Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines |
$1,720.80–$2,118 |
$2,868–$3,530 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,400.40 |
$2,334 |
1.5× |
| Abdomen Surgery Procedure (22999) |
$6,033 |
$10,055 |
24.3× |
| Acromiopl/Acromionect Partial (23130) |
$9,685.80 |
$16,143 |
2.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$4,477.80 |
$7,463 |
2.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$5,715 |
$9,525 |
2.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,613.60 |
$9,356 |
1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$5,743.20 |
$9,572 |
2.8× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$5,593.80 |
$9,323 |
2.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$9,685.80 |
$16,143 |
2.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,725 |
$7,875 |
1.4× |
| Amputate Metacarpal Bone (26910) |
$6,540.60 |
$10,901 |
2.0× |
| Amputation foot transmetarsal (28805) |
$9,685.80 |
$16,143 |
2.9× |
| Amputation metatarsal with toe single (28810) |
$5,064 |
$8,440 |
1.5× |
| Amputation toe interphalangeal joint (28825) |
$4,943.40 |
$8,239 |
1.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,943.40 |
$8,239 |
1.5× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,899.20 |
$4,832 |
0.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$20,801.40 |
$34,669 |
6.3× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$5,917.80 |
$9,863 |
1.8× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
$7,378.80 |
$12,298 |
2.6× |
| Anoscopy Ablation Lesion (46615) |
$8,289 |
$13,815 |
3.0× |
Anoscopy diagnostic (46600)
range across 2 matching MRF lines |
$288–$327 |
$480–$545 |
varies |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,062.20 |
$3,437 |
2.2× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$4,632 |
$7,720 |
1.7× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$15,055.80 |
$25,093 |
3.0× |
| Anterior Tibial Tubercleplasty (27418) |
$7,217.40 |
$12,029 |
1.0× |
| Appendectomy (44950) |
$10,658.40 |
$17,764 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$306.60 |
$511 |
5.2× |
| Application finger splint static (29130) |
$256.20 |
$427 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$387 |
$645 |
2.4× |
| Application Long Leg Splint (29505) |
$379.20 |
$632 |
2.3× |
| Application multiplane external fixation system (20692) |
$8,018.40 |
$13,364 |
0.6× |
| Application of long leg cast (29345) |
$433.20 |
$722 |
1.5× |
| Application of rigid total contact leg cast (29445) |
$642.60 |
$1,071 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$384.60 |
$641 |
2.9× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$350.40–$405.60 |
$584–$676 |
varies |
| Application short leg splint calf foot (29515) |
$359.40 |
$599 |
2.2× |
| Application uniplane external fixation system (20690) |
$20,528.40 |
$34,214 |
2.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$422.40 |
$704 |
2.6× |
| Apply Short Leg Cast (29405) |
$595.80 |
$993 |
2.1× |
Arterial puncture (36600)
range across 4 matching MRF lines |
$72.60–$84.60 |
$121–$141 |
varies |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,378.60 |
$15,631 |
3.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$11,793 |
$19,655 |
2.1× |
| Artery-vein autograft (36825) |
$15,616.20 |
$26,027 |
2.8× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$10,647.60 |
$17,746 |
0.8× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$7,855.80 |
$13,093 |
0.6× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
unusually low: confirm this is the full procedure |
$5,087.40 |
$8,479 |
0.4× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$37,065.60 |
$61,776 |
2.9× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$7,987.20 |
$13,312 |
1.1× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines |
$713.40–$2,118 |
$1,189–$3,530 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines |
$910.20–$2,118 |
$1,517–$3,530 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$895.20 |
$1,492 |
2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$313.80 |
$523 |
1.0× |
| Arthrodesis ankle open (27870) |
$37,065.60 |
$61,776 |
2.9× |
| Arthrodesis great toe interphalangeal joint (28755) |
$5,379.60 |
$8,966 |
0.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$20,528.40 |
$34,214 |
2.8× |
Arthrodesis Pantalar (28705)
unusually low: confirm this is the full procedure |
$8,081.40 |
$13,469 |
0.5× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$37,065.60 |
$61,776 |
2.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$16,354.80 |
$27,258 |
0.9× |
| Arthrodesis subtalar (28725) |
$10,081.20 |
$16,802 |
0.8× |
| Arthrodesis triple (28715) |
$12,021 |
$20,035 |
0.9× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$8,129.40 |
$13,549 |
0.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$11,638.20 |
$19,397 |
0.9× |
| Arthroplasty Ankle (27700) |
$3,961.20 |
$6,602 |
0.5× |
| Arthroplasty ankle revision total ankle (27703) |
$14,872.20 |
$24,787 |
0.8× |
| Arthroplasty Ankle W/Implant (27702) |
$14,872.20 |
$24,787 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,927.40 |
$29,879 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$15,461.40 |
$25,769 |
1.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroplasty Patella W/Prosthesis (27438) |
$13,424.40 |
$22,374 |
1.0× |
| Arthroplasty Radial Head W/Implant (24366) |
$37,065.60 |
$61,776 |
2.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$12,549.60 |
$20,916 |
3.8× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
$20,528.40 |
$34,214 |
2.8× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$9,314.40 |
$15,524 |
2.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,484.60 |
$9,141 |
1.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$8,995.20 |
$14,992 |
2.7× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$20,528.40 |
$34,214 |
2.8× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$11,754 |
$19,590 |
1.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$6,179.40 |
$10,299 |
1.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,991.20 |
$11,652 |
2.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$20,528.40 |
$34,214 |
2.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$20,528.40 |
$34,214 |
2.8× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$9,685.80 |
$16,143 |
2.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$20,528.40 |
$34,214 |
2.8× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
$40,892.40 |
$68,154 |
3.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$5,793.60 |
$9,656 |
1.8× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$6,005.40 |
$10,009 |
3.7× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$9,314.40 |
$15,524 |
2.8× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$39,876.60 |
$66,461 |
3.1× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$7,489.20 |
$12,482 |
2.3× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$37,065.60 |
$61,776 |
2.9× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$20,528.40 |
$34,214 |
2.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$20,528.40 |
$34,214 |
2.8× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$40,956.60 |
$68,261 |
3.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$9,314.40 |
$15,524 |
2.8× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$9,685.80 |
$16,143 |
2.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$9,685.80 |
$16,143 |
2.9× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$20,801.40 |
$34,669 |
2.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$9,685.80 |
$16,143 |
2.9× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$7,488 |
$12,480 |
2.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$4,943.40 |
$8,239 |
3.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$5,418.60 |
$9,031 |
1.6× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$7,550.40 |
$12,584 |
2.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,753.40 |
$9,589 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$2,243.40 |
$3,739 |
3.6× |
| Aspirate Pleura W/O Imaging (32554) |
$1,458 |
$2,430 |
2.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$372.60 |
$621 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,722.80 |
$4,538 |
1.3× |
| Aspiration Bladder Needle (51100) |
$346.20 |
$577 |
1.4× |
| Av fistula revision (36833) |
$11,725.80 |
$19,543 |
2.1× |
| Av Fistula Revision Open (36832) |
$15,616.20 |
$26,027 |
2.8× |
| Av Fuse Uppr Arm Basilic (36819) |
$12,459 |
$20,765 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$611.40 |
$1,019 |
3.0× |
| Axillary lymphadenectomy; complete (38745) |
$9,775.80 |
$16,293 |
1.6× |
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines |
$1,834.80–$2,118 |
$3,058–$3,530 |
varies |
| Biopsy bone open deep (20245) |
$5,216.40 |
$8,694 |
1.8× |
| Biopsy bone open superficial (20240) |
$4,656 |
$7,760 |
1.6× |
| Biopsy bone trocar/needle deep (20225) |
$2,103.60 |
$3,506 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,897.80 |
$3,163 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,711.20 |
$2,852 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$3,115.20 |
$5,192 |
1.9× |
| Biopsy of breast; open, incisional (19101) |
$6,472.80 |
$10,788 |
1.6× |
| Biopsy of foot joint lining (28052) |
$7,388.40 |
$12,314 |
2.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,014.80 |
$3,358 |
1.2× |
| Biopsy of penis (54100) |
$3,181.80 |
$5,303 |
1.9× |
| Biopsy of rectum (45100) |
$5,464.20 |
$9,107 |
2.0× |
| Biopsy of urethra (53200) |
$9,874.80 |
$16,458 |
4.7× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,923 |
$3,205 |
1.2× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$8,643 |
$14,405 |
2.4× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$8,643 |
$14,405 |
2.4× |
| Biopsy Salivary Gland Needle (42400) |
$741.60 |
$1,236 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$4,935.60 |
$8,226 |
3.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,509.60 |
$2,516 |
0.9× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$7,868.40 |
$13,114 |
2.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$5,344.80 |
$8,908 |
3.2× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$8,326.80 |
$13,878 |
2.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$2,323.20 |
$3,872 |
2.5× |
| Biopsy/removal lymph nodes (38510) |
$9,988.20 |
$16,647 |
2.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,617 |
$2,695 |
2.3× |
| Bladder Irrigation (51700) |
$3,202.20 |
$5,337 |
12.8× |
Bladder Scan (51798)
range across 3 matching MRF lines |
$111.60–$134.40 |
$186–$224 |
varies |
Blood Transfusion Service (36430)
range across 10 matching MRF lines |
$850.20–$1,085.40 |
$1,417–$1,809 |
varies |
| Blood/Lymph System Procedure (38999) |
$4,636.80 |
$7,728 |
10.5× |
| Bone Graft Any Donor Area Major/Large (20902) |
$6,888.60 |
$11,481 |
0.9× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$6,321.60 |
$10,536 |
0.9× |
| Bone Marrow Biopsy (38221) |
$909 |
$1,515 |
0.5× |
| Bone Marrow; Aspiration Only (38220) |
$917.40 |
$1,529 |
0.6× |
| Breast Reduction (19318) |
$17,619 |
$29,365 |
2.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,847.40 |
$8,079 |
2.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,723.80 |
$7,873 |
1.3× |
| Bronchoscopy Clear Airways (31645) |
$3,976.20 |
$6,627 |
2.2× |
| Bronchoscopy W/Biopsy(S) (31625) |
$4,847.40 |
$8,079 |
2.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,847.40 |
$8,079 |
2.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$20,528.40 |
$34,214 |
5.5× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,591.60 |
$5,986 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$3,903.60 |
$6,506 |
2.4× |
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines |
$2,118–$2,668.20 |
$3,530–$4,447 |
varies |
| Bx breast 1st lesion us imag (19083) |
$2,981.40 |
$4,969 |
1.8× |
| Bx Cervix (57500) |
$2,905.80 |
$4,843 |
3.1× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$5,412 |
$9,020 |
1.5× |
| Bx prostate transperineal ultrasound-guided (55709) |
$8,643 |
$14,405 |
2.4× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$8,643.19 |
$14,405.32 |
2.4× |
| Bx/exc lymph node open deep axillary node (38525) |
$9,998.40 |
$16,664 |
2.5× |
| Bx/exc lymph node open superficial (38500) |
$5,812.20 |
$9,687 |
1.5× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,550.80 |
$5,918 |
1.1× |
| Capsular contracture release (23020) |
$6,629.40 |
$11,049 |
2.0× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$3,546.60 |
$5,911 |
2.2× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$8,113.80 |
$13,523 |
1.1× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$2,577.60 |
$4,296 |
1.6× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$7,684.80 |
$12,808 |
2.3× |
| Carpal Tunnel Surgery (64721) |
$5,897.40 |
$9,829 |
3.0× |
| Carpectomy All Bones Proximal Row (25215) |
$6,622.80 |
$11,038 |
2.0× |
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines |
$208–$250.20 |
$346.66–$417 |
varies |
| Cerclage cervix pregnancy vaginal (59320) |
$8,320.80 |
$13,868 |
2.6× |
| Cerv artific diskectomy (22856) |
$16,031.40 |
$26,719 |
0.9× |
| Cervical lymphadenectomy (complete) (38720) |
$11,297.40 |
$18,829 |
1.7× |
| Cessj Therapy Cath Removal (37214) |
$2,092.80 |
$3,488 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$754.20 |
$1,257 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$414 |
$690 |
1.6× |
Change of Windpipe Airway (31502)
range across 2 matching MRF lines |
$490.80–$948 |
$818–$1,580 |
varies |
| Chemical Cautery Tissue (17250) |
$480 |
$800 |
2.4× |
| Chest tube placement (32551) |
$652.20 |
$1,087 |
0.4× |
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines |
$2,058–$2,592.60 |
$3,430–$4,321 |
varies |
| Circumcision 28 days or older (54161) |
$6,208.80 |
$10,348 |
3.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$5,328.60 |
$8,881 |
2.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,143.80 |
$3,573 |
1.3× |
| Claviculectomy partial (23120) |
$9,685.80 |
$16,143 |
2.9× |
| Clear outer ear canal (69200) |
$384.60 |
$641 |
2.9× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$5,733.60 |
$9,556 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$904.80 |
$1,508 |
3.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,024.80 |
$1,708 |
4.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$514.20 |
$857 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$818.40 |
$1,364 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,815.60 |
$3,026 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$787.20 |
$1,312 |
3.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,559.80 |
$5,933 |
2.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$353.40 |
$589 |
1.4× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$9,571.80 |
$15,953 |
2.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$706.20 |
$1,177 |
2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$499.20 |
$832 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,050.20 |
$3,417 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,463.20 |
$5,772 |
2.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$754.80 |
$1,258 |
3.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$584.40 |
$974 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$787.20 |
$1,312 |
3.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,559.80 |
$5,933 |
2.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$799.20 |
$1,332 |
3.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$4,943.40 |
$8,239 |
3.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$517.80 |
$863 |
2.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$513.60 |
$856 |
2.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$514.20 |
$857 |
2.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$514.20 |
$857 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$600 |
$1,000 |
2.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$559.80 |
$933 |
2.3× |
| Closure Gastrostomy Surg (43870) |
$2,374.20 |
$3,957 |
0.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$516 |
$860 |
2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,134 |
$1,890 |
2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$754.80 |
$1,258 |
3.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,943.40 |
$8,239 |
3.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$787.20 |
$1,312 |
3.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,875 |
$3,125 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,559.80 |
$5,933 |
2.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,559.80 |
$5,933 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$892.80 |
$1,488 |
3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$514.20 |
$857 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$708 |
$1,180 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$468.60 |
$781 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$787.20 |
$1,312 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,504.80 |
$2,508 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,213.20 |
$2,022 |
4.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$787.20 |
$1,312 |
3.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,006 |
$5,010 |
1.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,130 |
$3,550 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$316.20 |
$527 |
1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$849.60 |
$1,416 |
3.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$490.20 |
$817 |
2.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,120 |
$5,200 |
1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$868.20 |
$1,447 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$402 |
$670 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,559.80 |
$5,933 |
2.2× |
| Cltx Medial Ankle Fx (27760) |
$492.60 |
$821 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$799.20 |
$1,332 |
3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$787.20 |
$1,312 |
3.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$4,621.20 |
$7,702 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$787.20 |
$1,312 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$498.60 |
$831 |
2.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,406.80 |
$5,678 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$934.80 |
$1,558 |
3.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,559.80 |
$5,933 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,903.40 |
$4,839 |
1.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$514.20 |
$857 |
2.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$514.20 |
$857 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$287.40 |
$479 |
1.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$4,943.40 |
$8,239 |
3.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,642.80 |
$2,738 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,473 |
$2,455 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$513.60 |
$856 |
2.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$799.20 |
$1,332 |
3.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$787.20 |
$1,312 |
3.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,560 |
$2,600 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$676.80 |
$1,128 |
2.7× |
| Collection of venous blood by venipuncture (36415) |
$22.80 |
$38 |
2.4× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,349 |
$3,915 |
2.0× |
| Colonoscopy thru stoma (44388) |
$2,361.60 |
$3,936 |
2.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,438.40 |
$4,064 |
2.0× |
| Colonoscopy w/ablation (45388) |
$3,429 |
$5,715 |
2.9× |
| Colonoscopy W/Band Ligation (45398) |
$2,523.60 |
$4,206 |
2.1× |
| Colonoscopy W/Resection (45390) |
$3,123 |
$5,205 |
1.1× |
| Colonoscopy w/stent plcmt (45389) |
$3,576 |
$5,960 |
0.6× |
| Colonoscopy w/submucosal inj (45381) |
$2,085 |
$3,475 |
1.7× |
| Colporrhaphy (57200) |
$6,270.60 |
$10,451 |
1.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$618 |
$1,030 |
3.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,598.20 |
$5,997 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$1,354.20 |
$2,257 |
4.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$3,429 |
$5,715 |
2.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,429 |
$5,715 |
2.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$15,055.80 |
$25,093 |
3.0× |
| Complex drainage wound (10180) |
$5,187.60 |
$8,646 |
1.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$8,383.80 |
$13,973 |
2.6× |
| Conization of cervix (57520) |
$8,383.80 |
$13,973 |
2.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$297.60 |
$496 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$375.60 |
$626 |
2.8× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$16,266.60 |
$27,111 |
1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,671.60 |
$7,786 |
2.8× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$6,208.80 |
$10,348 |
1.8× |
| Correction hammertoe (28285) |
$9,685.80 |
$16,143 |
2.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$9,685.80 |
$16,143 |
2.9× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$6,148.20 |
$10,247 |
1.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$20,528.40 |
$34,214 |
1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$20,237.40 |
$33,729 |
2.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$5,703 |
$9,505 |
1.7× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,207.80 |
$12,013 |
1.0× |
| Create Eardrum Opening (69433) |
$1,729.80 |
$2,883 |
3.2× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$15,616.20 |
$26,027 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$299.40 |
$499 |
2.2× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$5,140.80 |
$8,568 |
1.5× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
$2,686.80 |
$4,478 |
2.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$6,208.80 |
$10,348 |
3.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$6,208.80 |
$10,348 |
3.0× |
| Cysto w/complex removal stone & stent (52315) |
$6,208.80 |
$10,348 |
3.0× |
| Cysto w/destruction of lesions (52214) |
$6,208.80 |
$10,348 |
1.8× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$13,147.03 |
$21,911.72 |
2.4× |
| Cysto w/insert ureteral stent (52332) |
$9,874.80 |
$16,458 |
2.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,276.80 |
$7,128 |
1.2× |
| Cysto w/removal of lesions small (52224) |
$6,208.80 |
$10,348 |
1.8× |
| Cysto w/removal of tumors small (52234) |
$9,874.80 |
$16,458 |
2.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$6,208.80 |
$10,348 |
3.0× |
| Cysto w/ureter stricture tx (52341) |
$6,177.60 |
$10,296 |
1.7× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$13,569.60 |
$22,616 |
2.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$13,569.60 |
$22,616 |
3.8× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$9,874.80 |
$16,458 |
2.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$6,208.80 |
$10,348 |
1.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$13,569.60 |
$22,616 |
2.5× |
| Cysto/uretero w/lithotripsy (52356) |
$13,569.60 |
$22,616 |
2.5× |
| Cystolithotomy (51050) |
$11,771.40 |
$19,619 |
2.2× |
| Cystoscopy implant stent (52282) |
$9,874.80 |
$16,458 |
2.8× |
| Cystoscopy inject material (52327) |
$5,677.80 |
$9,463 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,208.80 |
$10,348 |
3.0× |
| Cystouretero w/excise tumor (52355) |
$13,569.60 |
$22,616 |
2.5× |
| Cystourethroscopy (52000) |
$2,071.20 |
$3,452 |
3.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$13,569.60 |
$22,616 |
2.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,328.40 |
$7,214 |
2.1× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$3,529.20 |
$5,882 |
5.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$9,874.80 |
$16,458 |
2.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$13,569.60 |
$22,616 |
2.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,919.40 |
$8,199 |
2.3× |
| Cystourethroscopy with biopsy (52204) |
$6,208.80 |
$10,348 |
3.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$6,208.80 |
$10,348 |
3.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$5,555.40 |
$9,259 |
1.6× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$6,208.80 |
$10,348 |
3.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$6,208.80 |
$10,348 |
3.0× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$6,375.60 |
$10,626 |
1.8× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$3,697.80 |
$6,163 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,787.40 |
$2,979 |
4.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,015.20 |
$6,692 |
1.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$3,140.40 |
$5,234 |
4.4× |
| Dcmprn fasct leg post compartment only (27601) |
$2,086.20 |
$3,477 |
0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,408.40 |
$4,014 |
3.2× |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$148.80–$212.40 |
$248–$354 |
varies |
| Debride nail 6 or more (11721) |
$148.80 |
$248 |
2.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,935.60 |
$8,226 |
3.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,137.60 |
$1,896 |
2.8× |
| Declot vascular device (36593) |
$595.20 |
$992 |
1.8× |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
$17,147.40 |
$28,579 |
2.4× |
| Decompression of leg (27892) |
$9,314.40 |
$15,524 |
2.8× |
| Decompression of tibia nerve (28035) |
$5,897.40 |
$9,829 |
3.0× |
| Deep Muscle Biopsy (20205) |
$6,047.40 |
$10,079 |
2.1× |
| Destr penis lesion(s) (54065) |
$5,500.80 |
$9,168 |
2.7× |
| Destroy cerv/thor facet jnt (64633) |
$5,897.40 |
$9,829 |
3.0× |
| Destroy lumb/sac facet jnt (64635) |
$5,897.40 |
$9,829 |
3.0× |
| Destruct B9 Lesion 1-14 (17110) |
$328.80 |
$548 |
1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$556.20 |
$927 |
1.8× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$2,986.80 |
$4,978 |
2.5× |
| Destruction Lesions Vulva Extensive (56515) |
$5,523 |
$9,205 |
2.7× |
| Destruction Lesions Vulva Simple (56501) |
$4,089 |
$6,815 |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,211.40 |
$7,019 |
2.1× |
| Destruction of skin lesions (17106) |
$2,079.60 |
$3,466 |
5.1× |
| Destruction Vaginal Lesions Simple (57061) |
$6,972 |
$11,620 |
2.1× |
| Diagnostic sigmoidoscopy (45330) |
$2,284.20 |
$3,807 |
2.4× |
| Dilat female urethra general/cndj spinal anes (53665) |
$4,915.80 |
$8,193 |
2.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$499.20 |
$832 |
3.9× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$192.60 |
$321 |
1.4× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,722.80 |
$4,538 |
3.0× |
| Dilate Urethra Stricture (53600) |
$1,182 |
$1,970 |
4.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$8,320.80 |
$13,868 |
2.6× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$5,650.80 |
$9,418 |
1.6× |
| Dissection, deep jugular node(s) Facility (38542) |
$8,221.20 |
$13,702 |
1.4× |
| Drain Cerebro Spinal Fluid (62272) |
$1,989.60 |
$3,316 |
2.8× |
| Drain Hand Tendon Sheath (26020) |
$5,686.80 |
$9,478 |
1.7× |
| Drain/inj small joint/bursa w/us (20604) |
$775.80 |
$1,293 |
2.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$265.80 |
$443 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,512.80 |
$4,188 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$479.40 |
$799 |
2.0× |
| Drainage of finger abscess simple (26010) |
$520.20 |
$867 |
2.6× |
| Drainage of gum lesion (41800) |
$368.40 |
$614 |
2.8× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$1,956–$2,700 |
$3,260–$4,500 |
varies |
| Drainage of hydrocele (55000) |
$1,496.40 |
$2,494 |
2.1× |
| Drainage of rectal abscess (45005) |
$2,688 |
$4,480 |
2.2× |
| Drainage of scrotal wall abscess (55100) |
$2,428.20 |
$4,047 |
1.5× |
| Drainage of scrotum (54700) |
$6,027.60 |
$10,046 |
2.9× |
| Drainage of throat abscess (42725) |
$16,888.20 |
$28,147 |
2.8× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$7,339.20 |
$12,232 |
2.3× |
| Draw Blood Off Venous Device (36591) |
$166.20 |
$277 |
1.2× |
| Dressing Change Under Anesthesia (15852) |
$3,381 |
$5,635 |
4.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,610.40 |
$2,684 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$793.80 |
$1,323 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$909 |
$1,515 |
4.5× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$480–$495 |
$800–$825 |
varies |
| Dstrj Lesion Anus Extensive (46924) |
$8,479.20 |
$14,132 |
3.0× |
| Dstrj lesion anus simple surg excision (46922) |
$4,414.80 |
$7,358 |
1.6× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$1,137.60 |
$1,896 |
2.8× |
| Dstrj lesion penis simple surg excision (54060) |
$5,743.20 |
$9,572 |
2.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,894.40 |
$4,824 |
3.3× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,974.60 |
$3,291 |
0.7× |
| Dx Bronchoscope/Lavage (31624) |
$4,847.40 |
$8,079 |
2.7× |
| Dx Bronchoscope/Wash (31622) |
$4,847.40 |
$8,079 |
2.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,900 |
$6,500 |
2.2× |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
$2,118–$2,188.80 |
$3,530–$3,648 |
varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,163.80 |
$5,273 |
1.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$5,226 |
$8,710 |
2.7× |
| Egd cautery tumor polyp (43250) |
$5,226 |
$8,710 |
2.7× |
| Egd control bleeding any (43255) |
$5,226 |
$8,710 |
2.7× |
| Egd dilation gastric/duodenal stricture (43245) |
$5,226 |
$8,710 |
2.7× |
| Egd Endoscopic Stent Place (43266) |
$5,068.80 |
$8,448 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$2,722.80 |
$4,538 |
3.0× |
| Egd guide wire insertion (43248) |
$585 |
$975 |
0.6× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$5,267.40 |
$8,779 |
2.7× |
| Egd lesion ablation (43270) |
$5,226 |
$8,710 |
2.7× |
| Egd place gastrostomy tube (43246) |
$5,226 |
$8,710 |
2.7× |
| Egd remove lesion snare (43251) |
$5,226 |
$8,710 |
2.7× |
| Egd Varices Ligation (43244) |
$5,226 |
$8,710 |
2.7× |
| Egd W/Thrml Txmnt Gerd (43257) |
$5,659.20 |
$9,432 |
1.5× |
| Electrical stimulation bone healing noninvasive (20974) |
$1,207.20 |
$2,012 |
12.7× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$9,802.20 |
$16,337 |
1.8× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$9,451.20 |
$15,752 |
1.7× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$5,619 |
$9,365 |
1.0× |
| Endoscopic injection/implant (51715) |
$5,780.40 |
$9,634 |
1.6× |
| Endoscopic plantar fasciotomy (29893) |
$5,467.20 |
$9,112 |
1.7× |
| Endoscopy Upper Small Intestine (44360) |
$3,241.20 |
$5,402 |
1.7× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,803.20 |
$4,672 |
1.5× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$3,508.80 |
$5,848 |
1.8× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$5,226 |
$8,710 |
2.7× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,877.60 |
$4,796 |
1.5× |
| Epididymectomy bilateral (54861) |
$10,353.60 |
$17,256 |
2.9× |
| Epididymectomy unilateral (54860) |
$6,109.80 |
$10,183 |
1.7× |
| Epidural Blood Patch (62273) |
$1,239.60 |
$2,066 |
1.7× |
| Episiotomy or vaginal repair (59300) |
$3,452.40 |
$5,754 |
1.1× |
| Ercp duct stent placement (43274) |
$15,721.80 |
$26,203 |
2.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,592.40 |
$7,654 |
1.2× |
| Ercp ea duct/ampulla dilate (43277) |
$10,045.20 |
$16,742 |
2.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$10,045.20 |
$16,742 |
2.6× |
| Ercp remove forgn body duct (43275) |
$10,045.20 |
$16,742 |
5.2× |
| Ercp Stent Exchange W/Dilate (43276) |
$4,982.40 |
$8,304 |
0.8× |
| Ercp W/Biopsy Single/Multiple (43261) |
$10,045.20 |
$16,742 |
2.6× |
| Ercp,Sphincterotomy (43262) |
$10,029.60 |
$16,716 |
2.6× |
| Esoph Scope W/Submucous Inj (43201) |
$5,267.40 |
$8,779 |
2.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$2,722.80 |
$4,538 |
3.0× |
| Esophagosc Dilate Balloon 30 (43214) |
$4,562.40 |
$7,604 |
2.4× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$5,226 |
$8,710 |
2.7× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,236.20 |
$3,727 |
1.2× |
| Esophagoscopy Retro Balloon (43213) |
$2,785.80 |
$4,643 |
1.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,152.40 |
$5,254 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$155.40 |
$259 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,735.80 |
$7,893 |
2.9× |
| Exc abdl tum deep 5 cm/> (22901) |
$6,711 |
$11,185 |
2.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,497.40 |
$5,829 |
2.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,636.80 |
$2,728 |
2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,331.20 |
$5,552 |
2.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$4,156.80 |
$6,928 |
2.5× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$8,513.40 |
$14,189 |
2.9× |
| Exc back tum deep < 5 cm (21932) |
$6,300 |
$10,500 |
2.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,940 |
$9,900 |
1.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$2,807.40 |
$4,679 |
3.9× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$4,935.60 |
$8,226 |
3.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,257.80 |
$3,763 |
3.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,105.40 |
$3,509 |
3.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,097 |
$3,495 |
2.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,818.20 |
$4,697 |
1.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$3,781.80 |
$6,303 |
2.3× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$6,286.80 |
$10,478 |
2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,949.80 |
$6,583 |
2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,097 |
$3,495 |
2.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$4,884 |
$8,140 |
2.9× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$4,935.60 |
$8,226 |
3.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$4,544.40 |
$7,574 |
2.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$9,874.80 |
$16,458 |
2.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$4,943.40 |
$8,239 |
3.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,626.60 |
$7,711 |
2.9× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$6,651.60 |
$11,086 |
3.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$5,897.40 |
$9,829 |
3.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,956.40 |
$6,594 |
2.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$5,488.20 |
$9,147 |
2.8× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$8,289 |
$13,815 |
3.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$8,479.20 |
$14,132 |
3.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$8,513.40 |
$14,189 |
2.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,324.60 |
$5,541 |
4.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$4,089.60 |
$6,816 |
2.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,300.40 |
$8,834 |
1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,935.60 |
$8,226 |
3.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,998.50 |
$8,330.83 |
1.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,935.60 |
$8,226 |
3.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$5,481 |
$9,135 |
1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$8,513.40 |
$14,189 |
2.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,999 |
$6,665 |
3.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,992.60 |
$3,321 |
4.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,097 |
$3,495 |
2.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,935.60 |
$8,226 |
3.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$8,443.80 |
$14,073 |
2.9× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$8,443.80 |
$14,073 |
2.9× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$6,372 |
$10,620 |
2.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,271 |
$8,785 |
1.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$8,513.40 |
$14,189 |
2.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$5,103.60 |
$8,506 |
1.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,702.20 |
$7,837 |
1.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$4,614 |
$7,690 |
2.8× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$8,513.40 |
$14,189 |
2.9× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$8,513.40 |
$14,189 |
2.9× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$3,657.60 |
$6,096 |
2.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$8,725.20 |
$14,542 |
3.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$8,513.40 |
$14,189 |
2.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$5,283 |
$8,805 |
3.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$8,513.40 |
$14,189 |
2.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$4,935.60 |
$8,226 |
3.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,852.80 |
$8,088 |
1.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$6,873 |
$11,455 |
2.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$4,558.20 |
$7,597 |
1.6× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$11,710.80 |
$19,518 |
3.3× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$16,488.60 |
$27,481 |
2.3× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$6,853.20 |
$11,422 |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,563.60 |
$7,606 |
1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$4,446.60 |
$7,411 |
2.8× |
| Exc/fulguration urethral caruncle (53265) |
$6,208.80 |
$10,348 |
3.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,544.20 |
$5,907 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,401 |
$2,335 |
0.7× |
| Excis penile plaque (54110) |
$13,569.60 |
$22,616 |
3.8× |
| Excise excessive skin arm (15836) |
$13,159.20 |
$21,932 |
4.5× |
| Excise intraspinal lesion (63267) |
$4,253.40 |
$7,089 |
0.6× |
| Excise tendon forearm/wrist (25109) |
$9,685.80 |
$16,143 |
2.9× |
| Excise Wrist Tendon Sheath (25118) |
$4,943.40 |
$8,239 |
3.1× |
| Excision Distal Ulna Partial/Complete (25240) |
$5,551.80 |
$9,253 |
1.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$5,737.20 |
$9,562 |
2.0× |
| Excision Facial Bone (21026) |
$5,757.60 |
$9,596 |
1.0× |
| Excision H/P/P/U Complex Repair (11471) |
$6,255 |
$10,425 |
2.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$6,718.80 |
$11,198 |
2.3× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$5,174.40 |
$8,624 |
1.8× |
| Excision Infected Graft Extremity (35903) |
$9,378.60 |
$15,631 |
3.0× |
| Excision inferior turbinate partial/complete (30130) |
$3,586.20 |
$5,977 |
1.1× |
| Excision lesion meniscus/capsule knee (27347) |
$5,247 |
$8,745 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,981.40 |
$4,969 |
4.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$3,043.20 |
$5,072 |
1.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,959.80 |
$4,933 |
4.2× |
| Excision Nasal Polyp Extensive (30115) |
$9,174 |
$15,290 |
2.8× |
| Excision of bartholin's gland or cyst (56740) |
$8,320.80 |
$13,868 |
2.6× |
| Excision of extraparenchymal lesion of testis (54512) |
$6,208.80 |
$10,348 |
1.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,943.40 |
$8,239 |
3.1× |
| Excision of hydrocele; bilateral (55041) |
$10,464.60 |
$17,441 |
2.9× |
| Excision of hydrocele; unilateral (55040) |
$10,658.40 |
$17,764 |
3.0× |
| Excision of local lesion of epididymis (54830) |
$6,208.80 |
$10,348 |
1.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,611.80 |
$9,353 |
1.9× |
| Excision of single external papilla or tag, anus (46220) |
$5,195.40 |
$8,659 |
4.3× |
| Excision of vaginal cyst or tumor (57135) |
$5,996.40 |
$9,994 |
1.8× |
| Excision olecranon bursa (24105) |
$9,685.80 |
$16,143 |
2.9× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$5,735.40 |
$9,559 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$9,685.80 |
$16,143 |
2.9× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$4,627.80 |
$7,713 |
1.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$8,443.80 |
$14,073 |
2.9× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$8,513.40 |
$14,189 |
2.9× |
| Excision prepatellar bursa (27340) |
$6,439.80 |
$10,733 |
2.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$15,271.80 |
$25,453 |
2.3× |
| Excision spermatocele w/wo epididymectomy (54840) |
$6,208.80 |
$10,348 |
3.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,935.60 |
$8,226 |
3.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$8,513.40 |
$14,189 |
2.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,383.60 |
$7,306 |
2.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,911 |
$8,185 |
3.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$4,884 |
$8,140 |
2.9× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$4,943.40 |
$8,239 |
3.1× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
$4,162.80 |
$6,938 |
2.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$8,513.40 |
$14,189 |
2.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$4,884 |
$8,140 |
2.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$8,443.80 |
$14,073 |
2.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,476.40 |
$10,794 |
2.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$9,262.20 |
$15,437 |
3.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$4,014.60 |
$6,691 |
2.4× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$4,943.40 |
$8,239 |
3.1× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,290 |
$7,150 |
1.3× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$7,514.40 |
$12,524 |
2.4× |
| Explo/Drain Breast Abscess (19020) |
$4,935.60 |
$8,226 |
3.0× |
| Exploration of knee joint (27310) |
$8,933.40 |
$14,889 |
2.7× |
| Exploration penetrating wound spx extremity (20103) |
$3,915 |
$6,525 |
2.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,558.20 |
$2,597 |
2.9× |
| Explore/Treat Knee Joint (27331) |
$7,507.80 |
$12,513 |
2.3× |
| Extensive mastoid surgery (69511) |
$15,708.60 |
$26,181 |
2.6× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$9,314.40 |
$15,524 |
2.8× |
| Fasciotomy Iliotibial Open (27305) |
$6,189.60 |
$10,316 |
1.9× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$7,422 |
$12,370 |
2.3× |
| Fasciotomy, foot and/or toe (28008) |
$9,685.80 |
$16,143 |
2.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$9,685.80 |
$16,143 |
2.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,031 |
$3,385 |
2.9× |
| Fine needle aspiration without imaging guidance (10021) |
$929.40 |
$1,549 |
2.3× |
| Fixation contralateral testis separate procedure (54620) |
$10,215.60 |
$17,026 |
2.9× |
| Fluoro exam of g/colon tube (49465) |
$536.40 |
$894 |
2.2× |
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines |
$483–$2,118 |
$805–$3,530 |
varies |
| Foreskin manipulation (54450) |
$1,935 |
$3,225 |
7.7× |
| Frenulotomy of penis (54164) |
$6,208.80 |
$10,348 |
3.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,522.80 |
$7,538 |
2.2× |
| Fusion Finger Joint (26860) |
$6,932.40 |
$11,554 |
2.1× |
| Fusion of foot bones (28740) |
$7,975.80 |
$13,293 |
1.1× |
| Fusion of tibiofibular joint (27871) |
$9,596.40 |
$15,994 |
0.7× |
| Gastrocnemius recession (27687) |
$9,685.80 |
$16,143 |
2.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$5,226 |
$8,710 |
2.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,776.60 |
$2,961 |
2.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$20,528.40 |
$34,214 |
2.8× |
| Hand tendon reconstruction (26500) |
$20,801.40 |
$34,669 |
2.9× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$3,342 |
$5,570 |
0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,023.20 |
$8,372 |
1.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$8,479.20 |
$14,132 |
3.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$8,289 |
$13,815 |
3.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$5,263.20 |
$8,772 |
1.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$8,479.20 |
$14,132 |
3.0× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$7,006.80 |
$11,678 |
2.5× |
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines |
$1,926–$2,062.20 |
$3,210–$3,437 |
varies |
| Hemorrhoidopexy by stapling (46947) |
$8,479.20 |
$14,132 |
3.0× |
| Hip arthro w/labral repair (29916) |
$10,142.40 |
$16,904 |
1.4× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$6,671.40 |
$11,119 |
2.4× |
| Hysteroscopy Biopsy (58558) |
$8,320.80 |
$13,868 |
2.6× |
| Hysteroscopy Dx Sep Proc (58555) |
$8,320.80 |
$13,868 |
2.6× |
| Hysteroscopy Endometrial Ablation (58563) |
$15,055.80 |
$25,093 |
3.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,788.80 |
$9,648 |
1.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$15,088.20 |
$25,147 |
3.0× |
| I&d abscess peritonsillar (42700) |
$262.80 |
$438 |
1.1× |
| I&d abscess simple (10060) |
$529.80 |
$883 |
2.6× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$3,997.20 |
$6,662 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,071.40 |
$10,119 |
2.1× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$5,789.40 |
$9,649 |
2.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$9,314.40 |
$15,524 |
2.8× |
| I&d perianal abscess superficial (46050) |
$2,599.80 |
$4,333 |
2.8× |
| I&d pilonidal cyst complicated (10081) |
$2,452.20 |
$4,087 |
3.4× |
| I&d pilonidal cyst simple (10080) |
$2,097 |
$3,495 |
2.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,885.20 |
$8,142 |
1.7× |
| Icd Pocket Revision (33223) |
$3,429.60 |
$5,716 |
1.7× |
| Image Cath Fluid Colxn Visc (49405) |
$4,935.60 |
$8,226 |
3.0× |
| Image Cath Fluid Peri/Retro (49406) |
$3,348.60 |
$5,581 |
2.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$3,956.40 |
$6,594 |
2.4× |
| Immediate breast prosthesis (19340) |
$17,619 |
$29,365 |
2.1× |
| Implant neuroelectrodes (63650) |
$7,785 |
$12,975 |
1.2× |
| Implant Neuroelectrodes (64561) |
$22,173.60 |
$36,956 |
3.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$67,258.20 |
$112,097 |
3.5× |
| Implant Spine Infusion Pump (62362) |
$9,381 |
$15,635 |
0.5× |
| Incise external hemorrhoid (46083) |
$487.80 |
$813 |
1.9× |
| Incise finger tendon sheath (26055) |
$4,943.40 |
$8,239 |
3.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,134.60 |
$1,891 |
2.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,438.40 |
$9,064 |
1.9× |
| Incision & drainage leg/ankle infected bursa (27604) |
$1,924.20 |
$3,207 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,187.60 |
$8,646 |
3.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,137.60 |
$1,896 |
2.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$304.80 |
$508 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$327 |
$545 |
1.1× |
| Incision bone cortex foot (28005) |
$5,652 |
$9,420 |
1.7× |
| Incision extensor tendon sheath wrist (25000) |
$4,943.40 |
$8,239 |
3.1× |
| Incision of eardrum (69421) |
$8,052 |
$13,420 |
2.4× |
| Incision of eardrum (69420) |
$654 |
$1,090 |
2.7× |
| Incision of fibula (27707) |
$5,106 |
$8,510 |
1.6× |
| Incision of Foot Tendon (28234) |
$2,655 |
$4,425 |
1.6× |
| Incision of rectal abscess (46040) |
$731.40 |
$1,219 |
0.6× |
| Incision of tibia & fibula (27709) |
$6,729.60 |
$11,216 |
0.5× |
| Incision of urethra (53020) |
$6,208.80 |
$10,348 |
3.0× |
| Incision&drainage bursa foot (28001) |
$4,708.80 |
$7,848 |
2.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,146.40 |
$5,244 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$1,368.60 |
$2,281 |
1.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,460.60 |
$4,101 |
2.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$615.60 |
$1,026 |
2.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,188.80 |
$3,648 |
2.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$700.80 |
$1,168 |
2.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$3,835.20 |
$6,392 |
4.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,224.20 |
$3,707 |
3.1× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
$1,527.60–$1,625.40 |
$2,546–$2,709 |
varies |
| Injection for identification of sentinel node (38792) |
$1,436.40 |
$2,394 |
3.6× |
| Injection Into Brain Canal (61055) |
$777 |
$1,295 |
2.5× |
| Injection single tendon origin/insertion (20551) |
$460.20 |
$767 |
1.5× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$528.60–$895.20 |
$881–$1,492 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$895.20 |
$1,492 |
2.9× |
| Injection therapeutic carpal tunnel (20526) |
$723 |
$1,205 |
2.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$3,202.20 |
$5,337 |
3.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,909.20 |
$3,182 |
2.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$634.20 |
$1,057 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$247.73 |
$412.88 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$7,095.60 |
$11,826 |
2.2× |
| Ins cath ren art 1st unilat (36251) |
$6,423 |
$10,705 |
2.0× |
| Ins endovas vena cava filtr (37191) |
$8,975.40 |
$14,959 |
1.6× |
| Ins/Rep Subq Defibrillator (33270) |
$112,113.60 |
$186,856 |
3.6× |
| Insert 1 Electrode Pm-Defib (33216) |
$5,413.80 |
$9,023 |
0.7× |
| Insert and remove bone pin (20650) |
$5,850.60 |
$9,751 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$100.20 |
$167 |
0.8× |
| Insert cath pleura w/ image (32557) |
$1,634.40 |
$2,724 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,623.20 |
$4,372 |
1.4× |
| Insert Drug Implant Device (11981) |
$2,325.60 |
$3,876 |
17.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,894.20 |
$3,157 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$12,055.20 |
$20,092 |
1.1× |
| Insert multi-comp penis pros (54405) |
$57,479.40 |
$95,799 |
2.8× |
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines |
$1,664.40–$2,001.60 |
$2,774–$3,336 |
varies |
| Insert Pacing Lead & Connect (33224) |
$15,199.20 |
$25,332 |
1.4× |
| Insert pulse gen dual leads (33213) |
$13,536 |
$22,560 |
1.3× |
| Insert semi-rigid prosthesis (54400) |
$13,075.20 |
$21,792 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$303 |
$505 |
2.3× |
| Insert testicular prosthesis (54660) |
$13,569.60 |
$22,616 |
2.5× |
| Insert tun ip cath perc (49418) |
$5,859.60 |
$9,766 |
1.6× |
| Insert tunneled cv cath (36561) |
$4,159.80 |
$6,933 |
1.3× |
| Insert tunneled cv cath (36563) |
$3,182.40 |
$5,304 |
0.6× |
| Insert Uro/Ves Nck Sphincter (53445) |
$13,045.80 |
$21,743 |
0.6× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$522–$535.20 |
$870–$892 |
varies |
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines |
$9,950.40–$10,658.40 |
$16,584–$17,764 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,883.20 |
$6,472 |
2.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$26,288.40 |
$43,814 |
3.2× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$6,906 |
$11,510 |
1.9× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$5,883 |
$9,805 |
0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,290 |
$2,150 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,354.40 |
$8,924 |
1.7× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$1,738.20–$2,091 |
$2,897–$3,485 |
varies |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$27,069 |
$45,115 |
3.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$15,616.20 |
$26,027 |
2.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,976.80 |
$6,628 |
1.3× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$25,231.20 |
$42,052 |
0.8× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure |
$9,812.40 |
$16,354 |
0.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,561.80 |
$7,603 |
0.5× |
| Insrt heart pm atrial & vent (33208) |
$12,213.60 |
$20,356 |
1.2× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$19,243.80 |
$32,073 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$808.20 |
$1,347 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$753.60 |
$1,256 |
1.8× |
| Intro cath dialysis circuit (36901) |
$3,883.20 |
$6,472 |
2.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$34,330.80 |
$57,218 |
3.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$16,611 |
$27,685 |
2.9× |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
$572.38–$708 |
$953.96–$1,180 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$846 |
$1,410 |
3.4× |
| Knee arthroscopy/drainage (29871) |
$5,832.60 |
$9,721 |
1.8× |
| Knee Arthroscopy/Surgery (29885) |
$4,457.40 |
$7,429 |
0.6× |
| Knee Arthroscopy/Surgery (29874) |
$9,594 |
$15,990 |
2.9× |
| Knee Arthroscopy/Surgery (29850) |
$3,661.20 |
$6,102 |
2.3× |
| Lam facetec & foramot lumbar (63047) |
$20,528.40 |
$34,214 |
2.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$14,644.80 |
$24,408 |
2.0× |
| Lap insert tunnel ip cath (49324) |
$9,356.40 |
$15,594 |
1.5× |
| Lap paraesophag hern repair (43281) |
$18,177.60 |
$30,296 |
1.7× |
| Lap revision perm ip cath (49325) |
$8,980.50 |
$14,967.50 |
1.5× |
Laparo ligate spermatic vein (55550)
unusually low: confirm this is the full procedure |
$2,122.20 |
$3,537 |
0.3× |
| Laparo-vag hyst incl t/o (58552) |
$15,289.80 |
$25,483 |
1.4× |
| Laparoscopy aspiration (49322) |
$6,735.60 |
$11,226 |
1.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$11,553.60 |
$19,256 |
1.9× |
| Laparoscopy fulguration oviducts (58670) |
$6,418.20 |
$10,697 |
1.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$14,395.80 |
$23,993 |
2.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$16,435.80 |
$27,393 |
2.7× |
| Laparoscopy, surgical, appendectomy (44970) |
$16,435.80 |
$27,393 |
2.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$17,892.60 |
$29,821 |
1.7× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$10,045.20 |
$16,742 |
2.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$9,239.40 |
$15,399 |
1.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$16,435.80 |
$27,393 |
2.7× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$11,518.20 |
$19,197 |
1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$13,741.20 |
$22,902 |
2.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$16,435.80 |
$27,393 |
2.7× |
| Laparoscopy, Tubal Block (58671) |
$16,435.80 |
$27,393 |
2.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$16,318.20 |
$27,197 |
2.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$16,435.80 |
$27,393 |
2.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$10,045.20 |
$16,742 |
2.6× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$9,580.80 |
$15,968 |
2.6× |
| Laryngoscopy diagnostic (31505) |
$216 |
$360 |
1.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$4,861.80 |
$8,103 |
2.7× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$575.40 |
$959 |
2.9× |
| Laryngoscopy W/Biopsy (31535) |
$8,548.20 |
$14,247 |
2.3× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$9,731.40 |
$16,219 |
2.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,023.60 |
$6,706 |
2.3× |
| Larynscop w/tumr exc + scope (31541) |
$9,731.40 |
$16,219 |
2.6× |
| Laser vaporization of prostate (52648) |
$9,649.80 |
$16,083 |
1.8× |
| Late closure of wound (13160) |
$5,644.20 |
$9,407 |
1.6× |
| Lateral retinacular release open (27425) |
$8,828.40 |
$14,714 |
2.7× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$8,002.80 |
$13,338 |
2.5× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$16,644 |
$27,740 |
2.3× |
| Ligamentous reconstruction knee intra-articular (27428) |
$40,892.40 |
$68,154 |
3.2× |
| Ligate leg veins open (37761) |
$4,742.40 |
$7,904 |
1.5× |
| Ligate/strip long leg vein (37722) |
$7,794 |
$12,990 |
2.5× |
Ligation of a-v fistula (37607)
range across 2 matching MRF lines |
$6,786.60–$7,057.80 |
$11,311–$11,763 |
varies |
| Ligation or biopsy temporal artery (37609) |
$4,884 |
$8,140 |
2.9× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$6,288 |
$10,480 |
2.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$13,569.60 |
$22,616 |
3.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,874.80 |
$16,458 |
2.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$13,569.60 |
$22,616 |
3.8× |
| Low Back Disk Surgery (63030) |
$12,899.40 |
$21,499 |
1.8× |
Lumbar spine fusion combined (22633)
unusually low: confirm this is the full procedure |
$8,536.80 |
$14,228 |
0.3× |
| Lysis of labial adhesions (56441) |
$5,169 |
$8,615 |
1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$6,208.80 |
$10,348 |
3.0× |
| Male sling procedure (53440) |
$11,808.60 |
$19,681 |
0.9× |
| Manipulation Ankle Under General Anesthesia (27860) |
$4,602.60 |
$7,671 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$4,943.40 |
$8,239 |
3.1× |
| Manipulation spine requiring anesthesia (22505) |
$3,559.80 |
$5,933 |
2.2× |
| Manipulation tmj therapeutic require anesthesia (21073) |
$3,501 |
$5,835 |
2.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$3,461.40 |
$5,769 |
2.1× |
| Marsupialization of bartholin's gland cyst (56440) |
$8,320.80 |
$13,868 |
2.6× |
| Mast mod rad (19307) |
$17,619 |
$29,365 |
2.6× |
| Mastectomy for gynecomastia (19300) |
$7,382.40 |
$12,304 |
1.9× |
| Mastectomy partial (19301) |
$9,998.40 |
$16,664 |
2.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$10,760.40 |
$17,934 |
1.6× |
| Mastectomy simple complete (19303) |
$17,619 |
$29,365 |
2.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,181 |
$3,635 |
1.4× |
| Metatarsectomy (28140) |
$4,848.60 |
$8,081 |
1.5× |
| Middle ear surgery proc unlisted (69799) |
$3,575.40 |
$5,959 |
15.0× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$7,913.40 |
$13,189 |
1.1× |
| Muscle-skin graft trunk (15734) |
$9,924.60 |
$16,541 |
2.8× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$17,184 |
$28,640 |
2.4× |
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines |
$2,042.40–$2,229 |
$3,404–$3,715 |
varies |
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines |
$1,596–$2,118 |
$2,660–$3,530 |
varies |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,726.80 |
$2,878 |
2.2× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,437 |
$2,395 |
1.8× |
| Myringoplasty (69620) |
$5,992.20 |
$9,987 |
1.8× |
| N block inj intercost sng (64420) |
$1,400.40 |
$2,334 |
2.0× |
| N Block Lumbar/Thoracic (64520) |
$541.80 |
$903 |
0.6× |
| Nasal surgery procedure (30999) |
$732 |
$1,220 |
3.1× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
$648.60–$753.60 |
$1,081–$1,256 |
varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,050.40 |
$5,084 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$4,381.80 |
$7,303 |
2.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$5,395.20 |
$8,992 |
3.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$4,358.40 |
$7,264 |
0.6× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,006.80 |
$6,678 |
0.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,943.40 |
$8,239 |
3.1× |
| Neck spine disk surgery (63020) |
$14,206.80 |
$23,678 |
1.9× |
| Needle Biopsy Lymph Nodes (38505) |
$1,668.60 |
$2,781 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$2,025.60 |
$3,376 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80.40 |
$134 |
2.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$5,897.40 |
$9,829 |
3.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$5,742 |
$9,570 |
2.9× |
| Nipple/areola reconstruction (19350) |
$9,988.20 |
$16,647 |
2.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,884.60 |
$3,141 |
2.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$271.80 |
$453 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$784.80 |
$1,308 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,776.60 |
$7,961 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,336.80 |
$2,228 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,989.60 |
$3,316 |
2.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,125.80 |
$3,543 |
3.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,259 |
$3,765 |
2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,266 |
$2,110 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$3,251.40 |
$5,419 |
3.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$2,017.80 |
$3,363 |
2.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$2,002.80 |
$3,338 |
2.9× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$17,811 |
$29,685 |
2.5× |
| Obstructive material removal from gi tube (49460) |
$1,750.20 |
$2,917 |
1.9× |
| Occipital Nerve Block (64405) |
$1,017.60 |
$1,696 |
3.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,798 |
$11,330 |
1.7× |
| Open bowel to skin (44300) |
$3,740.40 |
$6,234 |
1.9× |
| Open Implantation Nea Peripheral Nerve (64575) |
$66,421.20 |
$110,702 |
5.9× |
| Open Implantation Nea Sacral Nerve (64581) |
$22,173.60 |
$36,956 |
3.5× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
$54,410.40 |
$90,684 |
2.8× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,626.60 |
$12,711 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$20,528.40 |
$34,214 |
2.8× |
| Open treatment calcaneal fracture (28415) |
$20,528.40 |
$34,214 |
2.8× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$11,793 |
$19,655 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$8,028.60 |
$13,381 |
0.6× |
| Open treatment greater trochanteric fracture (27248) |
$9,886.80 |
$16,478 |
1.4× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$11,838 |
$19,730 |
1.6× |
| Open Treatment Medial Malleolus Fracture (27766) |
$20,237.40 |
$33,729 |
2.8× |
| Open treatment metatarsal fracture each (28485) |
$20,528.40 |
$34,214 |
2.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$20,528.40 |
$34,214 |
2.8× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure |
$3,342 |
$5,570 |
0.5× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$20,518.80 |
$34,198 |
2.8× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$18,891 |
$31,485 |
1.5× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$5,802.60 |
$9,671 |
1.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$21,304.80 |
$35,508 |
2.9× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,778.80 |
$11,298 |
0.9× |
| Open treatment of ulnar styloid fracture (25652) |
$5,579.40 |
$9,299 |
0.8× |
| Open treatment posterior malleolus fracture (27769) |
$20,528.40 |
$34,214 |
2.8× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$20,528.40 |
$34,214 |
2.8× |
| Open Treatment Proximal Humeral Fracture (23615) |
$37,065.60 |
$61,776 |
2.9× |
| Open Treatment Radial Shaft Fracture (25515) |
$12,271.80 |
$20,453 |
1.7× |
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure |
$2,671.80 |
$4,453 |
0.4× |
| Open tx acute shoulder dislocation (23660) |
$7,834.80 |
$13,058 |
1.1× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$6,897.60 |
$11,496 |
0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$9,314.40 |
$15,524 |
2.8× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$4,405.20 |
$7,342 |
1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$20,528.40 |
$34,214 |
2.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,660.20 |
$7,767 |
1.4× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$4,489.20 |
$7,482 |
0.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$20,528.40 |
$34,214 |
2.8× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$20,528.40 |
$34,214 |
1.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$9,314.40 |
$15,524 |
2.8× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$37,065.60 |
$61,776 |
2.9× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$15,402 |
$25,670 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$9,685.80 |
$16,143 |
2.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,995.60 |
$13,326 |
2.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$9,685.80 |
$16,143 |
2.9× |
| Open Tx Radial Head/Neck Fracture (24665) |
$20,237.40 |
$33,729 |
2.8× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$10,447.80 |
$17,413 |
0.8× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$5,727.60 |
$9,546 |
0.8× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$11,675.40 |
$19,459 |
1.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$20,528.40 |
$34,214 |
2.8× |
| Open tx ulnar fx proximal end (24685) |
$20,528.40 |
$34,214 |
2.8× |
| Open/Perq Place Stent 1St (37236) |
$23,513.40 |
$39,189 |
2.0× |
| Open/Perq Place Stent Same (37238) |
$20,315.40 |
$33,859 |
1.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,606.20 |
$17,677 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$20,528.40 |
$34,214 |
2.8× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$14,834.10 |
$24,723.50 |
2.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$39,182.40 |
$65,304 |
3.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$8,328 |
$13,880 |
1.1× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$9,300.60 |
$15,501 |
0.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$10,658.40 |
$17,764 |
3.0× |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
$8,170.20 |
$13,617 |
2.3× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$7,634.40 |
$12,724 |
2.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$3,187.80 |
$5,313 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,969.60 |
$6,616 |
1.2× |
| Ostectomy calcaneus (28118) |
$9,685.80 |
$16,143 |
2.9× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$9,685.80 |
$16,143 |
2.9× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$9,685.80 |
$16,143 |
2.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$9,314.40 |
$15,524 |
2.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$9,335.40 |
$15,559 |
2.8× |
| Osteochondral allograft knee open (27415) |
$41,671.20 |
$69,452 |
3.2× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$20,528.40 |
$34,214 |
2.8× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$5,958.60 |
$9,931 |
0.8× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$5,798.40 |
$9,664 |
0.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$9,685.80 |
$16,143 |
2.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$20,528.40 |
$34,214 |
2.8× |
| Osteotomy Metacarpal Each (26565) |
$8,005.20 |
$13,342 |
2.4× |
| Osteotomy Phalanx Finger Each (26567) |
$9,314.40 |
$15,524 |
2.8× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$3,831.60 |
$6,386 |
0.5× |
| Osteotomy Tibia (27705) |
$16,560 |
$27,600 |
2.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$14,648.40 |
$24,414 |
2.9× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$15,886.80 |
$26,478 |
2.7× |
| Part remv talus or calcaneus (28120) |
$9,594 |
$15,990 |
2.9× |
| Partial excision bone olecranon process (24147) |
$9,685.80 |
$16,143 |
2.9× |
| Partial removal of fibula (27641) |
$4,226.40 |
$7,044 |
1.3× |
| Partial removal of penis (54120) |
$8,829 |
$14,715 |
2.5× |
| Partial removal of thyroid (60220) |
$16,435.80 |
$27,393 |
2.7× |
| Partial removal of tibia (27640) |
$4,777.80 |
$7,963 |
1.5× |
| Partial removal of toe (28160) |
$9,314.40 |
$15,524 |
2.8× |
| Partial thyroid excision (60212) |
$13,957.20 |
$23,262 |
2.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$12,903 |
$21,505 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,943.40 |
$8,239 |
1.5× |
| Patellectomy or hemipatellectomy (27350) |
$7,785.60 |
$12,976 |
1.1× |
| Penis plastic surgery (54360) |
$9,058.80 |
$15,098 |
2.6× |
| Perc Rf Ablate Renal Tumor (50592) |
$8,461.20 |
$14,102 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,097 |
$3,495 |
2.9× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$5,016 |
$8,360 |
1.5× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$6,390 |
$10,650 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$3,365.40 |
$5,609 |
2.1× |
| Perq Cervicothoracic Inject (22510) |
$4,543.80 |
$7,573 |
1.4× |
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines |
$1,930.20–$5,497.80 |
$3,217–$9,163 |
varies |
| Perq dev breast 1st us imag (19285) |
$2,056.80 |
$3,428 |
2.9× |
| Perq device breast 1st imag (19281) |
$1,861.20 |
$3,102 |
1.1× |
| Perq Lumbosacral Injection (22511) |
$4,543.80 |
$7,573 |
1.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$9,685.80 |
$16,143 |
2.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$34,330.80 |
$57,218 |
3.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$13,044.60 |
$21,741 |
2.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,332.60 |
$12,221 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,332.60 |
$12,221 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$7,747.80 |
$12,913 |
2.4× |
| Pin Finger Dislocation (26776) |
$4,762.20 |
$7,937 |
1.4× |
| Place Cath Subclavian Art (36225) |
$5,127.60 |
$8,546 |
1.6× |
| Place Cath Thoracic Aorta (36221) |
$9,557.40 |
$15,929 |
3.0× |
| Place Cath Vertebral Art (36226) |
$9,652.80 |
$16,088 |
1.7× |
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines |
$211.80–$604.20 |
$353–$1,007 |
varies |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
$6,205.20 |
$10,342 |
3.0× |
| Plastic Repair Introitus (56800) |
$7,344.60 |
$12,241 |
2.3× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,544.20 |
$5,907 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,033.60 |
$15,056 |
1.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$9,033.60 |
$15,056 |
1.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$9,033.60 |
$15,056 |
1.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,157.20 |
$5,262 |
1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$1,866.60 |
$3,111 |
0.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,371.80 |
$8,953 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$15,055.80 |
$25,093 |
3.0× |
| Prim art mech thrombectomy (37184) |
$9,795 |
$16,325 |
0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$2,644.80 |
$4,408 |
2.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$6,377.40 |
$10,629 |
2.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$3,429 |
$5,715 |
2.9× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
unusually low: confirm this is the full procedure |
$3,244.80 |
$5,408 |
0.4× |
| Prostatic Rf Thermotx (53852) |
$6,744.60 |
$11,241 |
1.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$9,000 |
$15,000 |
1.4× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$2,460.60 |
$4,101 |
2.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,776.60 |
$7,961 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,776.60 |
$7,961 |
1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,743.20 |
$9,572 |
1.7× |
| Prq skel fixj femoral fx prox end neck (27235) |
$11,388 |
$18,980 |
1.6× |
| Prq skel fixj metar fx w/manj (28476) |
$7,405.20 |
$12,342 |
2.3× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,667.80 |
$11,113 |
0.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$5,057.40 |
$8,429 |
1.5× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$20,528.40 |
$34,214 |
2.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$9,685.80 |
$16,143 |
2.9× |
| Pseudoaneurysm Injection Trt (36002) |
$1,138.20 |
$1,897 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$903 |
$1,505 |
2.2× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$369.60–$925.80 |
$616–$1,543 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$1,050 |
$1,750 |
1.5× |
| Rad resect elbow caps/sr bone w rels (24149) |
$20,528.40 |
$34,214 |
2.8× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$1,689.60 |
$2,816 |
0.6× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$6,299.40 |
$10,499 |
2.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$7,869 |
$13,115 |
2.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$9,685.80 |
$16,143 |
2.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$6,472.20 |
$10,787 |
0.9× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$9,874.80 |
$16,458 |
2.8× |
| Re-explore parathyroids (60502) |
$18,546.60 |
$30,911 |
3.1× |
| Reconstruct elbow lat ligmnt (24344) |
$20,528.40 |
$34,214 |
2.8× |
Reconstruct elbow med ligmnt (24346)
unusually low: confirm this is the full procedure |
$5,256 |
$8,760 |
0.4× |
| Reconstruct Finger Joint (26548) |
$6,122.40 |
$10,204 |
1.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$8,604 |
$14,340 |
1.2× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,070.60 |
$8,451 |
1.6× |
| Reinforce tibia (27745) |
$20,801.40 |
$34,669 |
2.9× |
| Release foot/toe nerve (64726) |
$5,832.60 |
$9,721 |
3.0× |
| Release of big toe (28240) |
$3,830.40 |
$6,384 |
1.2× |
| Release of shoulder ligament (23415) |
$20,237.40 |
$33,729 |
2.8× |
| Relieve Pressure on Nerve(S) (64722) |
$3,474.60 |
$5,791 |
1.8× |
| Relocation Pocket Pacemaker (33222) |
$3,417 |
$5,695 |
1.6× |
| Rem Endovas Vena Cava Filter (37193) |
$7,002.60 |
$11,671 |
2.2× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$18,627.60 |
$31,046 |
0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,059 |
$1,765 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$1,365.60 |
$2,276 |
4.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,387.80 |
$7,313 |
1.5× |
| Removal Foreign Body Foot Complicated (28193) |
$3,477 |
$5,795 |
2.1× |
| Removal foreign body foot deep (28192) |
$6,738 |
$11,230 |
4.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,040.60 |
$3,401 |
2.9× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$7,772.40 |
$12,954 |
2.4× |
| Removal Foreign Body Scrotum (55120) |
$6,362.40 |
$10,604 |
3.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$205.20 |
$342 |
3.5× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$147.60–$225 |
$246–$375 |
varies |
| Removal Implant Deep (20680) |
$19,538.40 |
$32,564 |
6.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,806.60 |
$8,011 |
2.9× |
| Removal implantable contraceptive capsules (11976) |
$846.60 |
$1,411 |
1.2× |
| Removal of a lesion from the floor of the mouth (41116) |
$8,052 |
$13,420 |
2.4× |
| Removal of adenoids (42830) |
$9,174 |
$15,290 |
2.8× |
| Removal of anal fissure (46200) |
$4,477.20 |
$7,462 |
1.6× |
| Removal of ankle implant (27704) |
$5,077.20 |
$8,462 |
1.5× |
| Removal of foot joint lining (28072) |
$3,832.20 |
$6,387 |
1.2× |
| Removal of foreign body from pharynx (42809) |
$379.20 |
$632 |
0.8× |
| Removal of heel spur (28119) |
$9,685.80 |
$16,143 |
2.9× |
| Removal of mammary implant material (19330) |
$5,586 |
$9,310 |
1.4× |
| Removal of nail bed (11750) |
$1,137.60 |
$1,896 |
2.8× |
| Removal of sesamoid bone (28315) |
$9,685.80 |
$16,143 |
2.9× |
| Removal of sperm cord lesion (55520) |
$9,874.80 |
$16,458 |
2.8× |
| Removal of testis (54520) |
$5,754.60 |
$9,591 |
1.6× |
| Removal of thyroid (60271) |
$15,886.80 |
$26,478 |
2.7× |
| Removal of tonsils (42825) |
$13,871.40 |
$23,119 |
2.3× |
| Removal of tonsils (42826) |
$8,052 |
$13,420 |
2.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$7,514.40 |
$12,524 |
2.4× |
| Removal of wrist bone (25210) |
$9,685.80 |
$16,143 |
2.9× |
| Removal or bivalving full arm or full leg cast (29705) |
$191.40 |
$319 |
0.7× |
| Removal Pacemaker Electrode (33235) |
$2,089.20 |
$3,482 |
0.6× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,121.60 |
$3,536 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$853.20 |
$1,422 |
4.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,091 |
$3,485 |
2.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,342.30 |
$5,570.50 |
1.6× |
| Removal sweat gland lesion (11450) |
$8,513.40 |
$14,189 |
2.9× |
| Removal, under anesthesia, of external fixation system (20694) |
$5,689.20 |
$9,482 |
3.5× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$6,208.80 |
$10,348 |
3.0× |
| Remove armpit lymph nodes (38740) |
$9,301.20 |
$15,502 |
1.5× |
| Remove brain canal fluid (61050) |
$892.80 |
$1,488 |
2.9× |
| Remove drug implant device (11982) |
$2,665.20 |
$4,442 |
5.9× |
| Remove elbow joint implant (24160) |
$9,685.80 |
$16,143 |
2.9× |
| Remove Elctrd Transvenously (33244) |
$982.20 |
$1,637 |
0.3× |
| Remove foreign body from eye (65205) |
$366 |
$610 |
2.7× |
| Remove groin lymph nodes (38760) |
$7,411.20 |
$12,352 |
1.1× |
| Remove humerus lesion (23174) |
$20,803.80 |
$34,673 |
2.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$5,101.80 |
$8,503 |
2.4× |
| Remove Intrauterine Device (58301) |
$588.60 |
$981 |
1.9× |
| Remove intrvas foreign body (37197) |
$17,660.40 |
$29,434 |
5.6× |
| Remove Lower Leg Bone Lesion (27635) |
$4,912.80 |
$8,188 |
1.5× |
| Remove lung catheter (32552) |
$2,314.20 |
$3,857 |
3.7× |
| Remove muti-comp penis pros (54406) |
$8,177.40 |
$13,629 |
2.3× |
| Remove Nasal Foreign Body (30300) |
$157.20 |
$262 |
1.2× |
| Remove prostate regrowth (52630) |
$13,569.60 |
$22,616 |
2.5× |
| Remove Pulse Generator (33241) |
$3,168 |
$5,280 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$576 |
$960 |
0.8× |
| Remove shoulder joint lining (23105) |
$16,984.20 |
$28,307 |
2.3× |
| Remove Skin Nerve Lesion (64774) |
$4,381.80 |
$7,303 |
2.2× |
| Remove Tendon Sheath Lesion (26160) |
$4,943.40 |
$8,239 |
3.1× |
| Remove thyroid lesion (60200) |
$7,996.80 |
$13,328 |
1.3× |
| Remove tissue expander (11971) |
$5,909.40 |
$9,849 |
2.0× |
| Remove&replace pm gen singl (33227) |
$14,982.60 |
$24,971 |
1.8× |
| Remove/graft foot lesion (28102) |
$20,528.40 |
$34,214 |
2.8× |
| Remove/graft leg bone lesion (27637) |
$17,103.60 |
$28,506 |
2.3× |
| Remove/replace penis prosth (54410) |
$57,943.20 |
$96,572 |
2.8× |
| Remv&replc cvd gen dual lead (33263) |
$39,974.40 |
$66,624 |
1.8× |
| Remv&replc cvd gen mult lead (33264) |
$34,830.60 |
$58,051 |
1.1× |
| Remv&replc cvd gen sing lead (33262) |
$34,157.40 |
$56,929 |
1.5× |
| Remv&replc pm gen dual lead (33228) |
$16,933.20 |
$28,222 |
1.6× |
| Remv&replc pm gen mult leads (33229) |
$13,698 |
$22,830 |
0.7× |
| Renal Biopsy Perq (50200) |
$1,296 |
$2,160 |
0.8× |
| Reopen fallopian tube (58350) |
$3,531 |
$5,885 |
0.7× |
| Repair Achilles Tendon (27650) |
$9,314.40 |
$15,524 |
1.3× |
| Repair blood vessel direct neck (35201) |
$12,671.40 |
$21,119 |
2.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$6,011.40 |
$10,019 |
1.9× |
| Repair blood vessel lesion (35190) |
$3,373.20 |
$5,622 |
0.6× |
| Repair blood vessel lesion (35236) |
$9,507 |
$15,845 |
1.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$6,520.80 |
$10,868 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$909 |
$1,515 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$897.60 |
$1,496 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$463.80 |
$773 |
1.1× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$1,279.80–$1,986.60 |
$2,133–$3,311 |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$812.40 |
$1,354 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$888.60 |
$1,481 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,528.20 |
$2,547 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,473 |
$2,455 |
2.0× |
| Repair Elbow Perc (24357) |
$4,943.40 |
$8,239 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,955.80 |
$6,593 |
2.4× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$9,314.40 |
$15,524 |
2.8× |
| Repair Foot Dislocation (28615) |
$8,891.40 |
$14,819 |
1.2× |
| Repair Hallux Rigidus (28289) |
$9,685.80 |
$16,143 |
2.9× |
| Repair Hand Joint (26540) |
$6,468 |
$10,780 |
2.0× |
| Repair humerus with graft (24435) |
$16,836.60 |
$28,061 |
1.3× |
| Repair incomplete circumcision (54163) |
$3,405 |
$5,675 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$8,419.80 |
$14,033 |
2.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$7,004.40 |
$11,674 |
1.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$6,320.40 |
$10,534 |
1.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,658.40 |
$17,764 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$346.80 |
$578 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$355.20 |
$592 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$301.80 |
$503 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$153.60 |
$256 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$303.60 |
$506 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,188.60 |
$1,981 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$449.40 |
$749 |
1.1× |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
$543–$576 |
$905–$960 |
varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$279 |
$465 |
0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,519.20 |
$2,532 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$273.60 |
$456 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,054.80 |
$1,758 |
2.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$471.60 |
$786 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,798.20 |
$2,997 |
2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,134 |
$1,890 |
2.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,138.60 |
$5,231 |
1.5× |
| Repair lower leg tendons (27676) |
$20,528.40 |
$34,214 |
2.8× |
| Repair lumbar hernia (49540) |
$11,807.40 |
$19,679 |
1.9× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$16,502.40 |
$27,504 |
1.3× |
| Repair Nonunion Hand (26546) |
$8,465.40 |
$14,109 |
1.2× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$8,028.60 |
$13,381 |
0.6× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$11,285.40 |
$18,809 |
1.5× |
| Repair of biceps tendon (24340) |
$4,653 |
$7,755 |
0.6× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$7,058.40 |
$11,764 |
1.4× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$9,837.60 |
$16,396 |
1.3× |
| Repair of knee ligaments (27409) |
$9,464.40 |
$15,774 |
1.3× |
| Repair of metatarsals (28322) |
$20,528.40 |
$34,214 |
2.8× |
| Repair of nail bed (11760) |
$1,352.40 |
$2,254 |
1.8× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725)
unusually low: confirm this is the full procedure |
$3,342 |
$5,570 |
0.5× |
| Repair of rectocele (45560) |
$8,356.80 |
$13,928 |
3.0× |
| Repair of Ruptured Tendon (24342) |
$9,423 |
$15,705 |
1.3× |
| Repair of shoulder (23420) |
$20,528.40 |
$34,214 |
2.8× |
| Repair paravag defect vag (57285) |
$23,021.40 |
$38,369 |
3.1× |
| Repair penis post injury (54440) |
$5,193 |
$8,655 |
1.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$10,658.40 |
$17,764 |
1.6× |
| Repair Rotator Cuff Chronic (23412) |
$20,528.40 |
$34,214 |
2.8× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,104 |
$11,840 |
1.0× |
| Repair shoulder capsule (23462) |
$13,903.20 |
$23,172 |
1.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$7,812.60 |
$13,021 |
2.4× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$9,628.20 |
$16,047 |
1.3× |
| Repair Toe Dislocation (28645) |
$3,657.60 |
$6,096 |
1.1× |
| Repair tongue laceration (41252) |
$868.20 |
$1,447 |
3.6× |
| Repair tongue laceration (41250) |
$555.60 |
$926 |
1.2× |
| Repair uro sphincter (53449) |
$10,869 |
$18,115 |
1.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,864 |
$11,440 |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,749.60 |
$12,916 |
1.1× |
| Repair/graft achilles tendon (27652) |
$20,528.40 |
$34,214 |
2.8× |
Repair/graft femur head/neck (27170)
unusually low: confirm this is the full procedure |
$2,500.20 |
$4,167 |
0.3× |
| Repair/Revise Wrist Joint (25320) |
$7,642.80 |
$12,738 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,626 |
$2,710 |
1.8× |
| Replace elbow joint (24363) |
$21,593.40 |
$35,989 |
1.2× |
| Replace G-J Tube Perc (49452) |
$1,679.40 |
$2,799 |
1.8× |
| Replace g/c tube perc (49450) |
$1,203 |
$2,005 |
1.3× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$9,577.20 |
$15,962 |
1.3× |
| Reposition Gastrostomy Tube (43761) |
$533.40 |
$889 |
2.1× |
| Reposition L Ventric Lead (33226) |
$1,345.20 |
$2,242 |
0.4× |
| Reposition Pacing-Defib Lead (33215) |
$3,849.60 |
$6,416 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$7,555.80 |
$12,593 |
2.3× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$20,528.40 |
$34,214 |
2.8× |
| Rerepair ing hernia reduce (49520) |
$10,658.40 |
$17,764 |
3.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$4,943.40 |
$8,239 |
1.5× |
| Resection/transplantation long tendon biceps (23440) |
$3,992.40 |
$6,654 |
0.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,742.80 |
$6,238 |
1.1× |
| Revis reconst shoulder joint (23473) |
$18,268.80 |
$30,448 |
1.4× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$14,895.60 |
$24,826 |
1.2× |
| Revise Hand/Foot Nerve (64704) |
$3,372 |
$5,620 |
1.7× |
| Revise lower leg tendon (27690) |
$7,000.80 |
$11,668 |
1.0× |
| Revise Lower Leg Tendons (27686) |
$5,347.80 |
$8,913 |
1.6× |
| Revise ulnar nerve at wrist (64719) |
$4,380 |
$7,300 |
2.2× |
| Revise Wrist/Forearm Tendon (25280) |
$4,917 |
$8,195 |
1.5× |
| Revise/Repair Finger/Toe Nerve (64702) |
$3,301.80 |
$5,503 |
1.7× |
| Revision of big toe (28310) |
$4,198.20 |
$6,997 |
0.6× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$10,571.40 |
$17,619 |
3.0× |
| Revision of foot (28116) |
$9,685.80 |
$16,143 |
2.9× |
| Revision of foot bones (28737) |
$11,658.60 |
$19,431 |
0.9× |
| Revision of foot fascia (28250) |
$4,525.80 |
$7,543 |
1.4× |
| Revision of knee joint (27442) |
$7,824.60 |
$13,041 |
0.6× |
| Revision of lower leg tendon (27685) |
$9,685.80 |
$16,143 |
2.9× |
| Revision of reconstructed breast (19380) |
$8,928 |
$14,880 |
1.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$7,865.40 |
$13,109 |
2.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$12,148.80 |
$20,248 |
0.7× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$13,146.60 |
$21,911 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$6,312 |
$10,520 |
1.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,945.20 |
$8,242 |
1.4× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$44,949 |
$74,915 |
2.4× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$44,949 |
$74,915 |
2.4× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$44,949 |
$74,915 |
2.4× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$44,949 |
$74,915 |
2.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,167 |
$6,945 |
2.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,143.80 |
$3,573 |
2.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$4,884 |
$8,140 |
2.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$313.20 |
$522 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$266.40 |
$444 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$394.80 |
$658 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,429 |
$5,715 |
2.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$6,865.20 |
$11,442 |
2.4× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$6,611.40 |
$11,019 |
1.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$4,891.80 |
$8,153 |
2.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,576.80 |
$7,628 |
1.2× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$2,694.60–$3,291.60 |
$4,491–$5,486 |
varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,125.80 |
$3,543 |
3.4× |
| Rplc Gtube No Revj Trc (43762) |
$822 |
$1,370 |
3.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$7,482 |
$12,470 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,599.40 |
$5,999 |
2.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,093.20 |
$6,822 |
1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,343 |
$3,905 |
1.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,346 |
$8,910 |
1.7× |
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines |
$2,702.40–$5,346 |
$4,504–$8,910 |
varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$13,542.60 |
$22,571 |
2.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$9,200.40 |
$15,334 |
2.6× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$9,201.60 |
$15,336 |
1.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$9,201.60 |
$15,336 |
1.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$11,502 |
$19,170 |
1.8× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$13,539.60 |
$22,566 |
2.2× |
| Rpr blood vessel direct lower extremity (35226) |
$3,465.60 |
$5,776 |
4.9× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$13,569.60 |
$22,616 |
2.5× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$9,685.80 |
$16,143 |
2.9× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$20,528.40 |
$34,214 |
2.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$312.60 |
$521 |
1.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$20,237.40 |
$33,729 |
2.8× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$536.40 |
$894 |
0.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,462.20 |
$2,437 |
2.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$171.60 |
$286 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,383.60 |
$2,306 |
2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,710.60 |
$2,851 |
3.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,411.20 |
$2,352 |
0.9× |
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
unusually low: confirm this is the full procedure |
$2,785.20 |
$4,642 |
0.4× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$20,528.40 |
$34,214 |
2.8× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$9,685.80 |
$16,143 |
2.9× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$4,461 |
$7,435 |
1.4× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$8,376 |
$13,960 |
1.1× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
$9,446.40 |
$15,744 |
1.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$2,243.40 |
$3,739 |
3.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,092.20 |
$8,487 |
1.5× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$5,650.20 |
$9,417 |
1.7× |
| Scrotal exploration (55110) |
$5,613 |
$9,355 |
1.6× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$8,052 |
$13,420 |
2.4× |
| Shoulder arthroscopy (29820) |
$5,310 |
$8,850 |
0.7× |
| Shoulder arthroscopy diagnostic (29805) |
$9,314.40 |
$15,524 |
2.8× |
| Shoulder Arthroscopy/Surgery (29825) |
$9,685.80 |
$16,143 |
2.9× |
| Sigmoidoscopy & Polypectomy (45333) |
$2,599.80 |
$4,333 |
2.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,794.20 |
$4,657 |
2.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$3,429 |
$5,715 |
2.9× |
| Sigmoidoscopy w/fb removal (45332) |
$2,687.40 |
$4,479 |
2.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,599.80 |
$4,333 |
2.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$2,469.60 |
$4,116 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$251.40 |
$419 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$326.40 |
$544 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$360 |
$600 |
1.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$561.60 |
$936 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$363 |
$605 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$469.80 |
$783 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$310.80 |
$518 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,600.20 |
$2,667 |
7.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$415.20 |
$692 |
2.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,583.60 |
$4,306 |
3.5× |
| Skin sub graft trnk/arm/leg (15271) |
$2,735.40 |
$4,559 |
3.7× |
| Skin sub grft t/arm/lg child (15273) |
$2,339.40 |
$3,899 |
1.1× |
| Skin Tissue Procedure (17999) |
$618.60 |
$1,031 |
3.1× |
| Skn sub grft f/n/hf/g child (15277) |
$4,478.40 |
$7,464 |
2.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,687.60 |
$11,146 |
1.2× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$7,776 |
$12,960 |
2.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,190.20 |
$15,317 |
1.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,966.80 |
$13,278 |
1.6× |
| Slitting of prepuce (54001) |
$6,208.80 |
$10,348 |
3.0× |
| Small bowel endoscopy (44366) |
$2,995.80 |
$4,993 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,741.60 |
$6,236 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$325.80 |
$543 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$373.80 |
$623 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$227.40 |
$379 |
0.6× |
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines |
$792.60–$2,118 |
$1,321–$3,530 |
varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$5,567.40 |
$9,279 |
1.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,348 |
$5,580 |
1.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$9,127.80 |
$15,213 |
2.9× |
| Strapping ankle (29540) |
$226.80 |
$378 |
1.4× |
| Strapping hand/finger (29280) |
$186.60 |
$311 |
3.1× |
| Strapping knee (29530) |
$378 |
$630 |
2.8× |
| Strapping shoulder (29240) |
$924 |
$1,540 |
6.9× |
| Strapping thorax (29200) |
$160.80 |
$268 |
1.0× |
| Strapping toes (29550) |
$186 |
$310 |
3.1× |
| Strapping Unna Boot (29580) |
$507.60 |
$846 |
3.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$8,052 |
$13,420 |
2.4× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$9,418.20 |
$15,697 |
2.8× |
| Surg Implnt Neuroelect,Epidural (63655) |
$9,857.40 |
$16,429 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$5,056.80 |
$8,428 |
1.8× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$5,455.80 |
$9,093 |
2.8× |
| Suture infrapatellar tendon primary (27380) |
$10,185.60 |
$16,976 |
1.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$10,110.60 |
$16,851 |
1.4× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$20,528.40 |
$34,214 |
2.8× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$9,397.20 |
$15,662 |
1.3× |
| Suture/repair testicular injury (54670) |
$6,277.20 |
$10,462 |
1.8× |
| Syndactylization toes (28280) |
$3,443.40 |
$5,739 |
1.0× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$20,801.40 |
$34,669 |
2.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$4,943.40 |
$8,239 |
3.1× |
| Talectomy (astragalectomy) Facility (28130) |
$21,169.20 |
$35,282 |
2.9× |
| Tangential biopsy skin single lesion (11102) |
$480 |
$800 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$20,528.40 |
$34,214 |
2.8× |
| Tenolysis extensor foot single tendon (28225) |
$2,815.20 |
$4,692 |
0.9× |
| Tenolysis flexor foot single tendon (28220) |
$4,258.20 |
$7,097 |
2.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$4,417.80 |
$7,363 |
1.3× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,264.60 |
$5,441 |
2.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$4,663.80 |
$7,773 |
2.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$5,776.80 |
$9,628 |
1.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$3,997.80 |
$6,663 |
2.5× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$9,588.60 |
$15,981 |
2.9× |
| Tenotomy shoulder area single tendon (23405) |
$20,528.40 |
$34,214 |
2.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,350.40 |
$5,584 |
2.1× |
| Therapeutic pneumothorax (32960) |
$1,795.20 |
$2,992 |
2.8× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$16,005.60 |
$26,676 |
2.9× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$15,616.20 |
$26,027 |
2.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$27,315 |
$45,525 |
1.5× |
| Thromblytic art/ven therapy (37213) |
$1,836.60 |
$3,061 |
0.6× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$8,174.40 |
$13,624 |
1.5× |
| Thrombolytic Art Therapy (37211) |
$3,294 |
$5,490 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$898.20 |
$1,497 |
2.7× |
| Thrombolytic Venous Therapy (37212) |
$2,244.60 |
$3,741 |
0.7× |
| Thyroid biopsy (60100) |
$937.80 |
$1,563 |
1.3× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$13,045.80 |
$21,743 |
2.2× |
| Thyroidectomy, total or complete (60240) |
$16,435.80 |
$27,393 |
2.7× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$15,708.60 |
$26,181 |
2.6× |
| Tibial Arthroscopy/Surgery (29855) |
$7,758 |
$12,930 |
1.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$5,545.20 |
$9,242 |
2.7× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$41,700 |
$69,500 |
3.0× |
| Tnot elbow lateral/medial debride open (24358) |
$5,635.80 |
$9,393 |
1.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$6,286.20 |
$10,477 |
1.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,311 |
$7,185 |
1.3× |
| Tooth extraction (41899) |
$7,068 |
$11,780 |
29.7× |
| Total Knee Arthroplasty (27447) |
$37,065.60 |
$61,776 |
2.9× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$11,925.60 |
$19,876 |
2.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$3,062.40 |
$5,104 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$562.20 |
$937 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,213.80 |
$2,023 |
0.8× |
| Tracheostomy planned (31600) |
$7,922.40 |
$13,204 |
2.4× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$5,380.80 |
$8,968 |
1.6× |
| Transfusion Intrauterine Fetal (36460) |
$1,059 |
$1,765 |
2.4× |
| Transur electr resection of prostate (52601) |
$13,569.60 |
$22,616 |
2.5× |
| Transurethral incision of prostate (52450) |
$5,490 |
$9,150 |
1.6× |
| Transurethral resection bladder neck (52500) |
$6,188.40 |
$10,314 |
1.7× |
| Treat Ankle Dislocation (27846) |
$16,683 |
$27,805 |
2.3× |
| Treat ankle fracture (28445) |
$20,237.40 |
$33,729 |
2.8× |
| Treat Big Toe Fracture (28505) |
$7,345.80 |
$12,243 |
2.2× |
| Treat ectopic pregnancy (59151) |
$11,797.80 |
$19,663 |
1.9× |
| Treat elbow fracture (24586) |
$14,646.60 |
$24,411 |
1.1× |
| Treat Finger Fracture Each (26727) |
$5,619.60 |
$9,366 |
1.7× |
| Treat fracture radius/ulna (25575) |
$12,162 |
$20,270 |
1.7× |
| Treat Fx Rad Extra-Articul (25607) |
$20,237.40 |
$33,729 |
2.8× |
| Treat humerus fracture (24500) |
$506.40 |
$844 |
2.0× |
| Treat Humerus Fracture (24505) |
$1,623.60 |
$2,706 |
1.0× |
| Treat humerus fracture (23600) |
$502.80 |
$838 |
2.0× |
| Treat knee fracture (27532) |
$2,024.40 |
$3,374 |
0.6× |
| Treat Kneecap Fracture (27524) |
$20,528.40 |
$34,214 |
2.8× |
| Treat Knuckle Dislocation (26700) |
$529.20 |
$882 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$514.20 |
$857 |
2.1× |
| Treat Thumb Dislocation (26641) |
$552.60 |
$921 |
2.2× |
| Treat toe dislocation (28630) |
$421.80 |
$703 |
1.7× |
Treat/graft heel fracture (28420)
likely a partial charge, not the full procedure |
$3,452.40 |
$5,754 |
0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,193.60 |
$3,656 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$276 |
$460 |
1.1× |
| Treatment of anal fissure (46940) |
$6,480.60 |
$10,801 |
2.3× |
| Treatment of ankle fracture (27823) |
$20,528.40 |
$34,214 |
2.8× |
| Treatment of foot infection (28003) |
$9,396 |
$15,660 |
2.9× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$3,000 |
$5,000 |
0.4× |
| Trim skin lesion (11055) |
$618.60 |
$1,031 |
3.1× |
| Trim skin lesions 2 to 4 (11056) |
$468.60 |
$781 |
2.3× |
| Trim skin lesions over 4 (11057) |
$252 |
$420 |
1.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$144.60 |
$241 |
2.4× |
| Trluml Balo Angiop 1St Art (37246) |
$16,877.40 |
$28,129 |
3.0× |
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines |
$9,939–$17,708.40 |
$16,565–$29,514 |
varies |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$5,178 |
$8,630 |
1.5× |
| Trurl rescj postop bladder neck contracture (52640) |
$6,634.80 |
$11,058 |
1.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,821.20 |
$9,702 |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$953.40 |
$1,589 |
4.4× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$12,003 |
$20,005 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,522.20 |
$7,537 |
1.4× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$8,109 |
$13,515 |
1.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$8,320.80 |
$13,868 |
2.6× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$6,972 |
$11,620 |
2.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,886 |
$4,810 |
1.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$3,229.20 |
$5,382 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,275 |
$2,125 |
1.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$757.80 |
$1,263 |
1.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,559.80 |
$5,933 |
2.2× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,111.20 |
$21,852 |
1.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$4,648.20 |
$7,747 |
3.0× |
| Tympanoplasty (69631) |
$9,519.60 |
$15,866 |
1.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$16,708.80 |
$27,848 |
2.8× |
| Tympanostomy general anesthesia (69436) |
$4,541.40 |
$7,569 |
2.9× |
| Unlisted Cardiac Surgery (33999) |
$373.20 |
$622 |
0.6× |
| Unlisted laparoscopic procedure liver (47379) |
$16,435.80 |
$27,393 |
2.7× |
| Unlisted laparoscopy procedure appendix (44979) |
$8,571 |
$14,285 |
1.4× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$16,802.40 |
$28,004 |
2.8× |
| Unlisted laparoscopy procedure stomach (43659) |
$16,807.20 |
$28,012 |
2.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$9,948 |
$16,580 |
1.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$16,435.80 |
$27,393 |
2.7× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$9,093.60 |
$15,156 |
1.5× |
| Unlisted laparoscopy procedure, spleen (38129) |
$16,931.40 |
$28,219 |
2.8× |
| Unlisted procedure anus (46999) |
$3,826.20 |
$6,377 |
4.1× |
| Unlisted procedure arthroscopy (29999) |
$6,033 |
$10,055 |
24.3× |
| Unlisted Procedure Endocrine System (60699) |
$5,898.60 |
$9,831 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$2,722.80 |
$4,538 |
3.0× |
| Unlisted procedure excision pressure ulcer (15999) |
$4,320.60 |
$7,201 |
6.1× |
| Unlisted procedure femur or knee (27599) |
$5,681.40 |
$9,469 |
22.9× |
| Unlisted procedure foot or toes (28899) |
$4,678.80 |
$7,798 |
18.9× |
| Unlisted procedure humerus/elbow (24999) |
$3,882.60 |
$6,471 |
15.7× |
| Unlisted Procedure Male Genital System (55899) |
$841.20 |
$1,402 |
3.4× |
| Unlisted Procedure Muscskeletal System General (20999) |
$787.20 |
$1,312 |
3.2× |
| Unlisted procedure neck or thorax (21899) |
$654 |
$1,090 |
2.7× |
| Unlisted procedure nervous system (64999) |
$895.20 |
$1,492 |
2.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$8,555.40 |
$14,259 |
34.5× |
| Unlisted Procedure Rectum (45999) |
$3,414.60 |
$5,691 |
3.7× |
| Unlisted procedure shoulder (23929) |
$4,962.60 |
$8,271 |
20.0× |
| Unlisted procedure spine (22899) |
$787.20 |
$1,312 |
3.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$3,067.20 |
$5,112 |
15.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,243.40 |
$3,739 |
3.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,872.20 |
$9,787 |
6.4× |
| Unlisted Procedure, Urinary System (53899) |
$841.20 |
$1,402 |
3.4× |
| Upgrade of pacemaker system (33214) |
$14,889.60 |
$24,816 |
1.4× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$13,569.60 |
$22,616 |
2.5× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$6,208.80 |
$10,348 |
1.8× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$6,929.40 |
$11,549 |
2.0× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$8,969.40 |
$14,949 |
1.7× |
| Vaginal delivery only (59409) |
$2,656.20 |
$4,427 |
0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$15,055.80 |
$25,093 |
3.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$14,648.40 |
$24,414 |
2.9× |
| Vasc embolize/occlude artery (37242) |
$20,289.60 |
$33,816 |
1.1× |
| Vasc Embolize/Occlude Bleed (37244) |
$20,898.60 |
$34,831 |
1.8× |
| Vasc Embolize/Occlude Organ (37243) |
$14,691.60 |
$24,486 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$6,966.60 |
$11,611 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,208.80 |
$10,348 |
3.0× |
| Vasovasostomy vasovasorrhaphy (55400) |
$10,212.60 |
$17,021 |
2.9× |
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines |
$4,323.60–$7,624.20 |
$7,206–$12,707 |
varies |
| Vulvectomy simple partial (56620) |
$8,383.80 |
$13,973 |
2.6× |
| Wedge excision skin nail fold (11765) |
$1,137.60 |
$1,896 |
2.8× |
| Wound Prep F/N/Hf/G (15004) |
$3,068.40 |
$5,114 |
7.5× |
| Wound Prep Trk/Arm/Leg (15002) |
$3,759 |
$6,265 |
5.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,023.40 |
$10,039 |
0.8× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$4,857 |
$8,095 |
3.1× |