| Abd paracentesis w/imaging (49083) |
$1,196.38 |
$1,329.31 |
1.4× |
| Ablate inf turbinate submuc (30802) |
$1,270.61 |
$1,411.79 |
0.9× |
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× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,103.84 |
$11,226.49 |
1.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,753.76 |
$4,170.84 |
1.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$6,701.60 |
$7,446.22 |
2.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$7,434.64 |
$8,260.71 |
3.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$15,319.48 |
$17,021.64 |
8.0× |
| Allogeneic lymphocyte infusions (38242) |
$1,453.46 |
$1,614.95 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,291.89 |
$2,546.54 |
0.9× |
| Anterior Tibial Tubercleplasty (27418) |
$15,282.50 |
$16,980.56 |
2.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$257.68 |
$286.31 |
1.7× |
| Application cast elbow finger short arm (29075) |
$136.34 |
$151.50 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$89.64 |
$99.60 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$123.35 |
$137.05 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$164.06 |
$182.28 |
3.0× |
| Application finger splint static (29130) |
$84.97 |
$94.41 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$381.16 |
$423.52 |
2.5× |
| Application long leg splint thigh ankle/toes (29505) |
$176.51 |
$196.12 |
1.2× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$24,739.63 |
$27,488.48 |
3.7× |
| Application of cylinder cast (thigh to ankle) (29365) |
$148.74 |
$165.27 |
0.6× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$2,482.12 |
$2,757.91 |
9.5× |
| Application of long leg cast (29345) |
$161.69 |
$179.65 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$347.18 |
$385.76 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$68.19 |
$75.77 |
0.5× |
| Application short leg splint calf foot (29515) |
$412.57 |
$458.41 |
2.7× |
| Apply Body Cast,Risser Jacket (29010) |
$207.10 |
$230.11 |
0.8× |
| Apply long leg cast brace (29358) |
$321.54 |
$357.26 |
1.2× |
| Apply of clubfoot cast (29450) |
$81.72 |
$90.80 |
0.5× |
| Apply patella tendon bearing cast (29435) |
$192.01 |
$213.34 |
0.7× |
| Apply short leg cast (29405) |
$188.59 |
$209.54 |
0.7× |
| Apply short leg cast (29425) |
$391.44 |
$434.93 |
1.5× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$8,525.59 |
$9,472.88 |
2.8× |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
$10,172.46 |
$11,302.73 |
1.5× |
| Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) |
$7,478.60 |
$8,309.55 |
1.1× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
$8,742.27 |
$9,713.63 |
1.3× |
| Arterial puncture (36600) |
$604.69 |
$671.88 |
4.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$324.10 |
$360.10 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,392.62 |
$1,547.36 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,756.61 |
$1,951.79 |
6.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$647.47 |
$719.41 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$630.64 |
$700.71 |
2.2× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,179.18 |
$14,643.53 |
1.9× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$6,429.36 |
$7,143.73 |
0.9× |
| Arthroplasty, patella; without prosthesis (27437) |
$5,103.19 |
$5,670.21 |
0.8× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$14,327.99 |
$15,919.99 |
2.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$6,035.54 |
$6,706.15 |
2.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,948.10 |
$2,164.56 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$6,777.64 |
$7,530.70 |
2.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$4,302.01 |
$4,780.01 |
1.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$6,774.89 |
$7,527.66 |
2.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,403.49 |
$7,114.99 |
2.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$6,522.66 |
$7,247.40 |
2.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,524.56 |
$6,138.40 |
1.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,973.69 |
$6,637.43 |
2.0× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$3,526.12 |
$3,917.90 |
1.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$260.03 |
$288.92 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$232.80 |
$258.67 |
1.2× |
| Biopsy Bone Open Deep (20245) |
$5,282.82 |
$5,869.80 |
1.9× |
| Biopsy bone open superficial (20240) |
$5,830.73 |
$6,478.59 |
2.2× |
| Biopsy bone trocar/needle deep (20225) |
$4,983.58 |
$5,537.32 |
3.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,290.56 |
$2,545.07 |
1.5× |
| Biopsy external ear (69100) |
$3,547.30 |
$3,941.44 |
16.0× |
| Biopsy intranasal (30100) |
$270 |
$300 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$2,290.56 |
$2,545.07 |
1.5× |
| Biopsy of lip (40490) |
$3,376.35 |
$3,751.50 |
15.3× |
| Biopsy of mouth lesion (40808) |
$2,848.79 |
$3,165.32 |
5.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,770.81 |
$10,856.46 |
2.7× |
| Biopsy Salivary Gland Incisional (42405) |
$4,112.72 |
$4,569.68 |
2.8× |
| Biopsy Salivary Gland,Needle (42400) |
$929.65 |
$1,032.94 |
1.4× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$7,676.60 |
$8,529.56 |
5.0× |
| Biopsy soft tissue neck/thorax (21550) |
$2,290.57 |
$2,545.08 |
1.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,148.22 |
$3,498.02 |
1.2× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$2,290.57 |
$2,545.08 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$5,582.34 |
$6,202.60 |
1.5× |
| Bladder Scan (51798) |
$123.61 |
$137.34 |
2.2× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$5,886.76 |
$6,540.84 |
4.0× |
| Blood patch (62273) |
$951.49 |
$1,057.21 |
1.4× |
| Blood transfusion service (36430) |
$920.53 |
$1,022.82 |
2.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$22,548.44 |
$25,053.82 |
3.3× |
| Bone marrow aspiration only (38220) |
$2,522.50 |
$2,802.78 |
1.6× |
| Bone Marrow Biopsy (38221) |
$1,511.24 |
$1,679.16 |
1.0× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$923.78 |
$1,026.42 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$765.97 |
$851.08 |
0.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,412.31 |
$1,569.23 |
0.9× |
| Brnchsc removal bronchial valve initial (31648) |
$1,412.31 |
$1,569.23 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,041.88 |
$3,379.86 |
0.9× |
| 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) |
$959.44 |
$887.30 |
0.6× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,412.31 |
$1,569.23 |
0.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,586.73 |
$1,763.03 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,486.34 |
$4,984.82 |
2.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$250.64 |
$278.49 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$810.07 |
$900.08 |
0.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,768.58 |
$1,965.09 |
1.1× |
| Bx anorectal wall anal approach (45100) |
$1,567.89 |
$1,742.10 |
0.6× |
| Bx vulva/perineum 1 lesion (56605) |
$4,096.96 |
$4,552.18 |
4.8× |
| Bx/exc lymph node needle superficial (38505) |
$2,290.56 |
$2,545.07 |
1.5× |
| Car-t admn autologous (38228) |
$4,254.93 |
$4,727.70 |
13.8× |
| 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) |
$4,466.24 |
$4,962.50 |
2.5× |
| Chemical Cautery Tissue (17250) |
$2,582.34 |
$2,869.28 |
13.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$11,042.49 |
$12,269.43 |
16.8× |
| Chemodenervation internal anal sphincter (46505) |
$2,696.18 |
$2,995.76 |
2.4× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$401.27 |
$445.86 |
1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$517.28 |
$574.76 |
1.8× |
| Chest tube placement (32551) |
$2,459.11 |
$2,732.34 |
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× |
| Circum 28 days or older (54161) |
$3,222.67 |
$3,580.74 |
1.7× |
| Circumcision (54150) |
$407.80 |
$453.12 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$7,729.16 |
$8,587.96 |
33.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$4,579.01 |
$5,087.79 |
3.1× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,139.07 |
$3,487.86 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,546.89 |
$8,385.43 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,938.12 |
$3,264.58 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,890.09 |
$3,211.21 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$6,515.33 |
$7,239.26 |
4.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,731.80 |
$3,035.33 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$6,531.72 |
$7,257.47 |
4.4× |
| Closure of gastrostomy surgical (43870) |
$2,899.58 |
$3,221.75 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$39.82 |
$44.24 |
0.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,716.14 |
$3,017.94 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$6,338 |
$7,042.22 |
4.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$4,327.10 |
$4,807.89 |
18.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$270.96 |
$301.07 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$6,514.17 |
$7,237.97 |
4.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$6,337.81 |
$7,042.01 |
4.2× |
| 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× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,850.30 |
$3,167 |
2.6× |
| Complete replacement picc rs&i (36584) |
$2,483.22 |
$2,759.13 |
1.7× |
| Complex Cystometrogram (51726) |
$2,533.42 |
$2,814.91 |
10.9× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$2,128.92 |
$2,365.47 |
3.3× |
| Complex Uroflowmetry (51741) |
$351.13 |
$390.14 |
1.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$601.84 |
$668.72 |
3.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$2,855.66 |
$3,172.95 |
23.0× |
| Control nose/throat bleeding (42972) |
$4,304.79 |
$4,783.10 |
1.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$3,127.78 |
$3,475.32 |
6.2× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$2,993.24 |
$3,325.82 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,174.37 |
$2,415.97 |
1.4× |
| Correction hammertoe (28285) |
$1,623.42 |
$1,803.80 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$10,502.88 |
$11,669.87 |
3.4× |
| Create eardrum opening (69436) |
$856.62 |
$951.80 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$5,376.25 |
$5,973.61 |
43.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,205.04 |
$3,561.16 |
1.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,381.80 |
$8,202 |
2.2× |
| Cysto/uretero w/lithotripsy (52356) |
$11,179.75 |
$12,421.94 |
2.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$7,480.38 |
$8,311.53 |
1.5× |
| Cystometrogram w/vp (51728) |
$2,128.92 |
$2,365.47 |
3.3× |
| Cystometrogram W/Vp&Up (51729) |
$2,128.92 |
$2,365.47 |
3.3× |
| Cystoscopy,insert ureteral stent (52332) |
$4,331.66 |
$4,812.96 |
1.3× |
| Cystourethroscopy (52000) |
$3,400.46 |
$3,778.29 |
5.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,928.20 |
$5,475.78 |
2.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,692 |
$5,213.33 |
1.7× |
| Dcmprn fasct leg post compartment only (27601) |
$4,607.94 |
$5,119.94 |
1.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$9,230.44 |
$10,256.04 |
14.0× |
| Debride skin musc at fx site (11011) |
$5,842.66 |
$6,491.84 |
8.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$488.31 |
$542.57 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$4,456.66 |
$4,951.84 |
6.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$8,244.55 |
$9,160.61 |
5.3× |
| Declot vascular device (36593) |
$1,225.13 |
$1,361.26 |
4.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,595.13 |
$1,772.37 |
0.9× |
| Destruction benign lesions 15 or more (17111) |
$287.62 |
$319.58 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$4,434.34 |
$4,927.04 |
23.7× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$702.61 |
$780.68 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$1,868.22 |
$2,075.80 |
1.0× |
| Destruction of skin lesions (17106) |
$461.24 |
$512.49 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$951.49 |
$1,057.21 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$707.94 |
$786.60 |
0.8× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,513.75 |
$1,681.94 |
1.4× |
| Dilation of vagina (57400) |
$4,331.34 |
$4,812.60 |
1.4× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,046.20 |
$1,162.44 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$399.31 |
$443.68 |
1.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$3,887.82 |
$4,319.80 |
7.7× |
| Drainage Finger Abscess Simple (26010) |
$221.18 |
$245.75 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$2,223.85 |
$2,470.94 |
1.4× |
| Drainage of hydrocele (55000) |
$3,048.96 |
$3,387.73 |
4.6× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$6,307.26 |
$7,008.07 |
4.2× |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
$6,544.57 |
$7,271.74 |
2.4× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$3,596.99 |
$3,996.65 |
1.3× |
| Draw blood off venous device (36591) |
$173.05 |
$192.28 |
1.4× |
| Dressing change under anesthesia (15852) |
$3,130.25 |
$3,478.06 |
4.5× |
| Dx bone marrow bx & aspir (38222) |
$4,302.05 |
$4,780.06 |
1.6× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$513.44 |
$570.49 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$4,726.50 |
$5,251.68 |
2.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,767.56 |
$1,963.96 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,838.20 |
$3,153.55 |
1.6× |
| Egd flexible foreign body removal (43247) |
$3,439.30 |
$3,821.44 |
4.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,507.57 |
$2,786.19 |
1.4× |
| Egd place gastrostomy tube (43246) |
$3,305.64 |
$3,672.93 |
1.8× |
| Egd remove lesion snare (43251) |
$1,267.69 |
$1,408.54 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,070 |
$1,188.89 |
0.6× |
| 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) |
$2,204.54 |
$2,449.49 |
1.2× |
| 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 |
1.4× |
| 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) |
$2,568.34 |
$2,853.71 |
1.3× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$6,345.63 |
$7,050.70 |
1.8× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) |
$13,943.27 |
$15,492.52 |
4.6× |
| Ercp Duct Stent Placement (43274) |
$3,003.82 |
$3,337.58 |
0.5× |
| 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) |
$2,081.59 |
$2,312.88 |
1.2× |
| 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) |
$2,697.01 |
$2,996.68 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$8,105.07 |
$9,005.63 |
9.6× |
| Esophagoscopy flex biopsy (43202) |
$1,489.80 |
$1,655.33 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,919 |
$2,132.22 |
1.1× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$4,380.71 |
$4,867.45 |
5.2× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$4,470.42 |
$4,967.13 |
5.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,543.40 |
$1,714.89 |
1.8× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$1,886.95 |
$2,096.61 |
1.1× |
| Esophagoscopy w/us needle bx (43232) |
$2,507.57 |
$2,786.19 |
1.4× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$8,139.53 |
$9,043.92 |
4.5× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$5,197.13 |
$5,774.59 |
2.9× |
| Exc abd les sc 3 cm/> (22903) |
$4,514.44 |
$5,016.04 |
1.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$6,668.29 |
$7,409.21 |
2.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$6,287.96 |
$6,986.62 |
4.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,412.61 |
$6,014.01 |
3.5× |
| Exc back les sc < 3 cm (21930) |
$4,832.24 |
$5,369.16 |
3.1× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$6,817.12 |
$7,574.58 |
1.2× |
| Exc face les sbq 2 cm/> (21012) |
$5,043.42 |
$5,603.80 |
3.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$4,658.75 |
$5,176.39 |
7.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$4,288.24 |
$4,764.71 |
2.8× |
| Exc forearm les sc < 3 cm (25075) |
$4,793.15 |
$5,325.72 |
3.1× |
| Exc frenum labial/buccal (40819) |
$3,142.38 |
$3,491.53 |
2.2× |
| Exc hand les sc < 1.5 cm (26115) |
$4,406.17 |
$4,895.74 |
2.9× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$687.74 |
$764.16 |
0.2× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,290.33 |
$4,767.03 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$4,835.48 |
$5,372.76 |
7.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$13,502.48 |
$15,002.76 |
35.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$3,578.70 |
$3,976.33 |
5.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,824.67 |
$5,360.74 |
7.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$4,572.24 |
$5,080.26 |
3.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$6,545.10 |
$7,272.33 |
2.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,825.01 |
$5,361.12 |
1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,045.48 |
$5,606.09 |
3.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,572.99 |
$6,192.21 |
2.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$5,117.87 |
$5,686.52 |
7.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$4,832.90 |
$5,369.89 |
3.1× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$4,419.27 |
$4,910.30 |
2.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$7,080.31 |
$7,867.01 |
2.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,613.38 |
$1,792.64 |
1.0× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$3,541.10 |
$3,934.55 |
1.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$6,515.20 |
$7,239.11 |
2.1× |
| 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) |
$4,665.08 |
$5,183.42 |
3.1× |
| Excise cutaneous neurofibroma (64788) |
$5,202.75 |
$5,780.83 |
2.9× |
| Excise Inferior Turbinate (30130) |
$3,724.37 |
$4,138.19 |
1.2× |
| Excise/repair mouth lesion (40812) |
$1,615.74 |
$1,795.27 |
1.1× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$6,224.48 |
$6,916.09 |
2.0× |
| Excision brach clft cyst,superficial (42810) |
$5,181.90 |
$5,757.67 |
1.7× |
| Excision external ear partial simple repair (69110) |
$4,179.01 |
$4,643.34 |
1.5× |
| Excision hydrocele bilateral (55041) |
$8,395.25 |
$9,328.05 |
2.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$6,166.85 |
$6,852.05 |
4.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,562.10 |
$2,846.78 |
3.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$4,579.16 |
$5,087.95 |
6.9× |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
$5,086.38 |
$5,651.53 |
0.9× |
| Excision of Epiphyseal Bar (20150) |
$11,931.47 |
$13,257.19 |
3.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$4,893.30 |
$5,437 |
3.3× |
| Excision of hydrocele; unilateral (55040) |
$5,072.43 |
$5,636.03 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$3,501.14 |
$3,890.15 |
2.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,835.14 |
$3,150.16 |
1.8× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$6,641.96 |
$7,379.95 |
4.4× |
| Excision of lingual tonsil (42870) |
$11,269.33 |
$12,521.48 |
2.0× |
| Excision of mouth lesion (41116) |
$4,964.82 |
$5,516.47 |
1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,498.16 |
$7,220.18 |
2.4× |
| Excision of rib partial (21600) |
$5,709.14 |
$6,343.49 |
0.8× |
| Excision of tongue lesion (41112) |
$3,377.11 |
$3,752.34 |
1.1× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$4,475.31 |
$4,972.57 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$5,148.38 |
$5,720.42 |
1.7× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,690.64 |
$1,878.49 |
0.6× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$5,507.97 |
$6,119.97 |
2.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,281.70 |
$1,424.10 |
0.8× |
| Excision,Ben Tumor,Maxilla,Intra-Oral (21048) |
$8,507.72 |
$9,453.02 |
1.5× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$5,462.31 |
$6,069.23 |
1.8× |
| Exploration of ankle joint (27612) |
$15,089.51 |
$16,766.12 |
4.9× |
| Exploration of knee joint (27310) |
$4,302.02 |
$4,780.02 |
1.4× |
| Exploration penetrating wound spx extremity (20103) |
$5,527 |
$6,141.10 |
3.6× |
| 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) |
$929.65 |
$1,032.94 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$2,746.76 |
$3,051.96 |
7.2× |
| Fixation of knee joint (27570) |
$6,454.48 |
$7,171.64 |
4.3× |
| Fluoro exam of g/colon tube (49465) |
$411.49 |
$457.21 |
1.8× |
| 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 |
4.9× |
| Follow-up surgery of eye (66250) |
$3,044.09 |
$3,382.32 |
1.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,723.92 |
$4,137.69 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$9,892.34 |
$10,991.49 |
5.1× |
| Gastrocnemius Recession (27687) |
$4,322.14 |
$4,802.38 |
1.4× |
| Graft ear crtlg autogenous nose/ear (21235) |
$6,250.82 |
$6,945.35 |
1.1× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$3,193.50 |
$3,548.32 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$929.65 |
$1,032.94 |
1.4× |
| Harvest stem cell concentrte (38215) |
$1,966.73 |
$2,185.25 |
4.8× |
| 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× |
| I&D Abscess Peritonsillar (42700) |
$2,442.78 |
$2,714.20 |
11.1× |
| I&d abscess simple (10060) |
$3,408.64 |
$3,787.38 |
18.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$277.75 |
$308.61 |
0.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,573.34 |
$7,303.70 |
2.4× |
| I&d perianal abscess superficial (46050) |
$7,215.03 |
$8,016.70 |
8.3× |
| I&d submucosal abscess rectum (45005) |
$3,148.92 |
$3,498.80 |
2.8× |
| 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) |
$2,290.56 |
$2,545.07 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,290.56 |
$2,545.07 |
1.5× |
| Incise finger tendon sheath (26055) |
$3,906.25 |
$4,340.28 |
2.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,399 |
$3,776.66 |
9.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,811.38 |
$4,234.86 |
2.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$488.31 |
$542.57 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$4,466.64 |
$4,962.93 |
15.7× |
| Incision bone cortex foot (28005) |
$4,535.81 |
$5,039.79 |
1.5× |
| Incision labial frenum frenotomy (40806) |
$2,651.74 |
$2,946.38 |
5.3× |
| Incision of eardrum (69421) |
$2,300.71 |
$2,556.34 |
0.7× |
| Incision of heel bone (28300) |
$8,658.04 |
$9,620.04 |
1.3× |
| Incision of lingual frenum (41010) |
$2,816.16 |
$3,129.07 |
1.9× |
| Incision of metatarsal (28308) |
$8,358.50 |
$9,287.22 |
2.7× |
| Incision of rectal abscess (46040) |
$4,556.83 |
$5,063.14 |
4.1× |
| Incision of tibia (27705) |
$8,658.04 |
$9,620.04 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$3,547.29 |
$3,941.43 |
5.1× |
| Inj tendon sheath/ligament (20550) |
$415.32 |
$461.47 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$801.26 |
$890.29 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$910.20 |
$1,011.33 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,226.98 |
$1,363.31 |
1.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,120.39 |
$2,355.99 |
3.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$653.49 |
$726.10 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,679.95 |
$1,866.61 |
2.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$415.32 |
$461.47 |
1.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$387.68 |
$430.76 |
1.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$216.54 |
$240.61 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,200.90 |
$1,334.33 |
1.5× |
| 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) |
$7,622.30 |
$8,469.22 |
1.5× |
| Ins endovas vena cava filtr (37191) |
$9,053.96 |
$10,059.96 |
1.7× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$16,061.54 |
$17,846.16 |
1.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$15,443.79 |
$17,159.77 |
1.6× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$16,217.48 |
$18,019.42 |
1.7× |
| 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) |
$3,241.62 |
$3,601.80 |
2.9× |
| Insert Drug Implant Device (11981) |
$1,520.08 |
$1,688.98 |
12.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,660.28 |
$2,955.87 |
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) |
$2,275.24 |
$2,528.04 |
1.5× |
| 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) |
$166.86 |
$185.40 |
1.3× |
| Insert Tissue Expander(S) (11960) |
$1,543.55 |
$1,715.06 |
0.5× |
| Insert tun ip cath perc (49418) |
$264.79 |
$294.21 |
0.1× |
| Insert tunneled cv cath (36561) |
$7,415.69 |
$8,239.66 |
2.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$8,991.48 |
$9,990.53 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$171.26 |
$190.29 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$254.61 |
$282.90 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,059.88 |
$4,510.98 |
2.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$960.85 |
$1,067.61 |
1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,089.34 |
$13,432.60 |
1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,241.61 |
$2,490.68 |
0.8× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$5,026.33 |
$5,584.82 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,136.90 |
$5,707.66 |
1.7× |
| 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× |
| 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) |
$1,168.83 |
$1,298.70 |
1.4× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$184.73 |
$205.25 |
5.1× |
| Knee arthroscopy/surgery (29887) |
$22,656.13 |
$25,173.48 |
3.3× |
| Knee arthroscopy/surgery (29883) |
$11,902.34 |
$13,224.82 |
3.9× |
| Knee arthroscopy/surgery (29876) |
$7,847.63 |
$8,719.59 |
2.6× |
| Knee arthroscopy/surgery (29851) |
$14,204.36 |
$15,782.62 |
9.5× |
| Lap ing hernia repair init (49650) |
$5,550.64 |
$6,167.37 |
1.0× |
| Laparoscopy appendectomy (44970) |
$8,309.55 |
$9,232.83 |
1.5× |
| Laparoscopy gastrostomy (43653) |
$6,486.30 |
$7,206.99 |
1.1× |
| Laparoscopy orchiopexy (54692) |
$4,822.70 |
$5,358.56 |
0.9× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,530.54 |
$5,033.93 |
0.8× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,378.56 |
$8,198.40 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,449.91 |
$9,388.79 |
1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,206.40 |
$6,896 |
1.1× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$9,598.52 |
$10,665.02 |
1.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,249.54 |
$3,610.60 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$4,626.32 |
$5,140.36 |
1.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$2,474.42 |
$2,749.36 |
13.3× |
| Laryngoscopy w/fb & op scope (31531) |
$3,491.60 |
$3,879.56 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,003.31 |
$3,337.01 |
1.8× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$2,301.62 |
$2,557.36 |
1.4× |
| Laryngoscopy,dirct,op scop,remv ary (31561) |
$4,762.71 |
$5,291.90 |
0.7× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,713.19 |
$1,903.54 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$2,764.11 |
$3,071.23 |
0.8× |
| Lengthen radius or ulna (25391) |
$11,943.31 |
$13,270.34 |
1.0× |
| Lengthening Hamstring Tendon Single (27393) |
$12,947.20 |
$14,385.78 |
1.9× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$9,689.66 |
$10,766.28 |
3.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$9,087.62 |
$10,097.36 |
1.3× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$15,559.96 |
$17,288.84 |
1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,491.65 |
$9,435.17 |
2.6× |
| Liver Biopsy (47000) |
$2,682.12 |
$2,980.14 |
1.7× |
| 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) |
$2,100.05 |
$2,333.39 |
0.7× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,653.62 |
$2,948.46 |
1.4× |
| Mastectomy gynecomastia (19300) |
$4,870.08 |
$5,411.20 |
1.3× |
| 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× |
| Myelography Lumbar Injection (62304) |
$2,002.74 |
$2,225.27 |
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 |
1.5× |
| Myringoplasty (69620) |
$3,077.62 |
$3,419.58 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,873.12 |
$2,081.24 |
10.1× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$8,098.40 |
$8,998.22 |
1.2× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$6,485.32 |
$7,205.91 |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$3,747.97 |
$4,164.41 |
1.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$613.12 |
$681.24 |
0.4× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$5,201.03 |
$5,778.92 |
0.8× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$4,577.62 |
$5,086.24 |
0.7× |
| Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression (31292) |
$4,049.20 |
$4,499.11 |
0.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,092.38 |
$2,324.87 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$5,668.79 |
$6,298.66 |
3.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,291.86 |
$8,102.06 |
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 |
1.2× |
| Nerve repair w/allograft (64910) |
$10,761.71 |
$11,957.46 |
1.3× |
| 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 digital 1/both same digit (64702) |
$5,643.75 |
$6,270.83 |
3.1× |
| 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) |
$5,410.30 |
$6,011.44 |
1.6× |
| 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) |
$1,001.75 |
$1,113.05 |
1.5× |
| 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 rdl shaft fx closed rad/uln jt dislocate (25525) |
$12,070.38 |
$13,411.53 |
1.8× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$6,368.89 |
$7,076.54 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,010.49 |
$7,789.43 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$7,423.81 |
$8,248.68 |
0.6× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$391.68 |
$435.20 |
0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,837.06 |
$15,374.51 |
2.0× |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
$10,789.68 |
$11,988.53 |
1.6× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$11,454.60 |
$12,727.33 |
1.0× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$11,278.13 |
$12,531.26 |
1.7× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$24,171.09 |
$26,856.77 |
2.0× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$7,197.24 |
$7,996.94 |
1.1× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$11,604.85 |
$12,894.28 |
1.7× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$9,678.72 |
$10,754.13 |
1.4× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$12,173.96 |
$13,526.62 |
1.8× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$15,017.84 |
$16,686.49 |
1.3× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$6,596.36 |
$7,329.28 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$9,256.08 |
$10,284.52 |
1.4× |
| Open treatment talus fracture (28445) |
$8,658.04 |
$9,620.04 |
1.3× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$9,042.14 |
$10,046.82 |
3.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,821.04 |
$9,801.15 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,777.88 |
$5,308.75 |
1.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$7,948.46 |
$8,831.62 |
1.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$5,900.84 |
$6,556.49 |
1.9× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$8,604.18 |
$9,560.20 |
0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$10,798.32 |
$11,998.13 |
3.5× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,013.67 |
$8,904.08 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,063.44 |
$7,848.26 |
2.3× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$6,913.04 |
$7,681.16 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$15,598.96 |
$17,332.17 |
1.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,668.72 |
$15,187.47 |
1.3× |
| Optx complicated mndblr fx (21470) |
$6,989.21 |
$7,765.79 |
1.3× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$18,825.80 |
$20,917.55 |
2.8× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$8,910.48 |
$9,900.53 |
0.7× |
| Optx post ankle fx (27769) |
$5,519.59 |
$6,132.88 |
0.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,134.55 |
$5,705.06 |
1.7× |
| Osteochondral allograft, knee, open (27415) |
$17,323.31 |
$19,248.12 |
1.4× |
| Osteoplasty Femur Lengthening (27466) |
$56,713.68 |
$63,015.20 |
8.4× |
Osteoplasty, radius OR ulna; shortening (25390)
likely a partial charge, not the full procedure |
$914.92 |
$1,016.58 |
0.1× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$1,359.74 |
$1,510.82 |
0.2× |
| Osteotomy Clavicle W Bone Graft (23485) |
$17,564.35 |
$19,515.94 |
1.5× |
| Osteotomy Metacarpal Each (26565) |
$5,282.25 |
$5,869.17 |
1.7× |
| Osteotomy Phalanx Finger Each (26567) |
$7,999.21 |
$8,888.01 |
2.6× |
| Osteotomy Radius Distal Third (25350) |
$13,385.75 |
$14,873.06 |
2.0× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$8,456.62 |
$9,396.24 |
1.2× |
| Palatop cl palate soft&/hard palate only (42200) |
$10,050.76 |
$11,167.52 |
1.8× |
| Palatoplasty cleft palate major revj (42215) |
$5,554.99 |
$6,172.21 |
1.0× |
| Partial Excision Bone Fibula (27641) |
$6,629.26 |
$7,365.84 |
2.2× |
| Partial excision bone talus/calcaneus (28120) |
$4,043.21 |
$4,492.46 |
1.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,882.16 |
$3,202.40 |
1.0× |
| Partial removal of thyroid (60220) |
$9,222.02 |
$10,246.70 |
1.6× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$2,025 |
$2,250 |
1.1× |
| Pelvic exam under anesthesia (57410) |
$1,897.69 |
$2,108.54 |
0.6× |
| 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 |
4.8× |
| 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 interphalangeal joint dislocation, single, with manipulation (26776) |
$6,807.24 |
$7,563.60 |
2.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,523.86 |
$3,915.40 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$2,581.31 |
$2,868.12 |
1.8× |
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) |
$2,483.22 |
$2,759.13 |
1.7× |
| 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) |
$10,558.29 |
$11,731.43 |
1.0× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$18,243.58 |
$20,270.65 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$10,765.32 |
$11,961.47 |
1.0× |
| 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) |
$2,575.10 |
$2,861.23 |
11.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$936.53 |
$1,040.59 |
1.4× |
| Photopheresis, extracorporeal (36522) |
$9,398.63 |
$10,442.92 |
2.3× |
| Pin knuckle dislocation (26706) |
$4,047.08 |
$4,496.76 |
1.3× |
| Place Cath Thoracic Aorta (36221) |
$955.50 |
$1,061.67 |
0.3× |
Place Cath Vertebral Art (36226)
likely a partial charge, not the full procedure |
$939.99 |
$1,044.43 |
0.2× |
| 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) |
$3,314.61 |
$3,682.90 |
1.0× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$1,263.88 |
$1,404.31 |
0.4× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$5,875.44 |
$6,528.27 |
1.9× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$6,273.47 |
$6,970.52 |
1.1× |
| 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) |
$5,313.45 |
$5,903.83 |
0.9× |
| Prim art mech thrombectomy (37184) |
$14,311.46 |
$15,901.62 |
0.8× |
| Probe nasolacrimal duct (68811) |
$2,735.88 |
$3,039.86 |
1.2× |
| Proctosigmoidoscopy w/bx (45305) |
$1,833.20 |
$2,036.89 |
1.6× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$2,164.46 |
$2,404.96 |
2.5× |
| 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 humrl cndylr fx medial/lat w/manj (24582) |
$6,805.88 |
$7,562.09 |
1.0× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$4,224.42 |
$4,693.80 |
0.6× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$6,002.03 |
$6,668.92 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$309.46 |
$343.84 |
0.8× |
| Puncture Aspiration (10160) |
$1,162.96 |
$1,292.18 |
3.1× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$5,862.30 |
$6,513.67 |
2.2× |
| 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) |
$7,112.19 |
$7,902.43 |
1.1× |
| Rebuild eardrum structures (69633) |
$7,529.16 |
$8,365.72 |
1.4× |
| Reconstr disloc patella w mscl adv (27422) |
$9,156.12 |
$10,173.46 |
1.4× |
| Reconstruct cleft palate (42210) |
$5,979.68 |
$6,644.10 |
1.1× |
| Reconstruct cleft palate (42225) |
$12,341.39 |
$13,712.66 |
2.2× |
| Reconstruct extra finger (26587) |
$6,410.37 |
$7,122.64 |
2.1× |
| Reconstruct ulna/radioulnar (25337) |
$13,782.72 |
$15,314.14 |
2.0× |
| Reconstruction of urethra (54324) |
$6,192.14 |
$6,880.15 |
1.9× |
| Reconstruction of urethra (54322) |
$6,169.30 |
$6,854.78 |
1.9× |
| Reconstruction of urethra (54326) |
$9,999.09 |
$11,110.10 |
3.0× |
| Reconstruction Toe Polydactyly (28344) |
$5,495.40 |
$6,106 |
1.8× |
| Reconstruction tongue fold (41520) |
$3,045.76 |
$3,384.18 |
1.0× |
| Reduce testis torsion (54600) |
$4,363.84 |
$4,848.71 |
1.3× |
| Reduction of Large Breast (19318) |
$11,056.49 |
$12,284.99 |
1.8× |
| Release eye tissue (67343) |
$1,383.68 |
$1,537.42 |
0.6× |
| Release thumb contracture (26508) |
$1,948.10 |
$2,164.56 |
0.6× |
| Relocation of skin pocket for pacemaker (33222) |
$2,445.80 |
$2,717.56 |
1.3× |
| Rem endovas vena cava filter (37193) |
$9,053.96 |
$10,059.96 |
3.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,230.93 |
$5,812.14 |
1.9× |
| Removal foreign body foot deep (28192) |
$4,610.70 |
$5,123 |
3.0× |
| Removal foreign body foot subcutaneous (28190) |
$1,894.52 |
$2,105.02 |
2.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$79.61 |
$88.45 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$21.63 |
$24.03 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$87.63 |
$97.37 |
1.6× |
| Removal Implant Deep (20680) |
$6,207.66 |
$6,897.40 |
2.3× |
| Removal Implant From Finger/Hand (26320) |
$2,418.25 |
$2,686.94 |
1.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,707.28 |
$3,008.08 |
1.8× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$6,532.86 |
$7,258.73 |
1.9× |
| Removal of adenoids (42835) |
$2,261.81 |
$2,513.12 |
0.7× |
| Removal of adenoids (42831) |
$2,862.49 |
$3,180.54 |
0.9× |
| Removal of adenoids (42830) |
$2,012.95 |
$2,236.61 |
0.7× |
| Removal of anorectal lesion (45108) |
$5,364.72 |
$5,960.80 |
2.1× |
| Removal of finger lesion (26210) |
$6,956.10 |
$7,729 |
4.6× |
| Removal of humerus lesion (23150) |
$7,737.11 |
$8,596.79 |
2.5× |
| Removal of intrauterine device (iud) (58301) |
$1,496.61 |
$1,662.90 |
5.3× |
| Removal of nail bed (11750) |
$4,319.03 |
$4,798.92 |
11.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$3,100.76 |
$3,445.28 |
16.6× |
| Removal of testis (54520) |
$5,576.26 |
$6,195.84 |
1.7× |
| Removal of tonsils (42825) |
$3,318.78 |
$3,687.53 |
0.6× |
| Removal of tonsils (42826) |
$3,723.92 |
$4,137.69 |
1.2× |
| Removal ppm generator only (33233) |
$4,485.02 |
$4,983.35 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$947.78 |
$1,053.09 |
1.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,491.90 |
$2,768.78 |
1.3× |
| 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 drug implant device (11982) |
$1,495.72 |
$1,661.91 |
3.6× |
| Remove ear lesion (69540) |
$1,426.51 |
$1,585.01 |
1.0× |
| Remove femur lesion (27355) |
$5,836.92 |
$6,485.47 |
1.9× |
| Remove foreign body from eye (65210) |
$5,910.72 |
$6,567.47 |
14.2× |
| Remove humerus lesion (24110) |
$4,954.67 |
$5,505.19 |
1.6× |
| Remove intrvas foreign body (37197) |
$4,659.49 |
$5,177.21 |
1.6× |
| Remove thyroid duct lesion (60280) |
$5,606.19 |
$6,229.10 |
1.0× |
| Remove wrist joint cartilage (25107) |
$1,948.10 |
$2,164.56 |
0.6× |
| Remove wrist tendon lesion (25111) |
$4,096 |
$4,551.10 |
2.7× |
| Remove&replace pm gen singl (33227) |
$11,400.81 |
$12,667.57 |
1.5× |
| Remove/graft bone lesion (24116) |
$9,183.18 |
$10,203.53 |
1.4× |
| Remove/graft foot lesion (28103) |
$8,658.04 |
$9,620.04 |
1.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,962.81 |
$2,180.90 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$35,535.03 |
$39,483.37 |
1.7× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$4,572.94 |
$5,081.04 |
0.2× |
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) |
$2,290.56 |
$2,545.07 |
1.5× |
| Repair arm tendon/muscle (24341) |
$6,651.50 |
$7,390.56 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$8,949.20 |
$9,943.56 |
1.6× |
| Repair cleft lip/nasal (40720) |
$6,180.25 |
$6,866.94 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$5,666.94 |
$6,296.60 |
8.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$4,893.38 |
$5,437.09 |
12.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$6,457.69 |
$7,175.21 |
17.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,057.24 |
$3,396.93 |
2.0× |
| Repair eyelid defect (67901) |
$4,084.48 |
$4,538.31 |
1.8× |
| Repair finger tendon (26432) |
$3,525.36 |
$3,917.07 |
2.3× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$15,362.32 |
$17,069.24 |
5.0× |
| Repair foot dislocation (28585) |
$7,356.30 |
$8,173.67 |
1.1× |
| Repair gum (41872) |
$426.13 |
$473.48 |
0.1× |
| Repair hand tendon (26410) |
$5,551.48 |
$6,168.31 |
3.7× |
| Repair incomplete circumcision (54163) |
$3,712.63 |
$4,125.14 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$488.31 |
$542.57 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$7,929.97 |
$8,811.08 |
20.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$7,144.95 |
$7,938.83 |
18.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$6,922.85 |
$7,692.06 |
18.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$488.31 |
$542.57 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$11,812.16 |
$13,124.62 |
31.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$3,712.22 |
$4,124.68 |
9.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$507.84 |
$564.27 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$8,101.30 |
$9,001.44 |
21.4× |
| Repair mouth/nose fistula (30600) |
$16,088.03 |
$17,875.59 |
2.9× |
| Repair of biceps tendon (24340) |
$20,306.56 |
$22,562.84 |
3.0× |
| Repair of eardrum structures (69631) |
$6,097.56 |
$6,775.06 |
1.1× |
| Repair of nail bed (11760) |
$1,822.64 |
$2,025.16 |
2.6× |
| Repair of nasal septum (30520) |
$5,806.24 |
$6,451.38 |
1.9× |
| Repair of web finger (26561) |
$8,419.26 |
$9,354.73 |
2.8× |
| Repair Spica/Body/Jacket Cast (29720) |
$57.92 |
$64.35 |
0.4× |
| Repair Tongue Laceration (41250) |
$4,247.75 |
$4,719.72 |
10.2× |
| Repair tympanic membrane (69610) |
$2,270.26 |
$2,522.52 |
1.6× |
| Repair vagina/perineum (57210) |
$5,866.21 |
$6,518.01 |
1.9× |
| Repair webbed toe(s) (28345) |
$5,569.08 |
$6,187.87 |
3.7× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$4,043.22 |
$4,492.47 |
1.3× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$3,099.02 |
$3,443.35 |
0.5× |
| Replace duod/jej tube perc (49451) |
$6,808.69 |
$7,565.21 |
8.0× |
| Replace g/c tube perc (49450) |
$3,413.47 |
$3,792.74 |
4.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$3,942.21 |
$4,380.23 |
4.7× |
| 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× |
| Repr elbow lat ligmnt w/tiss (24343) |
$21,807.68 |
$24,230.76 |
7.1× |
| Resect Inferior Turbinate (30140) |
$3,869.24 |
$4,299.15 |
1.3× |
| Revise external ear (69300) |
$4,144.25 |
$4,604.72 |
1.3× |
| Revise eye muscle (67311) |
$3,828.79 |
$4,254.22 |
1.7× |
| Revise eye muscle (67314) |
$801.46 |
$890.52 |
0.4× |
| Revise Eyelashes,Forceps (67820) |
$100.43 |
$111.59 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$1,948.10 |
$2,164.56 |
1.1× |
| Revise middle ear & mastoid (69642) |
$7,660.88 |
$8,512.08 |
1.4× |
| Revise middle ear & mastoid (69641) |
$9,464.14 |
$10,515.71 |
1.7× |
| Revise penis/urethra (54332) |
$9,046.25 |
$10,051.39 |
2.7× |
| Revise radius & ulna (25365) |
$22,766.67 |
$25,296.30 |
1.9× |
| Revise wrist/forearm tendon (25280) |
$5,713.84 |
$6,348.70 |
1.9× |
| Revision of lower leg tendon (27685) |
$3,034.03 |
$3,371.14 |
1.0× |
| Revision of nose (30460) |
$9,302.24 |
$10,335.82 |
1.7× |
| Revision of penis (54300) |
$3,757.90 |
$4,175.45 |
1.1× |
| Revision of tips (37183) |
$7,734.49 |
$8,593.88 |
1.5× |
| Revision of ulna (25360) |
$14,504.25 |
$16,115.83 |
2.1× |
| Revision of urethra (53450) |
$4,668.55 |
$5,187.28 |
1.4× |
| Revision of wrist joint (25455) |
$900 |
$1,000 |
0.3× |
| Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) |
$7,195.18 |
$7,994.64 |
1.3× |
| Rib cartilage graft (21230) |
$7,195.19 |
$7,994.65 |
1.3× |
| 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) |
$4,150.76 |
$4,611.96 |
2.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$745.18 |
$827.98 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$4,425.39 |
$4,917.10 |
10.6× |
| Rplc gtube revj gstrst trc (43763) |
$309.38 |
$343.75 |
1.3× |
| 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) |
$2,777.54 |
$3,086.15 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$7,412.34 |
$8,235.93 |
2.5× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$3,246.62 |
$3,607.36 |
0.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,206.69 |
$3,562.99 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$4,637.90 |
$5,153.22 |
0.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,012.12 |
$3,346.80 |
0.9× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$6,579.93 |
$7,311.03 |
2.2× |
| 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) |
$3,748.17 |
$4,164.63 |
0.7× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$5,754.86 |
$6,394.30 |
1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$930.03 |
$1,033.37 |
1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,011.88 |
$4,457.64 |
1.3× |
| 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) |
$7,068.93 |
$7,854.37 |
2.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,594.04 |
$1,771.16 |
1.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,278.48 |
$1,420.53 |
1.5× |
| Sigmoidoscopy w/fb removal (45332) |
$2,134.74 |
$2,371.93 |
1.9× |
| 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) |
$1,496.62 |
$1,662.91 |
8.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$817.98 |
$908.86 |
4.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$3,082.22 |
$3,424.68 |
16.5× |
| Skin Tissue Procedure (17999) |
$1,388.50 |
$1,542.77 |
7.4× |
| Skin tissue rearrangement (14040) |
$6,926.62 |
$7,696.25 |
3.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,850.97 |
$8,723.30 |
1.5× |
| 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) |
$1,594.31 |
$1,771.46 |
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) |
$2,213.78 |
$2,459.76 |
11.8× |
| Spinal puncture lumbar diagnostic (62270) |
$883.58 |
$981.76 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$612.27 |
$680.30 |
0.9× |
| Strabismus recession/rescj 2 hrzntl musc (67312) |
$5,607.42 |
$6,230.47 |
1.5× |
| Strapping unna boot (29580) |
$287.07 |
$318.97 |
1.9× |
| Surgery to stop leg growth (27477) |
$12,495.19 |
$13,883.54 |
1.8× |
| Suspension of testis (54640) |
$3,610.26 |
$4,011.40 |
1.1× |
| Suspension of testis (54620) |
$6,254.78 |
$6,949.75 |
1.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$4,011.86 |
$4,457.62 |
2.2× |
| T-cell depletion of harvest (38210) |
$18,800.72 |
$20,889.69 |
45.7× |
| Tangential biopsy skin single lesion (11102) |
$603.28 |
$670.31 |
1.6× |
| 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× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$3,896.21 |
$4,329.12 |
1.3× |
| Tenotomy Adductor Hip Open (27001) |
$25,177.88 |
$27,975.42 |
8.2× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,877.68 |
$2,086.31 |
1.3× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$241.61 |
$268.45 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$8,163.65 |
$9,070.72 |
5.4× |
| Thaw preserved stem cells (38208) |
$392.99 |
$436.65 |
1.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$4,655.90 |
$5,173.23 |
3.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,567.08 |
$5,074.52 |
3.1× |
| Ther Apheresis,White Blood Cells (36511) |
$4,520.99 |
$5,023.32 |
3.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$981.32 |
$1,090.36 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$960.85 |
$1,067.61 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$832.92 |
$925.47 |
1.4× |
| 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) |
$9,859.89 |
$10,955.43 |
1.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,754.55 |
$5,282.83 |
1.5× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
likely a partial charge, not the full procedure |
$1,257.11 |
$1,396.79 |
0.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$443.94 |
$493.26 |
0.9× |
| Transcatheter biopsy (37200) |
$7,927.18 |
$8,807.98 |
1.5× |
| Transplant forearm tendon (25310) |
$2,067.72 |
$2,297.47 |
0.7× |
| Transplant hand tendon (26480) |
$1,302.63 |
$1,447.37 |
0.4× |
| Transplj Hematopoietic Boost (38243) |
$1,467.57 |
$1,630.63 |
1.0× |
| Treat elbow fracture (24635) |
$10,126.02 |
$11,251.12 |
1.5× |
| Treat Finger Fracture Each (26727) |
$5,522.49 |
$6,136.10 |
1.8× |
| Treat fracture radius/ulna (25575) |
$13,485.48 |
$14,983.86 |
2.0× |
| Treat fx distal radial (25606) |
$6,699.82 |
$7,444.25 |
2.2× |
| Treat lower leg fracture (27828) |
$12,946.99 |
$14,385.54 |
1.1× |
| Treat Lower Leg Fracture (27827) |
$14,445.95 |
$16,051.06 |
1.2× |
| Treat pleurodesis w/agent (32560) |
$832.92 |
$925.47 |
1.4× |
| Treat radius fracture (24665) |
$9,225.32 |
$10,250.36 |
1.4× |
| Treat toe fracture (28525) |
$8,771.40 |
$9,746 |
2.9× |
| Treat ulnar fracture (24685) |
$9,484.21 |
$10,538.01 |
1.4× |
| Treatment of ankle fracture (27822) |
$18,057.51 |
$20,063.90 |
2.7× |
| Treatment of ankle fracture (27792) |
$12,725.14 |
$14,139.04 |
1.9× |
| Treatment of bone cyst (20615) |
$710.47 |
$789.41 |
1.1× |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$10,631.15 |
$11,812.39 |
1.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$9,829.86 |
$10,922.06 |
3.2× |
| Treatment of tibia fracture (27759) |
$14,920.99 |
$16,578.88 |
1.2× |
| Treatment of tibia fracture (27756) |
$10,270.62 |
$11,411.80 |
1.5× |
| 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) |
$7,686.36 |
$8,540.40 |
1.4× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$3,705.10 |
$4,116.78 |
9.0× |
| 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 Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$4,658.66 |
$5,176.30 |
3.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,877.68 |
$2,086.31 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$869.93 |
$966.59 |
1.3× |
| Tympanostomy (69433) |
$1,194.57 |
$1,327.30 |
2.4× |
| Unlisted Cardiac Surgery (33999) |
$2,773.74 |
$3,081.93 |
4.7× |
| Unlisted laparoscopy procedure, stomach (43659) |
$4,656.08 |
$5,173.42 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$3,131.64 |
$3,479.60 |
14.2× |
| Unlisted procedure larynx (31599) |
$8,800.25 |
$9,778.05 |
39.8× |
| Unlisted procedure leg/ankle (27899) |
$7,346.94 |
$8,163.27 |
31.9× |
| Unlisted Procedure Lungs & Pleura (32999) |
$857.91 |
$953.23 |
1.5× |
| Unlisted Procedure Small Intestine (44799) |
$1,248.72 |
$1,387.47 |
1.5× |
| 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× |
| Vasc embolize/occlude artery (37242) |
$13,802.73 |
$15,336.37 |
0.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,078.66 |
$16,754.07 |
1.4× |
| Vasc embolize/occlude organ (37243) |
$7,015.37 |
$7,794.86 |
0.7× |
| Vasc embolize/occlude venous (37241) |
$15,374.33 |
$17,082.59 |
1.4× |
| Venipuncture (36415) |
$12.29 |
$13.65 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,070.63 |
$2,300.70 |
0.7× |
| Vw factor type 2b eval plsm (0283U) |
$318.38 |
$353.75 |
17.3× |
| 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) |
$7,852.66 |
$8,725.18 |
20.7× |
| Wrist arthroscop,excis triang cart (29846) |
$8,317.06 |
$9,241.17 |
2.7× |
| Wrist arthroscopy (29840) |
$3,896.22 |
$4,329.13 |
1.3× |