| Abd paracentesis w/imaging (49083) |
$1,124.44 |
$2,067 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$717.26 |
$1,318.50 |
0.8× |
| Ablate inf turbinate submuc (30802) |
$632.68 |
$1,163 |
0.4× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,610.30 |
$17,666 |
0.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$8,370.53 |
$15,387 |
0.8× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$6,919.68 |
$12,720 |
0.6× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$5,042.88 |
$9,270 |
0.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,048.32 |
$9,280 |
0.8× |
| Acne surgery (10040) |
$152.32 |
$280 |
0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,629.28 |
$2,995 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,351.17 |
$4,322 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,811.66 |
$5,168.50 |
0.8× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$2,022.59 |
$3,718 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,887.68 |
$3,470 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,026.12 |
$3,724.50 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,458.34 |
$4,519 |
1.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,978.80 |
$3,637.50 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,722.86 |
$6,843.50 |
1.1× |
| Amputate metacarpal bone (26910) |
$2,129.22 |
$3,914 |
0.6× |
| Amputation Finger/Thumb (26951) |
$2,891.64 |
$5,315.50 |
0.9× |
| Amputation foot transmetarsal (28805) |
$4,795.90 |
$8,816 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$3,413.87 |
$6,275.50 |
1.0× |
| Amputation thigh through femur any level (27590) |
$3,812.90 |
$7,009 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,401.09 |
$6,252 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,527.30 |
$6,484 |
1.0× |
Amputation, forearm, through radius and ulna; re-amputation Facility (25909)
unusually low: confirm this is the full procedure |
$3,518.05 |
$6,467 |
0.5× |
| Amputation, leg, through tibia and fibula; (27880) |
$7,134.56 |
$13,115 |
0.9× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$5,373.09 |
$9,877 |
1.6× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$2,084.06 |
$3,831 |
0.6× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,817.50 |
$3,341 |
0.5× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
$3,688.32 |
$6,780 |
1.1× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$3,126.37 |
$5,747 |
0.9× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$2,640.03 |
$4,853 |
0.8× |
| Analyze spine infus pump (62367) |
$551.07 |
$1,013 |
1.7× |
| Ankle disarticulation Facility (27889) |
$5,528.13 |
$10,162 |
0.7× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$853.54 |
$1,569 |
0.9× |
| Anoscopy Ablation Lesion (46615) |
$404.74 |
$744 |
0.1× |
| Anoscopy diagnostic (46600) |
$496.40 |
$912.50 |
3.6× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,175.04 |
$2,160 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$534.20 |
$982 |
0.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$2,365.31 |
$4,348 |
1.9× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$627.23 |
$1,153 |
0.5× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$2,453.44 |
$4,510 |
0.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$980.29 |
$1,802 |
0.3× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
unusually low: confirm this is the full procedure |
$2,244 |
$4,125 |
0.4× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,964.80 |
$5,450 |
0.4× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$451.38 |
$829.75 |
2.7× |
| Appl Multlay Comprs Arm/Hand (29584) |
$144.16 |
$265 |
0.9× |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
$1,909.98 |
$3,511 |
0.9× |
| Application cast elbow finger short arm (29075) |
$350.06 |
$643.50 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$283.97 |
$522 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$172.44 |
$317 |
2.8× |
| Application finger splint static (29130) |
$134.92 |
$248 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$341.90 |
$628.50 |
2.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$443.36 |
$815 |
1.5× |
| Application of long leg cast (29345) |
$452.88 |
$832.50 |
1.6× |
| Application of rigid total contact leg cast (29445) |
$635.12 |
$1,167.50 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$329.12 |
$605 |
2.4× |
| Application short arm splint forearm-hand static (29125) |
$283.84 |
$521.75 |
2.1× |
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure |
$2,611.20 |
$4,800 |
0.3× |
| Apply Hand/Wrist Cast (29085) |
$347.62 |
$639 |
2.1× |
| Apply long leg splint (29505) |
$274.18 |
$504 |
1.6× |
| Apply short leg cast (29405) |
$366.11 |
$673 |
1.3× |
| Apply short leg cast (29425) |
$361.49 |
$664.50 |
1.2× |
| Apply short leg splint (29515) |
$241.40 |
$443.75 |
1.4× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$4,126.78 |
$7,586 |
0.5× |
| Arterial puncture (36600) |
$79.15 |
$145.50 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$6,367.52 |
$11,705 |
1.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$4,235.04 |
$7,785 |
0.7× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$7,141.09 |
$13,127 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$319.60 |
$587.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$797.78 |
$1,466.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$398.08 |
$731.75 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$990.35 |
$1,820.50 |
3.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$343.81 |
$632 |
1.1× |
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure |
$4,584.83 |
$8,428 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$1,904.54 |
$3,501 |
0.3× |
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure |
$3,102.98 |
$5,704 |
0.4× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$2,796.16 |
$5,140 |
0.8× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$6,508.42 |
$11,964 |
0.2× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$13,005.41 |
$23,907 |
0.7× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$4,214.91 |
$7,748 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,305.50 |
$11,591 |
0.3× |
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure |
$2,584.54 |
$4,751 |
0.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,667.65 |
$6,742 |
1.1× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446)
unusually low: confirm this is the full procedure |
$5,023.30 |
$9,234 |
0.4× |
Arthroplasty, radial head; with implant Facility (24366)
likely a partial charge, not the full procedure |
$2,868.51 |
$5,273 |
0.2× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$4,124.61 |
$7,582 |
0.5× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$2,871.78 |
$5,279 |
0.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$2,188.51 |
$4,023 |
0.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$2,720.54 |
$5,001 |
0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,982.75 |
$5,483 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$2,186.34 |
$4,019 |
0.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,883.62 |
$7,139 |
1.1× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
likely a partial charge, not the full procedure |
$2,028.03 |
$3,728 |
0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$2,076.45 |
$3,817 |
0.6× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,267.94 |
$4,169 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,378.37 |
$4,372 |
0.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,475.74 |
$4,551 |
0.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,422.72 |
$8,130 |
1.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,017.44 |
$7,385 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$4,639.23 |
$8,528 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$2,611.20 |
$4,800 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,527.71 |
$8,323 |
0.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,680.58 |
$8,604 |
0.6× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$2,236.93 |
$4,112 |
1.3× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$1,491.10 |
$2,741 |
0.4× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$1,720.67 |
$3,163 |
0.5× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$2,784.19 |
$5,118 |
0.8× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$2,475.20 |
$4,550 |
0.7× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$3,500.64 |
$6,435 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$4,279.65 |
$7,867 |
0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,733.06 |
$5,024 |
0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,777.25 |
$3,267 |
1.1× |
| Artificial Insemination Intra-Uterine (58322) |
$193.66 |
$356 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$2,043.54 |
$3,756.50 |
3.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$375.90 |
$691 |
1.2× |
| Aspiration and injection for treatment of bone cyst (20615) |
$717.54 |
$1,319 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$996.06 |
$1,831 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,784.86 |
$3,281 |
0.8× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$2,588.62 |
$4,758.50 |
1.1× |
| Av fistula revision (36833) |
$5,175.62 |
$9,514 |
0.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$4,418.91 |
$8,123 |
0.8× |
| Av fusion/forearm vein (36820) |
$6,337.06 |
$11,649 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$271.73 |
$499.50 |
1.3× |
| Biopsy bone open deep (20245) |
$2,950.38 |
$5,423.50 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,143.36 |
$3,940 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,632.54 |
$3,001 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$554.34 |
$1,019 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,057.54 |
$1,944 |
1.1× |
| Biopsy External Auditory Canal (69105) |
$318.78 |
$586 |
0.2× |
| Biopsy external ear (69100) |
$264.38 |
$486 |
1.1× |
| Biopsy intranasal (30100) |
$356.32 |
$655 |
0.2× |
| Biopsy muscle deep (20205) |
$653.89 |
$1,202 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,056.45 |
$1,942 |
0.6× |
| Biopsy Nail Unit Separate Procedure (11755) |
$268.74 |
$494 |
0.4× |
| Biopsy Nerve (64795) |
$462.40 |
$850 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$1,261.54 |
$2,319 |
0.3× |
| Biopsy of lip (40490) |
$452.61 |
$832 |
1.8× |
| Biopsy of mouth lesion (40808) |
$478.18 |
$879 |
0.9× |
| Biopsy of palate, uvula (42100) |
$413.98 |
$761 |
0.3× |
| Biopsy of penis (54100) |
$411.81 |
$757 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,735.90 |
$3,191 |
0.4× |
| Biopsy pleura percutaneous needle (32400) |
$861.42 |
$1,583.50 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$1,029.52 |
$1,892.50 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,148.92 |
$2,112 |
0.7× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$2,589.44 |
$4,760 |
1.5× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$761.06 |
$1,399 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$226.85 |
$417 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$271.46 |
$499 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$3,648.88 |
$6,707.50 |
0.9× |
| Biopsy/removal lymph nodes (38510) |
$5,218.32 |
$9,592.50 |
1.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$500.75 |
$920.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$261.94 |
$481.50 |
1.0× |
| Blepharoplasty lower eyelid (15820) |
$1,088 |
$2,000 |
0.5× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,527.56 |
$4,646.25 |
1.2× |
| Blepharoplasty, Upper Eyelid (15822) |
$1,419.84 |
$2,610 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$456.42 |
$839 |
1.4× |
| Blood patch (62273) |
$686.53 |
$1,262 |
0.9× |
| Blood transfusion service (36430) |
$488.51 |
$898 |
1.1× |
| Blood/Lymph System Procedure (38999) |
$1,938.27 |
$3,563 |
4.2× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$1,159.81 |
$2,132 |
0.2× |
| Bone marrow aspiration only (38220) |
$607.10 |
$1,116 |
0.4× |
| Bone Marrow Biopsy (38221) |
$756.98 |
$1,391.50 |
0.4× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$1,591.20 |
$2,925 |
0.2× |
Breast Reduction (19318)
likely a partial charge, not the full procedure |
$1,886.32 |
$3,467.50 |
0.3× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,042.72 |
$3,755 |
1.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,125.68 |
$3,907.50 |
1.2× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,233.80 |
$4,106.25 |
0.6× |
| Bronch ebus samplng 1/2 node (31652) |
$2,037.28 |
$3,745 |
0.5× |
| Bronch ebus samplng 3/> node (31653) |
$1,978.53 |
$3,637 |
0.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,906.18 |
$3,504 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,798.46 |
$3,306 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,595.01 |
$2,932 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,358.91 |
$2,498 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$773.84 |
$1,422.50 |
0.5× |
| Bx anorectal wall anal approach (45100) |
$2,694.43 |
$4,953 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$5,268.64 |
$9,685 |
3.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,357.97 |
$4,334.50 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$2,793.44 |
$5,135 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,087.86 |
$1,999.75 |
0.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,195.58 |
$4,036 |
0.6× |
| Cataract surgery complex (66982) |
$3,572.99 |
$6,568 |
1.5× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$701.76 |
$1,290 |
2.2× |
| Cessj Therapy Cath Removal (37214) |
$7,039.36 |
$12,940 |
2.2× |
| Change Cystostomy Tube Complicated (51710) |
$406.64 |
$747.50 |
0.6× |
| Change of cystostomy tube simple (51705) |
$356.32 |
$655 |
1.4× |
| Change Ureter Stent, Percut (50382) |
$3,126.64 |
$5,747.50 |
1.4× |
| Chemical cautery tissue (17250) |
$244.52 |
$449.50 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$603.30 |
$1,109 |
0.8× |
| Chemodenerv Eccrine Glands (64650) |
$326.40 |
$600 |
1.0× |
| Chemodenerv musc migraine (64615) |
$675.64 |
$1,242 |
2.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$479 |
$880.50 |
1.5× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,819.68 |
$3,345 |
2.5× |
| Chemodenerv trunk musc 6/> (64647) |
$539.65 |
$992 |
0.7× |
| Chemodenervation internal anal sphincter (46505) |
$2,256.51 |
$4,148 |
1.8× |
| Chemodenervation of extraocular muscle (67345) |
$787.71 |
$1,448 |
2.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$811.65 |
$1,492 |
1.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$392.50 |
$721.50 |
1.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,779.70 |
$3,271.50 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,636.10 |
$6,684 |
1.0× |
| Circum 28 days or older (54161) |
$848.10 |
$1,559 |
0.4× |
| Circumcision (54150) |
$462.13 |
$849.50 |
0.2× |
| Claviculectomy partial (23120) |
$2,594.34 |
$4,769 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$731.14 |
$1,344 |
2.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$4,357.98 |
$8,011 |
17.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$949.28 |
$1,745 |
3.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,147.71 |
$3,948 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,314.03 |
$2,415.50 |
5.1× |
| Closed Rx Radial Shaft Fx (25500) |
$1,040.40 |
$1,912.50 |
4.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,332.94 |
$4,288.50 |
1.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$715.36 |
$1,315 |
2.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,265.62 |
$2,326.50 |
5.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$894.61 |
$1,644.50 |
3.5× |
| Closed treat wrist dislocation (25660) |
$1,396.99 |
$2,568 |
5.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$507.01 |
$932 |
2.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$590.78 |
$1,086 |
0.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,302.34 |
$2,394 |
5.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,280.03 |
$2,353 |
5.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,267.80 |
$6,007 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,100.51 |
$2,023 |
4.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,095.89 |
$2,014.50 |
4.3× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,060.26 |
$1,949 |
4.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,129.34 |
$2,076 |
4.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$1,212.58 |
$2,229 |
4.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,494.64 |
$2,747.50 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,031.30 |
$3,734 |
8.0× |
| Closed Treatment Sternum Fracture (21820) |
$681.64 |
$1,253 |
2.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$897.60 |
$1,650 |
3.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,820.22 |
$3,346 |
7.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,127.58 |
$3,911 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,117.10 |
$2,053.50 |
4.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,114.80 |
$3,887.50 |
8.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,004.77 |
$1,847 |
3.9× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,697.15 |
$4,958 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,158.99 |
$2,130.50 |
4.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,568.22 |
$4,721 |
1.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,171.10 |
$3,991 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,237.74 |
$4,113.50 |
8.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,072.22 |
$1,971 |
4.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,847.70 |
$3,396.50 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,453.30 |
$2,671.50 |
5.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,127.86 |
$3,911.50 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,706.80 |
$3,137.50 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$874.20 |
$1,607 |
3.4× |
| Closed tx septal&nose fx (21337) |
$1,707.62 |
$3,139 |
0.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$932.96 |
$1,715 |
3.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,447.86 |
$2,661.50 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$135.32 |
$248.75 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,316.90 |
$4,259 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,111.66 |
$2,043.50 |
4.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,569.44 |
$2,885 |
6.1× |
| Closure of gastrostomy, surgical (43870) |
$3,073.60 |
$5,650 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$750.45 |
$1,379.50 |
3.1× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$699.58 |
$1,286 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$810.83 |
$1,490.50 |
3.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,425.82 |
$2,621 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,774.80 |
$3,262.50 |
6.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,223.87 |
$4,088 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,271.60 |
$2,337.50 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,286.56 |
$2,365 |
5.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,686.94 |
$3,101 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,368.16 |
$2,515 |
5.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,392.37 |
$2,559.50 |
5.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,148.66 |
$2,111.50 |
4.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,523.47 |
$2,800.50 |
6.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$682.99 |
$1,255.50 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,021.90 |
$1,878.50 |
4.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,194.78 |
$5,872.75 |
1.9× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,544.83 |
$4,678 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,801.87 |
$5,150.50 |
1.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$2,212.99 |
$4,068 |
8.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$3,064.62 |
$5,633.50 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,194.36 |
$5,872 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$706.92 |
$1,299.50 |
2.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$891.34 |
$1,638.50 |
3.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$740.38 |
$1,361 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$671.30 |
$1,234 |
2.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,758.48 |
$3,232.50 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,659.20 |
$3,050 |
6.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$621.52 |
$1,142.50 |
2.4× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$878.02 |
$1,614 |
3.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,425.01 |
$2,619.50 |
0.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,090.60 |
$3,843 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,122.68 |
$3,902 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$502.66 |
$924 |
2.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$4,647.94 |
$8,544 |
2.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,899.65 |
$3,492 |
6.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,185.38 |
$2,179 |
4.6× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,696.19 |
$3,118 |
6.6× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,214.62 |
$4,071 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,601.26 |
$2,943.50 |
6.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,100.78 |
$2,023.50 |
4.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,729.38 |
$3,179 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,220.46 |
$2,243.50 |
4.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$609.28 |
$1,120 |
0.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$483.34 |
$888.50 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$991.44 |
$1,822.50 |
3.9× |
| Cltx post ankle fx w/mnpj (27768) |
$1,783.78 |
$3,279 |
1.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,701.50 |
$4,966 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,166.88 |
$2,145 |
4.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,556.93 |
$2,862 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$839.12 |
$1,542.50 |
3.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,944.53 |
$3,574.50 |
1.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,357.82 |
$2,496 |
0.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,135.87 |
$2,088 |
4.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$436.83 |
$803 |
1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,828.66 |
$3,361.50 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,172.46 |
$3,993.50 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,044.62 |
$3,758.50 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,395.38 |
$6,241.50 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,757.66 |
$3,231 |
6.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$628.86 |
$1,156 |
2.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,336.76 |
$4,295.50 |
1.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$2,882.11 |
$5,298 |
11.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$843.74 |
$1,551 |
3.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$104.45 |
$192 |
0.8× |
| Colonoscopy flex w/blln dilat (45386) |
$1,744.61 |
$3,207 |
1.4× |
| Colonoscopy flex w/inj submuc (45381) |
$1,730.19 |
$3,180.50 |
1.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,914.06 |
$3,518.50 |
1.5× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,614.32 |
$2,967.50 |
1.3× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
unusually low: confirm this is the full procedure |
$2,308.19 |
$4,243 |
0.4× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,979.62 |
$3,639 |
1.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,615.68 |
$2,970 |
1.3× |
| Colonoscopy stoma w/biopsy (44389) |
$1,618.13 |
$2,974.50 |
1.3× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$2,502.94 |
$4,601 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$1,943.71 |
$3,573 |
1.6× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,381.22 |
$2,539 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,435.88 |
$2,639.50 |
1.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,914.60 |
$3,519.50 |
1.5× |
| Colonoscopy w/ablation (45388) |
$2,070.74 |
$3,806.50 |
1.7× |
| Colonoscopy w/band ligation (45398) |
$2,081.07 |
$3,825.50 |
1.7× |
| Colonoscopy w/endoscopic fnb (45392) |
$2,300.58 |
$4,229 |
1.9× |
| Colonoscopy w/fb removal (45379) |
$1,934.46 |
$3,556 |
1.6× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,258.69 |
$4,152 |
1.8× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$2,002.19 |
$3,680.50 |
0.7× |
Colpocleisis (le fort type) (57120)
unusually low: confirm this is the full procedure |
$1,821.31 |
$3,348 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$379.17 |
$697 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$271.46 |
$499 |
1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$350.34 |
$644 |
1.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,002.32 |
$1,842.50 |
0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$719.71 |
$1,323 |
0.2× |
| Colposcopy vulva (56820) |
$267.65 |
$492 |
1.3× |
| Colposcopy vulva w/biopsy (56821) |
$357.95 |
$658 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$325.31 |
$598 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$379.17 |
$697 |
0.4× |
| Combined anteroposterior colporrhaphy; (57260) |
$2,781.47 |
$5,113 |
0.5× |
| Complex Uroflowmetry (51741) |
$277.44 |
$510 |
1.2× |
| Conization of cervix (57520) |
$1,226.18 |
$2,254 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$361.48 |
$664.50 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$354.69 |
$652 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$380.26 |
$699 |
2.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$738.21 |
$1,357 |
1.3× |
| Conversion ext bil drg cath (47535) |
$3,682.88 |
$6,770 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$927.52 |
$1,705 |
0.5× |
| Convert nephrostomy catheter (50434) |
$3,859.68 |
$7,095 |
1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,377.68 |
$2,532.50 |
0.8× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$368.83 |
$678 |
0.8× |
| Correction hammertoe (28285) |
$2,418.08 |
$4,445 |
0.7× |
| Correction of bunion (28292) |
$5,300.19 |
$9,743 |
1.6× |
Correction of bunion (28297)
likely a partial charge, not the full procedure |
$3,518.59 |
$6,468 |
0.3× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$161.84 |
$297.50 |
1.2× |
| Cover eye w/membrane (65778) |
$7,070.37 |
$12,997 |
6.9× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge, not the full procedure |
$1,330.62 |
$2,446 |
0.2× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$101.18 |
$186 |
1.7× |
| Csf shunt reprogram (62252) |
$140.90 |
$259 |
0.4× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,314.30 |
$2,416 |
5.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$429.76 |
$790 |
3.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$579.22 |
$1,064.75 |
0.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,767.72 |
$3,249.50 |
0.8× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$2,626.16 |
$4,827.50 |
0.7× |
| Cysto w/destruction of lesions (52214) |
$2,108.82 |
$3,876.50 |
0.6× |
| Cysto w/insert ureteral stent (52332) |
$3,261 |
$5,994.50 |
0.9× |
| Cysto w/removal of tumors small (52234) |
$1,991.31 |
$3,660.50 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$867.41 |
$1,594.50 |
0.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,629.15 |
$4,833 |
0.7× |
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure |
$2,080.12 |
$3,823.75 |
0.4× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$1,496 |
$2,750 |
0.3× |
| Cystometrogram w/vp (51728) |
$868.22 |
$1,596 |
1.2× |
| Cystometrogram W/Vp&Up (51729) |
$1,183.20 |
$2,175 |
1.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,031.71 |
$5,573 |
1.4× |
| Cystouretero & or pyeloscope (52351) |
$1,395.90 |
$2,566 |
0.4× |
| Cystourethroscopy (52000) |
$907.94 |
$1,669 |
1.3× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$2,351.71 |
$4,323 |
0.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$983.55 |
$1,808 |
0.5× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,115.74 |
$2,051 |
0.3× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
unusually low: confirm this is the full procedure |
$1,857.76 |
$3,415 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,013.34 |
$3,701 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$143.62 |
$264 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,748.14 |
$3,213.50 |
0.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$2,735.78 |
$5,029 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,038.22 |
$1,908.50 |
1.4× |
| Debride nail 1-5 (11720) |
$84.59 |
$155.50 |
1.4× |
| Debride nail 6 or more (11721) |
$103.63 |
$190.50 |
1.7× |
| Debride skin musc at fx site (11011) |
$1,826.75 |
$3,358 |
2.5× |
| Debride tissue/muscle (11043) |
$968.86 |
$1,781 |
1.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$470.56 |
$865 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$286.14 |
$526 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$563.58 |
$1,036 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,782.69 |
$3,277 |
1.0× |
| Declot vascular device (36593) |
$282.88 |
$520 |
0.8× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,129.34 |
$2,076 |
0.7× |
| Decompression of lower leg (27600) |
$1,114.66 |
$2,049 |
0.3× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$987.36 |
$1,815 |
0.5× |
| Delivery placenta separate procedure (59414) |
$921.54 |
$1,694 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,731.82 |
$3,183.50 |
0.9× |
| Destroy internal hemorrhoids (46930) |
$717.80 |
$1,319.50 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,765.28 |
$3,245 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$346.80 |
$637.50 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$235.82 |
$433.50 |
1.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,527.01 |
$2,807 |
1.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,008.85 |
$1,854.50 |
1.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$596.77 |
$1,097 |
1.9× |
| Destruction Lesions Vulva Simple (56501) |
$421.06 |
$774 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$356.32 |
$655 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$286.14 |
$526 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$422.96 |
$777.50 |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$289.41 |
$532 |
1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$458.32 |
$842.50 |
2.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$500.21 |
$919.50 |
2.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$536.66 |
$986.50 |
1.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$359.04 |
$660 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$283.42 |
$521 |
1.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$328.03 |
$603 |
1.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$486.88 |
$895 |
2.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$399.30 |
$734 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$341.09 |
$627 |
0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$187.68 |
$345 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,459.28 |
$2,682.50 |
0.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$448.26 |
$824 |
0.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$442.28 |
$813 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$283.42 |
$521 |
1.4× |
| Destruction Vaginal Lesions Simple (57061) |
$385.15 |
$708 |
0.1× |
| Diagnostic anoscopy (46601) |
$827.42 |
$1,521 |
1.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$803.22 |
$1,476.50 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$599.22 |
$1,101.50 |
0.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$852.99 |
$1,568 |
0.7× |
| Dilate urethra stricture (53600) |
$185.50 |
$341 |
0.7× |
| Dilation and curettage (58120) |
$1,053.18 |
$1,936 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$818.18 |
$1,504 |
0.9× |
| Dilation esophagus over guide wire (43453) |
$854.08 |
$1,570 |
0.4× |
| Dilation Nasolacrimal Duct (68801) |
$310.08 |
$570 |
0.7× |
| Dilation of anal sphincter (45905) |
$1,960.58 |
$3,604 |
1.6× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045)
unusually low: confirm this is the full procedure |
$2,552.99 |
$4,693 |
0.4× |
| Disarticulation At Knee (27598) |
$7,386.98 |
$13,579 |
2.2× |
Division of scalenus anticus; with resection of cervical rib Facility (21705)
unusually low: confirm this is the full procedure |
$2,791.26 |
$5,131 |
0.4× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$888.62 |
$1,633.50 |
0.5× |
| Drain lower leg bursa (27604) |
$1,471.52 |
$2,705 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$786.90 |
$1,446.50 |
1.1× |
| Drain shoulder bursa (23031) |
$1,099.97 |
$2,022 |
0.4× |
| Drain Spinal Cord Cyst (62268) |
$1,461.73 |
$2,687 |
1.6× |
| Drain/inj small joint/bursa w/us (20604) |
$990.08 |
$1,820 |
3.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$558.96 |
$1,027.50 |
2.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$713.73 |
$1,312 |
1.3× |
| Drainage external auditory canal abscess (69020) |
$418.34 |
$769 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$664.76 |
$1,222 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$855.98 |
$1,573.50 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$537.20 |
$987.50 |
2.6× |
| Drainage Mouth Roof Lesion (42000) |
$608.19 |
$1,118 |
2.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$761.06 |
$1,399 |
1.4× |
| Drainage of gum lesion (41800) |
$935.14 |
$1,719 |
6.8× |
| Drainage of hematoma/fluid (10140) |
$971.04 |
$1,785 |
0.6× |
| Drainage of hydrocele (55000) |
$267.10 |
$491 |
0.4× |
| Drainage of mouth lesion (41017) |
$1,982.88 |
$3,645 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$754.26 |
$1,386.50 |
0.4× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,972.96 |
$5,465 |
0.9× |
| Draw blood off venous device (36591) |
$93.02 |
$171 |
0.7× |
| Dressing change under anesthesia (15852) |
$153.95 |
$283 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$491.78 |
$904 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$407.18 |
$748.50 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$252.69 |
$464.50 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$1,722.30 |
$3,166 |
0.6× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$287.23 |
$528 |
0.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$377.26 |
$693.50 |
1.8× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$2,385.44 |
$4,385 |
2.6× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,306.68 |
$2,402 |
1.4× |
| Dx bone marrow bx & aspir (38222) |
$772.75 |
$1,420.50 |
0.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$660.14 |
$1,213.50 |
0.4× |
Ear Cartilage Graft (21235)
unusually low: confirm this is the full procedure |
$1,961.12 |
$3,605 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,270.11 |
$4,173 |
1.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,368.16 |
$2,515 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,800.92 |
$3,310.50 |
0.9× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,112.90 |
$3,884 |
1.1× |
| Egd control bleeding any (43255) |
$1,756.04 |
$3,228 |
0.9× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$764.86 |
$1,406 |
0.2× |
| Egd dilate stricture (43245) |
$1,475.06 |
$2,711.50 |
0.7× |
| Egd endo mucosal resection (43254) |
$1,723.12 |
$3,167.50 |
0.9× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$1,819.14 |
$3,344 |
0.3× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,445.95 |
$2,658 |
0.7× |
| Egd flexible foreign body removal (43247) |
$1,429.09 |
$2,627 |
1.5× |
| Egd guide wire insertion (43248) |
$1,359.46 |
$2,499 |
1.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,658.38 |
$3,048.50 |
0.8× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,255.97 |
$4,147 |
1.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,018.24 |
$3,710 |
1.0× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$1,874.62 |
$3,446 |
0.2× |
| Egd place gastrostomy tube (43246) |
$1,783.23 |
$3,278 |
0.9× |
| Egd remove lesion snare (43251) |
$1,659.74 |
$3,051 |
0.8× |
| Egd tube/cath insertion (43241) |
$1,242.50 |
$2,284 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,979.62 |
$3,639 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$2,148.80 |
$3,950 |
1.1× |
Egd w/transmural drain cyst (43240)
unusually low: confirm this is the full procedure |
$2,968.06 |
$5,456 |
0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$585.34 |
$1,076 |
1.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$610.91 |
$1,123 |
1.9× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$5,874.52 |
$10,798.75 |
1.0× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
likely a partial charge, not the full procedure |
$1,055.36 |
$1,940 |
0.2× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$4,744.77 |
$8,722 |
0.8× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
likely a partial charge, not the full procedure |
$961.79 |
$1,768 |
0.2× |
| EMG anal/urethral sphincter (51785) |
$436.29 |
$802 |
1.7× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$449.34 |
$826 |
3.4× |
| Endometrial Biopsy (58100) |
$297.02 |
$546 |
1.4× |
| Endoscopic us exam esoph (43237) |
$1,732.64 |
$3,185 |
0.9× |
| Endoscopy bowel pouch/biop (44386) |
$1,225.90 |
$2,253.50 |
1.3× |
| Endoscopy of bowel pouch (44385) |
$685.98 |
$1,261 |
0.7× |
| Endoscopy Upper Small Intestine (44360) |
$1,323.01 |
$2,432 |
0.7× |
| Endoven ther chem adhes 1st (36482) |
$3,347.23 |
$6,153 |
0.6× |
| Endovenous rf 1st vein (36475) |
$5,044.10 |
$9,272.25 |
1.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,172.19 |
$3,993 |
1.1× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,779.97 |
$3,272 |
0.9× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,873.82 |
$7,121 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$4,336.77 |
$7,972 |
1.3× |
| Ercp Duct Stent Placement (43274) |
$3,974.46 |
$7,306 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,722.72 |
$5,005 |
0.7× |
| Ercp ea duct/ampulla dilate (43277) |
$3,159.55 |
$5,808 |
0.8× |
| Ercp lithotripsy calculi (43265) |
$3,578.43 |
$6,578 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,009.95 |
$5,533 |
0.8× |
| Ercp remove forgn body duct (43275) |
$3,141.06 |
$5,774 |
1.6× |
| Ercp sphincter pressure meas (43263) |
$2,854.91 |
$5,248 |
1.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$4,256.26 |
$7,824 |
0.7× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,350.50 |
$6,159 |
0.8× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,710.21 |
$4,982 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,184.58 |
$5,854 |
0.8× |
| Escharotomy initial incision (16035) |
$580.45 |
$1,067 |
1.4× |
| Esoph Scope W/Submucous Inj (43201) |
$979.74 |
$1,801 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,364.08 |
$2,507.50 |
1.5× |
| Esophagoscopy control bleed (43227) |
$1,456.29 |
$2,677 |
0.7× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,095.07 |
$2,013 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$1,296.35 |
$2,383 |
0.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,388.29 |
$2,552 |
0.7× |
| Esophagoscopy flexible guide wire dilation (43226) |
$1,141.86 |
$2,099 |
0.6× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$599.49 |
$1,102 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$827.70 |
$1,521.50 |
0.9× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$1,979.62 |
$3,639 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,447.04 |
$2,660 |
0.7× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,722.30 |
$3,166 |
0.9× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$1,370.34 |
$2,519 |
0.7× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$1,524.83 |
$2,803 |
0.8× |
Esophagoscopy transoral stent placement (43212)
likely a partial charge, not the full procedure |
$1,437.79 |
$2,643 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$980.83 |
$1,803 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,275.14 |
$2,344 |
0.6× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,304.51 |
$2,398 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$110.70 |
$203.50 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,662.34 |
$4,894 |
1.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,834.91 |
$3,373 |
1.1× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,897.34 |
$5,326 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,827.56 |
$3,359.50 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$346.26 |
$636.50 |
0.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$322.04 |
$592 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$528.77 |
$972 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$607.10 |
$1,116 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$484.98 |
$891.50 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$2,252.16 |
$4,140 |
1.3× |
| Exc back tum deep < 5 cm (21932) |
$2,885.38 |
$5,304 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$564.13 |
$1,037 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$557.87 |
$1,025.50 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,936.10 |
$3,559 |
1.1× |
| Exc ganglion wrist recurrent (25112) |
$685.98 |
$1,261 |
0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,324.92 |
$2,435.50 |
0.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$613.63 |
$1,128 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,421.47 |
$2,613 |
0.9× |
| Exc neck tum deep < 5 cm (21556) |
$1,892.04 |
$3,478 |
0.6× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,544.29 |
$4,677 |
1.3× |
| Exc rect tum transanal part (45171) |
$2,749.38 |
$5,054 |
1.0× |
| Exc skin abd (15830) |
$5,453.60 |
$10,025 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$437.65 |
$804.50 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$400.92 |
$737 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$680.82 |
$1,251.50 |
0.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$902.50 |
$1,659 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,007.76 |
$1,852.50 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$860.60 |
$1,582 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$967.24 |
$1,778 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,176.40 |
$2,162.50 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,063.80 |
$1,955.50 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,172.59 |
$2,155.50 |
0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,482.82 |
$4,564 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,284.13 |
$6,037 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$738.76 |
$1,358 |
0.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,503.49 |
$4,602 |
1.5× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,986.14 |
$3,651 |
1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,181.44 |
$4,010 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,595.70 |
$4,771.50 |
0.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$1,858.58 |
$3,416.50 |
0.6× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,285.89 |
$4,202 |
1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,377.82 |
$4,371 |
0.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,392.38 |
$6,236 |
1.1× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,940.18 |
$3,566.50 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,714.96 |
$3,152.50 |
1.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,368.58 |
$4,354 |
1.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,957.18 |
$5,436 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,452.22 |
$6,346 |
1.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,584.94 |
$2,913.50 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,778.88 |
$3,270 |
0.6× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$3,057.82 |
$5,621 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,731.42 |
$5,021 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,435.62 |
$2,639 |
0.5× |
| Exc/fulguration urethral caruncle (53265) |
$831.78 |
$1,529 |
0.4× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,166.36 |
$7,658.75 |
1.1× |
| Exchange nephrostomy cath (50435) |
$3,075.50 |
$5,653.50 |
1.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,073.73 |
$3,812 |
1.0× |
| Excise excessive skin arm (15836) |
$1,360 |
$2,500 |
0.5× |
| Excise pharynx lesion (42808) |
$527.68 |
$970 |
0.2× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,124.06 |
$7,581 |
1.7× |
| Excision Breast Lesion (19125) |
$2,161.86 |
$3,974 |
0.5× |
| Excision Chalazion Single (67800) |
$598.80 |
$1,100.75 |
1.8× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,691.30 |
$3,109 |
0.5× |
| Excision external ear partial simple repair (69110) |
$1,463.90 |
$2,691 |
0.5× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) |
$4,609.31 |
$8,473 |
0.6× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$645.73 |
$1,187 |
0.2× |
| Excision hydrocele bilateral (55041) |
$1,643.42 |
$3,021 |
0.4× |
| Excision lesion meniscus/capsule knee (27347) |
$2,217.89 |
$4,077 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$401.74 |
$738.50 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$598.40 |
$1,100 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$649.81 |
$1,194.50 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$886.72 |
$1,630 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$822.26 |
$1,511.50 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$527.95 |
$970.50 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$623.42 |
$1,146 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$709.92 |
$1,305 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$835.58 |
$1,536 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,028.98 |
$1,891.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$307.90 |
$566 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$602.75 |
$1,108 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$671.57 |
$1,234.50 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$784.72 |
$1,442.50 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$882.64 |
$1,622.50 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,515.04 |
$2,785 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$440.64 |
$810 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$492.32 |
$905 |
0.7× |
| Excision of chalazion; multiple, same lid (67801) |
$508.10 |
$934 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,445.95 |
$2,658 |
0.9× |
| Excision of hydrocele unilateral (55040) |
$1,797.38 |
$3,304 |
0.5× |
| Excision of infected graft; extremity Facility (35903) |
$2,415.36 |
$4,440 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,180.48 |
$2,170 |
1.1× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,635.81 |
$3,007 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$526.32 |
$967.50 |
0.3× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$1,122.82 |
$2,064 |
0.5× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$1,285.47 |
$2,363 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,213.66 |
$2,231 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$1,453.57 |
$2,672 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$743.38 |
$1,366.50 |
0.6× |
| Excision olecranon bursa (24105) |
$1,602.62 |
$2,946 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$2,260.86 |
$4,156 |
0.7× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,635.81 |
$3,007 |
0.5× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638)
unusually low: confirm this is the full procedure |
$3,312.42 |
$6,089 |
0.4× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,418.36 |
$4,445.50 |
0.8× |
| Excision prepatellar bursa (27340) |
$1,663.55 |
$3,058 |
0.5× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,917.87 |
$3,525.50 |
0.6× |
| Excision tendon finger flexor/extensor each (26180) |
$1,731.55 |
$3,183 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,042.18 |
$3,754 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,195.58 |
$4,036 |
0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,496.54 |
$2,751 |
0.9× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,764.19 |
$3,243 |
1.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,391.42 |
$4,396 |
1.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$1,523.20 |
$2,800 |
0.5× |
| Excision, nasal polyp(s), simple Facility (30110) |
$481.44 |
$885 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$1,586.30 |
$2,916 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,913.79 |
$3,518 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,206.59 |
$2,218 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,043.39 |
$1,918 |
0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,800.64 |
$3,310 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,036.74 |
$3,744 |
0.7× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$367.20 |
$675 |
0.1× |
| Excision; trochanteric bursa or calcification (27062) |
$2,013.34 |
$3,701 |
0.6× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$2,924.54 |
$5,376 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$2,539.39 |
$4,668 |
1.5× |
| Exploration of knee joint (27310) |
$3,218.85 |
$5,917 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$1,680.96 |
$3,090 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,704.62 |
$3,133.50 |
1.0× |
| Explore limb vessels (35860) |
$2,788 |
$5,125 |
0.9× |
| Explore/Treat Elbow Joint (24101) |
$2,235.30 |
$4,109 |
0.7× |
| Explore/Treat Knee Joint (27331) |
$2,106.91 |
$3,873 |
0.6× |
| External cephalic version (59412) |
$1,088.54 |
$2,001 |
0.3× |
| Fasciectomy Palm Only (26121) |
$2,655.81 |
$4,882 |
0.8× |
| Fasciotomy foot and/or toe (28008) |
$1,213.39 |
$2,230.50 |
0.4× |
| Fasciotomy Iliotibial Open (27305) |
$2,037.82 |
$3,746 |
0.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,037.57 |
$7,422 |
1.2× |
| Fetal non-stress test (59025) |
$212.44 |
$390.50 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$3,209.60 |
$5,900 |
4.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$610.10 |
$1,121.50 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$326.94 |
$601 |
0.8× |
| Fit/Insert Intravag Support Device (57160) |
$209.17 |
$384.50 |
1.0× |
| Fix Entropion,Extensv Lid Repair (67924) |
$4,389.40 |
$8,068.75 |
1.8× |
| Fixation of shoulder (23700) |
$863.33 |
$1,587 |
0.5× |
| Fluid pressure muscle (20950) |
$334.56 |
$615 |
0.5× |
| Fluoro exam of g/colon tube (49465) |
$220.04 |
$404.50 |
0.9× |
| Follow-up surgery of eye (66250) |
$3,275.15 |
$6,020.50 |
1.3× |
| Forehead flap w/vasc pedicle (15731) |
$3,225.10 |
$5,928.50 |
0.9× |
| Foreskin manipulation (54450) |
$187.95 |
$345.50 |
0.7× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,860.48 |
$3,420 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,608.06 |
$2,956 |
0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,026.40 |
$3,725 |
0.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,374.69 |
$2,527 |
0.6× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,190.56 |
$5,865 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$111.79 |
$205.50 |
0.5× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$3,404.35 |
$6,258 |
1.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,043.66 |
$1,918.50 |
1.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$2,751.55 |
$5,058 |
0.8× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
$631.58 |
$1,161 |
0.3× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,055.90 |
$1,941 |
0.3× |
| Hemorrhoidectomy (46255) |
$2,443.38 |
$4,491.50 |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,166.35 |
$5,820.50 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$4,461.34 |
$8,201 |
1.6× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,590.11 |
$2,923 |
0.6× |
| Hysteroscopy biopsy (58558) |
$3,946.44 |
$7,254.50 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$3,991.33 |
$7,337 |
0.8× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$1,292.54 |
$2,376 |
0.4× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$1,586.85 |
$2,917 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$646 |
$1,187.50 |
2.6× |
| I&d abscess simple (10060) |
$332.38 |
$611 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,457.79 |
$4,518 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,746.52 |
$3,210.50 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,154.10 |
$2,121.50 |
0.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,176.96 |
$5,840 |
0.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,027.90 |
$5,566 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$429.76 |
$790 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$744.74 |
$1,369 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$560.05 |
$1,029.50 |
1.8× |
| Ileoscopy stoma w/balloon dilation (44381) |
$827.97 |
$1,522 |
0.4× |
| Ileoscopy thru stoma (44380) |
$628.86 |
$1,156 |
0.7× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$770.85 |
$1,417 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$2,170.02 |
$3,989 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$2,516.28 |
$4,625.50 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,930.40 |
$7,225 |
2.3× |
| Implant neuroelectrodes (63650) |
$3,490.03 |
$6,415.50 |
0.5× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$5,171.81 |
$9,507 |
0.6× |
| Incise external hemorrhoid (46083) |
$768.94 |
$1,413.50 |
3.0× |
| Incise finger tendon sheath (26055) |
$2,113.98 |
$3,886 |
1.3× |
| Incise wrist/forearm tendon (25290) |
$2,352.26 |
$4,324 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$768.13 |
$1,412 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,027.76 |
$3,727.50 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$816.82 |
$1,501.50 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,773.71 |
$3,260.50 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$419.97 |
$772 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$604.92 |
$1,112 |
2.9× |
| Incision and drainage perianal abscess superficial (46050) |
$823.08 |
$1,513 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,416.30 |
$2,603.50 |
0.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$4,594.08 |
$8,445 |
0.6× |
| Incision bone cortex foot (28005) |
$2,577.47 |
$4,738 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$1,541.15 |
$2,833 |
0.9× |
| Incision of eardrum (69420) |
$413.98 |
$761 |
1.7× |
| Incision of eyelid fold (67715) |
$554.47 |
$1,019.25 |
0.2× |
| Incision of labial frenum (frenotomy) (40806) |
$354.14 |
$651 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$392.77 |
$722 |
0.2× |
| Incision of lymph channels (38308) |
$2,544.83 |
$4,678 |
0.6× |
| Incision of rectal abscess (46040) |
$2,261.14 |
$4,156.50 |
1.8× |
| Incision&drainage bursa foot (28001) |
$795.33 |
$1,462 |
0.5× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$4,659.90 |
$8,566 |
1.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$565.76 |
$1,040 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$328.03 |
$603 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$161.30 |
$296.50 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,506.48 |
$2,769.25 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$306.27 |
$563 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$290.76 |
$534.50 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,216.79 |
$2,236.75 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$549.98 |
$1,011 |
0.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$308.45 |
$567 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,095.49 |
$3,852 |
2.3× |
| Inject Intravitreal Pharmcologic (67028) |
$442.82 |
$814 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,269.70 |
$2,334 |
1.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$824.43 |
$1,515.50 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,379.86 |
$2,536.50 |
1.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$848.37 |
$1,559.50 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$528.50 |
$971.50 |
0.6× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,279.22 |
$2,351.50 |
1.4× |
| Inject Sinus Tract Theraputic (20500) |
$1,343.68 |
$2,470 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$303.01 |
$557 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,317.02 |
$2,421 |
1.8× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,258.27 |
$2,313 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$888.76 |
$1,633.75 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$548.90 |
$1,009 |
0.8× |
| Injection aa&/strd pudendal nerve (64430) |
$893.52 |
$1,642.50 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$612.82 |
$1,126.50 |
1.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$525.50 |
$966 |
1.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$784.44 |
$1,442 |
0.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$954.58 |
$1,754.75 |
1.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$807.43 |
$1,484.25 |
1.1× |
| Injection for identification of sentinel node (38792) |
$570.38 |
$1,048.50 |
1.4× |
| Injection into skin lesions (11900) |
$145.52 |
$267.50 |
0.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$580.99 |
$1,068 |
0.9× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$377.40 |
$693.75 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$300.97 |
$553.25 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$366.52 |
$673.75 |
1.2× |
| Injection(s) spider veins (36468) |
$305.18 |
$561 |
0.7× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$870.40 |
$1,600 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$175.71 |
$323 |
0.8× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,527.55 |
$2,808 |
1.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,577.60 |
$2,900 |
1.7× |
| Ins cath ren art 1st bilat (36252) |
$4,953.66 |
$9,106 |
1.5× |
| Ins cath ren art 1st unilat (36251) |
$3,558.85 |
$6,542 |
1.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,166.50 |
$7,659 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$11,841.25 |
$21,767 |
2.1× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
unusually low: confirm this is the full procedure |
$5,306.18 |
$9,754 |
0.5× |
| Ins tun ip cath for dial opn (49421) |
$1,595.55 |
$2,933 |
0.4× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$3,859.68 |
$7,095 |
0.1× |
| Insert and remove bone pin (20650) |
$5,034.18 |
$9,254 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$351.70 |
$646.50 |
2.6× |
| Insert cath pleura w/ image (32557) |
$2,883.34 |
$5,300.25 |
1.8× |
| Insert cath pleura w/o image (32556) |
$1,054.54 |
$1,938.50 |
0.5× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,890.94 |
$3,476 |
1.5× |
| Insert cervical dilator (59200) |
$166.74 |
$306.50 |
0.5× |
| Insert Drug Implant Device (11981) |
$339.32 |
$623.75 |
2.5× |
| Insert gastrostomy tube percutaneous (49440) |
$1,587.94 |
$2,919 |
0.8× |
| Insert heart pm atrial (33206) |
$12,211.17 |
$22,447 |
1.1× |
Insert heart pm ventricular (33207)
unusually low: confirm this is the full procedure |
$3,306.43 |
$6,078 |
0.3× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$2,943.04 |
$5,410 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,319.74 |
$2,426 |
0.4× |
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure |
$2,672.67 |
$4,913 |
0.2× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$3,124.74 |
$5,744 |
0.2× |
Insert pulse gen sngl lead (33212)
unusually low: confirm this is the full procedure |
$3,065.98 |
$5,636 |
0.4× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$2,829.34 |
$5,201 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$257.58 |
$473.50 |
1.9× |
| Insert tun ip cath perc (49418) |
$5,896.96 |
$10,840 |
1.6× |
| Insert tunneled cv cath (36561) |
$3,887.96 |
$7,147 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$171.90 |
$316 |
1.2× |
Insert/ replace infusn pump,programmable (62362)
likely a partial charge, not the full procedure |
$5,160.38 |
$9,486 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,344.68 |
$13,501.25 |
2.0× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)
unusually low: confirm this is the full procedure |
$5,745.18 |
$10,561 |
0.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,542.24 |
$2,835 |
2.4× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$992.26 |
$1,824 |
0.1× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
likely a partial charge, not the full procedure |
$2,428.42 |
$4,464 |
0.3× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure |
$2,316.90 |
$4,259 |
0.3× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$3,846.62 |
$7,071 |
0.4× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$3,423.39 |
$6,293 |
0.1× |
| Insj picc rs&i 5 yr+ (36573) |
$1,523.48 |
$2,800.50 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,112.64 |
$7,560 |
1.3× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure |
$1,713.60 |
$3,150 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,287.39 |
$6,043 |
1.0× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$5,098.91 |
$9,373 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,758.75 |
$3,233 |
0.2× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$3,447.87 |
$6,338 |
0.1× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$3,400 |
$6,250 |
0.1× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$2,607.66 |
$4,793.50 |
0.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,824.30 |
$3,353.50 |
1.3× |
| Intro cath dialysis circuit (36901) |
$3,163.90 |
$5,816 |
1.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$16,114.91 |
$29,623 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,699.52 |
$17,830 |
1.6× |
| Intro Gastrointestinal Tube (44500) |
$1,127.17 |
$2,072 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$548.35 |
$1,008 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$531.76 |
$977.50 |
2.1× |
| Knee Arthroscopy/Surgery (29879) |
$2,905.50 |
$5,341 |
0.9× |
| Labyrinthotomy Transcanal (69801) |
$994.43 |
$1,828 |
0.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$12,735.72 |
$23,411.25 |
1.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$11,367.42 |
$20,896 |
1.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$9,894.27 |
$18,188 |
1.3× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,347.36 |
$4,315 |
0.4× |
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure |
$1,504.70 |
$2,766 |
0.2× |
| Lap paraesoph her rpr w/mesh (43282) |
$7,389.15 |
$13,583 |
0.7× |
| Lap paraesophag hern repair (43281) |
$6,575.33 |
$12,087 |
0.6× |
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure |
$1,559.65 |
$2,867 |
0.2× |
| Laparoscopy appendectomy (44970) |
$5,082.59 |
$9,343 |
0.8× |
| Laparoscopy biopsy (49321) |
$4,885.94 |
$8,981.50 |
0.8× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure |
$4,327.52 |
$7,955 |
0.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$3,376.20 |
$6,206.25 |
0.5× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$5,180.52 |
$9,523 |
0.8× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure |
$2,811.94 |
$5,169 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure |
$3,459.84 |
$6,360 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552)
unusually low: confirm this is the full procedure |
$3,330.37 |
$6,122 |
0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,989.98 |
$11,011 |
1.0× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure |
$2,683.55 |
$4,933 |
0.4× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$3,062.04 |
$5,628.75 |
0.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,018.53 |
$7,387 |
0.6× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
unusually low: confirm this is the full procedure |
$2,510.56 |
$4,615 |
0.4× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$1,259.63 |
$2,315.50 |
0.2× |
| Laryngoscopy diagnostic (31505) |
$167.01 |
$307 |
0.8× |
| Laryngoscopy flexible diagnostic (31575) |
$383.52 |
$705 |
1.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$823.62 |
$1,514 |
2.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,811.39 |
$5,168 |
1.5× |
| Laser surgery of eye (65855) |
$1,309.95 |
$2,408 |
2.3× |
| Late closure of wound (13160) |
$1,911.07 |
$3,513 |
0.5× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$1,039.72 |
$1,911.25 |
0.3× |
| Ligate leg veins radical (37760) |
$4,574.50 |
$8,409 |
1.4× |
| Ligate/strip long leg vein (37722) |
$1,745.15 |
$3,208 |
0.5× |
| Ligate/strip short leg vein (37718) |
$1,338.24 |
$2,460 |
0.4× |
| Ligation of a-v fistula (37607) |
$3,212.86 |
$5,906 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,802.28 |
$3,313 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$1,405.15 |
$2,583 |
0.8× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,797.12 |
$6,980 |
1.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,432.35 |
$2,633 |
0.4× |
| Lithotripsy (50590) |
$8,077.31 |
$14,848 |
2.2× |
| Liver Biopsy (47000) |
$788.52 |
$1,449.50 |
0.5× |
| Lyse chest fibrin init day (32561) |
$503.20 |
$925 |
0.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$444.45 |
$817 |
0.7× |
| Manipulat Palm Cord Post Inj (26341) |
$525.50 |
$966 |
2.1× |
| Manipulation knee joint under general anesthesia (27570) |
$1,700.82 |
$3,126.50 |
1.0× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$1,232.70 |
$2,266 |
0.8× |
| Mast mod rad (19307) |
$3,803.65 |
$6,992 |
0.6× |
| Mastectomy for gynecomastia (19300) |
$1,891.49 |
$3,477 |
0.5× |
| Mastectomy partial (19301) |
$2,588.76 |
$4,758.75 |
0.6× |
| Mastectomy simple complete (19303) |
$6,066.28 |
$11,151.25 |
0.9× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,088 |
$2,000 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,439.42 |
$2,646 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$2,382.18 |
$4,379 |
0.7× |
| Mohs 1 stage h/n/hf/g (17311) |
$1,302.34 |
$2,394 |
1.7× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$1,188.10 |
$2,184 |
1.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$2,037.28 |
$3,745 |
0.6× |
| Myelography Lumbar Injection (62305) |
$1,452.48 |
$2,670 |
1.8× |
| Myelography Lumbar Injection (62304) |
$1,079.30 |
$1,984 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,154.37 |
$2,122 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,131.52 |
$2,080 |
1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$538.02 |
$989 |
0.7× |
| N Block Inj, Plantar Digit (64455) |
$525.50 |
$966 |
1.7× |
| Nasal endoscopy dx (31231) |
$560.04 |
$1,029.50 |
2.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$658.78 |
$1,211 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$828.24 |
$1,522.50 |
0.4× |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure |
$547.81 |
$1,007 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$226.30 |
$416 |
0.5× |
| Needle biopsy of pancreas (48102) |
$909.02 |
$1,671 |
0.5× |
Nerve repair w/allograft (64910)
unusually low: confirm this is the full procedure |
$3,200.35 |
$5,883 |
0.4× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$1,487.84 |
$2,735 |
0.7× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,948.20 |
$3,581.25 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,841.98 |
$3,386 |
0.9× |
| Nipple exploration (19110) |
$698.50 |
$1,284 |
0.2× |
| Njx aa&/strd sciatic nerve (64445) |
$1,267.24 |
$2,329.50 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$714.27 |
$1,313 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$230.38 |
$423.50 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$866.60 |
$1,593 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,993.09 |
$5,502 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$683.81 |
$1,257 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$803.22 |
$1,476.50 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$663.14 |
$1,219 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,473.70 |
$2,709 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$775.74 |
$1,426 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$949.82 |
$1,746 |
1.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,798.46 |
$3,306 |
0.8× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,256.10 |
$2,309 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,314.99 |
$4,255.50 |
3.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$940.44 |
$1,728.75 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$491.78 |
$904 |
1.2× |
| Obstructive material removal from gi tube (49460) |
$418.88 |
$770 |
0.4× |
| Occipital Nerve Block (64405) |
$473.68 |
$870.75 |
1.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,488.93 |
$2,737 |
0.4× |
| Open bone biopsy (20250) |
$1,543.87 |
$2,838 |
0.5× |
| Open thrombect av fistula (36831) |
$3,813.98 |
$7,011 |
0.7× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$3,248.63 |
$5,971.75 |
0.4× |
| Open treatment calcaneal fracture (28415) |
$4,989.57 |
$9,172 |
0.7× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$4,947.14 |
$9,094 |
0.4× |
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure |
$3,269.44 |
$6,010 |
0.4× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$2,675.39 |
$4,918 |
0.4× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,518.72 |
$4,630 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
unusually low: confirm this is the full procedure |
$2,887.01 |
$5,307 |
0.4× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure |
$3,168.80 |
$5,825 |
0.4× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$4,217.09 |
$7,752 |
0.3× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$4,221.98 |
$7,761 |
0.6× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630)
unusually low: confirm this is the full procedure |
$3,017.57 |
$5,547 |
0.4× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$4,114.27 |
$7,563 |
1.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579)
likely a partial charge, not the full procedure |
$2,554.62 |
$4,696 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515)
unusually low: confirm this is the full procedure |
$2,956.64 |
$5,435 |
0.4× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
unusually low: confirm this is the full procedure |
$2,997.98 |
$5,511 |
0.4× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge, not the full procedure |
$3,584.96 |
$6,590 |
0.3× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge, not the full procedure |
$3,930.94 |
$7,226 |
0.3× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$4,357.44 |
$8,010 |
0.6× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545)
unusually low: confirm this is the full procedure |
$2,762.98 |
$5,079 |
0.4× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$2,437.12 |
$4,480 |
0.3× |
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure |
$3,690.50 |
$6,784 |
0.5× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$3,874.91 |
$7,123 |
0.3× |
Open tx acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure |
$2,578.02 |
$4,739 |
0.3× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$1,396.45 |
$2,567 |
0.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$2,525.25 |
$4,642 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,000.18 |
$9,191.50 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,562.10 |
$2,871.50 |
0.5× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$3,936.52 |
$7,236.25 |
0.5× |
Open tx humeral supracondylar fracture w/o xtn (24545)
unusually low: confirm this is the full procedure |
$4,067.49 |
$7,477 |
0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,911.76 |
$5,352.50 |
0.9× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,636.22 |
$4,846 |
0.8× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$3,884.70 |
$7,141 |
0.5× |
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure |
$2,887.01 |
$5,307 |
0.4× |
| Open/Perq Place Stent Same (37238) |
$15,005.70 |
$27,584 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$18,018.64 |
$33,122.50 |
1.5× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure |
$3,643.17 |
$6,697 |
0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$5,779.32 |
$10,623.75 |
0.8× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$3,261.28 |
$5,995 |
0.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,358.67 |
$9,850.50 |
0.7× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$3,134.80 |
$5,762.50 |
0.2× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$5,176.70 |
$9,516 |
0.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,036.60 |
$3,743.75 |
0.5× |
| Ostectomy calcaneus (28118) |
$2,195.04 |
$4,035 |
0.6× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,266.30 |
$4,166 |
0.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,613.24 |
$4,803.75 |
0.8× |
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure |
$2,900.61 |
$5,332 |
0.4× |
P-mastectomy w/ln removal (19302)
unusually low: confirm this is the full procedure |
$3,100.26 |
$5,699 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,501.31 |
$4,598 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,280.99 |
$4,193 |
0.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,164.03 |
$3,978 |
1.3× |
| Partial removal of thyroid (60220) |
$3,213.95 |
$5,908 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,638.53 |
$3,012 |
0.5× |
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure |
$3,062.18 |
$5,629 |
0.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$411.26 |
$756 |
0.1× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$4,177.38 |
$7,679 |
0.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$970.22 |
$1,783.50 |
1.3× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$1,974.72 |
$3,630 |
0.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,160.22 |
$3,971 |
0.7× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$3,971.20 |
$7,300 |
0.5× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$2,149.89 |
$3,952 |
0.6× |
| Pericardiocentesis W/Imaging (33016) |
$1,166.34 |
$2,144 |
0.7× |
| Peritoneal Lavage (49084) |
$263.84 |
$485 |
0.3× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$5,247.97 |
$9,647 |
0.3× |
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure |
$1,944.26 |
$3,574 |
0.1× |
| Perq dev breast 1st mr guide (19287) |
$1,896.38 |
$3,486 |
2.6× |
| Perq dev breast 1st strtctc (19283) |
$897.60 |
$1,650 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$1,054 |
$1,937.50 |
1.4× |
| Perq device breast 1st imag (19281) |
$978.66 |
$1,799 |
0.6× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,632.70 |
$8,516 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$727.60 |
$1,337.50 |
2.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,064.34 |
$1,956.50 |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,950.11 |
$5,423 |
0.9× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$20,112.77 |
$36,972 |
1.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$18,060.26 |
$33,199 |
1.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,398.69 |
$17,277 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,260.12 |
$18,860.50 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$10,299.56 |
$18,933 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$6,779.87 |
$12,463 |
2.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$7,215.07 |
$13,263 |
2.1× |
| Phleb veins - extrem 20+ (37766) |
$2,199.12 |
$4,042.50 |
0.7× |
| Picc line placement (36569) |
$1,156.82 |
$2,126.50 |
0.7× |
| Place Cath Subclavian Art (36225) |
$10,163.55 |
$18,683 |
3.1× |
| Place Cath Thoracic Aorta (36221) |
$4,293.25 |
$7,892 |
1.3× |
| Place Cath Vertebral Art (36226) |
$11,178.66 |
$20,549 |
1.9× |
| Place duod/jej tube perc (49441) |
$2,397.41 |
$4,407 |
1.2× |
| Placement needle head/neck radioelement applicat (41019) |
$3,676.35 |
$6,758 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$225.76 |
$415 |
0.5× |
| Placement of seton (46020) |
$1,142.94 |
$2,101 |
0.4× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,621.95 |
$6,658 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,441.66 |
$17,356 |
1.5× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$11,238.50 |
$20,659 |
1.8× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$2,102.02 |
$3,864 |
1.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,256.27 |
$11,500.50 |
2.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,983.30 |
$5,484 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$13,833.65 |
$25,429.50 |
3.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$10,564.75 |
$19,420.50 |
2.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$8,002.92 |
$14,711.25 |
2.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure |
$2,257.06 |
$4,149 |
0.4× |
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013)
likely a partial charge, not the full procedure |
$552.16 |
$1,015 |
0.1× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$2,422.84 |
$4,453.75 |
0.1× |
| Probe nasolacrimal duct (68810) |
$746.37 |
$1,372 |
2.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$638.11 |
$1,173 |
0.7× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$1,003.41 |
$1,844.50 |
0.8× |
| Proctosigmoid w/biopsy (45305) |
$983.55 |
$1,808 |
0.8× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$1,089.09 |
$2,002 |
0.4× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$1,342.59 |
$2,468 |
2.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$854.62 |
$1,571 |
1.2× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$14,396.96 |
$26,465 |
2.2× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$11,517.57 |
$21,172 |
1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$7,641.02 |
$14,046 |
2.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,511.55 |
$13,808 |
2.0× |
| Prq skel fixj metar fx w/manj (28476) |
$1,673.89 |
$3,077 |
0.5× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$2,117.79 |
$3,893 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$269.28 |
$495 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$335.38 |
$616.50 |
0.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$552.84 |
$1,016.25 |
1.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$165.38 |
$304 |
0.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$792.61 |
$1,457 |
1.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,672.67 |
$4,913 |
0.8× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$6,109.12 |
$11,230 |
2.0× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$3,708.45 |
$6,817 |
2.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Facility (22905) |
$4,643.58 |
$8,536 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$4,068.03 |
$7,478 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
$1,970.37 |
$3,622 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,275.82 |
$4,183.50 |
1.1× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$1,951.33 |
$3,587 |
0.6× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$1,369.24 |
$2,517 |
1.4× |
| Realignment extensor tendon hand each tendon (26437) |
$2,411.55 |
$4,433 |
0.7× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure |
$3,268.90 |
$6,009 |
0.4× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Facility (26500)
unusually low: confirm this is the full procedure |
$2,451.81 |
$4,507 |
0.3× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342)
unusually low: confirm this is the full procedure |
$3,410.88 |
$6,270 |
0.5× |
| Relieve inner eye pressure (65820) |
$3,916.80 |
$7,200 |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$3,209.60 |
$5,900 |
1.5× |
| Rem Endovas Vena Cava Filter (37193) |
$5,005.89 |
$9,202 |
1.5× |
| Removal Anal Seton Other Marker (46030) |
$520.61 |
$957 |
0.4× |
| Removal biliary drg cath (47537) |
$1,005.31 |
$1,848 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,812.88 |
$3,332.50 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$1,635.54 |
$3,006.50 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,439.96 |
$2,647 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$868.22 |
$1,596 |
1.2× |
| Removal foreign body intranasal (30300) |
$1,017.68 |
$1,870.75 |
7.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$898.14 |
$1,651 |
0.5× |
| Removal foreign body pharynx (42809) |
$557.32 |
$1,024.50 |
1.2× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$1,226.72 |
$2,255 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75.34 |
$138.50 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$106.08 |
$195 |
1.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,927.66 |
$3,543.50 |
0.6× |
| Removal implant deep (20680) |
$2,888.64 |
$5,310 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,145.40 |
$2,105.50 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$373.46 |
$686.50 |
0.5× |
| Removal Intact Mammary Implant (19328) |
$952 |
$1,750 |
0.2× |
| Removal of anal fissure (46200) |
$1,651.58 |
$3,036 |
0.6× |
| Removal of arm foreign body (24200) |
$897.87 |
$1,650.50 |
0.5× |
| Removal of bone for graft (20902) |
$9,857.82 |
$18,121 |
1.3× |
| Removal of breast capsule (19371) |
$1,700 |
$3,125 |
0.4× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$693.60 |
$1,275 |
0.7× |
| Removal of embedded foreign body, eyelid (67938) |
$635.40 |
$1,168 |
1.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,016.06 |
$3,706 |
1.6× |
| Removal of finger lesion (26210) |
$1,766.37 |
$3,247 |
1.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$195.30 |
$359 |
0.4× |
| Removal of heel spur (28119) |
$1,964.38 |
$3,611 |
0.6× |
| Removal of implant material (19330) |
$958.80 |
$1,762.50 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$526.05 |
$967 |
0.8× |
| Removal of iud (58301) |
$279.62 |
$514 |
0.9× |
| Removal of knee cartilage (27332) |
$2,846.75 |
$5,233 |
0.8× |
| Removal of nail bed (11750) |
$500.75 |
$920.50 |
1.2× |
| Removal of salivary stone (42330) |
$654.43 |
$1,203 |
0.2× |
| Removal of sesamoid bone (28315) |
$1,799.55 |
$3,308 |
0.5× |
| Removal Of Tendon Lesion (27630) |
$2,090.05 |
$3,842 |
0.6× |
| Removal of testis (54520) |
$1,572.16 |
$2,890 |
0.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,439.42 |
$2,646 |
0.4× |
| Removal of wrist bone (25210) |
$1,943.17 |
$3,572 |
0.6× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,067.20 |
$3,800 |
0.2× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,003.82 |
$3,683.50 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$192.30 |
$353.50 |
0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$791.52 |
$1,455 |
1.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$322.59 |
$593 |
0.2× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,574.34 |
$2,894 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$194.48 |
$357.50 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$177.34 |
$326 |
0.6× |
| Remove anal fist subq (46270) |
$3,194.64 |
$5,872.50 |
1.1× |
| Remove drug implant device (11982) |
$278.26 |
$511.50 |
0.6× |
| Remove ext hem groups 2+ (46250) |
$1,680.42 |
$3,089 |
0.6× |
| Remove foreign body from eye (65235) |
$3,441.88 |
$6,327 |
1.4× |
| Remove intrvas foreign body (37197) |
$4,094.69 |
$7,527 |
1.3× |
| Remove Lower Leg Bone Lesion (27635) |
$2,564.42 |
$4,714 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$1,757.66 |
$3,231 |
0.6× |
Remove Prostate Regrowth (52630)
likely a partial charge, not the full procedure |
$1,589.57 |
$2,922 |
0.3× |
| Remove pulse generator (33241) |
$2,448 |
$4,500 |
0.6× |
| Remove renal tube w/fluoro (50389) |
$5,159.57 |
$9,484.50 |
7.1× |
| Remove spine eltrd perq aray (63661) |
$1,521.02 |
$2,796 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$2,134.66 |
$3,924 |
1.3× |
| Remove ureter stent, percut (50384) |
$2,182.53 |
$4,012 |
1.0× |
| Remove&replace pm gen singl (33227) |
$5,255.04 |
$9,660 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$422.14 |
$776 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$303.55 |
$558 |
2.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$190.12 |
$349.50 |
1.4× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$5,862.14 |
$10,776 |
0.3× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$5,478.62 |
$10,071 |
0.2× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$5,530.30 |
$10,166 |
0.2× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$5,205.54 |
$9,569 |
0.5× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$5,855.62 |
$10,764 |
0.3× |
| Renal Biopsy Percutaneous (50200) |
$1,662.46 |
$3,056 |
1.0× |
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure |
$2,928.90 |
$5,384 |
0.4× |
| Repair blood vessel direct hand finger (35207) |
$2,478.46 |
$4,556 |
0.8× |
| Repair blood vessel direct neck (35201) |
$3,468 |
$6,375 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,307.52 |
$6,080 |
1.0× |
| Repair blood vessel lesion (35190) |
$5,044.51 |
$9,273 |
0.9× |
| Repair blood vessel lesion (35236) |
$3,426.66 |
$6,299 |
0.6× |
| Repair brow defect (67900) |
$1,251.20 |
$2,300 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$940.30 |
$1,728.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,381.76 |
$2,540 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$904.40 |
$1,662.50 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,410.05 |
$2,592 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,162.53 |
$2,137 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,237.06 |
$2,274 |
2.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,039.86 |
$1,911.50 |
1.4× |
| Repair Ectropion Extensive (67917) |
$2,721.36 |
$5,002.50 |
1.1× |
| Repair Entropion Suture (67921) |
$2,109.09 |
$3,877 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,772.92 |
$6,935.50 |
2.3× |
| Repair eyelid defect (67923) |
$3,309.15 |
$6,083 |
1.3× |
| Repair eyelid defect (67904) |
$4,722.60 |
$8,681.25 |
1.9× |
| Repair forearm tendon/muscle (25260) |
$3,009.68 |
$5,532.50 |
0.9× |
| Repair hand tendon (26410) |
$3,708.45 |
$6,817 |
2.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,194.50 |
$4,034 |
0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,737.41 |
$5,032 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,496.42 |
$4,589 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,179 |
$5,843.75 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$996.34 |
$1,831.50 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$825.25 |
$1,517 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$739.30 |
$1,359 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,674.16 |
$3,077.50 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$908.48 |
$1,670 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$749.90 |
$1,378.50 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,095.34 |
$2,013.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$500.75 |
$920.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$604.38 |
$1,111 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,059.16 |
$1,947 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,374.69 |
$2,527 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,018.36 |
$1,872 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$640.02 |
$1,176.50 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$771.39 |
$1,418 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,129.34 |
$2,076 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$844.83 |
$1,553 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,187.28 |
$2,182.50 |
0.6× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$974.30 |
$1,791 |
0.2× |
| Repair lead pace-defib dual (33220) |
$3,057.82 |
$5,621 |
0.8× |
| Repair lead pace-defib one (33218) |
$2,572.03 |
$4,728 |
0.7× |
| Repair Lower Leg Tendons (27675) |
$2,095.49 |
$3,852 |
0.6× |
| Repair of leg tendon each (27658) |
$1,739.44 |
$3,197.50 |
0.5× |
| Repair of nail bed (11760) |
$476.82 |
$876.50 |
0.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$4,227.42 |
$7,771 |
0.6× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure |
$3,531.65 |
$6,492 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
unusually low: confirm this is the full procedure |
$3,738.91 |
$6,873 |
0.5× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$3,607.81 |
$6,632 |
0.5× |
Repair paravag defect vag (57285)
unusually low: confirm this is the full procedure |
$2,449.63 |
$4,503 |
0.3× |
| Repair radius & ulna (25415) |
$3,812.35 |
$7,008 |
0.5× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$3,125.28 |
$5,745 |
0.8× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure |
$3,091.01 |
$5,682 |
0.5× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,737.41 |
$5,032 |
0.7× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$3,599.65 |
$6,617 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$3,943.46 |
$7,249 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,674.70 |
$3,078.50 |
0.5× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure |
$3,138.34 |
$5,769 |
0.4× |
| Repair tongue laceration (41252) |
$918.82 |
$1,689 |
3.7× |
| Repair Tongue Laceration (41250) |
$688.98 |
$1,266.50 |
1.5× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$5,106.53 |
$9,387 |
0.7× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$2,278.27 |
$4,188 |
0.3× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202)
unusually low: confirm this is the full procedure |
$2,452.90 |
$4,509 |
0.3× |
Repair/revise wrist joint (25320)
unusually low: confirm this is the full procedure |
$3,630.11 |
$6,673 |
0.5× |
| Repeat control of nosebleed (30906) |
$549.44 |
$1,010 |
2.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$597.86 |
$1,099 |
0.6× |
| Replace eye fluid (67025) |
$2,431.14 |
$4,469 |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$428.67 |
$788 |
0.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$897.06 |
$1,649 |
1.0× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$6,887.04 |
$12,660 |
4.1× |
| Reposition cv cath w/fluoro (36597) |
$2,636.77 |
$4,847 |
1.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$654.43 |
$1,203 |
2.5× |
| Revise external ear (69300) |
$1,629.28 |
$2,995 |
0.5× |
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure |
$2,519.26 |
$4,631 |
0.3× |
Revise knuckle with implant (26531)
unusually low: confirm this is the full procedure |
$2,348.45 |
$4,317 |
0.3× |
| Revise Lower Leg Tendon (27691) |
$4,005.47 |
$7,363 |
0.5× |
Revise spine eltrd perq aray (63663)
unusually low: confirm this is the full procedure |
$3,222.66 |
$5,924 |
0.5× |
| Revise ulnar nerve at elbow (64718) |
$2,177.63 |
$4,003 |
1.1× |
| Revise/Remove Neuroreceiver (63688) |
$1,376.86 |
$2,531 |
0.4× |
| Revision of iris (66761) |
$1,142.94 |
$2,101 |
2.0× |
| Revision of leg vein (37780) |
$2,254.88 |
$4,145 |
0.7× |
| Revision of lower leg tendon (27685) |
$2,589.44 |
$4,760 |
0.8× |
| Revision of tips (37183) |
$3,091.01 |
$5,682 |
0.5× |
| Revision of toe (28312) |
$1,539.52 |
$2,830 |
0.5× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure |
$6,362.62 |
$11,696 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$6,108.58 |
$11,229 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487)
unusually low: confirm this is the full procedure |
$7,610.56 |
$13,990 |
0.4× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
unusually low: confirm this is the full procedure |
$1,893.12 |
$3,480 |
0.3× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881)
unusually low: confirm this is the full procedure |
$1,747.87 |
$3,213 |
0.3× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
$3,163.90 |
$5,816 |
0.5× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$3,525.12 |
$6,480 |
0.6× |
Revj tot hip arthrp fem only w/wo algrft (27138)
unusually low: confirm this is the full procedure |
$6,611.78 |
$12,154 |
0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,733.87 |
$5,025.50 |
0.8× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$8,711.62 |
$16,014 |
1.5× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$19,194.50 |
$35,284 |
1.0× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$13,998.21 |
$25,732 |
0.7× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$27,132 |
$49,875 |
1.4× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$20,348.86 |
$37,406 |
1.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$16,404.32 |
$30,155 |
1.4× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$10,081.95 |
$18,533 |
0.8× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$9,406.30 |
$17,291 |
0.8× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$7,652.45 |
$14,067 |
0.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$7,747.65 |
$14,242 |
1.3× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$9,406.30 |
$17,291 |
0.8× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$7,583.90 |
$13,941 |
0.6× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$12,610.46 |
$23,181 |
0.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$10,120.03 |
$18,603 |
0.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$25,150.75 |
$46,233 |
1.3× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$21,174.66 |
$38,924 |
1.1× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$14,818.56 |
$27,240 |
0.8× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$11,261.89 |
$20,702 |
0.6× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,135.48 |
$5,763.75 |
1.4× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$859.79 |
$1,580.50 |
1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$537.48 |
$988 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$276.90 |
$509 |
2.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$223.31 |
$410.50 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,492.46 |
$2,743.50 |
0.5× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$3,452.77 |
$6,347 |
1.4× |
| Rmvl of subq defibrillator (33272) |
$2,480.10 |
$4,559 |
0.6× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$2,867.97 |
$5,272 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,217.34 |
$4,076 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,070.88 |
$5,645 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,460.10 |
$2,684 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$996.88 |
$1,832.50 |
1.5× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,357.15 |
$4,333 |
1.0× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$1,998.11 |
$3,673 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$1,388.29 |
$2,552 |
5.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,151.52 |
$3,955 |
1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,683.14 |
$3,094 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,042.05 |
$5,592 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,814.12 |
$5,173 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,555.58 |
$6,536 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,779.42 |
$3,271 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,610.40 |
$8,475 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,187.42 |
$4,021 |
0.6× |
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure |
$2,812.48 |
$5,170 |
0.4× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure |
$2,384.90 |
$4,384 |
0.4× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$3,122.83 |
$5,740.50 |
4.3× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$3,092.10 |
$5,684 |
0.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,182.94 |
$5,851 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,131.39 |
$3,918 |
1.3× |
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure |
$2,458.88 |
$4,520 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,174.50 |
$2,159 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$981.92 |
$1,805 |
4.0× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$5,503.65 |
$10,117 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,571.34 |
$2,888.50 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,413.32 |
$2,598 |
2.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,900.74 |
$3,494 |
1.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$1,878.43 |
$3,453 |
0.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$1,738.08 |
$3,195 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,249.46 |
$7,811.50 |
1.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,530.56 |
$6,490 |
1.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,510.98 |
$6,454 |
1.1× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$2,064.48 |
$3,795 |
0.6× |
| Sclerotx Fluid Collection (49185) |
$1,728.83 |
$3,178 |
1.0× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$3,333.09 |
$6,127 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$911.48 |
$1,675.50 |
0.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,226.44 |
$2,254.50 |
1.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,564.54 |
$2,876 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$256.76 |
$472 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$235.82 |
$433.50 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$298.66 |
$549 |
1.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$372.64 |
$685 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$318.24 |
$585 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$287.78 |
$529 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$304.64 |
$560 |
0.7× |
| Shoulder arthroscopy (29805) |
$1,976.35 |
$3,633 |
0.6× |
| Shoulder Arthroscopy/Surgery (29825) |
$2,588.90 |
$4,759 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$290.77 |
$534.50 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$423.50 |
$778.50 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$315.52 |
$580 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$409.36 |
$752.50 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$286.14 |
$526 |
1.4× |
| Sigmoidoscopy & decompress (45337) |
$896.51 |
$1,648 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,307.50 |
$2,403.50 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,527.55 |
$2,808 |
1.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,161.98 |
$2,136 |
1.2× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$787.17 |
$1,447 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,096.43 |
$2,015.50 |
1.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$970.50 |
$1,784 |
0.8× |
Sigmoidoscopy place stent (45347)
likely a partial charge, not the full procedure |
$1,370.88 |
$2,520 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$771.12 |
$1,417.50 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$988.99 |
$1,818 |
0.8× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,532.45 |
$2,817 |
1.2× |
| Simple Cystometrogram (51725) |
$633.76 |
$1,165 |
2.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$455.87 |
$838 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$321.50 |
$591 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$261.66 |
$481 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$825.25 |
$1,517 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$399.84 |
$735 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$342.18 |
$629 |
1.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$319.87 |
$588 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$335.38 |
$616.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$538.29 |
$989.50 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$371.55 |
$683 |
1.8× |
| Skin splt grft trnk/arm/leg (15100) |
$2,755.36 |
$5,065 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$803.49 |
$1,477 |
1.1× |
| Skin sub graft trnk/arm/leg (15271) |
$958.53 |
$1,762 |
1.3× |
| Skin sub grft t/arm/lg child (15273) |
$1,288.74 |
$2,369 |
0.6× |
| Skin tissue rearrangement (14040) |
$1,993.76 |
$3,665 |
0.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,718.37 |
$4,997 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$2,032.38 |
$3,736 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,294.75 |
$9,733 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,293.25 |
$7,892 |
1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,957.09 |
$14,627 |
1.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,953.38 |
$5,429 |
0.6× |
| Small Bowel Endoscopy (44373) |
$1,665.18 |
$3,061 |
0.8× |
| Small bowel endoscopy (44366) |
$2,075.36 |
$3,815 |
1.0× |
| Small bowel endoscopy (44364) |
$1,726.66 |
$3,174 |
0.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,123.23 |
$3,903 |
1.1× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,447.04 |
$2,660 |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$2,284.26 |
$4,199 |
1.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$3,196 |
$5,875 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$1,553.66 |
$2,856 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$342.72 |
$630 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$425.95 |
$783 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$546.99 |
$1,005.50 |
1.3× |
| Snip incision lacrimal punctum (68440) |
$431.12 |
$792.50 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,024.10 |
$5,559 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$650.62 |
$1,196 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$514.90 |
$946.50 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,301.40 |
$6,068.75 |
1.0× |
| Strapping ankle (29540) |
$72.08 |
$132.50 |
0.4× |
| Strapping elbow or wrist (29260) |
$128.38 |
$236 |
2.1× |
| Strapping hand/finger (29280) |
$84.59 |
$155.50 |
1.4× |
| Strapping knee (29530) |
$75.34 |
$138.50 |
0.5× |
| Strapping shoulder (29240) |
$78.88 |
$145 |
0.6× |
| Strapping toes (29550) |
$39.17 |
$72 |
0.6× |
| Strapping unna boot (29580) |
$298.52 |
$548.75 |
1.8× |
| Subconjunctival injection (68200) |
$128.93 |
$237 |
0.3× |
| Suction assisted lipectomy lower extremity (15879) |
$1,020 |
$1,875 |
0.3× |
| Suction assisted lipectomy; upper extremity (15878) |
$612 |
$1,125 |
0.3× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,387.62 |
$4,389 |
0.7× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$2,707.49 |
$4,977 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$178.98 |
$329 |
0.4× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$7,867.33 |
$14,462 |
0.3× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$2,817.38 |
$5,179 |
0.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,693.89 |
$4,952 |
0.8× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924)
likely a partial charge, not the full procedure |
$2,161.31 |
$3,973 |
0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,885.92 |
$5,305 |
0.9× |
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure |
$3,277.60 |
$6,025 |
0.4× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$2,105.28 |
$3,870 |
0.6× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,569.44 |
$2,885 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$622.88 |
$1,145 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,018.36 |
$1,872 |
0.6× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$1,725.02 |
$3,171 |
0.5× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$2,159.68 |
$3,970 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$975.12 |
$1,792.50 |
0.6× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$1,233.25 |
$2,267 |
0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,392.64 |
$2,560 |
0.8× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,790.72 |
$5,130 |
1.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,006.40 |
$1,850 |
1.4× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure |
$4,352 |
$8,000 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,374.82 |
$2,527.25 |
2.1× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
likely a partial charge, not the full procedure |
$1,179.94 |
$2,169 |
0.2× |
| Throat Surgery Procedure (42999) |
$458.59 |
$843 |
1.9× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
unusually low: confirm this is the full procedure |
$1,877.89 |
$3,452 |
0.3× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321)
unusually low: confirm this is the full procedure |
$2,262.50 |
$4,159 |
0.4× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$3,168.12 |
$5,823.75 |
0.5× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,921.02 |
$9,046 |
1.5× |
| Thrombolytic Art Therapy (37211) |
$8,171.42 |
$15,021 |
1.4× |
| Thrombolytic Venous Therapy (37212) |
$4,502.14 |
$8,276 |
1.4× |
| Thyroid biopsy (60100) |
$578.27 |
$1,063 |
0.8× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$7,181.34 |
$13,201 |
1.2× |
| Tnot elbow lateral/medial debride open (24358) |
$2,239.10 |
$4,116 |
0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,925.09 |
$5,377 |
0.9× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low: confirm this is the full procedure |
$6,409.95 |
$11,783 |
0.4× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
unusually low: confirm this is the full procedure |
$6,491.01 |
$11,932 |
0.4× |
| Total hip arthroplasty (27130) |
$6,980.88 |
$12,832.50 |
0.5× |
| Total Knee Arthroplasty (27447) |
$7,154.28 |
$13,151.25 |
0.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$449.89 |
$827 |
0.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,020.82 |
$1,876.50 |
4.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,159.26 |
$2,131 |
0.7× |
| Tracheotomy tube change (31502) |
$135.73 |
$249.50 |
0.6× |
| Transcatheter biopsy (37200) |
$6,086.27 |
$11,188 |
1.1× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,740.54 |
$6,876 |
0.7× |
| Transplant hand tendon (26480) |
$3,578.98 |
$6,579 |
1.1× |
| Transur electr resection of prostate (52601) |
$3,203.62 |
$5,889 |
0.6× |
| Transurethral resection bladder neck (52500) |
$1,927.94 |
$3,544 |
0.5× |
| Treat Big Toe Fracture (28505) |
$2,504.03 |
$4,603 |
0.7× |
| Treat clavicle dislocation (23540) |
$923.72 |
$1,698 |
3.6× |
| Treat clavicle fracture (23505) |
$1,552.58 |
$2,854 |
0.9× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,519.81 |
$4,632 |
0.2× |
Treat Elbow Fracture (24635)
unusually low: confirm this is the full procedure |
$2,843.49 |
$5,227 |
0.4× |
| Treat humerus fracture (24500) |
$900.32 |
$1,655 |
3.5× |
| Treat humerus fracture (23600) |
$1,151.38 |
$2,116.50 |
4.5× |
| Treat knee fracture (27532) |
$2,559.52 |
$4,705 |
0.8× |
| Treat Knee Fracture (27535) |
$3,917.89 |
$7,202 |
0.5× |
| Treat Knee Fracture(S) (27538) |
$630.50 |
$1,159 |
2.5× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$3,310.24 |
$6,085 |
0.4× |
| Treat Lower Leg Bone Lesion (27607) |
$2,774.94 |
$5,101 |
0.8× |
Treat Lower Leg Fracture (27828)
unusually low: confirm this is the full procedure |
$5,852.90 |
$10,759 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$1,121.73 |
$2,062 |
4.4× |
| Treat scapula fracture (23585) |
$4,270.12 |
$7,849.50 |
0.6× |
| Treat shoulder blade fx (23575) |
$2,245.09 |
$4,127 |
1.3× |
| Treat Thigh Fracture (27245) |
$5,347.52 |
$9,830 |
0.7× |
| Treat Thumb Dislocation (26641) |
$1,796.56 |
$3,302.50 |
7.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,077.54 |
$3,819 |
1.2× |
| Treat Vaginal Bleeding (57180) |
$662.59 |
$1,218 |
3.2× |
| Treat wrist bone fracture (25622) |
$1,619.49 |
$2,977 |
6.3× |
| Treat Wrist Bone Fracture (25630) |
$1,493.01 |
$2,744.50 |
5.8× |
| Treatment closed elbow dislocation req anes (24605) |
$2,121.32 |
$3,899.50 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,076.85 |
$1,979.50 |
4.2× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$2,978.94 |
$5,476 |
0.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$5,349.70 |
$9,834 |
0.7× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,237.60 |
$2,275 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,098.06 |
$2,018.50 |
4.3× |
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure |
$2,582.37 |
$4,747 |
0.3× |
| Trim skin lesion (11055) |
$128.66 |
$236.50 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$141.44 |
$260 |
0.7× |
| Trim skin lesions over 4 (11057) |
$105.54 |
$194 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$48.14 |
$88.50 |
0.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$10,518.24 |
$19,335 |
1.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$12,667.58 |
$23,286 |
2.1× |
| Tube thoracostomy includes water seal (32551) |
$1,005.58 |
$1,848.50 |
0.6× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$3,766.66 |
$6,924 |
0.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,807.71 |
$3,323 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,544.68 |
$2,839.50 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$694.14 |
$1,276 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$428.13 |
$787 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,388.84 |
$2,553 |
0.8× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$3,713.34 |
$6,826 |
0.3× |
| Tympanostomy (69433) |
$437.38 |
$804 |
0.8× |
| Tympanostomy general anesthesia (69436) |
$684.76 |
$1,258.75 |
0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$2,576.38 |
$4,736 |
0.7× |
| Unlisted Cardiac Surgery (33999) |
$15,036.16 |
$27,640 |
23.2× |
| Unlisted laparoscopic procedure liver (47379) |
$9,524.90 |
$17,509 |
1.5× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure |
$248.06 |
$456 |
0.0× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,034.69 |
$1,902 |
1.6× |
| Unlisted Procedure Small Intestine (44799) |
$1,240.86 |
$2,281 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,238.02 |
$4,114 |
3.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$286.14 |
$526 |
0.3× |
| Unlisted procedure, maternity care and delivery (59899) |
$208.90 |
$384 |
1.0× |
| Urine flow measurement (51736) |
$54.40 |
$100 |
0.4× |
| Urology Surgery Procedure (53899) |
$631.58 |
$1,161 |
2.4× |
| Us urine capacity measure (51798) |
$89.22 |
$164 |
1.5× |
| Vaginal delivery only (59409) |
$2,009.26 |
$3,693.50 |
0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$2,861.98 |
$5,261 |
0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$3,098.08 |
$5,695 |
0.6× |
| Vasc embolize/occlude artery (37242) |
$16,368.42 |
$30,089 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$8,964.03 |
$16,478 |
0.8× |
| Vasc embolize/occlude organ (37243) |
$19,182.53 |
$35,262 |
1.6× |
| Vasc embolize/occlude venous (37241) |
$9,469.95 |
$17,408 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,176.94 |
$2,163.50 |
0.5× |
| Venipuncture (36415) |
$20.13 |
$37 |
2.2× |
| Vulvectomy Simple Partial (56620) |
$2,084.61 |
$3,832 |
0.6× |
| Wedge excision skin nail fold (11765) |
$349.79 |
$643 |
0.8× |
| Wedging of cast (29740) |
$282.06 |
$518.50 |
1.0× |
| Windowing of cast (29730) |
$205.36 |
$377.50 |
1.2× |
| Wound Prep F/N/Hf/G (15004) |
$923.98 |
$1,698.50 |
2.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,180.48 |
$2,170 |
1.5× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$3,206.06 |
$5,893.50 |
0.6× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,749.12 |
$8,730 |
0.9× |