |
$11,327.86 |
$12,586.51 |
3.4× |
| Destroy lumb/sac facet jnt (64635) |
$1,595.13 |
$1,772.37 |
0.9× |
| Destruc retinal lesn,photocoag (67210) |
$9,223.34 |
$10,248.16 |
17.8× |
| Destruction benign lesions 15 or more (17111) |
$287.62 |
$319.58 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$2,086.16 |
$2,317.95 |
11.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,115.43 |
$1,239.37 |
1.3× |
| Destruction Lesions Vulva Simple (56501) |
$2,259.02 |
$2,510.02 |
1.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$1,999.14 |
$2,221.26 |
2.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$2,259.03 |
$2,510.03 |
1.2× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
$9,103.06 |
$10,114.51 |
17.6× |
| Destruction of skin lesions (17106) |
$470.22 |
$522.47 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$937.64 |
$1,041.82 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,250.91 |
$1,389.90 |
1.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$5,357.55 |
$5,952.83 |
4.8× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$4,890.38 |
$5,433.76 |
9.7× |
| Dilation of salivary duct (42650) |
$4,810.57 |
$5,345.08 |
3.3× |
| Dilation of vagina (57400) |
$3,893.80 |
$4,326.44 |
1.3× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$6,568.77 |
$7,298.63 |
3.0× |
| Drain hand tendon sheath (26020) |
$7,469.43 |
$8,299.37 |
2.4× |
| Drain outer ear canal lesion (69020) |
$2,082.92 |
$2,314.35 |
3.1× |
| Drain/inj small joint/bursa w/us (20604) |
$399.31 |
$443.68 |
1.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$6,339.93 |
$7,044.37 |
12.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$5,621.12 |
$6,245.69 |
8.4× |
| Drainage Finger Abscess Simple (26010) |
$221.18 |
$245.75 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$9,009.42 |
$10,010.47 |
5.8× |
| Drainage of salivary gland (42305) |
$6,339.03 |
$7,043.37 |
2.0× |
| Drainage skenes gland abscess (53060) |
$4,404.38 |
$4,893.76 |
2.2× |
| Draw blood off venous device (36591) |
$173.05 |
$192.28 |
1.4× |
| Dressing change under anesthesia (15852) |
$2,896.47 |
$3,218.30 |
4.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$843.98 |
$937.75 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$869.29 |
$965.88 |
4.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$536.06 |
$595.62 |
2.8× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$5,202.47 |
$5,780.52 |
2.7× |
| Dx bone marrow bx & aspir (38222) |
$3,070.58 |
$3,411.76 |
1.1× |
| Eardrum revision (69450) |
$3,137.88 |
$3,486.53 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,660.28 |
$2,955.87 |
1.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,012.12 |
$5,569.02 |
2.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$5,349.81 |
$5,944.23 |
3.0× |
| Egd flexible foreign body removal (43247) |
$3,356.99 |
$3,729.99 |
3.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,507.57 |
$2,786.19 |
1.4× |
| Egd place gastrostomy tube (43246) |
$4,541.24 |
$5,045.82 |
2.5× |
| Egd remove lesion snare (43251) |
$1,315.22 |
$1,461.34 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,610.02 |
$2,900.02 |
1.4× |
| Egd us fine needle bx/aspir (43242) |
$2,507.57 |
$2,786.19 |
1.4× |
| Egd us transmural injxn/mark (43253) |
$2,507.57 |
$2,786.19 |
1.4× |
| Egd Varices Ligation (43244) |
$3,244.48 |
$3,604.98 |
1.8× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$468.34 |
$520.38 |
3.9× |
| Endoscopic us exam esoph (43237) |
$1,484.04 |
$1,648.93 |
0.8× |
| Endoscopy of bowel pouch (44385) |
$1,074.23 |
$1,193.59 |
1.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,597.69 |
$16,219.66 |
1.3× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$264.11 |
$293.45 |
0.1× |
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure |
$1,022.06 |
$1,135.62 |
0.2× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$16,908.90 |
$18,787.67 |
8.7× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$6,345.63 |
$7,050.70 |
1.8× |
| Epiphyseal Arrest Dist Rad or Ulna (25450) |
$7,258.68 |
$8,065.20 |
2.4× |
| Ercp Duct Stent Placement (43274) |
$5,662.78 |
$6,291.98 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$1,019.70 |
$1,133 |
0.3× |
| Ercp lithotripsy calculi (43265) |
$5,032.20 |
$5,591.33 |
0.9× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,927.22 |
$2,141.36 |
0.5× |
| Ercp remove forgn body duct (43275) |
$3,174.79 |
$3,527.54 |
1.8× |
| Ercp sphincter pressure meas (43263) |
$2,009.57 |
$2,232.85 |
1.1× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$1,956.84 |
$2,174.27 |
0.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,545.44 |
$2,828.27 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,004.65 |
$2,227.39 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,709.93 |
$3,011.04 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$4,577.81 |
$5,086.45 |
5.4× |
| Esophagoscopy flex biopsy (43202) |
$2,436.48 |
$2,707.20 |
1.4× |
| Esophagoscopy flexible removal foreign body (43215) |
$3,380.20 |
$3,755.78 |
1.9× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$4,316.91 |
$4,796.56 |
5.1× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$6,575.42 |
$7,306.02 |
7.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,441.42 |
$2,712.70 |
2.9× |
| Esophagoscopy w/us needle bx (43232) |
$2,507.57 |
$2,786.19 |
1.4× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$4,037.30 |
$4,485.89 |
2.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$5,941.51 |
$6,601.68 |
3.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$6,452.21 |
$7,169.12 |
4.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,547.30 |
$3,941.44 |
1.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,664.31 |
$4,071.45 |
2.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,684.41 |
$4,093.79 |
2.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$6,476.30 |
$7,195.88 |
4.2× |
| Exc back les sc < 3 cm (21930) |
$3,963.50 |
$4,403.89 |
2.6× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$8,369.76 |
$9,299.74 |
1.5× |
| Exc face les sbq 2 cm/> (21012) |
$19,495.60 |
$21,661.78 |
12.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,181.08 |
$3,534.52 |
4.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,848.63 |
$5,387.37 |
3.1× |
| Exc forearm les sc 3 cm/> (25071) |
$33,812.28 |
$37,569.20 |
21.8× |
| Exc forearm les sc < 3 cm (25075) |
$5,537.60 |
$6,152.89 |
3.6× |
| Exc frenum labial/buccal (40819) |
$635.31 |
$705.90 |
0.4× |
| Exc hand les sc < 1.5 cm (26115) |
$4,734.28 |
$5,260.31 |
3.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$5,013.77 |
$5,570.85 |
3.3× |
| Exc neck tum deep < 5 cm (21556) |
$6,678.93 |
$7,421.04 |
2.4× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$12,799.42 |
$14,221.58 |
2.3× |
| Exc rect tum transanal part (45171) |
$9,010.18 |
$10,011.31 |
3.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$4,766.60 |
$5,296.22 |
7.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$5,116.56 |
$5,685.06 |
13.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$4,471.49 |
$4,968.32 |
6.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,450.20 |
$3,833.56 |
5.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$5,855.96 |
$6,506.62 |
3.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$5,170.79 |
$5,745.32 |
3.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$5,160.74 |
$5,734.16 |
1.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$6,520.01 |
$7,244.46 |
2.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$6,960.90 |
$7,734.33 |
4.5× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$6,863.10 |
$7,625.67 |
2.5× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$4,702.78 |
$5,225.31 |
1.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,972.41 |
$2,191.57 |
3.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$5,171.98 |
$5,746.64 |
3.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$46,700.30 |
$51,889.22 |
17.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,036.93 |
$5,596.59 |
3.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,666.05 |
$6,295.61 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$11,421.16 |
$12,690.18 |
4.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$9,120.48 |
$10,133.86 |
3.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$7,874.68 |
$8,749.64 |
5.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$8,857.08 |
$9,841.19 |
3.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,469.21 |
$4,965.79 |
3.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$706 |
$784.44 |
0.2× |
| Exchange nephrostomy cath (50435) |
$706 |
$784.44 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,660.28 |
$2,955.87 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$4,961.98 |
$5,513.32 |
3.3× |
| Excise cutaneous neurofibroma (64788) |
$5,733.64 |
$6,370.71 |
3.1× |
| Excise excess skin & tissue (15839) |
$5,186.15 |
$5,762.39 |
1.9× |
| Excise Inferior Turbinate (30130) |
$4,853.16 |
$5,392.40 |
1.6× |
| Excise oral mucosa for graft (40818) |
$4,940.62 |
$5,489.58 |
9.7× |
| Excise parotid gland/lesion (42410) |
$10,794.80 |
$11,994.22 |
1.9× |
| Excise parotid gland/lesion (42420) |
$14,166.77 |
$15,740.86 |
2.5× |
| Excise pharynx lesion (42808) |
$12,504.90 |
$13,894.33 |
4.0× |
| Excise/repair mouth lesion (40812) |
$3,120.44 |
$3,467.15 |
2.1× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$7,934.76 |
$8,816.40 |
2.5× |
| Excision brach clft cyst,superficial (42810) |
$5,926.38 |
$6,584.87 |
1.9× |
| Excision Chalazion Single (67800) |
$2,749.14 |
$3,054.60 |
9.2× |
| Excision external ear partial simple repair (69110) |
$4,860.63 |
$5,400.70 |
1.8× |
| Excision hidradenitis axillary complex repair (11451) |
$3,762.02 |
$4,180.02 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$686.20 |
$762.45 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$3,596.72 |
$3,996.36 |
5.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$4,221.80 |
$4,690.88 |
6.3× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$12,851.66 |
$14,279.62 |
2.3× |
| Excision of bone lower jaw (21025) |
$7,021.60 |
$7,801.78 |
1.3× |
| Excision of chalazion; multiple, different lids (67805) |
$4,594.57 |
$5,105.08 |
15.4× |
| Excision of Epiphyseal Bar (20150) |
$7,583.88 |
$8,426.53 |
2.5× |
| Excision of hydrocele; unilateral (55040) |
$6,368.22 |
$7,075.80 |
1.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$2,200.52 |
$2,445.02 |
2.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$11,359.03 |
$12,621.14 |
3.6× |
| Excision of lesion of tongue without closure (41110) |
$6,361.04 |
$7,067.82 |
2.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$5,998.36 |
$6,664.84 |
1.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$14,394.97 |
$15,994.41 |
9.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$5,292.87 |
$5,880.96 |
3.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$5,301.65 |
$5,890.72 |
3.5× |
| Excision of lingual tonsil (42870) |
$6,989.21 |
$7,765.79 |
1.3× |
| Excision of mouth lesion (41116) |
$6,826.62 |
$7,585.13 |
2.2× |
| Excision of nail fold toe (11765) |
$4,627.14 |
$5,141.27 |
12.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,748.34 |
$7,498.15 |
2.5× |
| Excision of rib partial (21600) |
$5,713.73 |
$6,348.59 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$3,728.57 |
$4,142.85 |
3.3× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$6,384.65 |
$7,094.06 |
2.0× |
| Excision of tongue lesion (41112) |
$3,243.46 |
$3,603.84 |
1.0× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$10,670.29 |
$11,855.88 |
1.9× |
| Excision of vaginal septum (57130) |
$6,789.56 |
$7,543.96 |
2.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$9,169.39 |
$10,188.21 |
6.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$5,285.86 |
$5,873.18 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
$12,360.07 |
$13,733.42 |
1.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,873.10 |
$3,192.34 |
1.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$18,138.59 |
$20,153.99 |
11.7× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,996.15 |
$5,551.28 |
3.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$6,310.54 |
$7,011.70 |
2.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$7,585.30 |
$8,428.11 |
4.9× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,063.36 |
$5,625.95 |
1.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$6,605.96 |
$7,339.96 |
2.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$3,075.43 |
$3,417.14 |
2.0× |
| Excision,ben tumor,mandible,intra-oral (21046) |
$5,303.48 |
$5,892.75 |
1.0× |
| Excision/curettage cyst/tumor femur w/allograft (27356) |
$13,379.76 |
$14,866.40 |
1.1× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$6,480.88 |
$7,200.97 |
2.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$5,709.98 |
$6,344.42 |
2.9× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$7,893.35 |
$8,770.39 |
2.3× |
| Exploration of ankle joint (27612) |
$6,701.04 |
$7,445.60 |
2.2× |
| Exploration of knee joint (27310) |
$13,033.97 |
$14,482.19 |
4.2× |
| Exploration penetrating wound spx extremity (20103) |
$6,310.38 |
$7,011.53 |
4.1× |
| Explore sinus remove polyps (31032) |
$15,836.45 |
$17,596.06 |
2.8× |
| Explore/biopsy eye socket (67400) |
$4,946.70 |
$5,496.33 |
1.3× |
| Explore/treat ankle joint (27620) |
$644.60 |
$716.22 |
0.2× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$4,864.40 |
$5,404.88 |
9.4× |
| Extraction of lens (66920) |
$10,467.04 |
$11,630.04 |
4.8× |
| Extraction of lens (66930) |
$11,778.36 |
$13,087.07 |
3.0× |
| Eye surgery procedure (66999) |
$15,172.67 |
$16,858.52 |
7.0× |
| Face bone graft (21210) |
$20,645.70 |
$22,939.67 |
3.7× |
| Fasciotomy Iliotibial Open (27305) |
$54,997.67 |
$61,108.52 |
17.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,702.41 |
$1,891.57 |
2.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,446 |
$1,606.67 |
2.2× |
| Fix ectropion,entensv lid repair (67917) |
$3,184.92 |
$3,538.80 |
1.4× |
| Fixation of knee joint (27570) |
$4,734.48 |
$5,260.53 |
3.1× |
| Fixation of shoulder (23700) |
$4,081.35 |
$4,534.83 |
2.7× |
| Flap; neurovascular pedicle (15750) |
$10,231.01 |
$11,367.79 |
3.1× |
| Fluoro exam of g/colon tube (49465) |
$345.42 |
$383.80 |
1.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$670.44 |
$744.93 |
1.0× |
| Fna bx w/mr gdn 1st les (10011) |
$3,210.88 |
$3,567.64 |
4.8× |
| Follow-up surgery of eye (66250) |
$3,044.09 |
$3,382.32 |
1.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,837.58 |
$5,375.09 |
1.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$5,147.59 |
$5,719.54 |
2.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$5,146.69 |
$5,718.54 |
2.7× |
| Fusion of foot bones (28715) |
$18,667.80 |
$20,742 |
1.5× |
| Gastrocnemius Recession (27687) |
$4,964.05 |
$5,515.61 |
1.6× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$3,816.70 |
$4,240.78 |
1.2× |
| Graft ear crtlg autogenous nose/ear (21235) |
$8,079.35 |
$8,977.06 |
1.5× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$15,428.48 |
$17,142.75 |
8.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$9,304.64 |
$10,338.48 |
2.8× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$4,257.99 |
$4,731.10 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$916.11 |
$1,017.90 |
1.4× |
| Harvest stem cell concentrte (38215) |
$1,966.73 |
$2,185.25 |
4.7× |
| Hem vw factor&clgn iii bndg (0279U) |
$199.69 |
$221.88 |
17.3× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$249.75 |
$277.50 |
14.5× |
| Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB,… (0273U) |
$2,371.50 |
$2,635 |
3.9× |
| Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) |
$2,676.38 |
$2,973.75 |
4.4× |
| Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid Other… (0278U) |
$2,489.63 |
$2,766.25 |
4.1× |
| Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked… (0280U) |
$407.25 |
$452.50 |
23.6× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,896.22 |
$4,329.13 |
1.3× |
| Hysteroscopy biopsy (58558) |
$9,964.80 |
$11,072 |
3.3× |
| Hysteroscopy dx sep proc (58555) |
$12,136.06 |
$13,484.51 |
4.0× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$3,723.89 |
$4,137.65 |
1.2× |
| I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr (42725) |
$12,275.81 |
$13,639.79 |
2.2× |
| I&D Abscess Peritonsillar (42700) |
$2,506.94 |
$2,785.48 |
11.3× |
| I&d abscess simple (10060) |
$420.08 |
$466.75 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,906.52 |
$4,340.57 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,510.07 |
$6,122.30 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,779.93 |
$6,422.14 |
2.9× |
| I&d perianal abscess superficial (46050) |
$5,429.66 |
$6,032.95 |
6.2× |
| I&d pilonidal cyst simple (10080) |
$5,523.43 |
$6,137.14 |
8.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,042.95 |
$1,158.83 |
1.2× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$122.97 |
$136.63 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$2,290.56 |
$2,545.07 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$3,034.04 |
$3,371.16 |
2.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,290.56 |
$2,545.07 |
1.5× |
| Impl oi implt skull mag tc attachment esp<100 (69716) |
$24,214.58 |
$26,905.09 |
2.0× |
| Impl oi implt skull perq attachment esp (69714) |
$26,481.94 |
$29,424.38 |
2.2× |
| Implant cochlear device (69930) |
$56,703.55 |
$63,003.94 |
1.8× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$23,681.93 |
$26,313.26 |
2.9× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$42,578.80 |
$47,309.78 |
2.5× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$43,701.13 |
$48,556.81 |
2.6× |
| Incise finger tendon sheath (26055) |
$3,214.10 |
$3,571.22 |
2.1× |
| Incise inner eye adhesions (65875) |
$6,491.22 |
$7,212.47 |
3.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,639.34 |
$4,043.72 |
9.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,205.27 |
$4,672.52 |
2.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$2,666.19 |
$2,962.44 |
7.0× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$9,898 |
$10,997.78 |
3.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$3,531.14 |
$3,923.49 |
18.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,477.85 |
$1,642.06 |
5.2× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) |
$13,137.76 |
$14,597.51 |
1.9× |
| Incision bone cortex foot (28005) |
$5,229.99 |
$5,811.10 |
1.7× |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
$62,756.38 |
$69,729.31 |
1.5× |
| Incision labial frenum frenotomy (40806) |
$4,978.66 |
$5,531.84 |
9.8× |
| Incision of eardrum (69421) |
$2,386.24 |
$2,651.37 |
0.8× |
| Incision of eye (65850) |
$14,028.68 |
$15,587.42 |
6.5× |
| Incision of heel bone (28300) |
$3,446.09 |
$3,828.99 |
0.5× |
| Incision of lingual frenum (41010) |
$3,246.26 |
$3,606.95 |
2.2× |
| Incision of metatarsal (28308) |
$10,118.34 |
$11,242.60 |
3.3× |
| Incision of thigh tendons (27392) |
$9,328.43 |
$10,364.92 |
3.0× |
| Incision of tibia (27705) |
$8,042.84 |
$8,936.49 |
1.2× |
| Incision of tibia & fibula (27709) |
$13,616.52 |
$15,129.47 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$3,249.29 |
$3,610.32 |
4.7× |
| Inj tendon sheath/ligament (20550) |
$415.32 |
$461.47 |
1.4× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$3,583.57 |
$3,981.74 |
12.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$910.20 |
$1,011.33 |
1.1× |
| Inject Intravitreal Pharmcologic (67028) |
$5,272.76 |
$5,858.62 |
17.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,426.62 |
$2,696.25 |
2.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,547.77 |
$1,719.74 |
2.3× |
| Inject Nerv Blck,Pudendal (64430) |
$2,360.69 |
$2,622.99 |
2.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$653.49 |
$726.10 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$6,934.74 |
$7,705.27 |
10.5× |
| Injection of drug into cavity behind eye (67500) |
$4,669.60 |
$5,188.44 |
15.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$415.32 |
$461.47 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$838.14 |
$931.27 |
2.9× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$387.68 |
$430.76 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$1,367.07 |
$1,518.97 |
7.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$3,171.62 |
$3,524.02 |
3.8× |
| Ins cath ren art 1st bilat (36252) |
$2,638.33 |
$2,931.48 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$4,550.37 |
$5,055.97 |
1.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,174.92 |
$7,972.13 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$9,053.96 |
$10,059.96 |
1.7× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$25,448.42 |
$28,276.02 |
2.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$18,765.88 |
$20,850.98 |
1.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$20,506.04 |
$22,784.50 |
2.1× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$14,871.52 |
$16,523.91 |
1.5× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$4,441.89 |
$4,935.43 |
0.6× |
| Ins/Rep Subq Defibrillator (33270) |
$48,031.31 |
$53,368.12 |
1.6× |
| Insert 1 electrode pm-defib (33216) |
$4,441.89 |
$4,935.43 |
0.6× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$4,480.52 |
$4,978.35 |
4.0× |
| Insert Drug Implant Device (11981) |
$151.98 |
$168.87 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,621.54 |
$2,912.82 |
1.5× |
| Insert hepatic shunt (tips) (37182) |
$10,206.03 |
$11,340.03 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$2,544.20 |
$2,826.88 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,556.49 |
$2,840.54 |
0.9× |
| Insert picc cath (36569) |
$2,308.86 |
$2,565.40 |
1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,308.86 |
$2,565.40 |
1.6× |
| Insert pulse gen mult leads (33221) |
$26,884.23 |
$29,871.37 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$831.76 |
$924.18 |
6.7× |
| Insert Tissue Expander(S) (11960) |
$4,975.26 |
$5,528.07 |
1.5× |
| Insert tun ip cath perc (49418) |
$264.79 |
$294.21 |
0.1× |
| Insert tunneled cv cath (36561) |
$7,512.20 |
$8,346.88 |
2.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,850.97 |
$8,723.30 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$162.04 |
$180.04 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$254.61 |
$282.90 |
0.1× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$54,290.20 |
$60,322.44 |
1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,256.96 |
$4,729.96 |
2.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,616.31 |
$4,018.12 |
6.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$17,423.04 |
$19,358.94 |
2.2× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$13,923.29 |
$15,470.32 |
6.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,241.61 |
$2,490.68 |
0.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$7,881.98 |
$8,757.75 |
2.7× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$5,011.23 |
$5,568.03 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,982.53 |
$7,758.37 |
2.4× |
| Insj/rplcmt defib w/lead(s) (33249) |
$49,952.56 |
$55,502.84 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$12,089.34 |
$13,432.60 |
1.6× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$4,312.45 |
$4,791.61 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$4,485 |
$4,983.33 |
0.2× |
| Intracapsular cataract extraction (66983) |
$12,646.73 |
$14,051.92 |
5.8× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$2,410.89 |
$2,678.77 |
1.6× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
unusually low: confirm this is the full procedure |
$1,947.13 |
$2,163.48 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$1,213.80 |
$1,348.67 |
1.4× |
| Irrigation maxillary sinus (31000) |
$1,543.64 |
$1,715.16 |
6.9× |
| Island pedicle flap graft (15740) |
$14,494.52 |
$16,105.02 |
7.5× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$184.73 |
$205.25 |
5.1× |
| Knee arthroscopy/surgery (29887) |
$8,223.24 |
$9,136.94 |
1.2× |
| Knee arthroscopy/surgery (29883) |
$6,890.47 |
$7,656.08 |
2.2× |
| Knee arthroscopy/surgery (29876) |
$7,148.34 |
$7,942.59 |
2.3× |
| Knee arthroscopy/surgery (29851) |
$6,110.60 |
$6,789.56 |
4.0× |
| Knee arthroscopy/surgery (29886) |
$3,853.52 |
$4,281.68 |
1.3× |
| Lap ing hernia repair init (49650) |
$6,396.04 |
$7,106.72 |
1.1× |
| Lap insert tunnel ip cath (49324) |
$10,877.17 |
$12,085.74 |
1.9× |
| Laparo ligate spermatic vein (55550) |
$7,953.52 |
$8,837.24 |
1.4× |
| Laparoscopy appendectomy (44970) |
$7,916.24 |
$8,795.82 |
1.4× |
| Laparoscopy biopsy (49321) |
$6,157.36 |
$6,841.51 |
1.1× |
| Laparoscopy gastrostomy (43653) |
$6,108.28 |
$6,786.98 |
1.1× |
| Laparoscopy orchiopexy (54692) |
$5,552.06 |
$6,168.96 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$5,672.86 |
$6,303.17 |
1.0× |
| Laparoscopy surgical orchiectomy (54690) |
$9,125.13 |
$10,139.03 |
1.6× |
| Laparoscopy w/lysis of adhesions (58660) |
$7,081.24 |
$7,868.04 |
1.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,409.57 |
$7,121.74 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$19,405.81 |
$21,562.01 |
3.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$15,016 |
$16,684.44 |
1.5× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$13,479.14 |
$14,976.82 |
1.3× |
| Laparoscopy, surgical, splenectomy (38120) |
$10,161.94 |
$11,291.04 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,852.22 |
$9,835.80 |
1.6× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$20,210.66 |
$22,456.29 |
2.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,635.64 |
$6,261.82 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,714.47 |
$6,349.41 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$10,024.34 |
$11,138.15 |
1.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,377.38 |
$3,752.64 |
1.0× |
| Laryngoscop w/arytenoidectom (31560) |
$15,302.77 |
$17,003.08 |
2.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$2,032.76 |
$2,258.62 |
10.8× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$7,889.85 |
$8,766.50 |
4.7× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$4,602.81 |
$5,114.23 |
2.8× |
| Laryngoscopy indirect w/vocal cord injection (31513) |
$4,041.23 |
$4,490.25 |
11.0× |
| Laryngoscopy w/fb & op scope (31531) |
$1,761.40 |
$1,957.11 |
0.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,496.62 |
$1,662.91 |
0.9× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$3,407.54 |
$3,786.15 |
2.0× |
| Laryngoscopy,dirct,op scop,remv ary (31561) |
$7,942.22 |
$8,824.68 |
1.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,731.38 |
$4,145.97 |
2.2× |
| Larynscop w/tumr exc + scope (31541) |
$5,072.16 |
$5,635.73 |
1.4× |
| Laser treatment of retina (67039) |
$11,847.16 |
$13,163.51 |
3.1× |
| Laser treatment of retina (67040) |
$5,229.90 |
$5,811 |
1.3× |
| Late closure of wound (13160) |
$7,086.74 |
$7,874.16 |
2.1× |
| Lateral retinacular release open (27425) |
$8,342.74 |
$9,269.71 |
2.7× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
$8,320.18 |
$9,244.64 |
1.2× |
| Lengthening of palate (42227) |
$8,387.29 |
$9,319.21 |
1.5× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$14,860.52 |
$16,511.69 |
4.8× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$14,510.95 |
$16,123.28 |
2.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,656.77 |
$7,396.41 |
2.0× |
| Lithotripsy (50590) |
$4,114.54 |
$4,571.71 |
1.2× |
| Liver Biopsy (47000) |
$2,827.07 |
$3,141.19 |
1.8× |
| Lyse Chest Fibrin Init Day (32561) |
$960.85 |
$1,067.61 |
1.6× |
| Lyse Chest Fibrin Subq Day (32562) |
$960.85 |
$1,067.61 |
1.6× |
| Lysis of labial adhesions (56441) |
$2,656.17 |
$2,951.30 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,765.64 |
$4,184.04 |
1.9× |
| Marsup Bartholin Gland Cyst (56440) |
$3,720.55 |
$4,133.94 |
1.2× |
| Marsupialization of urethral diverticulum, male or female Other Surgical Services (53240) |
$7,945.26 |
$8,828.07 |
2.4× |
| Mastectomy gynecomastia (19300) |
$7,271.58 |
$8,079.53 |
2.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,241.61 |
$2,490.68 |
1.5× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$4,417.84 |
$4,908.71 |
1.5× |
| Middle ear exploration through postauricular or ear canal incision (69440) |
$7,907.42 |
$8,786.02 |
2.5× |
| Muscle-skin graft trunk (15734) |
$6,995.17 |
$7,772.41 |
2.1× |
| Myelography Lumbar Injection (62304) |
$2,013.67 |
$2,237.41 |
2.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$230.77 |
$256.41 |
0.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,066.55 |
$1,185.05 |
1.4× |
| Myringoplasty (69620) |
$3,211.58 |
$3,568.42 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,438.16 |
$1,597.95 |
7.7× |
| Nasal surgery procedure (30999) |
$5,286.22 |
$5,873.58 |
23.8× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$6,322.66 |
$7,025.18 |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$10,773.41 |
$11,970.46 |
3.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,340.44 |
$1,489.38 |
0.8× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
likely a partial charge, not the full procedure |
$1,048.92 |
$1,165.46 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$6,073.80 |
$6,748.66 |
0.9× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,463.20 |
$1,625.78 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$5,483.64 |
$6,092.92 |
3.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$12,174 |
$13,526.67 |
1.8× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,974.24 |
$7,749.16 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$553.73 |
$615.26 |
1.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$441.45 |
$490.50 |
1.9× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,001.52 |
$1,112.80 |
1.1× |
| Nerve graft arm/leg >4 cm (64898) |
$14,672.38 |
$16,302.64 |
1.8× |
| Nerve repair w/allograft (64910) |
$8,620.50 |
$9,578.33 |
1.0× |
| Neuroeltrd stim post tibial (64566) |
$211.15 |
$234.61 |
0.7× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$225 |
$250 |
1.9× |
| Neurology (cerebral folate deficiency), serum, detection of anti-human folate receptor igg-binding antibody and… (0399U) |
$331.88 |
$368.75 |
1.1× |
| Neuroplasty Brachial Plexus,Open (64713) |
$17,271.29 |
$19,190.32 |
9.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$812.84 |
$903.16 |
2.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,508.75 |
$2,787.50 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$8,974.78 |
$9,971.97 |
2.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,410.30 |
$6,011.44 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,641.30 |
$1,823.67 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$395.13 |
$439.03 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,835.40 |
$2,039.34 |
2.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$955.19 |
$1,061.32 |
1.5× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$927.37 |
$1,030.41 |
1.4× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
unusually low: confirm this is the full procedure |
$10,419.44 |
$11,577.16 |
0.4× |
| Open rx mandible fx+dental fix (21462) |
$42,682.80 |
$47,425.33 |
7.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$15,247.36 |
$16,941.50 |
2.2× |
| Open Treatment Humeral Condylar Fracture (24579) |
$18,851.13 |
$20,945.70 |
1.6× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,883.28 |
$7,648.09 |
2.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,049.06 |
$11,165.62 |
1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$12,140.84 |
$13,489.82 |
1.8× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$11,302.79 |
$12,558.65 |
0.9× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$8,367.06 |
$9,296.73 |
1.2× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$12,202.41 |
$13,558.23 |
1.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$19,616.54 |
$21,796.15 |
1.6× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$11,199.74 |
$12,444.16 |
1.6× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$12,475.84 |
$13,862.04 |
1.8× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$13,154.61 |
$14,616.23 |
1.9× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$10,273.16 |
$11,414.62 |
0.9× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$10,344.80 |
$11,494.22 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$11,728.42 |
$13,031.58 |
1.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,922.16 |
$3,246.84 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$13,215.56 |
$14,683.95 |
4.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$6,877.42 |
$7,641.58 |
2.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$7,827.40 |
$8,697.11 |
0.6× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,658.04 |
$9,620.04 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,109.20 |
$6,788 |
2.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$10,592.56 |
$11,769.51 |
0.9× |
| Open tx rib fx w/fixj thoracoscopic vis 1-3 ribs (21811) |
$13,454.62 |
$14,949.58 |
2.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,661.30 |
$8,512.55 |
1.1× |
| Open/Perq Place Stent Same (37238) |
$15,674.31 |
$17,415.90 |
1.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$15,552.72 |
$17,280.80 |
1.4× |
| Opn tx orbit fx w/implant (21407) |
$6,989.21 |
$7,765.79 |
1.3× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$7,371.83 |
$8,190.92 |
2.4× |
| Optic Nerve Decompression (67570) |
$5,698.23 |
$6,331.36 |
1.5× |
| Optx complicated mndblr fx (21470) |
$14,056.49 |
$15,618.32 |
2.5× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$23,292.97 |
$25,881.08 |
3.4× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$12,532.34 |
$13,924.82 |
1.0× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$7,895.23 |
$8,772.48 |
0.7× |
| Optx mndblr fx wo ntrdntl (21461) |
$20,968.12 |
$23,297.92 |
3.8× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$17,624.48 |
$19,582.75 |
3.2× |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
$16,831.48 |
$18,701.64 |
2.5× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,664.67 |
$9,627.41 |
2.6× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$524.93 |
$583.26 |
0.2× |
| Osteochondral allograft, knee, open (27415) |
$28,979.33 |
$32,199.26 |
2.4× |
| Osteochondral knee autograft (27416) |
$15,147.12 |
$16,830.14 |
2.2× |
| Osteoplasty, radius OR ulna; shortening (25390) |
$12,260.68 |
$13,622.98 |
1.8× |
| Osteotomy Clavicle W Bone Graft (23485) |
$19,053.43 |
$21,170.48 |
1.6× |
| Osteotomy Radius Distal Third (25350) |
$14,883.67 |
$16,537.41 |
2.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
$24,218.51 |
$26,909.46 |
3.6× |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
$41,375.55 |
$45,972.83 |
6.1× |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147) |
$14,711.98 |
$16,346.64 |
2.2× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) |
$15,405.19 |
$17,116.88 |
2.3× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$1,091.31 |
$1,212.56 |
0.2× |
| Ovarian cystectomy (58925) |
$9,974.16 |
$11,082.40 |
2.1× |
| Palatop cl palate soft&/hard palate only (42200) |
$9,818.84 |
$10,909.82 |
1.8× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$7,037.95 |
$7,819.94 |
1.3× |
| Partial Excision Bone Fibula (27641) |
$9,960.90 |
$11,067.67 |
3.2× |
| Partial excision bone talus/calcaneus (28120) |
$4,007.32 |
$4,452.58 |
1.3× |
| Partial Excision Deep Pelvis (27071) |
$6,022.21 |
$6,691.34 |
2.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,846.08 |
$4,273.43 |
2.5× |
| Partial excision of lip (40520) |
$5,084.05 |
$5,648.94 |
1.6× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$4,471.92 |
$4,968.80 |
3.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,950.82 |
$5,500.91 |
1.6× |
| Partial Removal Foot Fascia (28060) |
$3,896.21 |
$4,329.12 |
1.3× |
| Partial removal of thyroid (60220) |
$13,708.25 |
$15,231.39 |
2.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$8,798.10 |
$9,775.67 |
1.5× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$2,025 |
$2,250 |
1.1× |
| Pelvic exam under anesthesia (57410) |
$3,409.21 |
$3,788.01 |
1.1× |
| Penis plastic surgery (54360) |
$4,195.26 |
$4,661.40 |
1.3× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$15,078.66 |
$16,754.07 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,147.14 |
$3,496.82 |
4.7× |
| Percut Mech Thrombectomy, Venous (37187) |
$15,742.61 |
$17,491.79 |
1.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$772.51 |
$858.34 |
0.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$16,221.59 |
$18,023.99 |
2.4× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$4,874.87 |
$5,416.52 |
1.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$4,616.39 |
$5,129.32 |
1.5× |
| Pericardiocentesis W/Imaging (33016) |
$2,581.31 |
$2,868.12 |
1.7× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,272.95 |
$2,525.50 |
0.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$3,592.32 |
$3,991.46 |
2.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,582.80 |
$2,869.78 |
1.4× |
| Perq elec nrv field stimj cn (64567) |
$2,446.92 |
$2,718.80 |
2.9× |
| Perq p-art revsc 1 nm nt uni (33900) |
$33,529.94 |
$37,255.49 |
3.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$26,747.99 |
$29,719.98 |
1.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$16,735.02 |
$18,594.46 |
1.5× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$10,152.20 |
$11,280.22 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$471.49 |
$523.88 |
2.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,926.17 |
$2,140.19 |
2.9× |
| Photopheresis, extracorporeal (36522) |
$9,284.39 |
$10,315.99 |
2.3× |
| Pin finger fracture each (26756) |
$5,595.90 |
$6,217.67 |
1.8× |
| Place Cath Thoracic Aorta (36221) |
$955.50 |
$1,061.67 |
0.3× |
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure |
$2,467.74 |
$2,741.93 |
0.5× |
| Placement of seton (46020) |
$4,905.06 |
$5,450.07 |
1.9× |
| Plastic repair of canaliculi (68700) |
$5,827.96 |
$6,475.52 |
2.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,133.67 |
$4,592.97 |
0.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,696.91 |
$2,996.57 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,593.63 |
$5,104.03 |
1.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,582.62 |
$1,758.47 |
0.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,754.94 |
$4,172.15 |
1.1× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$9,853.56 |
$10,948.40 |
3.0× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$4,769.20 |
$5,299.11 |
0.9× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$10,538.14 |
$11,709.04 |
3.0× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$4,978.12 |
$5,531.24 |
1.6× |
| Pr unlisted procedure maxillofacial prosthetic procedure (insertion of surgical guards) (21089) |
$905.52 |
$1,006.13 |
4.1× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$8,654.16 |
$9,615.73 |
1.5× |
| Prepare face/oral prosthesis (21085) |
$9,944.86 |
$11,049.84 |
44.7× |
| Preputial Stretching (54450) |
$4,417.43 |
$4,908.26 |
18.8× |
| Prim art mech thrombectomy (37184) |
$14,311.46 |
$15,901.62 |
0.8× |
| Probe nasolacrimal duct (68815) |
$1,492.25 |
$1,658.05 |
0.7× |
| Probe nasolacrimal duct (68811) |
$649.85 |
$722.06 |
0.3× |
| Probe nl duct w/balloon (68816) |
$5,810.39 |
$6,455.99 |
2.6× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$5,657.39 |
$6,285.99 |
10.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,157.18 |
$1,285.75 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,399.41 |
$2,666.01 |
0.7× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$7,000.91 |
$7,778.79 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$4,448.94 |
$4,943.27 |
11.6× |
| Puncture Aspiration (10160) |
$1,696.12 |
$1,884.58 |
4.4× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$7,043.39 |
$7,825.99 |
1.0× |
| Rare diseases genetic testing of complete DNA of first affected person in family (0212U) |
$2,812.50 |
$3,125 |
0.5× |
| Rare diseases genetic testing of complete DNA of relative of affected person in family (0213U) |
$1,856.25 |
$2,062.50 |
0.7× |
Rare diseases genetic testing of protein coding genes of first affected person in family (0214U)
unusually low: confirm this is the full procedure |
$1,688.63 |
$1,876.25 |
0.3× |
| Rbc depletion of harvest (38212) |
$1,280.42 |
$1,422.69 |
3.1× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,937.99 |
$7,708.88 |
1.0× |
| Rebuild eardrum structures (69637) |
$8,794.04 |
$9,771.16 |
1.6× |
| Rebuild eardrum structures (69633) |
$6,822.80 |
$7,580.89 |
1.2× |
| Rebuild eardrum structures (69632) |
$8,763.08 |
$9,736.75 |
1.6× |
| Rebuild eardrum structures (69636) |
$9,700.54 |
$10,778.38 |
1.7× |
| Rebuild outer ear canal (69310) |
$8,934.08 |
$9,926.76 |
1.6× |
| Reconstr disloc patella w mscl adv (27422) |
$11,185.25 |
$12,428.05 |
1.6× |
| Reconstruc Ant Male Urethra (53410) |
$16,703.87 |
$18,559.85 |
3.3× |
| Reconstruc toe deform,soft tissue (28313) |
$433.10 |
$481.22 |
0.1× |
| Reconstruct cleft palate (42220) |
$15,270.09 |
$16,966.76 |
2.7× |
| Reconstruct cleft palate (42210) |
$8,918.68 |
$9,909.65 |
1.6× |
| Reconstruct cleft palate (42225) |
$8,497.30 |
$9,441.44 |
1.5× |
| Reconstruct extra finger (26587) |
$4,638.84 |
$5,154.26 |
1.5× |
| Reconstruct urethra/penis (54352) |
$5,824.89 |
$6,472.10 |
1.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$9,336.76 |
$10,374.18 |
3.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$61,163.24 |
$67,959.16 |
11.0× |
| Reconstruction midface, lefort i; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
$11,722.46 |
$13,024.96 |
2.1× |
| Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft (21142) |
$11,307.66 |
$12,564.07 |
2.0× |
| Reconstruction of chin (21121) |
$66,708.41 |
$74,120.46 |
21.4× |
| Reconstruction of throat (42950) |
$6,989.21 |
$7,765.79 |
1.3× |
| Reconstruction of urethra (54324) |
$10,105.07 |
$11,227.86 |
3.1× |
| Reconstruction of urethra (54322) |
$5,193.36 |
$5,770.40 |
1.6× |
| Reconstruction of urethra (54326) |
$7,635.36 |
$8,483.73 |
2.3× |
| Reconstruction of urethra (54312) |
$10,067.68 |
$11,186.31 |
3.0× |
| Reconstruction Toe Polydactyly (28344) |
$6,167.88 |
$6,853.20 |
2.0× |
| Reconstruction tongue fold (41520) |
$4,547.80 |
$5,053.11 |
1.5× |
| Reconstruction, knee (27429) |
$9,267 |
$10,296.66 |
0.8× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure) with thoracoscopy (21743) |
$49,611.29 |
$55,123.65 |
16.1× |
| Reduce testis torsion (54600) |
$5,565.66 |
$6,184.07 |
1.7× |
| Reduction of Large Breast (19318) |
$9,860.10 |
$10,955.66 |
1.6× |
| Reinsert ocular implant (65155) |
$7,338.03 |
$8,153.37 |
2.0× |
| Release eye tissue (67343) |
$3,428.87 |
$3,809.86 |
1.5× |
| Release of lower leg tendons (27681) |
$6,260.93 |
$6,956.59 |
2.0× |
| Relocation of skin pocket for pacemaker (33222) |
$16,016.36 |
$17,795.95 |
8.3× |
| Rem endovas vena cava filter (37193) |
$9,053.96 |
$10,059.96 |
3.1× |
| Removal foreign body foot deep (28192) |
$6,483.98 |
$7,204.42 |
4.2× |
| Removal foreign body foot subcutaneous (28190) |
$2,747.15 |
$3,052.39 |
4.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,998.60 |
$3,331.78 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$21.63 |
$24.03 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$77.86 |
$86.52 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,373.57 |
$1,526.19 |
0.5× |
| Removal Implant Deep (20680) |
$7,571.20 |
$8,412.44 |
2.8× |
| Removal Implant From Finger/Hand (26320) |
$4,967.79 |
$5,519.77 |
3.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,796.15 |
$4,217.94 |
2.4× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$6,532.86 |
$7,258.73 |
1.9× |
| Removal of adenoids (42835) |
$3,723.92 |
$4,137.69 |
1.2× |
| Removal of adenoids (42831) |
$2,958.78 |
$3,287.54 |
0.9× |
| Removal of adenoids (42830) |
$2,222.30 |
$2,469.22 |
0.7× |
| Removal of adenoids (42836) |
$4,694.40 |
$5,216 |
1.5× |
| Removal of anorectal lesion (45108) |
$6,507.38 |
$7,230.42 |
2.5× |
| Removal of bone lesion (23140) |
$7,728.01 |
$8,586.68 |
2.5× |
| Removal of bone lesion (23146) |
$5,628.75 |
$6,254.17 |
0.8× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64570) |
$7,144.45 |
$7,938.28 |
2.2× |
| Removal of epiglottis (31420) |
$9,595.72 |
$10,661.91 |
1.7× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$10,002.62 |
$11,114.02 |
6.6× |
| Removal of finger lesion (26210) |
$5,250.62 |
$5,834.02 |
3.5× |
| Removal of growth of chest wall and rib (21601) |
$8,915.76 |
$9,906.40 |
3.3× |
| Removal of humerus lesion (23150) |
$5,420.40 |
$6,022.67 |
1.8× |
| Removal of humerus lesion (23156) |
$5,463.59 |
$6,070.65 |
0.8× |
| Removal of implanted material, anterior segment of eye (65920) |
$3,679.52 |
$4,088.35 |
1.7× |
| Removal of intranasal lesion (30118) |
$8,533.98 |
$9,482.20 |
2.7× |
| Removal of intrauterine device (iud) (58301) |
$211.27 |
$234.74 |
0.7× |
| Removal of kneecap (27350) |
$11,784.69 |
$13,094.10 |
1.7× |
| Removal of lens material (66840) |
$9,604.07 |
$10,671.19 |
4.4× |
| Removal of nail bed (11750) |
$3,195.27 |
$3,550.30 |
8.4× |
| Removal of nose lesion (30125) |
$5,414.19 |
$6,015.77 |
1.0× |
| Removal of nose lesion (30124) |
$4,511.37 |
$5,012.63 |
3.1× |
| Removal of posterior segmental instrumentation (22852) |
$6,611 |
$7,345.56 |
1.0× |
| Removal of salivary stone (42335) |
$6,357.91 |
$7,064.34 |
2.0× |
| Removal of sesamoid bone (28315) |
$5,906.74 |
$6,563.04 |
1.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$4,499.29 |
$4,999.21 |
23.9× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$7,440.76 |
$8,267.51 |
4.1× |
| Removal of testis (54520) |
$4,101.42 |
$4,557.13 |
1.2× |
| Removal of thyroid lesion (60200) |
$6,822.30 |
$7,580.33 |
1.2× |
| Removal of tonsils (42825) |
$5,017.64 |
$5,575.16 |
0.9× |
| Removal of tonsils (42826) |
$2,171.22 |
$2,412.46 |
0.7× |
| Removal ppm generator only (33233) |
$4,485.02 |
$4,983.35 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$1,173.71 |
$1,304.12 |
1.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,474.21 |
$1,638.01 |
0.8× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,417.84 |
$4,908.71 |
1.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$64.58 |
$71.76 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$45.36 |
$50.40 |
0.2× |
| Remove anal fist subq (46270) |
$7,165.22 |
$7,961.35 |
2.7× |
| Remove digit nerve lesion (64776) |
$710.19 |
$789.10 |
0.4× |
| Remove drug implant device (11982) |
$6,124.77 |
$6,805.30 |
14.6× |
| Remove eye/attach implant (65105) |
$13,940.95 |
$15,489.94 |
3.8× |
| Remove eyelid lesion(s) (67808) |
$4,488.90 |
$4,987.67 |
2.0× |
| Remove femur lesion (27355) |
$7,156.28 |
$7,951.42 |
2.3× |
| Remove humerus lesion (24110) |
$7,809.89 |
$8,677.65 |
2.5× |
| Remove intrvas foreign body (37197) |
$29,323.32 |
$32,581.46 |
9.9× |
| Remove knee cyst (27347) |
$6,411.29 |
$7,123.65 |
2.1× |
| Remove Pilonidal Cyst Exten (11771) |
$7,254.56 |
$8,060.62 |
2.7× |
| Remove skin nerve lesion (64774) |
$4,900.27 |
$5,444.74 |
2.7× |
| Remove thyroid duct lesion (60280) |
$7,895.47 |
$8,772.74 |
1.4× |
| Remove tissue expander (11971) |
$11,605.76 |
$12,895.28 |
4.3× |
| Remove vc lesion w/scope (31545) |
$10,106.41 |
$11,229.34 |
2.9× |
| Remove wrist tendon lesion (25111) |
$5,003.54 |
$5,559.49 |
3.3× |
| Remove&replace pm gen singl (33227) |
$11,400.81 |
$12,667.57 |
1.5× |
| Remove/graft bone lesion (24115) |
$8,658.04 |
$9,620.04 |
1.3× |
| Remove/graft bone lesion (24116) |
$10,600.06 |
$11,777.84 |
1.6× |
| Remove/graft foot lesion (28107) |
$4,656.24 |
$5,173.60 |
0.7× |
| Remv cartilage for graft nasal (20912) |
$4,054.89 |
$4,505.43 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,300.44 |
$1,444.94 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$2,938.97 |
$3,265.52 |
23.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$2,440.73 |
$2,711.92 |
19.5× |
| Remv&replc cvd gen dual lead (33263) |
$35,535.03 |
$39,483.37 |
1.7× |
| Remv&replc cvd gen mult lead (33264) |
$18,984.56 |
$21,093.95 |
0.6× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$7,066.01 |
$7,851.12 |
0.3× |
| Remv&replc pm gen dual lead (33228) |
$16,217.48 |
$18,019.42 |
1.7× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$4,397.01 |
$4,885.57 |
0.2× |
| Renal biopsy (50200) |
$2,956.33 |
$3,284.81 |
1.9× |
| Repair achilles tendon (27650) |
$9,296.92 |
$10,329.91 |
1.4× |
| Repair Choanal Atresia Intranasal (30540) |
$2,953.22 |
$3,281.35 |
0.5× |
| Repair cleft lip/nasal (40701) |
$14,361.24 |
$15,956.93 |
2.6× |
| Repair cleft lip/nasal (40720) |
$8,719.53 |
$9,688.37 |
2.8× |
| Repair cleft lip/nasal (40700) |
$7,761.58 |
$8,623.98 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$13,363.91 |
$14,848.79 |
19.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$10,589.91 |
$11,766.57 |
27.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$3,464.32 |
$3,849.24 |
9.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$10,888.12 |
$12,097.90 |
28.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$14,634.17 |
$16,260.19 |
21.1× |
| Repair detached retina (67105) |
$7,322.45 |
$8,136.06 |
14.2× |
| Repair detached retina (67110) |
$7,419.61 |
$8,244.01 |
3.4× |
| Repair eardrum structures (69635) |
$7,697.89 |
$8,553.21 |
1.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,172.33 |
$1,302.59 |
0.8× |
| Repair eyelid defect (67902) |
$7,310.61 |
$8,122.90 |
2.0× |
| Repair eyelid defect (67908) |
$3,233.52 |
$3,592.80 |
1.4× |
| Repair eyelid defect (67903) |
$6,991.13 |
$7,767.92 |
3.1× |
| Repair eyelid wound (67930) |
$5,019.76 |
$5,577.52 |
2.2× |
| Repair finger tendon (26433) |
$1,948.10 |
$2,164.56 |
0.6× |
| Repair finger/hand tendon (26350) |
$11,930.36 |
$13,255.95 |
3.9× |
| Repair gum (41872) |
$426.13 |
$473.48 |
0.1× |
| Repair incomplete circumcision (54163) |
$4,759.61 |
$5,288.46 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$11,430.23 |
$12,700.26 |
29.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$2,032.03 |
$2,257.81 |
5.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$488.31 |
$542.57 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$2,717.72 |
$3,019.68 |
7.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$3,136.21 |
$3,484.68 |
8.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$4,120.15 |
$4,577.94 |
10.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$2,448.76 |
$2,720.85 |
6.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$507.84 |
$564.27 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$3,774.01 |
$4,193.34 |
5.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$14,795.19 |
$16,439.10 |
7.6× |
| Repair iris & ciliary body (66680) |
$12,262.96 |
$13,625.51 |
5.7× |
| Repair kneecap tendon (27380) |
$15,150.61 |
$16,834.01 |
2.2× |
| Repair mouth/nose fistula (30600) |
$7,744.38 |
$8,604.87 |
1.4× |
| Repair nasal vestibular stenosis (30465) |
$6,989.21 |
$7,765.79 |
1.3× |
| Repair nonunion hand (26546) |
$8,092.47 |
$8,991.64 |
1.2× |
| Repair of ankle ligament (27695) |
$11,628 |
$12,920 |
1.7× |
| Repair of eardrum structures (69631) |
$4,061.30 |
$4,512.56 |
0.7× |
| Repair of eye wound (65275) |
$10,850.06 |
$12,055.62 |
2.9× |
| Repair of eye wound (65285) |
$15,334.50 |
$17,038.34 |
3.1× |
| Repair of humerus (24430) |
$7,888.94 |
$8,765.49 |
0.7× |
| Repair of nasal septum (30520) |
$6,879.38 |
$7,643.74 |
2.2× |
| Repair of nasolabial fistula (42260) |
$7,700.18 |
$8,555.76 |
1.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$10,671.36 |
$11,857.07 |
1.6× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$15,649.46 |
$17,388.29 |
2.3× |
| Repair of rectum (45505) |
$5,675.27 |
$6,305.86 |
2.2× |
| Repair of tibia (27720) |
$17,157.25 |
$19,063.61 |
2.5× |
| Repair of urethra defect (53520) |
$7,322.36 |
$8,135.96 |
1.5× |
| Repair of vagina (57260) |
$8,247.39 |
$9,163.77 |
1.8× |
| Repair of web finger (26562) |
$9,107.40 |
$10,119.34 |
3.0× |
| Repair of web finger (26560) |
$9,027.96 |
$10,031.07 |
6.0× |
| Repair of web finger (26561) |
$10,511.36 |
$11,679.29 |
3.4× |
| Repair palate (42235) |
$7,714.49 |
$8,571.66 |
1.4× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$15,838.50 |
$17,598.34 |
4.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$57.92 |
$64.35 |
0.4× |
| Repair tympanic membrane (69610) |
$2,310.83 |
$2,567.59 |
1.6× |
| Repair webbed toe(s) (28345) |
$4,869.95 |
$5,411.06 |
3.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,896.21 |
$4,329.12 |
1.3× |
| Repair/graft wrist bone (25440) |
$8,754.44 |
$9,727.16 |
1.3× |
| Repair/revise wrist joint (25320) |
$11,869.87 |
$13,188.74 |
1.7× |
| Replace duod/jej tube perc (49451) |
$6,808.69 |
$7,565.21 |
8.0× |
| Replace g/c tube perc (49450) |
$3,084.70 |
$3,427.44 |
3.6× |
| Replace/revise brain shunt (62230) |
$13,160.76 |
$14,623.08 |
1.6× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,928.66 |
$3,254.07 |
3.4× |
| Replacement or irrigation of tube in brain (62225) |
$9,700.75 |
$10,778.61 |
3.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$5,017.71 |
$5,575.23 |
1.4× |
| Reposition gastrostomy tube (43761) |
$358.76 |
$398.62 |
1.5× |
| Rerepair ing hernia reduce (49520) |
$6,715.46 |
$7,461.62 |
2.0× |
| Resect Inferior Turbinate (30140) |
$6,413.51 |
$7,126.12 |
2.1× |
| Revise external ear (69300) |
$3,786.25 |
$4,206.94 |
1.2× |
| Revise eye muscle (67311) |
$5,708.33 |
$6,342.59 |
2.6× |
| Revise eye muscle (67314) |
$2,975.12 |
$3,305.69 |
1.3× |
| Revise eye muscle(s) (67318) |
$4,939.68 |
$5,488.53 |
2.2× |
| Revise Eyelashes,Forceps (67820) |
$100.43 |
$111.59 |
0.8× |
| Revise middle ear & mastoid (69642) |
$17,228.83 |
$19,143.14 |
3.1× |
| Revise middle ear & mastoid (69646) |
$12,263.54 |
$13,626.16 |
2.2× |
| Revise middle ear & mastoid (69644) |
$7,489.67 |
$8,321.86 |
1.3× |
| Revise middle ear & mastoid (69643) |
$6,267.13 |
$6,963.48 |
1.1× |
| Revise middle ear bone (69661) |
$9,933.15 |
$11,036.83 |
1.8× |
| Revise penis/urethra (54332) |
$13,129.09 |
$14,587.88 |
4.0× |
Revise radius & ulna (25365)
unusually low: confirm this is the full procedure |
$5,889.23 |
$6,543.59 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$2,352.83 |
$2,614.26 |
1.3× |
| Revise Vagina for Intersec State (57335) |
$13,979.39 |
$15,532.65 |
3.0× |
| Revise wrist/forearm tendon (25280) |
$9,741.90 |
$10,824.33 |
3.2× |
| Revision of cranial nerve (64716) |
$10,438.73 |
$11,598.59 |
5.7× |
| Revision of eyelid (67950) |
$7,216.51 |
$8,018.34 |
3.2× |
| Revision of eyelid (67880) |
$6,606.12 |
$7,340.13 |
3.0× |
| Revision of foot and ankle (28262) |
$7,408.02 |
$8,231.14 |
1.1× |
| Revision of humerus (24400) |
$5,381.01 |
$5,978.90 |
0.8× |
| Revision of lower leg tendon (27685) |
$7,129.91 |
$7,922.12 |
2.3× |
| Revision of nose (30430) |
$14,230.80 |
$15,812 |
2.6× |
| Revision of penis (54300) |
$2,222.58 |
$2,469.52 |
0.7× |
| Revision of penis (54304) |
$8,348.15 |
$9,275.72 |
2.5× |
| Revision of scrotum (55175) |
$1,244.34 |
$1,382.60 |
0.4× |
| Revision of tips (37183) |
$7,734.49 |
$8,593.88 |
1.4× |
| Revision of toe (28312) |
$7,597.30 |
$8,441.44 |
2.5× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$12,308.04 |
$13,675.60 |
0.7× |
| Revision of ulna (25360) |
$12,108.11 |
$13,453.45 |
1.8× |
| Revision of urethra (53450) |
$4,969.06 |
$5,521.18 |
1.5× |
| Revision or replacement (including removal of existing device), osseointegrated implant, skull; with magnetic… (69719) |
$27,928.78 |
$31,031.98 |
2.3× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$10,865.02 |
$12,072.24 |
3.3× |
| Revj shunt extraocular reservoir w/o graft (66184) |
$6,839.54 |
$7,599.49 |
3.2× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$9,061.64 |
$10,068.49 |
1.6× |
| Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) |
$10,408.28 |
$11,564.76 |
1.9× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$12,114.03 |
$13,460.03 |
2.2× |
| Rib cartilage graft (21230) |
$13,441.15 |
$14,934.61 |
2.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$2,633.19 |
$2,925.77 |
6.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$4,017.04 |
$4,463.38 |
32.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,034.62 |
$1,149.58 |
0.9× |
| Rmvl of subq defibrillator (33272) |
$5,017.71 |
$5,575.23 |
1.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,969.46 |
$5,521.62 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,974.12 |
$3,304.58 |
2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$960.85 |
$1,067.61 |
1.6× |
| Rmvl vitreous ant appr partial removal (67005) |
$5,918.81 |
$6,576.46 |
2.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$2,129.40 |
$2,366 |
5.1× |
| Rplc gtube revj gstrst trc (43763) |
$412.98 |
$458.86 |
1.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$9,399.20 |
$10,443.56 |
3.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,483.22 |
$2,759.13 |
1.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,899.25 |
$4,332.50 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,059.74 |
$5,621.93 |
1.7× |
| Rplmct osseointegrate implnt w/o mastoidectomy (69717) |
$11,623.31 |
$12,914.78 |
1.7× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$4,686.62 |
$5,207.35 |
0.8× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,407.06 |
$7,118.96 |
1.1× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,874.32 |
$5,415.91 |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,945.68 |
$3,272.97 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,308.97 |
$2,565.52 |
1.6× |
| Rpr hern preemie reduc (49491) |
$8,093.74 |
$8,993.04 |
1.4× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$4,686.26 |
$5,206.95 |
1.4× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$10,764.88 |
$11,960.98 |
1.6× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$14,226.86 |
$15,807.62 |
3.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$930.03 |
$1,033.37 |
1.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$7,306.41 |
$8,118.23 |
2.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,626.28 |
$6,251.42 |
1.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,694.05 |
$2,993.39 |
1.8× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,637.25 |
$1,819.17 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$1,115.57 |
$1,239.52 |
0.7× |
| Secondary urethral surgery (54340) |
$4,347.44 |
$4,830.49 |
1.3× |
| Secondary urethral surgery (54344) |
$7,688.05 |
$8,542.28 |
0.9× |
| Severing of tarsorrhaphy (67710) |
$6,255.42 |
$6,950.47 |
6.7× |
| Shoulder arthroscopy (29805) |
$9,416.47 |
$10,462.74 |
3.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,547.61 |
$1,719.57 |
1.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,278.48 |
$1,420.53 |
1.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,559.18 |
$1,732.42 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$6,612.68 |
$7,347.42 |
35.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$6,112.16 |
$6,791.30 |
32.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$7,082.75 |
$7,869.72 |
18.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$2,743.30 |
$3,048.10 |
14.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$9,033.27 |
$10,036.97 |
47.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$988.15 |
$1,097.94 |
5.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$236.37 |
$262.63 |
1.3× |
| Skin splt grft trnk/arm/leg (15100) |
$3,792.65 |
$4,214.06 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$11,011.54 |
$12,235.04 |
15.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,611.25 |
$5,123.61 |
2.4× |
| Skin Tissue Procedure (17999) |
$1,722.42 |
$1,913.80 |
9.1× |
| Skin tissue rearrangement (14040) |
$5,049.36 |
$5,610.40 |
2.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,257.99 |
$4,731.10 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$14,835.14 |
$16,483.49 |
2.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,550.37 |
$5,055.97 |
1.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,850.97 |
$8,723.30 |
1.5× |
| Small bowel endoscopy (44376) |
$1,571.09 |
$1,745.66 |
0.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,095.16 |
$1,216.84 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$5,028.63 |
$5,587.37 |
26.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,664.20 |
$1,849.10 |
2.5× |
| Spinal Puncture Therapeutic (62272) |
$938.32 |
$1,042.58 |
1.4× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$6,485.26 |
$7,205.84 |
1.8× |
| Strapping unna boot (29580) |
$287.07 |
$318.97 |
1.9× |
| Subconjunctival injection (68200) |
$7,598.54 |
$8,442.82 |
18.1× |
| Suction assisted lipectomy head & neck (15876) |
$4,857.61 |
$5,397.34 |
1.5× |
| Suction assisted lipectomy lower extremity (15879) |
$6,423.23 |
$7,136.92 |
1.9× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$1,496.62 |
$1,662.91 |
0.3× |
| Surgery to stop leg growth (27477) |
$8,713.24 |
$9,681.38 |
1.3× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$4,550.92 |
$5,056.58 |
1.5× |
| Suspension of testis (54640) |
$1,851.67 |
$2,057.41 |
0.6× |
| Suspension of testis (54620) |
$2,097.63 |
$2,330.70 |
0.6× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$7,263.73 |
$8,070.81 |
4.0× |
| T-cell depletion of harvest (38210) |
$18,800.72 |
$20,889.69 |
45.4× |
| Tangential biopsy skin single lesion (11102) |
$2,666.39 |
$2,962.66 |
7.0× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$42,528.86 |
$47,254.29 |
1.6× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$6,534.29 |
$7,260.32 |
0.4× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$14,266.87 |
$15,852.08 |
4.6× |
| Tenotomy Adductor Hip Open (27001) |
$8,783.57 |
$9,759.52 |
2.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,630.19 |
$1,811.32 |
1.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$4,922.79 |
$5,469.77 |
3.3× |
| Thaw preserved stem cells (38208) |
$392.99 |
$436.65 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$4,724.71 |
$5,249.68 |
3.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,634.57 |
$5,149.52 |
3.2× |
| Ther Apheresis,White Blood Cells (36511) |
$4,520.99 |
$5,023.32 |
3.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$966.85 |
$1,074.28 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$5,306.82 |
$5,896.46 |
9.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$832.92 |
$925.47 |
1.4× |
| Thoracoscopy dx mediastinal space w/biopsy spx (32606) |
$15,238.90 |
$16,932.11 |
2.7× |
| Thoracoscopy w/bx nodule (32608) |
$21,744.59 |
$24,160.66 |
2.2× |
| Throat Surgery Procedure (42999) |
$3,205.99 |
$3,562.21 |
14.4× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,410.89 |
$2,678.77 |
0.8× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$927.72 |
$1,030.80 |
0.2× |
| Thrombolytic Venous Therapy (37212) |
$4,550.37 |
$5,055.97 |
1.5× |
| Thyroid biopsy (60100) |
$929.65 |
$1,032.94 |
1.4× |
| Thyroidectomy, total or complete (60240) |
$19,980.41 |
$22,200.46 |
3.5× |
| Tibial arthroscopy/surgery (29855) |
$12,780.60 |
$14,200.67 |
1.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,878.48 |
$7,642.75 |
2.2× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$3,987.38 |
$4,430.42 |
0.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$443.94 |
$493.26 |
0.9× |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
$9,619.16 |
$10,687.95 |
1.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$6,049.68 |
$6,721.87 |
1.9× |
| Transcatheter biopsy (37200) |
$7,927.18 |
$8,807.98 |
1.5× |
| Transfer Any Pedicle Flap Any Location (15650) |
$2,838.58 |
$3,153.97 |
1.5× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$6,324.76 |
$7,027.51 |
2.1× |
| Transplj Hematopoietic Boost (38243) |
$1,467.57 |
$1,630.63 |
1.0× |
| Transurethral resection of bladder neck (52500) |
$6,385.52 |
$7,095.02 |
1.9× |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
$23,219.03 |
$25,798.92 |
4.2× |
| Treat clavicle dislocation (23530) |
$8,178.17 |
$9,086.86 |
1.2× |
| Treat elbow fracture (24635) |
$11,991.91 |
$13,324.34 |
1.8× |
| Treat Finger Fracture Each (26727) |
$3,896.22 |
$4,329.13 |
1.3× |
| Treat fracture radius/ulna (25575) |
$9,868.82 |
$10,965.35 |
1.4× |
| Treat fx distal radial (25606) |
$5,968.58 |
$6,631.76 |
1.9× |
| Treat fx rad extra-articul (25607) |
$4,824.82 |
$5,360.92 |
0.7× |
| Treat knuckle dislocation (26715) |
$7,376.96 |
$8,196.62 |
2.4× |
| Treat lower leg fracture (27828) |
$13,515.21 |
$15,016.90 |
1.1× |
| Treat Lower Leg Fracture (27827) |
$11,291.48 |
$12,546.09 |
0.9× |
| Treat pleurodesis w/agent (32560) |
$832.92 |
$925.47 |
1.4× |
| Treat radius fracture (24665) |
$13,942.22 |
$15,491.35 |
2.0× |
| Treat toe fracture (28525) |
$8,273.18 |
$9,192.42 |
2.7× |
| Treat ulnar fracture (24685) |
$11,887.91 |
$13,208.79 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$15,259.57 |
$16,955.08 |
65.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$5,459.10 |
$6,065.67 |
10.6× |
| Treatment of ankle fracture (27792) |
$8,317.84 |
$9,242.04 |
1.2× |
| Treatment of bone cyst (20615) |
$710.47 |
$789.41 |
1.1× |
| Treatment of fibula fracture (27784) |
$5,820.21 |
$6,466.90 |
0.9× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$16,234.30 |
$18,038.11 |
2.4× |
| Treatment of retinal lesion (67208) |
$6,399.42 |
$7,110.47 |
21.5× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$8,877.56 |
$9,863.96 |
2.9× |
| Treatment of tibia fracture (27759) |
$20,333.66 |
$22,592.96 |
1.7× |
| Treatment of tibia fracture (27756) |
$7,902.56 |
$8,780.62 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,760.99 |
$8,623.32 |
1.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$8,793.54 |
$9,770.60 |
1.6× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$5,677.88 |
$6,308.75 |
13.7× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$743.69 |
$826.32 |
1.8× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure |
$1,531.75 |
$1,701.94 |
0.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$112.92 |
$125.47 |
0.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$16,387.41 |
$18,208.23 |
6.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,109.86 |
$2,344.29 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$869.93 |
$966.59 |
1.3× |
| Tympanostomy (69433) |
$1,199.88 |
$1,333.20 |
2.4× |
| Unlisted Cardiac Surgery (33999) |
$2,773.74 |
$3,081.93 |
4.7× |
| Unlisted laparoscopic procedure, ureter (50949) |
$4,041.59 |
$4,490.65 |
0.7× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$18,198.32 |
$20,220.36 |
3.2× |
| Unlisted laparoscopy procedure, stomach (43659) |
$4,691.19 |
$5,212.43 |
0.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$5,147.59 |
$5,719.54 |
0.9× |
| Unlisted procedure accessory sinuses (31299) |
$7,231.21 |
$8,034.68 |
32.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$2,000.92 |
$2,223.24 |
9.0× |
| Unlisted procedure larynx (31599) |
$5,653.70 |
$6,281.88 |
25.4× |
| Unlisted procedure leg/ankle (27899) |
$135.49 |
$150.54 |
0.6× |
| Unlisted Procedure Lungs & Pleura (32999) |
$857.91 |
$953.23 |
1.5× |
| Unlisted procedure pelvis/hip joint (27299) |
$15,151.91 |
$16,835.46 |
65.4× |
| Unlisted Procedure Small Intestine (44799) |
$1,248.72 |
$1,387.47 |
1.5× |
| Unlisted procedure spine (22899) |
$5,071.75 |
$5,635.28 |
21.9× |
| Unlisted procedure, hands or fingers (26989) |
$3,101.88 |
$3,446.53 |
13.4× |
| Unlisted procedure, salivary glands or ducts (42699) |
$2,590.31 |
$2,878.12 |
11.6× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,536.53 |
$1,707.25 |
8.1× |
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214)
unusually low: confirm this is the full procedure |
$4,441.89 |
$4,935.43 |
0.5× |
| Uppr gi opticl endomicrscopy (43252) |
$2,808.89 |
$3,120.99 |
1.6× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$13,027.64 |
$14,475.15 |
2.6× |
| Urology Surgery Procedure (53899) |
$2,745.71 |
$3,050.79 |
11.7× |
| Uvulectomy excision uvula (42140) |
$4,614.18 |
$5,126.87 |
1.5× |
| Vasc embolize/occlude artery (37242) |
$45,148.43 |
$50,164.92 |
2.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,078.66 |
$16,754.07 |
1.4× |
| Vasc embolize/occlude organ (37243) |
$21,913.67 |
$24,348.52 |
2.0× |
| Vasc embolize/occlude venous (37241) |
$15,150.44 |
$16,833.82 |
1.4× |
| Venipuncture (36415) |
$12.29 |
$13.65 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,719.17 |
$3,021.30 |
0.9× |
| Vulvectomy simple partial (56620) |
$3,942.14 |
$4,380.16 |
1.3× |
| Vw factor type 2b eval plsm (0283U) |
$313.88 |
$348.75 |
17.1× |
| Vw factor type 2n eval plsm (0284U) |
$456.75 |
$507.50 |
26.4× |
| Wedging of cast (29740) |
$89.32 |
$99.24 |
0.3× |
| Windowing of cast (29730) |
$57 |
$63.34 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$7,223.18 |
$8,025.76 |
18.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$5,294.17 |
$5,882.41 |
7.6× |
| Xfer single deep low leg tendon (27691) |
$5,132.48 |
$5,702.76 |
0.8× |