| Abd paracentesis (49082) |
$1,186.78 |
$1,977.97 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,506.56 |
$2,510.94 |
1.7× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$8,581.80 |
$14,303 |
0.8× |
Ablation bone tumor rf perq w/img gdn when done (20982)
unusually low — confirm this is the full procedure |
$8,657.72 |
$14,429.53 |
0.5× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$5,999.38 |
$9,998.97 |
1.0× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$7,553.70 |
$12,589.50 |
0.7× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$12,072.68 |
$20,121.14 |
1.1× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$7,311.32 |
$12,185.54 |
1.0× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$7,056.52 |
$11,760.88 |
1.2× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$5,938.20 |
$9,897 |
1.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$2,986.34 |
$4,977.24 |
1.4× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$2,830 |
$4,716.67 |
1.4× |
| Allogeneic lymphocyte infusions Donor Cell Infusions (38242) |
$3,062.92 |
$5,104.87 |
2.0× |
| Amniocentesis diagnostic (59000) |
$876.60 |
$1,461 |
0.9× |
| Amniocentesis therapeutic (59001) |
$672.92 |
$1,121.53 |
2.2× |
| Amnioinfusion (59070) |
$506.35 |
$843.92 |
1.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,579.62 |
$5,966.04 |
1.1× |
| Amputate metacarpal bone (26910) |
$5,248.75 |
$8,747.92 |
1.6× |
| Amputation of finger/thumb (26952) |
$4,448.69 |
$7,414.49 |
1.4× |
| Amputation of toe (28820) |
$2,914.52 |
$4,857.53 |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$2,860.10 |
$4,766.84 |
0.9× |
| Analyze infusn pump+reprogram (62368) |
$606.10 |
$1,010.17 |
2.0× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$397.99 |
$663.32 |
1.3× |
| Anoscopy diagnostic (46600) |
$373.79 |
$622.99 |
2.8× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$2,514.54 |
$4,190.90 |
3.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,033.56 |
$3,389.26 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$184.82 |
$308.04 |
3.1× |
| Application finger splint static (29130) |
$295.90 |
$493.16 |
2.2× |
| Application of hip spica cast; 1 leg Age Under 21 (29305) |
$895.29 |
$1,492.15 |
3.2× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$375 |
$625 |
1.3× |
| Application of long leg cast (thigh to toes); (29345) |
$464.51 |
$774.18 |
1.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$430.63 |
$717.71 |
2.6× |
| Application of plaster Velpeau cast to upper forearm and shoulder (29058) |
$278.22 |
$463.70 |
1.0× |
| Application of short arm splint (forearm to hand); static (29125) |
$343.44 |
$572.40 |
2.6× |
| Application of short leg cast (below knee to toes); (29405) |
$397.33 |
$662.22 |
1.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$451.71 |
$752.85 |
1.6× |
| Application of short leg splint (calf to foot) (29515) |
$381.82 |
$636.36 |
2.3× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$2,078.20 |
$3,463.66 |
1.0× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$511.83 |
$853.05 |
3.1× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$387.37 |
$645.62 |
1.4× |
| Application rigid total contact leg cast (29445) |
$609.70 |
$1,016.17 |
2.2× |
| Application, cast; figure-of-eight Age Under 21 (29049) |
$278.22 |
$463.70 |
1.0× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$278.22 |
$463.70 |
1.0× |
| Application, cast; shoulder to hand (long arm) (29065) |
$406.19 |
$676.99 |
1.4× |
| Apply hand/wrist cast (29085) |
$368.08 |
$613.47 |
2.3× |
| Apply long arm splint (29105) |
$359.74 |
$599.57 |
2.2× |
| Apply splint short arm dynamic (29126) |
$399.79 |
$666.32 |
3.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Age… (27742) |
$3,098.15 |
$5,163.58 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$613.06 |
$1,021.76 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,025.18 |
$1,708.63 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$662.38 |
$1,103.97 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,040.33 |
$1,733.89 |
3.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$558.32 |
$930.53 |
1.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$807.56 |
$1,345.94 |
2.6× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21 (25446) |
$18,190.19 |
$30,316.98 |
1.0× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$5,243.73 |
$8,739.55 |
21.2× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) |
$3,098.15 |
$5,163.58 |
0.9× |
| Aspirate pleura w/o imaging (32554) |
$1,403.41 |
$2,339.01 |
2.2× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$413.40 |
$689 |
1.3× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,791.59 |
$2,985.99 |
2.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$833.29 |
$1,388.81 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,585.80 |
$5,976.34 |
1.7× |
| Aspiration bladder needle (51100) |
$934.66 |
$1,557.76 |
3.7× |
| Augmentation, mandibular body or angle; prosthetic material Age Under 21 (21125) |
$3,115.01 |
$5,191.68 |
0.5× |
| Av fistula revision (36833) |
$7,740.32 |
$12,900.54 |
1.4× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$368.32 |
$613.86 |
1.8× |
Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553)
unusually low — confirm this is the full procedure |
$3,152.16 |
$5,253.60 |
0.5× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$6,928.64 |
$11,547.73 |
0.6× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low — confirm this is the full procedure |
$2,478 |
$4,130 |
0.4× |
| Biopsy bone open superficial (20240) |
$4,225.20 |
$7,042 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,097.01 |
$3,495.02 |
1.3× |
| Biopsy liver needle percutaneous (47000) |
$2,311.75 |
$3,852.92 |
1.4× |
| Biopsy lymph node (38505) |
$2,132.99 |
$3,554.99 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,743.70 |
$2,906.17 |
1.1× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$1,886.41 |
$3,144.02 |
0.7× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,044.68 |
$1,741.14 |
0.6× |
| Biopsy of cervix (57500) |
$1,268.54 |
$2,114.23 |
1.4× |
| Biopsy of ovary(s) (58900) |
$4,641.98 |
$7,736.64 |
1.4× |
| Biopsy of salivary gland; needle (42400) |
$1,061.02 |
$1,768.37 |
1.5× |
| Biopsy of uterus lining (58100) |
$368.21 |
$613.68 |
1.8× |
| Biopsy of voice box using an endoscope with mirror (31510) |
$3,560.37 |
$5,933.95 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,135.34 |
$6,892.23 |
1.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$4,196.54 |
$6,994.24 |
1.1× |
| Biopsy pleura percutaneous needle (32400) |
$2,065.25 |
$3,442.08 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$2,950.04 |
$4,916.74 |
1.8× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,189.17 |
$1,981.95 |
1.7× |
| Biopsy vaginal mucosa simple (57100) |
$1,723.48 |
$2,872.47 |
1.9× |
| Biopsy vulva/perineum 1 lesion (56605) |
$813.53 |
$1,355.89 |
0.9× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,779.27 |
$2,965.45 |
1.1× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,721.48 |
$2,869.13 |
1.0× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$2,850 |
$4,750 |
0.7× |
| Biopsy, soft tissue of shoulder area; deep Age Under 21 (23066) |
$3,018.43 |
$5,030.72 |
1.0× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$1,624.45 |
$2,707.42 |
1.0× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$3,322.67 |
$5,537.79 |
2.0× |
| Biopsy/removal lymph nodes (38510) |
$3,685.07 |
$6,141.79 |
0.9× |
| Bladder irrigation (51700) |
$558.18 |
$930.30 |
2.2× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$1,639.28 |
$2,732.14 |
5.1× |
| Bone marrow harvest allogen (38230) |
$4,654.20 |
$7,757 |
3.0× |
| Brain canal shunt procedure (61070) |
$964.42 |
$1,607.36 |
1.4× |
| Bx breast 1st lesion mr imag (19085) |
$2,992.50 |
$4,987.50 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,465 |
$5,775 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$2,863.01 |
$4,771.69 |
1.7× |
| Bx pancreas ndl perc (48102) |
$2,012.10 |
$3,353.50 |
1.2× |
| C/c 41008 exploration floor of mouth for submandibular duct (42699) |
$1,419.33 |
$2,365.55 |
6.0× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$2,299.57 |
$3,832.62 |
9.2× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$3,281.98 |
$5,469.96 |
16.2× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$3,276 |
$5,460 |
13.2× |
| Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Age Under 21 (23450) |
$8,070.30 |
$13,450.50 |
1.1× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Age Under 21 (28264) |
$1,551.05 |
$2,585.08 |
1.0× |
| Car-t therapy autol car-t cell administration (38228) |
$2,819.12 |
$4,698.54 |
8.5× |
| Cardiac surg procedure unlist (33999) |
$13,402.94 |
$22,338.24 |
21.3× |
| Care of miscarriage (59820) |
$3,820.53 |
$6,367.55 |
1.2× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$6,515.57 |
$10,859.29 |
26.3× |
| Cast short arm (29075) |
$331.13 |
$551.89 |
1.2× |
| Casting/strapping procedure (29799) |
$442.48 |
$737.46 |
2.7× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$5,026.78 |
$8,377.97 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$492.56 |
$820.93 |
2.0× |
| Change g-tube to g-j perc (49446) |
$1,821.50 |
$3,035.83 |
0.9× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,202.63 |
$2,004.38 |
1.7× |
| Change of windpipe airway (31502) |
$540.67 |
$901.11 |
2.3× |
| Chemical cauterization of granulation tissue (17250) |
$404.04 |
$673.40 |
2.0× |
| Chemical peel of deep layer of nonfacial skin (15793) |
$383.41 |
$639.02 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$945.25 |
$1,575.42 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$959.16 |
$1,598.60 |
1.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$894.50 |
$1,490.83 |
1.3× |
| Chemodenerv trunk musc 6/> (64647) |
$585.91 |
$976.52 |
0.8× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$674.98 |
$1,124.97 |
1.0× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$804.05 |
$1,340.08 |
2.6× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$567.57 |
$945.95 |
1.8× |
| Chest tube placement (32551) |
$1,699.35 |
$2,832.25 |
1.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,539.45 |
$4,232.42 |
1.2× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,299 |
$5,498.33 |
0.9× |
| Circumcision, Newborn (54150) |
$1,316.70 |
$2,194.50 |
0.6× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$2,265.58 |
$3,775.96 |
3.2× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$1,018.32 |
$1,697.20 |
3.3× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$1,090.69 |
$1,817.81 |
3.5× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,893.85 |
$3,156.41 |
1.2× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,849 |
$3,081.67 |
1.1× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,664.66 |
$2,774.43 |
1.0× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,248.77 |
$2,081.28 |
5.0× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$417.82 |
$696.36 |
1.7× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$3,299.25 |
$5,498.75 |
2.0× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$543.23 |
$905.39 |
2.2× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$565.33 |
$942.21 |
2.3× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$2,642.32 |
$4,403.86 |
1.6× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$722.16 |
$1,203.60 |
2.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$899.37 |
$1,498.95 |
3.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$613.13 |
$1,021.89 |
2.5× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$426.82 |
$711.36 |
1.7× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,299.30 |
$3,832.17 |
1.4× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,904.47 |
$4,840.78 |
1.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$439.01 |
$731.69 |
1.8× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$380.08 |
$633.46 |
1.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,190.24 |
$5,317.06 |
2.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$466.10 |
$776.83 |
1.9× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$3,548.94 |
$5,914.90 |
2.2× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$1,337.47 |
$2,229.12 |
0.8× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,400.08 |
$4,000.13 |
1.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$851.09 |
$1,418.49 |
3.4× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$2,789.60 |
$4,649.33 |
1.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$840.97 |
$1,401.61 |
3.4× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$519.12 |
$865.20 |
2.1× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,488.06 |
$4,146.76 |
1.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$600.60 |
$1,001 |
2.4× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$742.85 |
$1,238.09 |
3.0× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$491.88 |
$819.80 |
2.0× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$3,420.52 |
$5,700.86 |
2.1× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,804.33 |
$4,673.89 |
1.7× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$2,644.37 |
$4,407.28 |
1.6× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$487.48 |
$812.46 |
2.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$715.30 |
$1,192.17 |
2.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$580.89 |
$968.15 |
2.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$537.73 |
$896.21 |
2.2× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$534.99 |
$891.65 |
2.2× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,152.26 |
$3,587.10 |
1.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$841.75 |
$1,402.91 |
3.4× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$1,725.70 |
$2,876.17 |
1.1× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,286.78 |
$2,144.63 |
0.8× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$3,563.60 |
$5,939.34 |
1.1× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,843.91 |
$3,073.18 |
1.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$593.29 |
$988.82 |
2.4× |
| Closed treatment of ulnar styloid fracture (25650) |
$676.59 |
$1,127.65 |
2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$896.26 |
$1,493.76 |
3.6× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,724.78 |
$2,874.63 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$719.35 |
$1,198.92 |
2.9× |
| Closed tx femoral fracture prox head w/manj (27268) |
$3,503.71 |
$5,839.52 |
2.2× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$1,322.09 |
$2,203.49 |
5.3× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$5,807.49 |
$9,679.15 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,890.77 |
$3,151.28 |
7.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$753.90 |
$1,256.50 |
3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,959.94 |
$3,266.56 |
1.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,903.87 |
$3,173.11 |
1.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$658 |
$1,096.66 |
2.7× |
| Closed tx septal&nose fx (21337) |
$3,278.68 |
$5,464.46 |
1.0× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$623.93 |
$1,039.88 |
2.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$747.31 |
$1,245.51 |
3.0× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$245.81 |
$409.68 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$733.69 |
$1,222.82 |
3.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,445.34 |
$5,742.23 |
2.2× |
| Closed tx vert fx w/manj (22315) |
$3,098.15 |
$5,163.58 |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$484.45 |
$807.41 |
2.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,392.18 |
$2,320.30 |
2.6× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,623.28 |
$4,372.14 |
1.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,678.17 |
$6,130.29 |
1.1× |
| Clsd tx pelvic ring fx (27197) |
$241.88 |
$403.14 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,190.24 |
$5,317.06 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,883.33 |
$3,138.89 |
1.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$718.72 |
$1,197.86 |
2.9× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$653.48 |
$1,089.13 |
2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$674.18 |
$1,123.63 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,901.44 |
$3,169.07 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$502.76 |
$837.94 |
2.0× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,966.30 |
$3,277.16 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$831.62 |
$1,386.04 |
3.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$646.30 |
$1,077.17 |
2.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,578.01 |
$2,630.01 |
1.0× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$1,296 |
$2,160 |
5.2× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$1,863.91 |
$3,106.51 |
6.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$554.24 |
$923.73 |
2.2× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$570.77 |
$951.28 |
2.3× |
| Cltx metar fx w/manj (28475) |
$537.31 |
$895.52 |
2.2× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$1,964.56 |
$3,274.27 |
1.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$480 |
$800 |
1.9× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,898.42 |
$3,164.03 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,234.41 |
$3,724.02 |
1.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$435.60 |
$726 |
1.8× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,834.38 |
$4,723.97 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$757.39 |
$1,262.32 |
3.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,630.97 |
$2,718.29 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$713.23 |
$1,188.72 |
2.9× |
| Collect blood from catheter venous nos (36592) |
$177.80 |
$296.34 |
1.3× |
| Collect blood from implant venous access device (36591) |
$187.33 |
$312.21 |
1.4× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$3,618.45 |
$6,030.75 |
1.1× |
| Colposcopy cervix (57452) |
$139.80 |
$233 |
0.7× |
| Colposcopy vulva (56820) |
$90 |
$150 |
0.4× |
| Colpotomy; with exploration Age Under 21 (57000) |
$2,788.64 |
$4,647.74 |
0.9× |
| Complete replacement picc rs&i (36584) |
$2,424.02 |
$4,040.04 |
1.5× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age… (67882) |
$2,470.39 |
$4,117.32 |
1.0× |
| Contrast injection perq radiologic eval gi tube (49465) |
$580.58 |
$967.63 |
2.4× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$644.57 |
$1,074.29 |
3.0× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$406.09 |
$676.81 |
3.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$480.93 |
$801.55 |
3.6× |
| Control throat bleeding (42960) |
$682.33 |
$1,137.21 |
1.3× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$4,534.14 |
$7,556.90 |
1.3× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$4,231.72 |
$7,052.86 |
2.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$3,190.95 |
$5,318.25 |
1.9× |
| Correction of bunion (28292) |
$6,354 |
$10,590 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$479.35 |
$798.91 |
3.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$450.77 |
$751.29 |
1.9× |
| Curettage postpartum (59160) |
$3,441.98 |
$5,736.64 |
1.1× |
| Cylinder cast (29365) |
$431.08 |
$718.46 |
1.5× |
| Cysto/uretero w/lithotripsy (52356) |
$4,748.22 |
$7,913.70 |
0.9× |
| Cystoscopy and treatment (52310) |
$2,659.14 |
$4,431.90 |
1.3× |
| Cystourethroscopy (52000) |
$1,671.23 |
$2,785.38 |
2.4× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,136.96 |
$5,228.27 |
0.9× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$3,398.11 |
$5,663.52 |
1.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$7,088.32 |
$11,813.87 |
2.2× |
| Deb skin bone at fx site (11012) |
$2,174.51 |
$3,624.18 |
0.7× |
| Debride skin at fx site (11010) |
$1,728.86 |
$2,881.43 |
2.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$602.45 |
$1,004.08 |
1.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$194.67 |
$324.45 |
3.3× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$208.55 |
$347.59 |
3.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$936.82 |
$1,561.36 |
2.3× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,732.56 |
$4,554.26 |
1.6× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,252.89 |
$2,088.15 |
1.7× |
| Declot vascular device (36593) |
$588.82 |
$981.37 |
1.8× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$3,408.30 |
$5,680.50 |
1.0× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$5,321.73 |
$8,869.55 |
2.7× |
| Deep muscle biopsy (20205) |
$3,111.06 |
$5,185.10 |
1.1× |
| Delivery of placenta (59414) |
$2,902.91 |
$4,838.18 |
0.9× |
| Destroy nerve face muscle (64612) |
$672.49 |
$1,120.82 |
2.2× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$421.06 |
$701.76 |
1.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$159.78 |
$266.30 |
0.8× |
| Destruction benign lesions up to 14 (17110) |
$210.98 |
$351.64 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,047.92 |
$3,413.20 |
2.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$2,792.73 |
$4,654.55 |
1.4× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$3,508.86 |
$5,848.10 |
3.9× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$3,071.57 |
$5,119.28 |
3.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,407.80 |
$4,013 |
1.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$406.42 |
$677.36 |
1.0× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$3,504 |
$5,840 |
1.1× |
| Diagnostic bone marrow aspirations (38220) |
$1,274.59 |
$2,124.32 |
0.8× |
| Diagnostic bone marrow biopsies (38221) |
$1,251.46 |
$2,085.77 |
0.8× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,462.85 |
$4,104.75 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,567.48 |
$2,612.46 |
2.2× |
| Dilate esophagus (43453) |
$1,641.50 |
$2,735.83 |
0.9× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$4,150.07 |
$6,916.78 |
1.3× |
| Dilation of cervical canal (57800) |
$4,715.67 |
$7,859.45 |
1.5× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$1,484.17 |
$2,473.61 |
1.6× |
| Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) |
$204.60 |
$341 |
1.6× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,386.89 |
$2,311.48 |
2.0× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$514.79 |
$857.98 |
2.1× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,745.07 |
$6,241.78 |
1.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$6,305.95 |
$10,509.92 |
1.1× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$226.75 |
$377.92 |
0.1× |
Division of scalenus anticus; without resection of cervical rib Age Under 21 (21700)
unusually low — confirm this is the full procedure |
$3,098.15 |
$5,163.58 |
0.4× |
| Division of stricture of rectum Age Under 21 (45150) |
$1,157.12 |
$1,928.54 |
1.0× |
| Drain bladder by trocar/cath (51101) |
$1,078 |
$1,796.66 |
1.2× |
| Drain lower leg lesion (27603) |
$4,248.29 |
$7,080.48 |
1.5× |
| Drain neck/chest lesion (21501) |
$2,727.07 |
$4,545.12 |
0.9× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$901.48 |
$1,502.46 |
3.8× |
| Drainage external auditory canal, abscess (69020) |
$3,079.39 |
$5,132.31 |
4.3× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$3,279.61 |
$5,466.01 |
2.0× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$911.75 |
$1,519.58 |
1.3× |
| Drainage finger abscess simple (26010) |
$483.56 |
$805.94 |
2.4× |
| Drainage of abscess of palate, uvula (42000) |
$594.13 |
$990.22 |
2.5× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$2,167.36 |
$3,612.26 |
1.0× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,617.30 |
$2,695.50 |
3.0× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$802.70 |
$1,337.84 |
1.1× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$3,113.71 |
$5,189.52 |
2.0× |
| Drainage of eye (65800) |
$1,824.02 |
$3,040.03 |
0.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,292.43 |
$3,820.72 |
1.4× |
| Drainage of hydrocele (55000) |
$732.01 |
$1,220.02 |
1.0× |
| Drainage of mouth lesion (41018) |
$1,304.89 |
$2,174.82 |
0.8× |
| Drainage of nose lesion (30020) |
$723.56 |
$1,205.93 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,081.13 |
$3,468.55 |
1.3× |
| Drainage of scrotum (54700) |
$3,961.13 |
$6,601.88 |
1.9× |
| Drainage of tonsil abscess (42700) |
$1,346.13 |
$2,243.55 |
5.7× |
| Dry needling (20999) |
$2,425.52 |
$4,042.54 |
9.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,333.38 |
$3,888.96 |
1.2× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,872.11 |
$4,786.85 |
1.5× |
| Dx laryngoscopy excl nb (31525) |
$2,296.96 |
$3,828.26 |
1.3× |
| Ed proc insert intraosseous IV (36680) |
$427.77 |
$712.95 |
1.0× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$378.35 |
$630.58 |
2.9× |
| Ed proc remve fb nasal- hospital (30300) |
$278.91 |
$464.85 |
2.1× |
| Ed prof arthrocentesis sm - hospital (20551) |
$399.14 |
$665.23 |
1.3× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$132.81 |
$221.35 |
1.0× |
| Ed prof burn - large - hospital (16030) |
$553.24 |
$922.06 |
1.4× |
| Ed prof burn medium - hospital (16025) |
$519.10 |
$865.17 |
2.6× |
| Ed prof burn small - hospital (16020) |
$437.98 |
$729.96 |
2.2× |
| Ed prof catheterization/straight (51701) |
$247.01 |
$411.68 |
1.8× |
| Ed prof closed tx post hip arthroplasty (27265) |
$925.21 |
$1,542.01 |
3.7× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$2,621.81 |
$4,369.68 |
1.6× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,857.14 |
$3,095.24 |
1.1× |
| Ed prof drain dental abscess-hospital (41800) |
$452.41 |
$754.02 |
3.4× |
| Ed prof insert foley cath simple (51702) |
$278.12 |
$463.54 |
2.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,303.69 |
$3,839.49 |
0.7× |
| Ed prof insertion of heart electr (33210) |
$7,179.40 |
$11,965.67 |
0.9× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,004.50 |
$1,674.16 |
2.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$835.04 |
$1,391.73 |
2.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$581.67 |
$969.45 |
2.3× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$441.42 |
$735.70 |
1.0× |
Egd w/transmural drain cyst (43240)
likely a partial charge — not the full procedure |
$700.80 |
$1,168 |
0.1× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$792.60 |
$1,321 |
2.6× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$430.56 |
$717.60 |
1.4× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$509.91 |
$849.85 |
1.7× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$6,723.23 |
$11,205.38 |
1.2× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$7,582.59 |
$12,637.65 |
1.4× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision (34203) |
$6,719.96 |
$11,199.93 |
1.2× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$407 |
$678.34 |
3.1× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$12,535.92 |
$20,893.20 |
1.1× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$8,309.10 |
$13,848.50 |
1.5× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,357.46 |
$2,262.44 |
0.7× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$2,089.73 |
$3,482.89 |
1.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Age Under 21 (25455) |
$3,098.15 |
$5,163.58 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$3,498.68 |
$5,831.13 |
1.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,054.75 |
$1,757.91 |
1.5× |
| Er orbit surgery procedure (67599) |
$334.84 |
$558.06 |
1.1× |
| Escharotomy 1st incision (16035) |
$693.60 |
$1,156 |
1.7× |
| Evac subungual hematoma (11740) |
$192.55 |
$320.91 |
1.4× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$1,833.43 |
$3,055.72 |
3.4× |
| Exc frenum labial/buccal (40819) |
$1,823.67 |
$3,039.45 |
1.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,663.16 |
$2,771.94 |
1.0× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$3,961.63 |
$6,602.72 |
1.1× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,433.46 |
$4,055.76 |
1.2× |
| Exchange transfusion, blood; newborn Age Under 21 (36450) |
$485.65 |
$809.42 |
1.1× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$862.75 |
$1,437.92 |
1.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,089.63 |
$3,482.72 |
1.1× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,551.05 |
$2,585.08 |
1.0× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$984.27 |
$1,640.45 |
0.6× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$3,694.96 |
$6,158.26 |
0.9× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$540.67 |
$901.11 |
2.7× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,764.81 |
$4,608.01 |
2.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$707.65 |
$1,179.41 |
1.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$1,466.01 |
$2,443.35 |
2.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$3,572.83 |
$5,954.72 |
2.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$1,358.40 |
$2,264 |
1.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$762.65 |
$1,271.09 |
1.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$2,061.19 |
$3,435.32 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,239.80 |
$8,733 |
1.8× |
| Explantation of cochlear implant electrode coil and/or receiver (69949) |
$17,114.99 |
$28,524.99 |
71.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,716.04 |
$2,860.06 |
1.0× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$5,309.71 |
$8,849.52 |
3.3× |
| Explore wound abdomen (20102) |
$2,929.84 |
$4,883.07 |
1.4× |
| Explore wound chest (20101) |
$2,063.39 |
$3,438.99 |
1.0× |
| Explore wound neck (20100) |
$1,185 |
$1,975 |
2.2× |
| Explore/treat hand joint (26070) |
$1,551.05 |
$2,585.08 |
1.0× |
| External cannula declotting (36860) |
$1,404.86 |
$2,341.44 |
0.9× |
| Extraction of lens (66940) |
$2,523.23 |
$4,205.38 |
1.1× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$2,412.60 |
$4,021 |
0.7× |
| Fetal contraction stress test (59020) |
$577.13 |
$961.89 |
2.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,727.84 |
$2,879.73 |
2.4× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,001.41 |
$1,669.02 |
1.4× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$506.97 |
$844.95 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,434.03 |
$2,390.05 |
2.0× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$3,233.54 |
$5,389.24 |
1.0× |
| Fluid pressure muscle (20950) |
$738.87 |
$1,231.45 |
1.0× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,003.75 |
$1,672.92 |
0.5× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$3,873.67 |
$6,456.12 |
1.9× |
| Ganglion impar nerve block (64999) |
$1,803.65 |
$3,006.09 |
5.8× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$310.25 |
$517.08 |
1.4× |
| Gastric lavage (43753) |
$505.63 |
$842.72 |
2.3× |
| Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing… (0430U) |
$1,050 |
$1,750 |
17.1× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$4,908.49 |
$8,180.82 |
2.5× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$810 |
$1,350 |
1.1× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$375.12 |
$625.19 |
10.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$5,102.99 |
$8,504.99 |
1.4× |
| Guide cathet fluid drainage (10030) |
$2,101.93 |
$3,503.22 |
3.0× |
| Harvest auto stem cells (38206) |
$4,395.59 |
$7,325.98 |
2.8× |
| Harvest cultured skin graft (15040) |
$1,829.30 |
$3,048.84 |
0.9× |
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240)
unusually low — confirm this is the full procedure |
$26,145 |
$43,575 |
0.4× |
| Hematopoietic progenitor cell (HPC); autologous transplantation Autologous Outpatient / Allogeneic Related Non ICU (38241) |
$9,000 |
$15,000 |
5.8× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$254.60 |
$424.33 |
0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,235.05 |
$8,725.08 |
1.9× |
| Hepcidin-25 elisa serum or plasma (0251U) |
$270 |
$450 |
15.6× |
| I&d abscess simple/single (10060) |
$552.47 |
$920.79 |
2.7× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$3,606.86 |
$6,011.43 |
1.2× |
| I&d hematoma/seroma/fluid (10140) |
$2,825.82 |
$4,709.70 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$868.38 |
$1,447.30 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,101.64 |
$10,169.40 |
2.1× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$4,382.90 |
$7,304.83 |
17.7× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$2,493.98 |
$4,156.64 |
1.5× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$2,628.93 |
$4,381.55 |
1.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,827.02 |
$4,711.70 |
1.7× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
unusually low — confirm this is the full procedure |
$3,448.30 |
$5,747.17 |
0.4× |
| Impression and custom preparation of speech aid prosthesis (21084) |
$2,709.12 |
$4,515.20 |
0.8× |
| Impression and custom preparation; interim obturator prosthesis Age Under 21 (21079) |
$2,803.51 |
$4,672.51 |
0.8× |
| Impression and custom preparation; palatal augmentation prosthesis Age Under 21 (21082) |
$3,115.01 |
$5,191.68 |
0.9× |
| Impression and custom preparation; palatal lift prosthesis (21083) |
$2,429.71 |
$4,049.51 |
0.7× |
| Incise & drain bladder (51040) |
$4,395.38 |
$7,325.64 |
2.1× |
| Incise external hemorrhoid (46083) |
$574.09 |
$956.82 |
2.3× |
| Incise/drain tear gland (68400) |
$953.40 |
$1,589 |
1.0× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$724.99 |
$1,208.31 |
1.8× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$531.05 |
$885.09 |
2.6× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$5,159.16 |
$8,598.60 |
1.9× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$2,029.23 |
$3,382.05 |
2.9× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$2,299.90 |
$3,833.16 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$640.96 |
$1,068.27 |
2.1× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$3,561.38 |
$5,935.64 |
1.2× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$2,668.63 |
$4,447.71 |
0.8× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,635.22 |
$2,725.37 |
1.8× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$2,922.16 |
$4,870.26 |
1.8× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,972.26 |
$4,953.76 |
1.8× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$687.57 |
$1,145.95 |
1.7× |
| Incision of eyelid fold (67715) |
$3,182.45 |
$5,304.09 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,163.78 |
$1,939.64 |
0.7× |
| Incision of rectal abscess (46040) |
$3,025.64 |
$5,042.74 |
2.5× |
| Incision of windpipe (31600) |
$4,866.73 |
$8,111.22 |
1.5× |
| Incision of windpipe (31603) |
$2,439.22 |
$4,065.37 |
1.6× |
| Incision&drainage bursa foot (28001) |
$1,814.47 |
$3,024.12 |
1.1× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21 (25001) |
$3,098.15 |
$5,163.58 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$597.84 |
$996.40 |
0.8× |
| Induced abortion by d&c (59840) |
$3,645.12 |
$6,075.20 |
1.1× |
| Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance… (0112U) |
$532.50 |
$887.50 |
1.5× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$177.03 |
$295.05 |
0.4× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$944.21 |
$1,573.68 |
2.8× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$306.52 |
$510.86 |
1.5× |
| Inj epidural blood or clot patch (62273) |
$1,657.72 |
$2,762.87 |
2.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,033.29 |
$3,388.81 |
2.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,005.41 |
$3,342.35 |
2.3× |
| Inj tx nerve (64640) |
$1,826.57 |
$3,044.28 |
2.1× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$240.24 |
$400.42 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,727.46 |
$4,545.77 |
3.8× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,845.79 |
$3,076.32 |
2.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,125.57 |
$1,875.95 |
1.3× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,864.07 |
$3,106.79 |
2.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$954.23 |
$1,590.39 |
1.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$982.78 |
$1,637.97 |
3.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$949.16 |
$1,581.94 |
1.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,445.51 |
$2,409.18 |
1.6× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,232.23 |
$2,053.71 |
1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$824.98 |
$1,374.96 |
1.2× |
| Injection aa&/strd pudendal nerve (64430) |
$1,083.05 |
$1,805.09 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,002.12 |
$3,336.86 |
2.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,386 |
$2,310 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$729.73 |
$1,216.22 |
2.4× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,925.20 |
$3,208.66 |
2.2× |
| Injection anes superior hypogastric plexus (64517) |
$1,973.95 |
$3,289.92 |
2.2× |
| Injection eye drug (67028) |
$763.99 |
$1,273.31 |
2.3× |
| Injection for identification of sentinel node (38792) |
$1,372.10 |
$2,286.83 |
3.4× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$1,006.81 |
$1,678.02 |
0.6× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$938.96 |
$1,564.93 |
1.5× |
| Injection sclerosing solution hemorrhoids (46500) |
$2,926.20 |
$4,877 |
3.1× |
| Injection therapeutic carpal tunnel (20526) |
$421.33 |
$702.21 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,394.61 |
$2,324.35 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,576.68 |
$2,627.80 |
1.8× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$1,440.61 |
$2,401.01 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$672.84 |
$1,121.40 |
0.9× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,908.87 |
$3,181.45 |
2.1× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$643.32 |
$1,072.20 |
2.1× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$696.43 |
$1,160.71 |
2.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$426.79 |
$711.32 |
1.4× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$2,060.18 |
$3,433.63 |
2.3× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$794.70 |
$1,324.50 |
2.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$238.77 |
$397.95 |
1.2× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$1,304.32 |
$2,173.87 |
1.5× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$1,673.66 |
$2,789.44 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$6,115.51 |
$10,192.52 |
1.9× |
| Ins cath ren art 1st unilat (36251) |
$4,518.19 |
$7,530.31 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,325.60 |
$5,542.66 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,124.20 |
$8,540.34 |
0.9× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$6,676.65 |
$11,127.75 |
1.2× |
| Ins vag brachytx device (57156) |
$967.24 |
$1,612.07 |
3.2× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$55,859.92 |
$93,099.87 |
1.8× |
| Insert and remove bone pin (20650) |
$4,433.36 |
$7,388.94 |
1.3× |
| Insert cervical dilator (59200) |
$633.07 |
$1,055.11 |
2.1× |
| Insert gastrostomy tube percutaneous (49440) |
$1,773.96 |
$2,956.60 |
0.9× |
| Insert heart pm atrial (33206) |
$17,237.01 |
$28,728.35 |
1.6× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,163.17 |
$3,605.28 |
0.7× |
| Insert pessary/other device (57160) |
$220.25 |
$367.08 |
1.1× |
| Insert pulse gen mult leads (33221) |
$19,886.41 |
$33,144.02 |
1.0× |
| Insert tun ip cath w/port (49419) |
$5,625.74 |
$9,376.23 |
1.0× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low — confirm this is the full procedure |
$2,649.97 |
$4,416.62 |
0.5× |
| Insert uteri tandem/ovoids (57155) |
$5,201.36 |
$8,668.93 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,189.50 |
$6,982.50 |
1.2× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age Under 21 (66183) |
$4,299.12 |
$7,165.20 |
1.0× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$31,662.03 |
$52,770.05 |
1.4× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$14,803.43 |
$24,672.38 |
1.4× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$11,936.76 |
$19,894.60 |
1.1× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$10,687.75 |
$17,812.91 |
1.3× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$2,436 |
$4,060 |
1.5× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$4,342.83 |
$7,238.05 |
1.2× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
unusually low — confirm this is the full procedure |
$9,031.93 |
$15,053.21 |
0.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$257.68 |
$429.47 |
1.2× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$6,396.57 |
$10,660.95 |
1.1× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$5,065.31 |
$8,442.19 |
1.6× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$4,455.62 |
$7,426.03 |
1.4× |
| Insertion of wedge in clubfoot cast (29750) |
$278.22 |
$463.70 |
1.0× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$9,537.90 |
$15,896.50 |
1.1× |
| Insertion phrenic nerve stimulator system (33276) |
$51,998.26 |
$86,663.76 |
1.2× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,925.40 |
$3,209 |
1.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,770.80 |
$4,618 |
1.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,505.20 |
$5,842 |
5.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,889.28 |
$13,148.80 |
0.9× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$4,657.46 |
$7,762.44 |
1.3× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$10,799.55 |
$17,999.25 |
1.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$11,589.58 |
$19,315.96 |
1.4× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$20,536.56 |
$34,227.60 |
2.0× |
| Insj intraperitoneal catheter w/img guid (49418) |
$5,254.83 |
$8,758.05 |
1.5× |
| Insj of subq implantable defibrillator electrode (33271) |
$12,133.56 |
$20,222.60 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,912.93 |
$6,521.55 |
1.2× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$2,572.70 |
$4,287.84 |
1.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$4,112.03 |
$6,853.39 |
1.3× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$43,324.90 |
$72,208.16 |
1.4× |
| Insrt heart pm atrial & vent (33208) |
$22,677.49 |
$37,795.82 |
2.2× |
| Insrt pulse gen w/dual leads (33230) |
$28,383.36 |
$47,305.60 |
1.3× |
| Insrt pulse gen w/mult leads (33231) |
$31,286.77 |
$52,144.61 |
1.0× |
| Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (50391) |
$755.39 |
$1,258.98 |
3.0× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$898.12 |
$1,496.87 |
1.4× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$1,140.62 |
$1,901.04 |
1.8× |
| Interdental fixation (21110) |
$3,063.92 |
$5,106.53 |
2.0× |
| Interdental wiring (21497) |
$3,241.68 |
$5,402.80 |
2.1× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,568.50 |
$2,614.16 |
2.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$1,576.20 |
$2,627 |
6.6× |
| Intraoral i&d tongue/floor submental space (41007) |
$2,797.80 |
$4,663 |
1.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,125.37 |
$3,542.28 |
0.6× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$2,957.99 |
$4,929.98 |
1.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$30,038.57 |
$50,064.29 |
2.6× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$11,404.22 |
$19,007.03 |
2.0× |
| Intubation endotracheal (31500) |
$655.46 |
$1,092.43 |
2.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$670.43 |
$1,117.39 |
2.7× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150) |
$230.40 |
$384 |
3.9× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$375.03 |
$625.05 |
10.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$6,731.17 |
$11,218.62 |
0.9× |
| Lap jejunostomy (44186) |
$5,698.48 |
$9,497.46 |
0.9× |
| Lap, cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (50549) |
$3,891.34 |
$6,485.56 |
0.6× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$3,495.74 |
$5,826.24 |
0.6× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$6,392.84 |
$10,654.72 |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$6,469.76 |
$10,782.94 |
1.1× |
| Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659) |
$6,267.42 |
$10,445.69 |
1.0× |
Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979)
unusually low — confirm this is the full procedure |
$2,890.09 |
$4,816.81 |
0.5× |
| Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579) |
$9,492.80 |
$15,821.34 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$6,637.99 |
$11,063.32 |
0.6× |
| Laparoscopy; w abd lymph node sampling (biopsy), single or multiple, other than retroperitoneal (38589) |
$10,488.59 |
$17,480.98 |
1.7× |
| Largsc w/ther injection (31573) |
$3,409.76 |
$5,682.93 |
1.9× |
| Laryngoscope w/vc inj (31570) |
$3,442.73 |
$5,737.88 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$1,867.86 |
$3,113.10 |
1.0× |
| Laryngoscopy flex diagnostic (31575) |
$469.04 |
$781.73 |
2.3× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$7,729.88 |
$12,883.13 |
2.1× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$3,336.26 |
$5,560.44 |
1.9× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$3,627.85 |
$6,046.42 |
2.0× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$800.06 |
$1,333.44 |
2.0× |
| Laryngoscopy indirect diagnostic (31505) |
$325.51 |
$542.52 |
1.6× |
| Laryngoscopy w stroboscopy (31579) |
$685.43 |
$1,142.39 |
1.7× |
| Laryngoscopy w/biopsy (31535) |
$3,236.70 |
$5,394.50 |
0.9× |
| Laryngoscopy w/foreign body removal (31530) |
$3,814.47 |
$6,357.45 |
2.1× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$3,236.70 |
$5,394.50 |
0.9× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$3,918.74 |
$6,531.23 |
1.0× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$4,513.06 |
$7,521.76 |
19.0× |
| Ligation of a-v fistula (37607) |
$5,893.65 |
$9,822.75 |
1.9× |
Ligation of abdomen artery (37617)
unusually low — confirm this is the full procedure |
$2,200.20 |
$3,667 |
0.4× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$3,182.01 |
$5,303.35 |
1.0× |
| Lip mucosa excision and reapproximation (40799) |
$433.65 |
$722.75 |
1.8× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$8,345.95 |
$13,909.92 |
2.4× |
| Long gi tube placement (44500) |
$1,036 |
$1,726.66 |
1.1× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$2,842.74 |
$4,737.90 |
11.5× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$1,123.09 |
$1,871.81 |
1.8× |
| Lumbar puncture (62270) |
$1,086.71 |
$1,811.19 |
1.5× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$1,776.24 |
$2,960.40 |
1.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$803.99 |
$1,339.98 |
1.1× |
| Marsupialization bartholin's gland cyst (56440) |
$2,844.41 |
$4,740.69 |
0.9× |
| Marsupialization of sublingual salivary cyst (ranula) Age Under 21 (42409) |
$2,635.12 |
$4,391.86 |
0.8× |
| Mastotomy expl drg absc dp (19020) |
$3,030.26 |
$5,050.44 |
1.8× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$178.36 |
$297.27 |
3.0× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$2,171.26 |
$3,618.76 |
3.4× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,405.26 |
$2,342.10 |
0.9× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$3,193.94 |
$5,323.24 |
1.0× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Age Under 21 (21060) |
$5,224.98 |
$8,708.30 |
0.9× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,780.58 |
$2,967.64 |
2.3× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$2,241.91 |
$3,736.52 |
2.8× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,508.95 |
$2,514.92 |
1.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,218.31 |
$3,697.18 |
2.8× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$489.15 |
$815.25 |
2.4× |
| Nasal surg proc unlisted (30999) |
$2,970.27 |
$4,950.45 |
12.5× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$456.46 |
$760.76 |
1.2× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$1,923.97 |
$3,206.62 |
1.1× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$2,872.59 |
$4,787.65 |
1.6× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,695.65 |
$11,159.42 |
1.1× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$442.53 |
$737.55 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$129.36 |
$215.60 |
4.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$131.95 |
$219.91 |
4.5× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$485.93 |
$809.88 |
1.9× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$1,141.80 |
$1,903 |
4.4× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$3,000 |
$5,000 |
1.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,893.83 |
$3,156.39 |
2.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,589.68 |
$2,649.47 |
1.8× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,238.55 |
$3,730.91 |
0.6× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$3,771.10 |
$6,285.16 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,883.09 |
$3,138.49 |
2.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,311.74 |
$2,186.24 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,586.71 |
$2,644.52 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,945.94 |
$3,243.24 |
2.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,105.75 |
$3,509.58 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,493.92 |
$2,489.87 |
1.7× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,453 |
$2,421.66 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,418.69 |
$2,364.48 |
2.0× |
| Non stress test (59025) |
$516.53 |
$860.88 |
2.5× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$5,498.01 |
$9,163.35 |
1.7× |
| Obstructive material removal from gi tube (49460) |
$761.49 |
$1,269.15 |
0.8× |
| Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic… (0250U) |
$3,503.52 |
$5,839.20 |
1.2× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$36,076.18 |
$60,126.96 |
1.2× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Age Under 21 (28446) |
$6,731.17 |
$11,218.62 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$12,905.86 |
$21,509.76 |
1.0× |
| Open Treatment Of Acute Or Chronic Elbow Dislocation (24615) |
$7,292.92 |
$12,154.86 |
1.0× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$5,003.40 |
$8,339 |
1.5× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$12,653 |
$21,088.34 |
1.0× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$3,478.12 |
$5,796.86 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$12,653 |
$21,088.34 |
1.0× |
| Open treatment of temporomandibular dislocation Age Under 21 (21490) |
$2,635.12 |
$4,391.86 |
0.8× |
| Open tx distal phalangeal fracture each (26765) |
$5,737.64 |
$9,562.74 |
1.7× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$3,476.21 |
$5,793.69 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,175.49 |
$8,625.81 |
1.6× |
| Open/perq placement intravascular stent initial (37236) |
$15,555.32 |
$25,925.54 |
1.3× |
| Open/perq placement intravascular stent same 1st (37238) |
$15,451.58 |
$25,752.63 |
1.3× |
| Palate/uvula surgery (42299) |
$243.44 |
$405.74 |
1.0× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$295.04 |
$491.73 |
1.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$258.65 |
$431.08 |
1.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$264.75 |
$441.25 |
1.3× |
| Partial excision distal phalanx finger (26236) |
$2,198.95 |
$3,664.92 |
1.4× |
| Partical excision bone phalanx toe (28124) |
$3,253.06 |
$5,421.76 |
1.0× |
| Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes,… (0318U) |
$2,250 |
$3,750 |
1.3× |
| Pelvis/hip joint surgery unlisted (27299) |
$4,462.03 |
$7,436.72 |
18.0× |
| Penile injection (54235) |
$533.92 |
$889.87 |
2.1× |
| Perc rf ablate renal tumor (50592) |
$6,434.70 |
$10,724.50 |
1.1× |
| Percut ablate liver rf (47382) |
$7,564.07 |
$12,606.79 |
1.2× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,604.08 |
$2,673.46 |
2.3× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$2,174.23 |
$3,623.71 |
2.4× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50081) |
$10,114.58 |
$16,857.64 |
1.1× |
| Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509) |
$6,731.17 |
$11,218.62 |
0.9× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Age Under 21 (28666) |
$3,098.15 |
$5,163.58 |
0.9× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$6,731.17 |
$11,218.62 |
0.9× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Age Under 21 (28436) |
$6,731.17 |
$11,218.62 |
0.9× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$3,978.72 |
$6,631.20 |
16.1× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$4,671.21 |
$7,785.35 |
1.5× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,927.68 |
$4,879.46 |
1.9× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$1,240.76 |
$2,067.94 |
1.4× |
| Perq av fistula creation uxtr sep access sites (36837) |
$16,135.50 |
$26,892.50 |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$17,010 |
$28,350 |
0.9× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$2,281.56 |
$3,802.60 |
3.2× |
| Perq dev breast 1st strtctc (19283) |
$2,258.24 |
$3,763.73 |
3.2× |
| Perq dev breast 1st us imag (19285) |
$1,594.12 |
$2,656.86 |
2.2× |
| Perq device breast 1st imag (19281) |
$1,666.46 |
$2,777.44 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,694.84 |
$12,824.74 |
2.2× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,073.17 |
$3,455.28 |
1.3× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$2,360.99 |
$3,934.98 |
1.2× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,071.40 |
$33,452.34 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$859.52 |
$1,432.54 |
3.4× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$32,416.06 |
$54,026.77 |
1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$20,180.23 |
$33,633.71 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,669 |
$16,115 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$10,709.56 |
$17,849.27 |
1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,658.13 |
$16,096.89 |
1.3× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$4,455.13 |
$7,425.21 |
1.4× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,922.54 |
$6,537.56 |
1.2× |
| Photopheresis extracorporeal (36522) |
$10,118.03 |
$16,863.38 |
2.3× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,134.60 |
$1,891 |
1.5× |
| Place duod/jej tube perc (49441) |
$2,398.61 |
$3,997.68 |
1.2× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,293.94 |
$3,823.23 |
1.6× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$1,852.57 |
$3,087.62 |
1.3× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$2,709.79 |
$4,516.32 |
1.9× |
| Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application… (20555) |
$3,512.89 |
$5,854.82 |
1.1× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$3,098.15 |
$5,163.58 |
0.9× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Age Under 21 (42500) |
$6,447.37 |
$10,745.62 |
1.1× |
Plmt access thru biliary tree into small bwl new (47541)
unusually low — confirm this is the full procedure |
$3,205.90 |
$5,343.16 |
0.5× |
| Plmt bile duct stent prq existing access (47538) |
$8,505 |
$14,175 |
1.4× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$5,634.42 |
$9,390.70 |
0.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$6,558.33 |
$10,930.55 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,418.85 |
$7,364.75 |
2.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,537.80 |
$5,896.33 |
1.0× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,167.10 |
$1,945.17 |
1.6× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$6,300 |
$10,500 |
1.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,129.83 |
$6,883.05 |
1.2× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$4,360.89 |
$7,268.15 |
1.2× |
| Pr closed treatment sesamoid fracture (28530) |
$245.81 |
$409.68 |
1.0× |
| Pr laparascopic vasectomy during hernia repair (55250) (55559) |
$3,961.44 |
$6,602.40 |
0.7× |
| Pr ligation internal jugular vein (37565) |
$1,356.15 |
$2,260.25 |
0.4× |
| Pr unlisted laparoscopy procedure endocrine system (60659) |
$6,548.98 |
$10,914.97 |
1.1× |
| Pr unlisted maxillofacial prosthetic procedure (21089) |
$1,607.44 |
$2,679.06 |
6.8× |
| Preputial stretching (54450) |
$685.84 |
$1,143.07 |
2.7× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$6,806.46 |
$11,344.10 |
0.4× |
| Prineoplasty rpr pr nonobal spx (56810) |
$3,285.49 |
$5,475.81 |
1.0× |
| Prostatotomy, external drainage of prostatic abscess, any approach; simple Age Under 21 (55720) |
$2,260.09 |
$3,766.82 |
0.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$5,629.40 |
$9,382.33 |
0.9× |
| Prq impltj nstim electrode array epidural (63650) |
$7,520.83 |
$12,534.71 |
1.2× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,909.70 |
$6,516.17 |
1.1× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$4,620.08 |
$7,700.14 |
1.3× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$5,187.86 |
$8,646.44 |
1.6× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$6,581.41 |
$10,969.02 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$494.40 |
$824 |
1.2× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$597.34 |
$995.57 |
1.5× |
| Puncture aspiration of cyst of breast (19000) |
$1,125.44 |
$1,875.73 |
1.6× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$1,631.42 |
$2,719.03 |
1.8× |
| Push transfusion, blood, 2 years or younger (36440) |
$438.90 |
$731.50 |
1.0× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,021.03 |
$1,701.71 |
1.4× |
| Radiant-neck/chest procedure unlisted (21899) |
$2,913.34 |
$4,855.58 |
12.2× |
| Radiant-repair blood vessel direct neck (35201) |
$4,702.12 |
$7,836.86 |
0.8× |
| Radical resection of tumor; metatarsal Age Under 21 (28173) |
$3,098.15 |
$5,163.58 |
0.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,450.84 |
$4,084.73 |
1.2× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$2,066.10 |
$3,443.50 |
1.0× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$2,736.02 |
$4,560.03 |
13.5× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$1,302.43 |
$2,170.71 |
1.4× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$5,379.04 |
$8,965.07 |
1.5× |
| Release palm contracture (26040) |
$1,551.05 |
$2,585.08 |
1.0× |
| Relieve inner eye pressure (65820) |
$3,945.62 |
$6,576.03 |
1.0× |
| Relocate skin pocket implantable defibrillator (33223) |
$4,586.26 |
$7,643.76 |
2.2× |
| Relocation of skin pocket for pacemaker (33222) |
$4,015.04 |
$6,691.74 |
1.9× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$2,775.26 |
$4,625.43 |
1.3× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,278.53 |
$2,130.89 |
1.4× |
| Removal entire oi implt skl perq attachment esp (69726) |
$3,700.84 |
$6,168.06 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,283.41 |
$2,139.01 |
1.8× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$2,120.58 |
$3,534.30 |
1.3× |
| Removal foreign body mouth (40804) |
$640.74 |
$1,067.90 |
0.7× |
| Removal foreign body shoulder subcutaneous (23330) |
$2,273.11 |
$3,788.52 |
1.4× |
| Removal foreign body, intranasal; by lateral rhinotomy Age Under 21 (30320) |
$4,388.27 |
$7,313.78 |
2.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$199.39 |
$332.31 |
3.4× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$181.76 |
$302.94 |
3.1× |
| Removal implant deep (20680) |
$3,050.06 |
$5,083.43 |
1.0× |
| Removal implant superficial (20670) |
$2,945.80 |
$4,909.67 |
1.8× |
| Removal implantable contraceptive capsules (11976) |
$846.42 |
$1,410.70 |
1.2× |
| Removal implantable defib pulse generator only (33241) |
$5,987.37 |
$9,978.95 |
1.6× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$2,807.59 |
$4,679.31 |
0.9× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64570) |
$6,663.02 |
$11,105.04 |
1.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,393.48 |
$3,989.13 |
2.0× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,579.82 |
$2,633.03 |
1.0× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,751.73 |
$2,919.55 |
1.1× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$4,149 |
$6,915 |
1.4× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$355.36 |
$592.26 |
2.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$453.19 |
$755.32 |
1.0× |
| Removal of foreign body, foot; deep (28192) |
$2,873.34 |
$4,788.90 |
1.7× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$3,121.81 |
$5,203.01 |
1.3× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$1,624.45 |
$2,707.42 |
0.6× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$433.65 |
$722.75 |
1.8× |
| Removal of iud (58301) |
$491.35 |
$818.91 |
1.6× |
| Removal of nail bed (11750) |
$940.30 |
$1,567.17 |
2.3× |
| Removal of pm generator (33233) |
$7,028.51 |
$11,714.19 |
0.8× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age Under 21 (23334)
unusually low — confirm this is the full procedure |
$2,808.74 |
$4,681.24 |
0.4× |
| Removal of salivary stone (42330) |
$2,436.84 |
$4,061.40 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$294.98 |
$491.64 |
1.5× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$862.80 |
$1,438 |
0.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$5,661.48 |
$9,435.80 |
1.5× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$6,786.41 |
$11,310.69 |
1.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,430.01 |
$7,383.35 |
1.4× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$270.59 |
$450.98 |
1.0× |
| Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Age Under 21 (29710) |
$399 |
$665 |
1.4× |
| Removal phrenic nerve stimulator system (33278) |
$11,799.74 |
$19,666.23 |
3.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,557.17 |
$4,261.95 |
3.6× |
| Removal tunneled cv cath (36590) |
$2,406.60 |
$4,011 |
1.5× |
| Removal, non-biodegradable drug delivery implant (11982) |
$251.37 |
$418.95 |
0.6× |
| Removal/revision of cast (29700) |
$368.83 |
$614.72 |
1.3× |
| Remove eyelid foreign body (67938) |
$497 |
$828.34 |
1.6× |
| Remove foreign body from eye (65210) |
$419.22 |
$698.70 |
0.9× |
| Remove hip foreign body (27086) |
$2,094.26 |
$3,490.44 |
0.7× |
| Remove lung catheter (32552) |
$828.68 |
$1,381.14 |
1.3× |
| Remove pharynx foreign body (42809) |
$460 |
$766.67 |
1.0× |
| Remove ureter stent percut (50384) |
$2,140.57 |
$3,567.61 |
1.0× |
| Remove vaginal foreign body (57415) |
$5,237.65 |
$8,729.42 |
1.6× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$18,707.76 |
$31,179.60 |
1.8× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$19,823.71 |
$33,039.51 |
1.0× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$18,220.94 |
$30,368.24 |
2.2× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,014.36 |
$3,357.27 |
1.2× |
| Repair anal fistula (46288) |
$2,913.50 |
$4,855.84 |
1.0× |
| Repair blood vessel lesion (35226) |
$1,698.48 |
$2,830.80 |
2.4× |
| Repair blood vessel upper ext (35206) |
$5,290.43 |
$8,817.39 |
1.7× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$3,907.11 |
$6,511.85 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,110.40 |
$1,850.66 |
2.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,414.85 |
$2,358.09 |
3.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,189.52 |
$1,982.53 |
2.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,198.55 |
$1,997.58 |
1.6× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,923.60 |
$4,872.66 |
1.8× |
| Repair finger tendon (26418) |
$3,606.52 |
$6,010.86 |
2.2× |
| Repair finger tendon (26433) |
$3,541.20 |
$5,902 |
1.1× |
| Repair finger/hand tendon (26350) |
$4,956.90 |
$8,261.50 |
1.5× |
| Repair forearm tendon/muscle (25260) |
$7,222.65 |
$12,037.75 |
2.2× |
| Repair incomplete circumcision (54163) |
$2,054.63 |
$3,424.38 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$654.87 |
$1,091.45 |
1.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$704.70 |
$1,174.50 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$853.43 |
$1,422.38 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$983.26 |
$1,638.77 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$949.21 |
$1,582.01 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$594.13 |
$990.22 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$698.47 |
$1,164.12 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$731.95 |
$1,219.92 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$653.31 |
$1,088.85 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$754.51 |
$1,257.52 |
1.8× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,245.12 |
$2,075.20 |
1.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$813.72 |
$1,356.20 |
2.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,517.03 |
$2,528.38 |
3.7× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$370.14 |
$616.90 |
0.9× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,123.36 |
$3,538.93 |
1.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,098.15 |
$5,163.58 |
0.9× |
| Repair lac palate<2 cm (42180) |
$605.75 |
$1,009.58 |
1.1× |
| Repair lead pace-defib dual (33220) |
$3,853.09 |
$6,421.81 |
1.0× |
| Repair lead pace-defib one (33218) |
$6,755.02 |
$11,258.36 |
1.8× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,787.06 |
$2,978.44 |
3.3× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,436.47 |
$2,394.12 |
2.7× |
| Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345) |
$4,919.44 |
$8,199.06 |
0.7× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$2,913.56 |
$4,855.94 |
1.0× |
| Repair of digit nerve (64831) |
$5,970.16 |
$9,950.27 |
3.0× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$610.48 |
$1,017.46 |
1.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,135.24 |
$1,892.07 |
4.8× |
| Repair of nail bed (11760) |
$935.96 |
$1,559.94 |
1.3× |
| Repair of side of voice box by moving vocal cord to middle (31591) |
$5,832.68 |
$9,721.13 |
1.0× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,229.24 |
$2,048.74 |
2.0× |
| Repair tongue lacer,post 1/3 (41251) |
$504.12 |
$840.20 |
2.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,278.25 |
$2,130.41 |
1.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,542.49 |
$2,570.81 |
2.1× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$1,109.03 |
$1,848.38 |
2.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,427.85 |
$2,379.75 |
1.9× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$3,753.41 |
$6,255.69 |
1.8× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,469.79 |
$5,782.99 |
1.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,254.20 |
$2,090.33 |
1.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,037.63 |
$1,729.39 |
1.1× |
| Replace picvad cath (36585) |
$3,089.86 |
$5,149.77 |
1.0× |
| Replace tunneled cv cath (36582) |
$4,832.75 |
$8,054.58 |
1.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,481.90 |
$2,469.83 |
1.6× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$3,768.90 |
$6,281.50 |
1.2× |
| Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583) |
$4,440.98 |
$7,401.63 |
0.8× |
| Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age Under… (20822) |
$1,551.05 |
$2,585.08 |
1.0× |
| Repos previously implanted subq implantable dfb (33273) |
$3,700.30 |
$6,167.16 |
1.0× |
| Reposition l ventric lead (33226) |
$6,388.15 |
$10,646.92 |
2.0× |
| Reposition venous catheter (36597) |
$1,521.69 |
$2,536.15 |
1.0× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$1,291.62 |
$2,152.70 |
5.1× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$4,970.26 |
$8,283.76 |
1.6× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$7,662.17 |
$12,770.28 |
2.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,096.09 |
$6,826.82 |
1.2× |
| Reset dislocated jaw (21480) |
$533.75 |
$889.58 |
2.2× |
| Revise finger joint (26535) |
$4,858.65 |
$8,097.75 |
1.5× |
| Revision of cervix (59320) |
$3,569.22 |
$5,948.70 |
1.1× |
| Revision of iris (66761) |
$1,722.25 |
$2,870.42 |
3.1× |
| Revision of penis (54420) |
$3,745.07 |
$6,241.78 |
1.1× |
| Revision of penis (54435) |
$3,745.07 |
$6,241.78 |
1.1× |
| Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) |
$9,921.08 |
$16,535.13 |
1.8× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$11,685.73 |
$19,476.21 |
2.0× |
| Revj/rplcmt hpglsl nerve nstim ra pg&respir snr (64583) |
$13,780.06 |
$22,966.76 |
1.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,368.43 |
$3,947.39 |
1.1× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,755.60 |
$2,926 |
3.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$259.99 |
$433.32 |
1.9× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$377.30 |
$628.83 |
2.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,136.84 |
$5,228.06 |
1.1× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$44,390.75 |
$73,984.58 |
1.4× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$38,067.53 |
$63,445.88 |
1.7× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$43,926.37 |
$73,210.62 |
2.0× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,561.45 |
$2,602.41 |
2.2× |
| Rmvl of access device (36589) |
$1,969.43 |
$3,282.38 |
3.1× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$7,532.10 |
$12,553.50 |
2.0× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$3,831.08 |
$6,385.14 |
1.1× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$7,968.65 |
$13,281.09 |
2.3× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$34,440.90 |
$57,401.50 |
1.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$35,305.79 |
$58,842.99 |
3.2× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$6,981.14 |
$11,635.24 |
1.9× |
| Rplc gtube revj gstrst trc (43763) |
$625.93 |
$1,043.22 |
2.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,398.33 |
$3,997.21 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,093.50 |
$6,822.50 |
1.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,672.42 |
$4,454.03 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$857.02 |
$1,428.36 |
1.2× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,785.25 |
$2,975.42 |
1.1× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$5,706.71 |
$9,511.19 |
1.8× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$5,737.87 |
$9,563.12 |
1.8× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,564.81 |
$2,608.02 |
0.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$5,197.54 |
$8,662.56 |
1.5× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$3,374.95 |
$5,624.91 |
3.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$232.20 |
$387 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$370.92 |
$618.20 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$418.68 |
$697.80 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$478.89 |
$798.15 |
2.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$596.47 |
$994.12 |
3.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$617.99 |
$1,029.98 |
3.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$589.18 |
$981.96 |
2.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$447.97 |
$746.61 |
2.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,021.62 |
$1,702.70 |
5.1× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$564.61 |
$941.02 |
1.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$810.59 |
$1,350.99 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$526.91 |
$878.18 |
2.6× |
| Skin tissue procedure unlisted (17999) |
$1,081.51 |
$1,802.51 |
5.4× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$8,501.25 |
$14,168.75 |
1.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,233.78 |
$10,389.63 |
2.0× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$11,603.03 |
$19,338.39 |
2.1× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$6,233.78 |
$10,389.63 |
2.0× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$9,954.47 |
$16,590.78 |
1.8× |
| Slitting of prepuce (54001) |
$2,761.01 |
$4,601.68 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,174.40 |
$3,624 |
1.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$445.22 |
$742.04 |
2.2× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$689.53 |
$1,149.21 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$935.19 |
$1,558.65 |
2.3× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$4,543.60 |
$7,572.67 |
1.3× |
| Stomach surgery procedure unlisted (43999) |
$1,514.24 |
$2,523.74 |
1.7× |
| Strapping ankle (29540) |
$258.86 |
$431.44 |
1.6× |
| Strapping elbow or wrist (29260) |
$215.27 |
$358.79 |
3.6× |
| Strapping hand/finger (29280) |
$216.60 |
$361 |
3.7× |
| Strapping hip (29520) |
$140.74 |
$234.56 |
1.1× |
| Strapping of chest (29200) |
$226.35 |
$377.25 |
1.4× |
| Strapping of knee (29530) |
$216.34 |
$360.56 |
1.6× |
| Strapping of shoulder (29240) |
$262.91 |
$438.18 |
2.0× |
| Strapping of toes (29550) |
$244.30 |
$407.16 |
4.1× |
| Strapping unna boot (29580) |
$307.16 |
$511.94 |
1.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$2,790.92 |
$4,651.53 |
3.8× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$3,092.04 |
$5,153.40 |
0.5× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
unusually low — confirm this is the full procedure |
$2,061.36 |
$3,435.60 |
0.3× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,200.72 |
$5,334.54 |
1.0× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,109.63 |
$1,849.39 |
2.7× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$6,727.70 |
$11,212.84 |
0.9× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$2,420.02 |
$4,033.37 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$249.10 |
$415.16 |
0.6× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$22,994.98 |
$38,324.97 |
0.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$29,327.76 |
$48,879.60 |
1.5× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$4,127.40 |
$6,879 |
1.3× |
| Tenotomy percutaneous toe single tendon (28010) |
$2,394.78 |
$3,991.30 |
1.5× |
| Therapeutic apheresis platelet (36513) |
$2,692.74 |
$4,487.90 |
6.1× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$3,283.34 |
$5,472.23 |
2.1× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$3,621.22 |
$6,035.36 |
2.3× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$3,099.63 |
$5,166.05 |
2.0× |
| Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma… (36516) |
$5,365.01 |
$8,941.68 |
1.2× |
| Therapeutic pneumothorax (32960) |
$811.82 |
$1,353.04 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,216.22 |
$2,027.03 |
1.7× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,104.58 |
$1,840.97 |
1.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$15,111.95 |
$25,186.58 |
1.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,306.31 |
$2,177.19 |
2.1× |
| Throat surgery procedure (42999) |
$2,309.02 |
$3,848.36 |
9.7× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875) |
$7,161.04 |
$11,935.06 |
1.3× |
| Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831) |
$6,898.73 |
$11,497.88 |
1.2× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial (35321) |
$5,994.11 |
$9,990.19 |
1.1× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$4,592.64 |
$7,654.40 |
1.4× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$4,964.56 |
$8,274.26 |
0.9× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$4,187.74 |
$6,979.57 |
1.3× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$3,528.11 |
$5,880.19 |
1.0× |
| Tr retinal les preterm inf (67229) |
$1,607.99 |
$2,679.98 |
2.9× |
| Trabeculoplasty by laser surgery Age Under 21 (65855) |
$1,387.38 |
$2,312.30 |
2.5× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,959.79 |
$3,266.31 |
8.2× |
| Transcatheter biopsy (37200) |
$4,285.93 |
$7,143.21 |
0.8× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$12,945.61 |
$21,576.02 |
1.1× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
unusually low — confirm this is the full procedure |
$8,281.84 |
$13,803.07 |
0.4× |
| Transfusion, blood or blood components (36430) |
$1,017.51 |
$1,695.85 |
2.3× |
| Transoral lower esophageal myotomy (43497) |
$4,229.53 |
$7,049.22 |
0.7× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,980.69 |
$9,967.81 |
1.1× |
| Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer (38215) |
$1,429.77 |
$2,382.95 |
3.2× |
| Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage (38207) |
$3,353.88 |
$5,589.80 |
7.6× |
| Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion (38214) |
$1,374.60 |
$2,291 |
3.1× |
| Transplant preparation of hematopoietic progenitor cells; platelet depletion (38213) |
$1,427.12 |
$2,378.53 |
3.2× |
| Transplant preparation of hematopoietic progenitor cells; red blood cell removal (38212) |
$1,803.18 |
$3,005.30 |
4.1× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$5,077.94 |
$8,463.24 |
0.5× |
| Transrectal drainage of pelvic abscess Age Under 21 (45000) |
$1,614.45 |
$2,690.75 |
1.3× |
| Treat big toe fracture (28495) |
$561.11 |
$935.18 |
2.3× |
| Treat dental ridge fracture (21440) |
$4,811.92 |
$8,019.87 |
1.4× |
| Treat elbow fracture (24586) |
$13,908.81 |
$23,181.35 |
1.1× |
| Treat finger dislocation (26775) |
$2,318.98 |
$3,864.96 |
8.3× |
| Treat foot dislocation (28545) |
$3,160.37 |
$5,267.28 |
1.0× |
| Treat fx distal radial (25606) |
$3,967.08 |
$6,611.80 |
1.2× |
| Treat hip socket fracture (27222) |
$3,170.64 |
$5,284.40 |
12.8× |
| Treat humerus fracture (24577) |
$1,534.94 |
$2,558.24 |
1.0× |
| Treat knee fracture (27532) |
$3,154.46 |
$5,257.44 |
1.0× |
| Treat lower leg fracture (27825) |
$2,566.75 |
$4,277.92 |
1.6× |
| Treat mouth roof fracture (21421) |
$4,377.24 |
$7,295.40 |
1.3× |
| Treat pleurodesis w/agent (32560) |
$1,137.05 |
$1,895.09 |
1.8× |
| Treat thumb fracture (26645) |
$1,672.23 |
$2,787.05 |
1.0× |
| Treat toe dislocation (28630) |
$496.43 |
$827.39 |
2.0× |
| Treat ulnar fracture (24675) |
$1,554.21 |
$2,590.35 |
1.0× |
| Treat wrist bone fracture (25635) |
$1,371.58 |
$2,285.97 |
0.8× |
| Treat wrist bone fracture (25624) |
$2,128.12 |
$3,546.87 |
1.3× |
| Treat wrist dislocation (25690) |
$2,733.92 |
$4,556.54 |
1.7× |
| Treat wrist dislocation (25675) |
$901.61 |
$1,502.69 |
3.6× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$3,219.82 |
$5,366.37 |
2.0× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$6,865.79 |
$11,442.99 |
0.9× |
| Treatment of ankle fracture (27822) |
$6,662.72 |
$11,104.53 |
0.9× |
| Treatment of bladder lesion (51720) |
$579.03 |
$965.05 |
0.8× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$716.38 |
$1,193.97 |
2.9× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$1,574.83 |
$2,624.71 |
2.9× |
| Treatment of foot infection (28003) |
$3,523.33 |
$5,872.22 |
1.1× |
| Treatment of heel fracture (28405) |
$5,339.14 |
$8,898.56 |
21.5× |
| Treatment of miscarriage (59812) |
$4,468.97 |
$7,448.28 |
1.4× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$4,282.72 |
$7,137.87 |
2.7× |
| Trimming of nondystrophic nails, any number (11719) |
$125.47 |
$209.12 |
2.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$12,715.13 |
$21,191.89 |
2.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$10,469.88 |
$17,449.80 |
1.8× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,541.71 |
$2,569.51 |
2.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$901.36 |
$1,502.27 |
2.2× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$1,047.87 |
$1,746.45 |
0.6× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$1,682.46 |
$2,804.10 |
0.7× |
| Unlisted craniofacial and maxillofacial procedure (21299) |
$6,289.53 |
$10,482.55 |
26.4× |
| Unlisted fetal invasive procedure, including ultrasound guidance, when performed (59897) |
$492.81 |
$821.35 |
2.4× |
| Unlisted procedure anus (46999) |
$921.88 |
$1,536.46 |
1.0× |
| Unlisted procedure colon (45399) |
$1,492.20 |
$2,487 |
1.6× |
| Unlisted procedure leg/ankle (27899) |
$2,348.86 |
$3,914.76 |
9.5× |
| Unlisted procedure pancreas (48999) |
$4,363.57 |
$7,272.61 |
6.1× |
| Unlisted procedure rectum (45999) |
$1,287.05 |
$2,145.08 |
1.4× |
| Unlisted procedure shoulder (23929) |
$1,885.46 |
$3,142.43 |
7.6× |
| Unlisted procedure, dentoalveolar structures (41899) |
$442.48 |
$737.46 |
1.9× |
| Unlisted procedure, hands or fingers (26989) |
$4,218.38 |
$7,030.64 |
17.0× |
| Unlisted procedure, liver (47399) |
$2,770.09 |
$4,616.81 |
3.9× |
| Upgrade of pacemaker system (33214) |
$13,940.67 |
$23,234.45 |
1.3× |
| Upper arm/elbow surgery unlisted (24999) |
$2,370.30 |
$3,950.49 |
9.6× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955) |
$5,696.72 |
$9,494.54 |
1.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Age Under 21 (54312) |
$3,456.60 |
$5,761 |
1.0× |
| Urology surgery procedure unlisted (53899) |
$2,935.76 |
$4,892.93 |
11.7× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$8,365.41 |
$13,942.35 |
18.9× |
| Vaginal delivery (59409) |
$2,909.59 |
$4,849.31 |
0.9× |
| Vasc embolize/occlude bleed (37244) |
$15,653.54 |
$26,089.23 |
1.3× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$14,870.87 |
$24,784.78 |
0.8× |
| Vascular embolization or occlusion venous rs&i (37241) |
$17,610.32 |
$29,350.53 |
1.5× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$14,870.87 |
$24,784.78 |
1.3× |
| Vascular surgery procedure (37799) |
$3,448.20 |
$5,747 |
5.5× |
| Vbac delivery only (59612) |
$4,170.07 |
$6,950.12 |
1.3× |
| Venipuncture (36415) |
$27.10 |
$45.16 |
2.9× |
| Version cephalic external (59412) |
$2,899.79 |
$4,832.99 |
0.9× |
| Wedge excision skin nail fold (11765) |
$5,324.03 |
$8,873.38 |
13.0× |
| Wedging of cast (29740) |
$251.98 |
$419.97 |
0.9× |
| Windowing of cast (29730) |
$235.37 |
$392.28 |
1.4× |