| Abd paracentesis w/imaging (49083) |
$1,627.09 |
$2,711.82 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,281.73 |
$2,136.21 |
1.4× |
Abdomen Surgery Procedure (22999)
range across 9 matching MRF lines |
$674.12–$11,582.59 |
$1,123.54–$19,304.31 |
varies |
| Ablate Pulm Tumor Perq Crybl (32994) |
$7,553.70 |
$12,589.50 |
0.7× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$8,581.80 |
$14,303 |
0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,350.33 |
$15,583.89 |
0.5× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$7,896.23 |
$13,160.38 |
1.1× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,396 |
$5,660 |
2.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,938.20 |
$9,897 |
1.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,830 |
$4,716.67 |
1.4× |
| Allogeneic lymphocyte infusions (38242) |
$3,388.64 |
$5,647.73 |
2.2× |
| Amniocentesis diagnostic (59000) |
$876.60 |
$1,461 |
0.9× |
| Amniocentesis therapeutic (59001) |
$672.92 |
$1,121.53 |
2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,448.69 |
$7,414.49 |
1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,865.99 |
$6,443.32 |
1.2× |
| Amputate Metacarpal Bone (26910) |
$5,248.75 |
$8,747.92 |
1.6× |
| Amputation toe interphalangeal joint (28825) |
$3,088.91 |
$5,148.19 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,914.52 |
$4,857.53 |
0.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$430.56 |
$717.60 |
1.4× |
| Anal/Urinary Muscle Study (51784) |
$407 |
$678.34 |
3.1× |
| Anoscopy diagnostic (46600) |
$358.84 |
$598.07 |
2.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,022.14 |
$3,370.23 |
2.2× |
| Apheresis Platelets (36513) |
$2,692.74 |
$4,487.90 |
6.1× |
| Application cast elbow finger short arm (29075) |
$331.13 |
$551.89 |
1.2× |
| Application Cast Shoulder Spica (29055) |
$278.22 |
$463.70 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$199.61 |
$332.68 |
3.4× |
| Application finger splint static (29130) |
$319.57 |
$532.61 |
2.4× |
| Application Hip Spica Cast 1 Leg (29305) |
$895.29 |
$1,492.15 |
3.2× |
| Application long arm splint shoulder hand (29105) |
$388.52 |
$647.54 |
2.4× |
| Application Long Leg Cast Brace (29358) |
$375 |
$625 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$387.37 |
$645.62 |
1.4× |
| Application Long Leg Splint (29505) |
$465.08 |
$775.13 |
2.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$431.08 |
$718.46 |
1.5× |
| Application of long leg cast (29345) |
$464.51 |
$774.18 |
1.7× |
| Application of rigid total contact leg cast (29445) |
$585.31 |
$975.52 |
2.1× |
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines |
$399.79–$401.08 |
$666.32–$668.47 |
varies |
| Application short arm splint forearm-hand static (29125) |
$370.91 |
$618.19 |
2.8× |
| Application short leg splint calf foot (29515) |
$412.36 |
$687.27 |
2.5× |
| Application, cast; figure-of-eight Facility (29049) |
$278.22 |
$463.70 |
1.0× |
| Apply hand/wrist cast (29085) |
$368.08 |
$613.47 |
2.3× |
| Apply long arm cast (29065) |
$401.40 |
$669 |
1.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$491.36 |
$818.93 |
3.0× |
| Apply Short Leg Cast (29405) |
$397.33 |
$662.22 |
1.4× |
| Apply short leg cast (29425) |
$486.39 |
$810.65 |
1.7× |
| Apply shoulder cast,plastr velpeau (29058) |
$278.22 |
$463.70 |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
$3,098.15 |
$5,163.58 |
0.9× |
| Arterial puncture (36600) |
$127.50 |
$212.50 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$588.53 |
$980.89 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,107.19 |
$1,845.32 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$715.37 |
$1,192.29 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,123.56 |
$1,872.60 |
3.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$602.98 |
$1,004.97 |
2.0× |
| Arthroplasty interphalangeal joint each (26535) |
$4,858.65 |
$8,097.75 |
1.5× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$18,190.19 |
$30,316.98 |
1.0× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
$3,719.72 |
$6,199.54 |
1.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,947.60 |
$3,246 |
1.2× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$3,098.15 |
$5,163.58 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$1,410.82 |
$2,351.37 |
2.2× |
| Aspirate Pleura W/O Imaging (32554) |
$1,347.27 |
$2,245.45 |
2.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$433.07 |
$721.78 |
1.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$833.29 |
$1,388.81 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,872.67 |
$6,454.45 |
1.8× |
| Aspiration Bladder Needle (51100) |
$934.66 |
$1,557.76 |
3.7× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,078 |
$1,796.66 |
1.2× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
$3,115.01 |
$5,191.68 |
0.5× |
| Av fistula revision (36833) |
$7,740.32 |
$12,900.54 |
1.4× |
| Av Fistula Revision Open (36832) |
$10,714.76 |
$17,857.94 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$397.78 |
$662.97 |
2.0× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$7,482.93 |
$12,471.55 |
0.7× |
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure |
$3,152.16 |
$5,253.60 |
0.5× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure |
$2,676.24 |
$4,460.40 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$1,921.61 |
$3,202.69 |
1.2× |
| Biopsy bone open superficial (20240) |
$4,225.20 |
$7,042 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,264.77 |
$3,774.62 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,859.20 |
$3,098.66 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,883.20 |
$3,138.66 |
1.1× |
| Biopsy of breast; open, incisional (19101) |
$4,390.01 |
$7,316.68 |
1.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,219.28 |
$3,698.80 |
1.3× |
| Biopsy of rectum (45100) |
$1,886.41 |
$3,144.02 |
0.7× |
| Biopsy Oropharynx (42800) |
$1,698.19 |
$2,830.32 |
1.1× |
| Biopsy ovary uni/bi separate procedure (58900) |
$4,641.98 |
$7,736.64 |
1.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,167.90 |
$3,613.17 |
1.3× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$2,627.06 |
$4,378.44 |
0.7× |
| Biopsy Salivary Gland Needle (42400) |
$1,145.90 |
$1,909.84 |
1.6× |
| Biopsy soft tissue neck/thorax (21550) |
$2,832.04 |
$4,720.07 |
1.7× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,018.43 |
$5,030.72 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,624.45 |
$2,707.42 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$3,322.67 |
$5,537.79 |
2.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,723.48 |
$2,872.47 |
1.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$813.53 |
$1,355.89 |
0.9× |
| Biopsy/removal lymph nodes (38510) |
$3,979.88 |
$6,633.13 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$579.03 |
$965.05 |
0.8× |
| Bladder Irrigation (51700) |
$535.85 |
$893.09 |
2.1× |
| Bladder Scan (51798) |
$192.63 |
$321.05 |
3.2× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$4,464.59 |
$7,440.99 |
2.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,770.43 |
$2,950.71 |
5.5× |
| Blood Transfusion Service (36430) |
$1,098.91 |
$1,831.52 |
2.5× |
Blood/Lymph System Procedure (38999)
range across 6 matching MRF lines |
$1,809.07–$9,323.42 |
$3,015.12–$15,539.04 |
varies |
| Bone Marrow Biopsy (38221) |
$1,351.58 |
$2,252.63 |
0.8× |
| Bone marrow harvest allogen (38230) |
$4,654.20 |
$7,757 |
3.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,376.56 |
$2,294.27 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$3,231.90 |
$5,386.50 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$3,742.20 |
$6,237 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$3,092.06 |
$5,153.43 |
1.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,044.68 |
$1,741.14 |
0.6× |
| Bx Cervix (57500) |
$1,268.54 |
$2,114.23 |
1.4× |
Bx prostate in-bore CT/MRI trgt les only 1st (55714)
unusually low: confirm this is the full procedure |
$2,627.06 |
$4,378.44 |
0.5× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$2,627.06 |
$4,378.44 |
0.7× |
| Bx prostate transperineal ultrasound-guided (55709) |
$2,627.06 |
$4,378.44 |
0.7× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$2,627.06 |
$4,378.44 |
0.7× |
Bx prst8 in-bore CT/MRI bx 1 (55713)
unusually low: confirm this is the full procedure |
$2,627.06 |
$4,378.44 |
0.5× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$2,627.06 |
$4,378.44 |
0.7× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$2,627.06 |
$4,378.44 |
0.7× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,196.54 |
$6,994.24 |
1.1× |
| Bx/exc lymph node open superficial (38500) |
$4,135.34 |
$6,892.23 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$3,437.05 |
$5,728.42 |
1.4× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$8,070.30 |
$13,450.50 |
1.1× |
| Capsulotomy Midtarsal (28264) |
$1,551.05 |
$2,585.08 |
1.0× |
| Car-t admn autologous (38228) |
$2,819.12 |
$4,698.54 |
8.5× |
| Catheter aspiration nasotracheal spx (31720) |
$278.30 |
$463.83 |
1.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,854.76 |
$6,424.60 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$5,428.93 |
$9,048.21 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,202.63 |
$2,004.38 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$531.96 |
$886.60 |
2.1× |
| Change of Windpipe Airway (31502) |
$583.92 |
$973.20 |
2.5× |
| Change ureter stent percut (50382) |
$2,775.26 |
$4,625.43 |
1.3× |
| Chemical Cautery Tissue (17250) |
$387.88 |
$646.46 |
1.9× |
| Chemical peel nonfacial dermal (15793) |
$383.41 |
$639.02 |
0.9× |
| Chemical Pleurodesis (32560) |
$1,137.05 |
$1,895.09 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,020.87 |
$1,701.45 |
1.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,021.41 |
$1,702.35 |
1.4× |
| Chemodenerv Musc Migraine (64615) |
$556.86 |
$928.10 |
1.8× |
| Chemodenerv musc neck dyston (64616) |
$808.84 |
$1,348.07 |
2.6× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,006.80 |
$1,678 |
3.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$966.06 |
$1,610.10 |
1.4× |
| Chemodenerv trunk musc 6/> (64647) |
$585.91 |
$976.52 |
0.8× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$674.98 |
$1,124.97 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$672.49 |
$1,120.82 |
2.2× |
| Chest tube placement (32551) |
$1,835.30 |
$3,058.83 |
1.2× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,742.61 |
$4,571.01 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,562.92 |
$5,938.20 |
1.0× |
| Circumcision Neonate (54160) |
$2,265.58 |
$3,775.96 |
3.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,422.04 |
$2,370.06 |
0.7× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,050.29 |
$3,417.15 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,061.13 |
$5,101.89 |
1.9× |
| Clear outer ear canal (69200) |
$280.79 |
$467.99 |
2.1× |
| Closed rx talotarsal disloc,anesth (28575) |
$3,848.69 |
$6,414.49 |
1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$901.61 |
$1,502.69 |
3.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,621.81 |
$4,369.68 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,348.67 |
$2,247.78 |
5.4× |
| Closed Treatment Sesamoid Fracture (28530) |
$245.81 |
$409.68 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$705.55 |
$1,175.92 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$967.96 |
$1,613.26 |
3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,655.78 |
$2,759.64 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$719.35 |
$1,198.92 |
2.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$5,766.26 |
$9,610.44 |
23.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,128.12 |
$3,546.87 |
1.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$543.23 |
$905.39 |
2.2× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$3,503.71 |
$5,839.52 |
2.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,322.09 |
$2,203.49 |
5.3× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,592.08 |
$4,320.14 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$817.05 |
$1,361.75 |
3.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,952.64 |
$4,921.06 |
1.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,847.80 |
$6,413 |
2.5× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,807.49 |
$9,679.15 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,687.10 |
$4,478.50 |
1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,833.15 |
$4,721.91 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,678.17 |
$6,130.29 |
1.1× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,377.24 |
$7,295.40 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,042.03 |
$3,403.38 |
8.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$814.21 |
$1,357.02 |
3.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$600.60 |
$1,001 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,782.86 |
$2,971.43 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,116.73 |
$3,527.88 |
1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$537.73 |
$896.21 |
2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,827.71 |
$3,046.19 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$715.30 |
$1,192.17 |
2.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$658 |
$1,096.66 |
2.7× |
| Closed tx septal&nose fx (21337) |
$3,540.97 |
$5,901.62 |
1.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$722.16 |
$1,203.60 |
2.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$807.09 |
$1,345.15 |
3.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,843.91 |
$3,073.18 |
1.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$245.81 |
$409.68 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$733.69 |
$1,222.82 |
3.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,445.34 |
$5,742.23 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$512.40 |
$854 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,678.55 |
$2,797.58 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$593.29 |
$988.82 |
2.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$523.20 |
$872 |
2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,503.55 |
$2,505.92 |
2.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$825.57 |
$1,375.95 |
3.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$417.82 |
$696.36 |
1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,642.32 |
$4,403.86 |
1.6× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$241.88 |
$403.14 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,062.63 |
$5,104.38 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$909.08 |
$1,515.14 |
3.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,725.70 |
$2,876.17 |
1.1× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$2,913.50 |
$4,855.84 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,563.19 |
$5,938.65 |
2.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,808 |
$3,013.33 |
1.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,481.31 |
$2,468.85 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$610.55 |
$1,017.59 |
2.5× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,938.38 |
$3,230.64 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$971.32 |
$1,618.87 |
3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$613.13 |
$1,021.89 |
2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$705.76 |
$1,176.26 |
2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$426.82 |
$711.36 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$674.18 |
$1,123.63 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,053.56 |
$3,422.60 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,483.24 |
$4,138.74 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$502.76 |
$837.94 |
2.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,966.30 |
$3,277.16 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,136.82 |
$5,228.04 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$605.99 |
$1,009.99 |
2.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$439.01 |
$731.69 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$798.36 |
$1,330.60 |
3.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$380.08 |
$633.46 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,772.09 |
$4,620.15 |
1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,445.45 |
$5,742.42 |
2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$649.67 |
$1,082.78 |
2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,534.94 |
$2,558.24 |
0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,045.35 |
$3,408.92 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,337.47 |
$2,229.12 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,863.91 |
$3,106.51 |
6.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$598.58 |
$997.63 |
2.4× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,548.94 |
$5,914.90 |
2.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,226.22 |
$3,710.36 |
7.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$628.21 |
$1,047.01 |
2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,012.77 |
$5,021.28 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$908.24 |
$1,513.74 |
3.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$519.12 |
$865.20 |
2.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,964.56 |
$3,274.27 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$713.14 |
$1,188.57 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$491.88 |
$819.80 |
2.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,283.70 |
$5,472.83 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$889.94 |
$1,483.23 |
3.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,028.68 |
$5,047.80 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,855.92 |
$4,759.86 |
1.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$480 |
$800 |
1.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$534.99 |
$891.65 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$627.36 |
$1,045.60 |
2.5× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,849 |
$3,081.67 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,066.17 |
$3,443.62 |
1.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,797.83 |
$2,996.38 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,413.16 |
$4,021.94 |
1.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$623.93 |
$1,039.88 |
2.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,389.72 |
$2,316.20 |
0.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,160.37 |
$5,267.28 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$435.60 |
$726 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$757.39 |
$1,262.32 |
3.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,565.74 |
$2,609.56 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$713.23 |
$1,188.72 |
2.9× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,098.15 |
$5,163.58 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$192.03 |
$320.05 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$28.65 |
$47.75 |
3.1× |
| Colporrhaphy (57200) |
$3,907.93 |
$6,513.21 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$139.80 |
$233 |
0.7× |
| Colposcopy of vulva (56820) |
$90 |
$150 |
0.4× |
| Colpotomy; with exploration (57000) |
$2,788.64 |
$4,647.74 |
0.9× |
| Complex drainage wound (10180) |
$3,846.29 |
$6,410.49 |
1.3× |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
$2,470.39 |
$4,117.32 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$410.06 |
$683.43 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$461.69 |
$769.49 |
3.4× |
| Control oropharyngeal hemorrhage simple (42960) |
$682.33 |
$1,137.21 |
1.3× |
| Conversion ext bil drg cath (47535) |
$4,896.87 |
$8,161.45 |
1.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,849.75 |
$3,082.91 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$4,267.48 |
$7,112.47 |
2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,063.31 |
$5,105.52 |
1.8× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$3,745.07 |
$6,241.78 |
1.1× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,044.67 |
$6,741.12 |
1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$6,354 |
$10,590 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$460.17 |
$766.95 |
3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$450.77 |
$751.29 |
1.9× |
| Curettage postpartum (59160) |
$3,441.98 |
$5,736.64 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,398.11 |
$5,663.52 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$4,342.83 |
$7,238.05 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,659.14 |
$4,431.90 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$4,748.22 |
$7,913.70 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,747.01 |
$7,911.69 |
2.3× |
| Cystourethroscopy (52000) |
$1,671.23 |
$2,785.38 |
2.4× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,136.96 |
$5,228.27 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$602.45 |
$1,004.08 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,174.51 |
$3,624.18 |
0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,728.86 |
$2,881.43 |
2.4× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,408.30 |
$5,680.50 |
1.0× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$7,088.32 |
$11,813.87 |
2.2× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$5,321.73 |
$8,869.55 |
2.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,353.12 |
$2,255.20 |
1.8× |
| Debride nail 1-5 (11720) |
$186.88 |
$311.47 |
3.1× |
| Debride nail 6 or more (11721) |
$200.21 |
$333.69 |
3.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,951.16 |
$4,918.60 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,011.76 |
$1,686.27 |
2.5× |
| Declot vascular device (36593) |
$635.93 |
$1,059.88 |
1.9× |
| Deep Muscle Biopsy (20205) |
$3,111.06 |
$5,185.10 |
1.1× |
| Delivery of placenta (59414) |
$3,135.14 |
$5,225.23 |
1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$3,317.29 |
$5,528.82 |
3.7× |
| Destroy cerv/thor facet jnt (64633) |
$2,520.05 |
$4,200.08 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$3,101.88 |
$5,169.80 |
1.6× |
| Destruct B9 Lesion 1-14 (17110) |
$210.98 |
$351.64 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,047.92 |
$3,413.20 |
2.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,792.73 |
$4,654.55 |
1.4× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$454.74 |
$757.90 |
1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,600.42 |
$4,334.04 |
1.3× |
| Destruction of skin lesions (17106) |
$406.42 |
$677.36 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$159.78 |
$266.30 |
0.8× |
| Destruction Vaginal Lesions Simple (57061) |
$3,504 |
$5,840 |
1.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$204.60 |
$341 |
1.6× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,484.17 |
$2,473.61 |
1.6× |
| Dilate Urethra Stricture (53620) |
$1,386.89 |
$2,311.48 |
2.0× |
| Dilate Urethra Stricture (53600) |
$514.79 |
$857.98 |
2.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,150.07 |
$6,916.78 |
1.3× |
| Dilation Cervical Canal (57800) |
$4,715.67 |
$7,859.45 |
1.4× |
| Dilation Esophagus Guide Wire (43453) |
$1,641.50 |
$2,735.83 |
0.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,745.07 |
$6,241.78 |
1.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$6,305.95 |
$10,509.92 |
1.1× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$244.89 |
$408.15 |
0.1× |
Division of scalenus anticus; without resection of cervical rib Facility (21700)
unusually low: confirm this is the full procedure |
$3,098.15 |
$5,163.58 |
0.4× |
| Division of stricture of rectum Facility (45150) |
$1,157.12 |
$1,928.54 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$1,192.95 |
$1,988.25 |
1.7× |
| Drain/inj small joint/bursa w/us (20604) |
$807.56 |
$1,345.94 |
2.6× |
| Drainage abscess parotid simple (42300) |
$3,113.71 |
$5,189.52 |
2.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$781.44 |
$1,302.40 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$3,325.73 |
$5,542.89 |
4.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,541.97 |
$5,903.29 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$984.69 |
$1,641.15 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,475.83 |
$4,126.38 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$641.66 |
$1,069.44 |
2.7× |
| Drainage of eye (65800) |
$1,824.02 |
$3,040.03 |
0.8× |
| Drainage of finger abscess simple (26010) |
$522.25 |
$870.42 |
2.6× |
| Drainage of gum lesion (41800) |
$488.60 |
$814.34 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$3,051.89 |
$5,086.48 |
1.8× |
| Drainage of hydrocele (55000) |
$732.01 |
$1,220.02 |
1.0× |
| Drainage of mouth lesion (41017) |
$2,412.60 |
$4,021 |
0.7× |
| Drainage of nose lesion (30000) |
$901.48 |
$1,502.46 |
3.8× |
| Drainage of rectal abscess (45005) |
$2,299.90 |
$3,833.16 |
1.9× |
| Drainage of salivary cyst (42409) |
$2,635.12 |
$4,391.86 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,997.89 |
$3,329.81 |
1.2× |
| Drainage of scrotum (54700) |
$4,278.02 |
$7,130.03 |
2.0× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,167.36 |
$3,612.26 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$202.31 |
$337.19 |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,746.68 |
$2,911.14 |
3.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$866.92 |
$1,444.87 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$597.49 |
$995.82 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$560.63 |
$934.38 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$473.02 |
$788.36 |
2.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,972.69 |
$3,287.82 |
2.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$3,508.86 |
$5,848.10 |
3.9× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,615.15 |
$4,358.58 |
0.9× |
| Dx gastr intub w/asp spec (43754) |
$310.25 |
$517.08 |
1.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,480.71 |
$4,134.52 |
1.4× |
| Dx laryngoscopy w/oper scope (31526) |
$1,867.86 |
$3,113.10 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,692.88 |
$2,821.46 |
2.4× |
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure |
$700.80 |
$1,168 |
0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$792.60 |
$1,321 |
2.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$606.10 |
$1,010.17 |
2.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$509.91 |
$849.85 |
1.6× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$6,723.23 |
$11,205.38 |
1.2× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$8,189.20 |
$13,648.66 |
1.5× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$6,719.96 |
$11,199.93 |
1.2× |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
$368.21–$397.66 |
$613.68–$662.77 |
varies |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$12,535.92 |
$20,893.20 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$8,309.10 |
$13,848.50 |
1.5× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,174.40 |
$3,624 |
1.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,357.46 |
$2,262.44 |
0.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,089.73 |
$3,482.89 |
1.0× |
| Epidural Blood Patch (62273) |
$1,790.34 |
$2,983.90 |
2.5× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$3,098.15 |
$5,163.58 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$3,778.57 |
$6,297.62 |
1.2× |
| Escharotomy; initial incision (16035) |
$693.60 |
$1,156 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$190.33 |
$317.21 |
1.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,694.96 |
$6,158.26 |
0.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$762.65 |
$1,271.09 |
1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,358.40 |
$2,264 |
1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,061.19 |
$3,435.32 |
1.2× |
| Exc Frenum Labial/Buccal (40819) |
$1,969.57 |
$3,282.61 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,663.16 |
$2,771.94 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,466.01 |
$2,443.35 |
2.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,858.66 |
$6,431.10 |
2.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,985.99 |
$4,976.65 |
2.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$707.65 |
$1,179.41 |
1.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,278.56 |
$7,130.94 |
1.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,628.13 |
$4,380.22 |
1.2× |
| Exchange Transfusion (36455) |
$862.75 |
$1,437.92 |
1.9× |
| Exchange Transfusion Blood Newborn (36450) |
$485.65 |
$809.42 |
1.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,256.80 |
$3,761.34 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$984.27 |
$1,640.45 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,551.05 |
$2,585.08 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$5,239.80 |
$8,733 |
1.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,929.84 |
$4,883.07 |
1.4× |
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines |
$2,815.91–$3,030.26 |
$4,693.19–$5,050.44 |
varies |
| Exploration penetrating wound spx chest (20101) |
$2,063.39 |
$3,438.99 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,716.04 |
$2,860.06 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,185 |
$1,975 |
2.2× |
| Explore/Treat Hand Joint (26070) |
$1,551.05 |
$2,585.08 |
1.0× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$1,736.63 |
$2,894.38 |
3.1× |
| External cephalic version (59412) |
$3,131.78 |
$5,219.63 |
1.0× |
| Extraction of lens (66940) |
$2,523.23 |
$4,205.38 |
1.1× |
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines |
$1,100.77–$2,264.15 |
$1,834.62–$3,773.58 |
varies |
| Fasciotomy palmar percutaneous (26040) |
$1,551.05 |
$2,585.08 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$623.30 |
$1,038.84 |
3.1× |
| Fetal non-stress test (59025) |
$557.85 |
$929.75 |
2.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,727.84 |
$2,879.73 |
2.4× |
| Fine needle aspiration without imaging guidance (10021) |
$547.53 |
$912.55 |
1.3× |
| Fluid Pressure Muscle (20950) |
$738.87 |
$1,231.45 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$627.02 |
$1,045.04 |
2.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,081.52 |
$1,802.54 |
1.5× |
| Fna bx w/us gdn 1st les (10005) |
$1,526.97 |
$2,544.95 |
2.1× |
| Foreskin manipulation (54450) |
$740.71 |
$1,234.52 |
2.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,873.67 |
$6,456.12 |
1.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$4,908.49 |
$8,180.82 |
2.5× |
| Gene analysis for detection of infectious agent and drug resistance gene (0112U) |
$532.50 |
$887.50 |
1.5× |
| Gi malabs eval aat calprotectin pncrtc elastase (0430U) |
$1,050 |
$1,750 |
17.1× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$750 |
$1,250 |
20.5× |
| Goniotomy (65820) |
$3,945.62 |
$6,576.03 |
0.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$5,102.99 |
$8,504.99 |
1.4× |
| Guide Cathet Fluid Drainage (10030) |
$2,270.09 |
$3,783.48 |
3.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,235.05 |
$8,725.08 |
1.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$254.60 |
$424.33 |
0.3× |
| Hepcidin-25 elisa serum or plasma (0251U) |
$270 |
$450 |
15.6× |
| I&d abscess peritonsillar (42700) |
$1,453.82 |
$2,423.03 |
6.1× |
| I&d abscess simple (10060) |
$596.67 |
$994.45 |
3.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,606.86 |
$6,011.43 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,727.07 |
$4,545.12 |
0.9× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$5,159.16 |
$8,598.60 |
1.8× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$583.82 |
$973.04 |
1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,668.63 |
$4,447.71 |
0.8× |
| I&d perianal abscess superficial (46050) |
$1,569.82 |
$2,616.36 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$2,191.57 |
$3,652.61 |
3.1× |
| I&d pilonidal cyst simple (10080) |
$888.10 |
$1,480.17 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,101.64 |
$10,169.40 |
2.1× |
| Icd Pocket Revision (33223) |
$4,586.26 |
$7,643.76 |
2.2× |
| Image Cath Fluid Colxn Visc (49405) |
$2,839.24 |
$4,732.07 |
1.7× |
| Image Cath Fluid Peri/Retro (49406) |
$3,053.18 |
$5,088.64 |
1.8× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,693.50 |
$4,489.17 |
1.6× |
| Implant neuroelectrodes (63650) |
$7,546.20 |
$12,577 |
1.2× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$3,448.30 |
$5,747.17 |
0.4× |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
$3,115.01 |
$5,191.68 |
0.9× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$2,803.51 |
$4,672.51 |
0.8× |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
$2,429.71 |
$4,049.51 |
0.7× |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
$2,709.12 |
$4,515.20 |
0.8× |
| Incise external hemorrhoid (46083) |
$620.02 |
$1,033.37 |
2.5× |
| Incise flexor carpi radialis (25001) |
$3,098.15 |
$5,163.58 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$782.98 |
$1,304.97 |
1.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,588.15 |
$7,646.92 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,210.04 |
$5,350.06 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$699.02 |
$1,165.03 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$509.81 |
$849.69 |
2.5× |
| Incision and drainage of the tear gland (68400) |
$953.40 |
$1,589 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$692.24 |
$1,153.73 |
2.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,163.78 |
$1,939.64 |
0.7× |
| Incision of rectal abscess (46040) |
$3,267.70 |
$5,446.16 |
2.7× |
| Incision&drainage bursa foot (28001) |
$1,814.47 |
$3,024.12 |
1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,155.93 |
$5,259.88 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$645.67 |
$1,076.11 |
0.9× |
| Induced abortion dilation and curettage (59840) |
$3,645.12 |
$6,075.20 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$331.04 |
$551.73 |
1.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,195.95 |
$3,659.91 |
2.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$696.14 |
$1,160.23 |
3.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,576.68 |
$2,627.80 |
1.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,045.34 |
$3,408.90 |
2.3× |
| Inject Intravitreal Pharmcologic (67028) |
$825.10 |
$1,375.17 |
2.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$460.94 |
$768.23 |
1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,125.57 |
$1,875.95 |
1.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,394.61 |
$2,324.35 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,030.57 |
$1,717.62 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,445.51 |
$2,409.18 |
1.6× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,555.85 |
$2,593.09 |
1.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$824.98 |
$1,374.96 |
1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,922.03 |
$3,203.39 |
2.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$762.91 |
$1,271.52 |
2.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,973.95 |
$3,289.92 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,386 |
$2,310 |
2.0× |
| Injection for identification of sentinel node (38792) |
$1,481.87 |
$2,469.78 |
3.7× |
| Injection Into Brain Canal (61055) |
$1,090.69 |
$1,817.81 |
3.5× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$2,926.20 |
$4,877 |
3.1× |
| Injection single tendon origin/insertion (20551) |
$431.07 |
$718.45 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$624.56 |
$1,040.94 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$684.48 |
$1,140.80 |
2.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,006.81 |
$1,678.02 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$421.33 |
$702.21 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,789.51 |
$2,982.52 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$2,618.36 |
$4,363.94 |
3.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,139.12 |
$1,898.54 |
1.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$238.77 |
$397.95 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,673.66 |
$2,789.44 |
1.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,304.32 |
$2,173.87 |
1.5× |
| Inner ear surgery proc unlisted (69949) |
$17,114.99 |
$28,524.99 |
71.8× |
| Ins cath ren art 1st bilat (36252) |
$6,115.51 |
$10,192.52 |
1.9× |
| Ins cath ren art 1st unilat (36251) |
$4,879.64 |
$8,132.73 |
1.5× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,325.60 |
$5,542.66 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,528.94 |
$9,214.90 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,210.78 |
$12,017.97 |
1.3× |
| Ins Vag Brachytx Device (57156) |
$967.24 |
$1,612.07 |
3.2× |
| Ins/Rep Subq Defibrillator (33270) |
$55,859.92 |
$93,099.87 |
1.8× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,799.55 |
$17,999.25 |
1.3× |
| Insert and remove bone pin (20650) |
$4,433.36 |
$7,388.94 |
1.3× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$4,299.12 |
$7,165.20 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$408.62 |
$681.03 |
3.2× |
| Insert cath pleura w/ image (32557) |
$2,239.02 |
$3,731.70 |
1.4× |
| Insert cath pleura w/o image (32556) |
$2,549.87 |
$4,249.78 |
1.3× |
| Insert cervical dilator (59200) |
$683.71 |
$1,139.52 |
2.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,915.88 |
$3,193.13 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$17,237.01 |
$28,728.35 |
1.6× |
| Insert Heart Pm Ventricular (33207) |
$15,987.70 |
$26,646.17 |
1.5× |
| Insert hepatic shunt (tips) (37182) |
$9,754.48 |
$16,257.47 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$2,487.99 |
$4,146.65 |
0.8× |
| Insert Pacing Lead & Connect (33224) |
$20,536.56 |
$34,227.60 |
2.0× |
| Insert pessary/other device (57160) |
$220.25 |
$367.08 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,630.88 |
$4,384.80 |
1.7× |
| Insert pulse gen dual leads (33213) |
$11,936.76 |
$19,894.60 |
1.1× |
| Insert pulse gen mult leads (33221) |
$19,886.41 |
$33,144.02 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,687.75 |
$17,812.91 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$300.37 |
$500.62 |
2.2× |
| Insert tun ip cath perc (49418) |
$5,675.21 |
$9,458.69 |
1.6× |
| Insert tunneled cv cath (36561) |
$5,470.54 |
$9,117.57 |
1.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$2,861.97 |
$4,769.95 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$237.13 |
$395.21 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,524.66 |
$7,541.10 |
1.3× |
| Insertion phrenic nerve stimulator system (33276) |
$56,158.12 |
$93,596.86 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,992.46 |
$4,987.44 |
1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,520.42 |
$14,200.70 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,657.46 |
$7,762.44 |
1.3× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$5,625.74 |
$9,376.23 |
1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,201.36 |
$8,668.93 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$11,589.58 |
$19,315.96 |
1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,336.22 |
$3,893.70 |
0.7× |
| Insj Picc Rs&I <5 Yr (36572) |
$3,785.62 |
$6,309.36 |
6.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,912.93 |
$6,521.55 |
1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,079.43 |
$3,465.72 |
1.3× |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) |
$2,572.70 |
$4,287.84 |
1.1× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$12,133.56 |
$20,222.60 |
1.5× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$4,112.03 |
$6,853.39 |
1.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,396.57 |
$10,660.95 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,812.07 |
$8,020.11 |
1.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$43,324.90 |
$72,208.16 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,753.75 |
$12,922.92 |
0.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,537.90 |
$15,896.50 |
1.1× |
| Insrt heart pm atrial & vent (33208) |
$22,677.49 |
$37,795.82 |
2.2× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$28,383.36 |
$47,305.60 |
1.3× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$31,286.77 |
$52,144.61 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$31,662.03 |
$52,770.05 |
1.4× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$755.39 |
$1,258.98 |
3.0× |
| Interdental fixation (21110) |
$3,309.03 |
$5,515.05 |
2.1× |
| Interdental Wiring Other Than Fracture (21497) |
$3,241.68 |
$5,402.80 |
2.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,000.78 |
$3,334.63 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,061.92 |
$1,769.87 |
2.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,517.03 |
$2,528.38 |
3.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,568.50 |
$2,614.16 |
2.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$1,576.20 |
$2,627 |
6.6× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,021.62 |
$5,036.04 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,295.40 |
$3,825.66 |
0.7× |
| Intro cath dialysis circuit (36901) |
$3,194.63 |
$5,324.38 |
2.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$28,837.03 |
$48,061.72 |
2.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$12,316.55 |
$20,527.59 |
2.2× |
| Intro Gastrointestinal Tube (44500) |
$1,036 |
$1,726.66 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$707.89 |
$1,179.82 |
3.0× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,722.25 |
$2,870.42 |
3.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$643.61 |
$1,072.69 |
2.6× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$750 |
$1,250 |
20.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$6,731.17 |
$11,218.62 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,637.99 |
$11,063.32 |
0.6× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$5,698.48 |
$9,497.46 |
0.9× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,918.74 |
$6,531.23 |
1.0× |
| Laryngoplasty Medialization Unliateral (31591) |
$5,832.68 |
$9,721.13 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,442.73 |
$5,737.88 |
0.9× |
| Laryngoscopy diagnostic (31505) |
$325.51 |
$542.52 |
1.6× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$7,420.68 |
$12,367.80 |
2.0× |
| Laryngoscopy flexible diagnostic (31575) |
$450.28 |
$750.46 |
2.2× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,682.54 |
$6,137.56 |
2.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,336.26 |
$5,560.44 |
1.9× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,482.74 |
$5,804.56 |
1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$800.06 |
$1,333.44 |
2.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$685.43 |
$1,142.39 |
1.7× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$3,560.37 |
$5,933.95 |
0.9× |
| Laryngoscopy W/Biopsy (31535) |
$3,236.70 |
$5,394.50 |
0.9× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,236.70 |
$5,394.50 |
0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,814.47 |
$6,357.45 |
2.1× |
| Late closure of wound (13160) |
$5,197.54 |
$8,662.56 |
1.5× |
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure |
$2,200.20 |
$3,667 |
0.4× |
| Ligation of a-v fistula (37607) |
$6,365.14 |
$10,608.57 |
2.0× |
| Ligation Of Neck Artery (37615) |
$3,608.40 |
$6,014 |
1.1× |
| Ligation, internal jugular vein Facility (37565) |
$1,356.15 |
$2,260.25 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,182.01 |
$5,303.35 |
1.0× |
| Lip Surgery Procedure (40799) |
$433.65 |
$722.75 |
1.8× |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
$3,600–$13,091.90 |
$6,000–$21,819.84 |
varies |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$1,123.09 |
$1,871.81 |
1.8× |
| Lyse chest fibrin init day (32561) |
$1,140.62 |
$1,901.04 |
1.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$898.12 |
$1,496.87 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$1,776.24 |
$2,960.40 |
1.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$803.99 |
$1,339.98 |
1.1× |
| Marsupialization of bartholin's gland cyst (56440) |
$2,844.41 |
$4,740.69 |
0.9× |
Maternity Care Procedure (59899)
range across 6 matching MRF lines |
$195.96–$4,981.75 |
$326.60–$8,302.92 |
varies |
| Maxillary impression for palatal prosthesis Facility (42280) |
$583.82 |
$973.04 |
1.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,405.26 |
$2,342.10 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$3,193.94 |
$5,323.24 |
1.0× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
$5,224.98 |
$8,708.30 |
0.9× |
| Myelography Lumbar Injection (62305) |
$2,421.26 |
$4,035.44 |
3.1× |
| Myelography Lumbar Injection (62304) |
$1,923.03 |
$3,205.05 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,629.67 |
$2,716.11 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,218.31 |
$3,697.18 |
2.8× |
| N Block Inj Celiac Pelus (64530) |
$2,215.57 |
$3,692.62 |
2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$949.16 |
$1,581.94 |
1.3× |
| N block inj intercost sng (64420) |
$1,232.23 |
$2,053.71 |
1.7× |
| N Block Inj Paracervical (64435) |
$672.84 |
$1,121.40 |
0.9× |
| N Block Inj Plantar Digit (64455) |
$429.83 |
$716.39 |
1.4× |
| N Block Inj Pudendal (64430) |
$1,083.05 |
$1,805.09 |
1.2× |
| N Block Lumbar/Thoracic (64520) |
$2,079.21 |
$3,465.35 |
2.3× |
| Nasal Endoscopy Dx (31231) |
$469.58 |
$782.64 |
2.3× |
Nasal surgery procedure (30999)
range across 3 matching MRF lines |
$279.22–$4,141.64 |
$465.36–$6,902.73 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$423.76 |
$706.27 |
0.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$456.46 |
$760.76 |
1.2× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,695.65 |
$11,159.42 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,923.97 |
$3,206.62 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,872.59 |
$4,787.65 |
1.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$485.93 |
$809.88 |
1.9× |
| Needle Biopsy Lymph Nodes (38505) |
$2,303.63 |
$3,839.39 |
1.4× |
| Needle Biopsy Pancreas (48102) |
$2,173.07 |
$3,621.78 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$129.36 |
$215.60 |
4.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$131.95 |
$219.91 |
4.5× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$1,141.80 |
$1,903 |
4.4× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) |
$2,175 |
$3,625 |
2.9× |
| Neuro cere folate defncy srm (0399U) |
$495 |
$825 |
1.7× |
| Neurology tbi alys gfap&uch-l1 ia whl blood/plsm (0570U) |
$312.60 |
$521 |
1.2× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$810 |
$1,350 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$191.19 |
$318.65 |
0.5× |
| Nfct ds bct/viral trail ip-10 c-react prtn srm (0351U) |
$312.60 |
$521 |
1.2× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) |
$4,500 |
$7,500 |
2.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$3,000 |
$5,000 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,526.09 |
$2,543.49 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$788.11 |
$1,313.52 |
2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,417.63 |
$4,029.38 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,072.78 |
$6,787.97 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,165.84 |
$3,609.74 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,908.87 |
$3,181.45 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,033.74 |
$3,389.57 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,311.74 |
$2,186.24 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,586.71 |
$2,644.52 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,105.75 |
$3,509.58 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,882.52 |
$3,137.53 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,493.92 |
$2,489.87 |
1.7× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,058.43 |
$3,430.72 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,569.23 |
$2,615.39 |
2.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,532.18 |
$2,553.64 |
2.2× |
| Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) |
$543.75 |
$906.25 |
4.2× |
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U)
range across 2 matching MRF lines |
$236.25–$472.50 |
$393.75–$787.50 |
varies |
| Obstructive material removal from gi tube (49460) |
$761.49 |
$1,269.15 |
0.8× |
| Occipital Nerve Block (64405) |
$960.64 |
$1,601.07 |
3.1× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$12,682.50 |
$21,137.50 |
1.5× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$3,531.55 |
$5,885.91 |
1.2× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$36,076.18 |
$60,126.96 |
1.2× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$12,653 |
$21,088.34 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$12,905.86 |
$21,509.76 |
1.0× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$2,635.12 |
$4,391.86 |
0.8× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$7,292.92 |
$12,154.86 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$5,003.40 |
$8,339 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,737.64 |
$9,562.74 |
1.7× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$12,653 |
$21,088.34 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,476.21 |
$5,793.69 |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$5,175.49 |
$8,625.81 |
1.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,662.72 |
$11,104.53 |
0.9× |
| Open/Perq Place Stent 1St (37236) |
$16,799.75 |
$27,999.58 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$16,687.70 |
$27,812.84 |
1.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,865.79 |
$11,442.99 |
0.9× |
| Osteochondral talus autogrft (28446) |
$6,731.17 |
$11,218.62 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,374.87 |
$3,958.11 |
1.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,122.93 |
$5,204.89 |
0.9× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$2,250 |
$3,750 |
1.3× |
| Pelvic examination under anesthesia (other than local) (57410) |
$1,069.67 |
$1,782.78 |
0.3× |
| Penile Injection (54235) |
$533.92 |
$889.87 |
2.1× |
| Perc Cryo Ablate Renal Tum (50593) |
$13,038.50 |
$21,730.83 |
1.2× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,477.45 |
$4,129.09 |
1.8× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,949.48 |
$11,582.46 |
1.1× |
| Percut Ablate Liver Rf (47382) |
$8,169.20 |
$13,615.33 |
1.3× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$12,427.79 |
$20,712.98 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,719.93 |
$2,866.55 |
2.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,671.21 |
$7,785.35 |
1.5× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$6,731.17 |
$11,218.62 |
0.9× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,098.15 |
$5,163.58 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$3,161.89 |
$5,269.82 |
2.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,285.49 |
$5,475.81 |
1.0× |
| Peritoneal Lavage (49084) |
$1,598.93 |
$2,664.88 |
1.8× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$8,944.39 |
$14,907.32 |
0.5× |
| Perq av fistula creation uxtr sep access sites (36837) |
$16,135.50 |
$26,892.50 |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$17,010 |
$28,350 |
0.9× |
| Perq Cervicothoracic Inject (22510) |
$4,236.34 |
$7,060.56 |
1.3× |
Perq dev breast 1st mr guide (19287)
range across 5 matching MRF lines |
$2,281.56–$2,281.60 |
$3,802.60–$3,802.66 |
varies |
| Perq dev breast 1st strtctc (19283) |
$2,200.66 |
$3,667.77 |
3.1× |
| Perq dev breast 1st us imag (19285) |
$1,721.65 |
$2,869.41 |
2.4× |
| Perq device breast 1st imag (19281) |
$1,799.78 |
$2,999.64 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,694.84 |
$12,824.74 |
2.2× |
| Perq Lumbosacral Injection (22511) |
$4,811.54 |
$8,019.23 |
1.5× |
| Perq p-art revsc 1 nm nt uni (33900) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,071.40 |
$33,452.34 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$12,403.61 |
$20,672.68 |
1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,479.33 |
$10,798.89 |
1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,260.47 |
$2,100.78 |
1.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,967.08 |
$6,611.80 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$19,636.34 |
$32,727.24 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,282.24 |
$15,470.40 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,430.78 |
$17,384.64 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$11,566.33 |
$19,277.21 |
1.6× |
| Photopheresis extracorporeal (36522) |
$9,713.30 |
$16,188.84 |
2.2× |
| Place Cath Subclavian Art (36225) |
$6,732.48 |
$11,220.80 |
2.1× |
| Place Cath Thoracic Aorta (36221) |
$5,498.01 |
$9,163.35 |
1.7× |
| Place Cath Vertebral Art (36226) |
$10,750.82 |
$17,918.04 |
1.9× |
| Place Duod/Jej Tube Perc (49441) |
$2,302.66 |
$3,837.77 |
1.2× |
| Place ndl musc/tis for rt (20555) |
$3,512.89 |
$5,854.82 |
1.1× |
| Place Rt Device/Marker Pros (55876) |
$2,926.58 |
$4,877.63 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$461.99 |
$769.99 |
1.0× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure |
$3,205.90 |
$5,343.16 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$8,164.80 |
$13,608 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,085.18 |
$10,141.96 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$7,082.99 |
$11,804.99 |
1.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$4,772.36 |
$7,953.93 |
2.3× |
| Plmt Nephroureteral Catheter (50433) |
$3,820.82 |
$6,368.04 |
1.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,048 |
$10,080 |
1.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,460.21 |
$7,433.69 |
1.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,709.76 |
$7,849.60 |
1.3× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$6,447.37 |
$10,745.62 |
1.1× |
| Prepare face/oral prosthesis (21089) |
$1,607.44 |
$2,679.06 |
6.7× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$6,534.20 |
$10,890.34 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,650.30 |
$2,750.50 |
1.8× |
| Prostatotomy external drg abscess simple (55720) |
$2,260.09 |
$3,766.82 |
0.6× |
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure |
$2,808.74 |
$4,681.24 |
0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,732.40 |
$2,887.34 |
2.4× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$5,629.40 |
$9,382.33 |
0.9× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$2,174.23 |
$3,623.71 |
2.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,222.48 |
$7,037.46 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,989.69 |
$8,316.15 |
1.4× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,098.15 |
$5,163.58 |
0.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,731.17 |
$11,218.62 |
0.9× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$6,731.17 |
$11,218.62 |
0.9× |
| Pseudoaneurysm Injection Trt (36002) |
$1,014.07 |
$1,690.12 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$505.18 |
$841.97 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$645.13 |
$1,075.22 |
1.6× |
| Puncture Aspiration Cyst Breast (19000) |
$1,188 |
$1,980 |
1.7× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,041.57 |
$1,735.95 |
1.5× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$999.06 |
$1,665.10 |
2.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,021.03 |
$1,701.71 |
1.4× |
| Radical Resection Tumor Metatarsal (28173) |
$3,098.15 |
$5,163.58 |
0.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,450.84 |
$4,084.73 |
1.2× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$5,379.04 |
$8,965.07 |
1.5× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,066.10 |
$3,443.50 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,970.26 |
$8,283.76 |
1.6× |
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines |
$1,069.67–$1,406.62 |
$1,782.78–$2,344.37 |
varies |
| Relocation Pocket Pacemaker (33222) |
$4,015.04 |
$6,691.74 |
1.9× |
| Rem Endovas Vena Cava Filter (37193) |
$6,196.90 |
$10,328.17 |
2.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,380.82 |
$2,301.36 |
1.5× |
| Removal Embedded Foreign Body Eyelid (67938) |
$536.77 |
$894.61 |
1.7× |
| Removal entire oi implt skl perq attachment esp (69726) |
$3,700.84 |
$6,168.06 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,149 |
$6,915 |
1.4× |
| Removal foreign body foot deep (28192) |
$2,873.34 |
$4,788.90 |
1.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,386.08 |
$2,310.13 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,706.20 |
$2,843.67 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$215.33 |
$358.89 |
3.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$196.31 |
$327.18 |
3.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,237.65 |
$8,729.42 |
1.6× |
| Removal Implant Deep (20680) |
$3,050.06 |
$5,083.43 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,945.80 |
$4,909.67 |
1.8× |
| Removal implantable contraceptive capsules (11976) |
$846.42 |
$1,410.70 |
1.2× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
$6,663.02 |
$11,105.04 |
1.9× |
| Removal of foreign body from pharynx (42809) |
$460 |
$766.67 |
1.0× |
| Removal of kidney stone (50081) |
$10,114.58 |
$16,857.64 |
1.1× |
| Removal of nail bed (11750) |
$1,015.52 |
$1,692.54 |
2.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,430.01 |
$7,383.35 |
1.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$270.59 |
$450.98 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$5,661.48 |
$9,435.80 |
1.5× |
| Removal phrenic nerve stimulator system (33278) |
$12,743.72 |
$21,239.53 |
3.6× |
| Removal ppm generator only (33233) |
$7,028.51 |
$11,714.19 |
0.8× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,624.45 |
$2,707.42 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$318.58 |
$530.97 |
1.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,761.75 |
$4,602.91 |
3.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$862.80 |
$1,438 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$368.83 |
$614.72 |
1.3× |
| Remove brain canal fluid (61050) |
$1,018.32 |
$1,697.20 |
3.3× |
| Remove cerclage suture (59871) |
$3,032.19 |
$5,053.65 |
0.9× |
| Remove drug implant device (11982) |
$271.48 |
$452.47 |
0.6× |
| Remove Elctrd Transvenously (33244) |
$6,981.14 |
$11,635.24 |
1.9× |
| Remove Forearm Foreign Body (25248) |
$5,309.71 |
$8,849.52 |
3.3× |
| Remove foreign body from eye (65235) |
$3,121.81 |
$5,203.01 |
1.3× |
| Remove foreign body from eye (65205) |
$383.78 |
$639.64 |
2.9× |
| Remove Intrauterine Device (58301) |
$483.35 |
$805.59 |
1.6× |
| Remove intrvas foreign body (37197) |
$5,602.90 |
$9,338.16 |
1.8× |
| Remove lung catheter (32552) |
$894.98 |
$1,491.63 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$301.22 |
$502.04 |
2.3× |
| Remove Pulse Generator (33241) |
$5,987.37 |
$9,978.95 |
1.6× |
| Remove renal tube w/fluoro (50389) |
$1,686.36 |
$2,810.60 |
2.4× |
| Remove Shoulder Foreign Body (23330) |
$2,273.11 |
$3,788.52 |
1.4× |
| Remove ureter stent percut (50384) |
$2,311.81 |
$3,853.02 |
1.1× |
| Remove&replace pm gen singl (33227) |
$18,220.94 |
$30,368.24 |
2.2× |
| Remv&replc cvd gen dual lead (33263) |
$43,926.37 |
$73,210.62 |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$44,390.75 |
$73,984.58 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$38,067.53 |
$63,445.88 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$18,707.76 |
$31,179.60 |
1.8× |
| Remv&replc pm gen mult leads (33229) |
$19,823.71 |
$33,039.51 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,175.51 |
$3,625.85 |
1.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,219.68 |
$7,032.80 |
1.3× |
| Repair blood vessel direct neck (35201) |
$4,702.12 |
$7,836.86 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,713.67 |
$9,522.78 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,278.25 |
$2,130.41 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,622.55 |
$2,704.25 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,065.98 |
$1,776.63 |
2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,528.04 |
$2,546.74 |
3.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,109.03 |
$1,848.38 |
2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,284.68 |
$2,141.13 |
3.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,427.85 |
$2,379.75 |
1.9× |
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines |
$1,198.55–$1,612.19 |
$1,997.58–$2,686.99 |
varies |
| Repair extensor tendon finger w/o graft each (26418) |
$3,606.52 |
$6,010.86 |
2.2× |
| Repair Eyelid Wound (67935) |
$2,323.22 |
$3,872.04 |
1.0× |
| Repair Finger Tendon (26433) |
$3,541.20 |
$5,902 |
1.1× |
| Repair Finger/Hand Tendon (26350) |
$4,956.90 |
$8,261.50 |
1.5× |
| Repair Hand Joint (26540) |
$3,233.54 |
$5,389.24 |
1.0× |
| Repair Hand Tendon (26410) |
$2,923.60 |
$4,872.66 |
1.8× |
| Repair incomplete circumcision (54163) |
$2,054.63 |
$3,424.38 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$707.26 |
$1,178.77 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$761.08 |
$1,268.46 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$878.82 |
$1,464.70 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$921.70 |
$1,536.17 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$370.14 |
$616.90 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,025.14 |
$1,708.57 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$641.66 |
$1,069.44 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$754.35 |
$1,257.25 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$719.66 |
$1,199.43 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$3,753.41 |
$6,255.69 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,084.85 |
$1,808.09 |
2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$705.58 |
$1,175.96 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$814.87 |
$1,358.12 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,195.31 |
$1,992.19 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$901.84 |
$1,503.07 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,123.36 |
$3,538.93 |
1.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,098.15 |
$5,163.58 |
0.9× |
| Repair Laceration Palate </2 Cm (42180) |
$605.75 |
$1,009.58 |
1.1× |
| Repair lead pace-defib dual (33220) |
$3,853.09 |
$6,421.81 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$6,755.02 |
$11,258.36 |
1.8× |
| Repair of anal fistula with fibrin glue (46706) |
$2,913.56 |
$4,855.94 |
1.0× |
| Repair of nail bed (11760) |
$1,010.84 |
$1,684.74 |
1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,469.79 |
$5,782.99 |
1.1× |
| Repair tongue laceration (41252) |
$1,226.06 |
$2,043.44 |
5.1× |
| Repair tongue laceration (41250) |
$586.06 |
$976.76 |
1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,354.54 |
$2,257.56 |
1.5× |
| Replace G-J Tube Perc (49452) |
$1,600.45 |
$2,667.42 |
1.8× |
| Replace g/c tube perc (49450) |
$1,120.64 |
$1,867.74 |
1.2× |
| Replantation digit complete (20822) |
$1,551.05 |
$2,585.08 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,700.30 |
$6,167.16 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$1,291.62 |
$2,152.70 |
5.1× |
| Reposition L Ventric Lead (33226) |
$6,388.15 |
$10,646.92 |
2.0× |
| Reposition Pacing-Defib Lead (33215) |
$5,706.71 |
$9,511.19 |
1.8× |
| Reposition Venous Catheter (36597) |
$1,521.69 |
$2,536.15 |
1.0× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$7,662.17 |
$12,770.28 |
2.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,096.09 |
$6,826.82 |
1.2× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$4,919.44 |
$8,199.06 |
0.7× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$13,780.06 |
$22,966.76 |
1.2× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$11,218.30 |
$18,697.16 |
2.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$25,311.78 |
$42,186.30 |
4.4× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$16,874.52 |
$28,124.20 |
2.9× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$39,755.23 |
$66,258.72 |
2.2× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$26,503.49 |
$44,172.48 |
1.4× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$73,652.33 |
$122,753.89 |
4.0× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$49,101.56 |
$81,835.93 |
2.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$37,842.22 |
$63,070.36 |
3.3× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$25,228.15 |
$42,046.91 |
2.2× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$19,149.11 |
$31,915.18 |
1.6× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$10,433.75 |
$17,389.59 |
0.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$19,149.11 |
$31,915.18 |
3.3× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$12,766.07 |
$21,276.79 |
2.2× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$36,082.78 |
$60,137.97 |
3.1× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$24,055.19 |
$40,091.98 |
2.1× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$27,584.07 |
$45,973.45 |
2.4× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$18,389.38 |
$30,648.97 |
1.6× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$41,886.61 |
$69,811.02 |
2.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$27,924.41 |
$46,540.68 |
1.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$50,656.32 |
$84,427.20 |
2.7× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$33,770.88 |
$56,284.80 |
1.8× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$41,760.85 |
$69,601.41 |
2.3× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$27,840.56 |
$46,400.94 |
1.5× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,557.91 |
$4,263.18 |
1.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,755.60 |
$2,926 |
3.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$692 |
$1,153.33 |
0.8× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,290.22 |
$3,817.04 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$435.07 |
$725.11 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$362.21 |
$603.68 |
2.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$419.22 |
$698.70 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,584.96 |
$4,308.26 |
2.1× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$4,388.27 |
$7,313.78 |
2.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,136.84 |
$5,228.06 |
1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,094.26 |
$3,490.44 |
0.7× |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines |
$1,244.69–$2,258.77 |
$2,074.48–$3,764.62 |
varies |
| Rmvl of subq implantable defibrillator electrode (33272) |
$7,532.10 |
$12,553.50 |
2.0× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$3,831.08 |
$6,385.14 |
1.1× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$7,968.65 |
$13,281.09 |
2.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$6,786.41 |
$11,310.69 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,599.13 |
$4,331.88 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,078.07 |
$3,463.45 |
3.3× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$34,440.90 |
$57,401.50 |
1.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$35,305.79 |
$58,842.99 |
3.1× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$399 |
$665 |
1.4× |
| Rplc Gtube No Revj Trc (43762) |
$825.14 |
$1,375.24 |
3.3× |
| Rplc gtube revj gstrst trc (43763) |
$625.93 |
$1,043.22 |
2.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,768.90 |
$6,281.50 |
1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,590.19 |
$4,316.99 |
1.6× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,089.86 |
$5,149.77 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,617.94 |
$4,363.24 |
1.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$4,440.98 |
$7,401.63 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,219.37 |
$8,698.95 |
1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,420.98 |
$7,368.30 |
1.4× |
| Rpr blood vessel direct lower extremity (35226) |
$1,834.36 |
$3,057.26 |
2.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$5,836.04 |
$9,726.73 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,672.42 |
$4,454.03 |
1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$593.27 |
$988.78 |
2.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$857.02 |
$1,428.36 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$504.12 |
$840.20 |
2.1× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,985.24 |
$3,308.74 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,551.39 |
$2,585.65 |
2.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,715.58 |
$2,859.30 |
3.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,928.07 |
$3,213.45 |
1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$7,222.65 |
$12,037.75 |
2.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,229.24 |
$2,048.74 |
1.9× |
| Sclerotx Fluid Collection (49185) |
$1,690 |
$2,816.66 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$232.20 |
$387 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$370.92 |
$618.20 |
0.9× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$2,436.84 |
$4,061.40 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$875.44 |
$1,459.07 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$452.17 |
$753.62 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$517.20 |
$862 |
2.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$564.61 |
$941.02 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$644.19 |
$1,073.65 |
3.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$589.18 |
$981.96 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$483.80 |
$806.34 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$980.75 |
$1,634.59 |
4.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$569.06 |
$948.43 |
2.8× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,003.75 |
$1,672.92 |
0.5× |
| Skin graft, harvest cultured tissue (15040) |
$1,829.30 |
$3,048.84 |
0.9× |
| Skin Pinch Graft (15050) |
$1,134.60 |
$1,891 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$3,014.19 |
$5,023.65 |
4.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,413.96 |
$4,023.26 |
3.2× |
| Skin sub grft t/arm/lg child (15273) |
$2,033.56 |
$3,389.26 |
1.0× |
Skin Tissue Procedure (17999)
range across 5 matching MRF lines |
$642.11–$6,123.65 |
$1,070.18–$10,206.08 |
varies |
| Skn sub grft f/n/hf/g child (15277) |
$2,078.20 |
$3,463.66 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,181.35 |
$15,302.25 |
1.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,732.48 |
$11,220.80 |
2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$12,531.28 |
$20,885.46 |
2.2× |
| Slitting of prepuce (54001) |
$2,761.01 |
$4,601.68 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$480.84 |
$801.40 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$744.69 |
$1,241.15 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$974.17 |
$1,623.61 |
2.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,173.65 |
$1,956.09 |
1.7× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,543.60 |
$7,572.67 |
1.3× |
| Strapping ankle (29540) |
$258.86 |
$431.44 |
1.6× |
| Strapping elbow or wrist (29260) |
$215.27 |
$358.79 |
3.6× |
| Strapping hand/finger (29280) |
$216.60 |
$361 |
3.6× |
| Strapping Hip (29520) |
$140.74 |
$234.56 |
1.1× |
| Strapping knee (29530) |
$216.34 |
$360.56 |
1.6× |
| Strapping shoulder (29240) |
$262.91 |
$438.18 |
2.0× |
| Strapping thorax (29200) |
$226.35 |
$377.25 |
1.4× |
| Strapping toes (29550) |
$244.30 |
$407.16 |
4.1× |
| Strapping Unna Boot (29580) |
$331.74 |
$552.90 |
2.0× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$3,200.72 |
$5,334.54 |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$3,092.04 |
$5,153.40 |
0.5× |
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
unusually low: confirm this is the full procedure |
$2,061.36 |
$3,435.60 |
0.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$5,970.16 |
$9,950.27 |
3.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$6,727.70 |
$11,212.84 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$269.02 |
$448.37 |
0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$22,994.98 |
$38,324.97 |
0.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$29,327.76 |
$48,879.60 |
1.5× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,127.40 |
$6,879 |
1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,298.99 |
$3,831.65 |
1.4× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,794.21 |
$9,657.01 |
1.3× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,910.91 |
$6,518.19 |
2.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,216.22 |
$2,027.03 |
1.7× |
| Therapeutic Apheresis White Blood Cells (36511) |
$3,347.60 |
$5,579.33 |
2.1× |
| Therapeutic plasma exchange (36514) |
$3,546.01 |
$5,910.01 |
2.3× |
| Therapeutic pneumothorax (32960) |
$811.82 |
$1,353.04 |
1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$15,111.95 |
$25,186.58 |
1.2× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$7,161.04 |
$11,935.06 |
1.3× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$6,898.73 |
$11,497.88 |
1.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$31,119.42 |
$51,865.70 |
1.7× |
| Thromblytic art/ven therapy (37213) |
$4,960.05 |
$8,266.75 |
1.6× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$5,994.11 |
$9,990.19 |
1.1× |
| Thrombolytic Art Therapy (37211) |
$5,361.72 |
$8,936.20 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$1,019.74 |
$1,699.57 |
3.1× |
| Thrombolytic Venous Therapy (37212) |
$4,522.76 |
$7,537.94 |
1.4× |
| Thyroid biopsy (60100) |
$1,284.31 |
$2,140.51 |
1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,986.34 |
$4,977.24 |
1.4× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$3,528.11 |
$5,880.19 |
1.0× |
| Tma/tmao profile ms/ms urine alg alys&report (0256U) |
$787.50 |
$1,312.50 |
4.9× |
| Tooth extraction (41899) |
$442.48 |
$737.46 |
1.9× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$5,980.69 |
$9,967.81 |
1.1× |
| Trabeculoplasty by laser surgery (65855) |
$1,387.38 |
$2,312.30 |
2.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,926.42 |
$3,210.70 |
3.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$2,116.57 |
$3,527.61 |
8.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,634.36 |
$4,390.60 |
1.7× |
| Tracheostomy planned (31600) |
$5,256.07 |
$8,760.12 |
1.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$506.35 |
$843.92 |
1.7× |
| Transcatheter biopsy (37200) |
$4,285.93 |
$7,143.21 |
0.8× |
| Transoral lower esophageal myotomy (43497) |
$4,229.53 |
$7,049.22 |
0.7× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$5,077.94 |
$8,463.24 |
0.5× |
| Transrectal Drainage of Pelvic Abscess (45000) |
$1,614.45 |
$2,690.75 |
1.3× |
| Treat Big Toe Fracture (28505) |
$3,478.12 |
$5,796.86 |
1.1× |
| Treat Dental Ridge Fracture (21440) |
$4,811.92 |
$8,019.87 |
1.4× |
| Treat elbow fracture (24586) |
$13,908.81 |
$23,181.35 |
1.1× |
| Treat Hip Socket Fracture (27222) |
$3,424.29 |
$5,707.15 |
13.8× |
| Treat humerus fracture (24500) |
$466.10 |
$776.83 |
1.9× |
| Treat Humerus Fracture (24505) |
$1,549.52 |
$2,582.54 |
1.0× |
| Treat humerus fracture (23600) |
$487.48 |
$812.46 |
2.0× |
| Treat knee fracture (27532) |
$3,406.82 |
$5,678.04 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$1,296 |
$2,160 |
5.2× |
| Treat Knuckle Dislocation (26700) |
$547.94 |
$913.23 |
2.2× |
| Treat Metatarsal Fracture (28475) |
$580.30 |
$967.16 |
2.3× |
| Treat Thumb Dislocation (26641) |
$718.72 |
$1,197.86 |
2.9× |
| Treat Thumb Fracture (26645) |
$1,806.01 |
$3,010.01 |
1.1× |
| Treat toe dislocation (28630) |
$536.15 |
$893.58 |
2.2× |
| Treat vagina infection (57150) |
$230.40 |
$384 |
3.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,477.41 |
$5,795.68 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$687.73 |
$1,146.21 |
2.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,574.83 |
$2,624.71 |
2.8× |
| Treatment of foot infection (28003) |
$3,805.20 |
$6,342 |
1.2× |
| Trim skin lesion (11055) |
$285.93 |
$476.55 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$283.24 |
$472.06 |
1.4× |
| Trim skin lesions over 4 (11057) |
$258.65 |
$431.08 |
1.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$127.69 |
$212.81 |
2.2× |
| Trluml Balo Angiop 1St Art (37246) |
$12,715.13 |
$21,191.89 |
2.2× |
| Trluml Balo Angiop 1St Vein (37248) |
$10,333.74 |
$17,222.90 |
1.8× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$3,521.57 |
$5,869.29 |
7.9× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
$1,429.77 |
$2,382.95 |
3.2× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$1,443.33 |
$2,405.55 |
3.3× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$1,427.12 |
$2,378.53 |
3.2× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$1,803.18 |
$3,005.30 |
4.1× |
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure |
$28,236.60 |
$47,061 |
0.4× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$9,000 |
$15,000 |
5.7× |
| Tx Gastro Intub W/Asp (43753) |
$505.63 |
$842.72 |
2.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,468.97 |
$7,448.28 |
1.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,820.53 |
$6,367.55 |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$4,625.34 |
$7,708.90 |
2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,665.04 |
$2,775.07 |
2.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$901.36 |
$1,502.27 |
2.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,047.87 |
$1,746.45 |
0.6× |
Unlisted Cardiac Surgery (33999)
range across 33 matching MRF lines |
$768.42–$54,125.45 |
$1,280.70–$90,209.08 |
varies |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$6,289.53 |
$10,482.55 |
26.4× |
| Unlisted fetal invasive px w/ultrasound (59897) |
$492.81 |
$821.35 |
2.4× |
| Unlisted laparoscopic procedure liver (47379) |
$3,495.74 |
$5,826.24 |
0.6× |
Unlisted laparoscopy procedure appendix (44979)
unusually low: confirm this is the full procedure |
$2,890.09 |
$4,816.81 |
0.5× |
Unlisted laparoscopy procedure stomach (43659)
range across 2 matching MRF lines |
$3,663.60–$9,122.07 |
$6,106–$15,203.45 |
varies |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 5 matching MRF lines |
$5,932–$6,622.75 |
$9,886.66–$11,037.92 |
varies |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$9,492.80 |
$15,821.34 |
1.6× |
| Unlisted laparoscopy procedure, endocrine system (60659) |
$6,548.98 |
$10,914.97 |
1.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines |
$5,696.51–$6,838.32 |
$9,494.18–$11,397.20 |
varies |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$10,488.59 |
$17,480.98 |
1.7× |
| Unlisted laparoscopy procedure, renal (50549) |
$3,891.34 |
$6,485.56 |
0.6× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$3,961.44 |
$6,602.40 |
0.7× |
| Unlisted procedure anus (46999) |
$943.21 |
$1,572.01 |
1.0× |
Unlisted procedure arthroscopy (29999)
range across 17 matching MRF lines |
$3,186.26–$13,708.47 |
$5,310.44–$22,847.45 |
varies |
Unlisted Procedure Biliary Tract (47999)
range across 15 matching MRF lines |
$2,440.78–$15,692.77 |
$4,067.97–$26,154.62 |
varies |
Unlisted procedure breast (19499)
range across 3 matching MRF lines |
$2,114.61–$8,632.80 |
$3,524.35–$14,388 |
varies |
| Unlisted Procedure Casting/Strapping (29799) |
$442.48 |
$737.46 |
2.7× |
Unlisted procedure colon (45399)
range across 2 matching MRF lines |
$1,415.29–$1,569.10 |
$2,358.82–$2,615.17 |
varies |
Unlisted Procedure Endocrine System (60699)
range across 5 matching MRF lines |
$4,002.48–$15,083.15 |
$6,670.80–$25,138.58 |
varies |
| Unlisted Procedure Esophagus (43499) |
$442.53 |
$737.55 |
0.5× |
| Unlisted Procedure External Ear (69399) |
$433.65 |
$722.75 |
1.8× |
Unlisted procedure femur or knee (27599)
range across 8 matching MRF lines |
$1,776.24–$12,927.60 |
$2,960.40–$21,546 |
varies |
Unlisted procedure foot or toes (28899)
range across 9 matching MRF lines |
$2,777.50–$7,763 |
$4,629.16–$12,938.34 |
varies |
| Unlisted procedure forearm or wrist (25999) |
$6,515.57 |
$10,859.29 |
26.3× |
Unlisted Procedure Hands/Fingers (26989)
range across 3 matching MRF lines |
$301.44–$7,183.52 |
$502.40–$11,972.54 |
varies |
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines |
$442.48–$4,298.11 |
$737.46–$7,163.52 |
varies |
Unlisted Procedure Intestine (44799)
range across 7 matching MRF lines |
$143.62–$3,029.95 |
$239.37–$5,049.91 |
varies |
Unlisted procedure larynx (31599)
range across 2 matching MRF lines |
$3,918.74–$5,107.38 |
$6,531.23–$8,512.30 |
varies |
Unlisted Procedure Leg/Ankle (27899)
range across 3 matching MRF lines |
$2,302.97–$6,818.24 |
$3,838.28–$11,363.73 |
varies |
Unlisted procedure liver (47399)
range across 3 matching MRF lines |
$1,351.74–$3,003.11 |
$2,252.90–$5,005.19 |
varies |
Unlisted procedure lungs and pleura (32999)
range across 3 matching MRF lines |
$1,699.35–$6,577.60 |
$2,832.25–$10,962.67 |
varies |
Unlisted Procedure Male Genital System (55899)
range across 5 matching MRF lines |
$1,950.03–$6,664.68 |
$3,250.05–$11,107.80 |
varies |
Unlisted Procedure Muscskeletal System General (20999)
range across 6 matching MRF lines |
$354.07–$8,632.80 |
$590.11–$14,388 |
varies |
Unlisted procedure neck or thorax (21899)
range across 2 matching MRF lines |
$2,441.11–$3,385.58 |
$4,068.52–$5,642.64 |
varies |
Unlisted procedure nervous system (64999)
range across 33 matching MRF lines |
$195–$8,936.10 |
$325–$14,893.50 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$243.44 |
$405.74 |
1.0× |
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines |
$1,988.67–$6,597.79 |
$3,314.45–$10,996.31 |
varies |
Unlisted procedure pelvis/hip joint (27299)
range across 8 matching MRF lines |
$3,275.63–$10,031.98 |
$5,459.38–$16,719.97 |
varies |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 3 matching MRF lines |
$1,922.03–$4,889.81 |
$3,203.38–$8,149.68 |
varies |
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines |
$971.04–$1,603.06 |
$1,618.40–$2,671.77 |
varies |
| Unlisted procedure shoulder (23929) |
$1,885.46 |
$3,142.43 |
7.6× |
Unlisted procedure spine (22899)
range across 8 matching MRF lines |
$2,787.15–$8,245.45 |
$4,645.25–$13,742.41 |
varies |
Unlisted procedure stomach (43999)
range across 6 matching MRF lines |
$986.66–$3,002.44 |
$1,644.44–$5,004.07 |
varies |
Unlisted Procedure Tongue Floor Mouth (41599)
range across 2 matching MRF lines |
$237.05–$243.44 |
$395.09–$405.74 |
varies |
Unlisted Procedure Trachea Bronchi (31899)
range across 3 matching MRF lines |
$433.43–$1,206.27 |
$722.39–$2,010.45 |
varies |
Unlisted Procedure Vascular Surgery (37799)
range across 29 matching MRF lines |
$177.80–$17,761.46 |
$296.34–$29,602.43 |
varies |
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 6 matching MRF lines |
$645.67–$2,566.58 |
$1,076.11–$4,277.63 |
varies |
| Unlisted procedure, orbit (67599) |
$334.84 |
$558.06 |
1.0× |
Unlisted Procedure, Urinary System (53899)
range across 7 matching MRF lines |
$2,014.36–$6,620.59 |
$3,357.27–$11,034.31 |
varies |
Unlisted px female genital system nonobstetrical (58999)
range across 5 matching MRF lines |
$1,268.54–$3,859.51 |
$2,114.23–$6,432.52 |
varies |
Unlisted Px Salivary Glands/Ducts (42699)
range across 3 matching MRF lines |
$266.22–$2,838.66 |
$443.70–$4,731.10 |
varies |
| Upgrade of pacemaker system (33214) |
$13,940.67 |
$23,234.45 |
1.3× |
| Ureter endoscopy & biopsy (50955) |
$5,696.72 |
$9,494.54 |
1.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
$3,456.60 |
$5,761 |
1.0× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$4,170.07 |
$6,950.12 |
1.3× |
| Vaginal delivery only (59409) |
$3,142.35 |
$5,237.25 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$16,060.54 |
$26,767.56 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,027.40 |
$25,045.66 |
1.3× |
| Vasc Embolize/Occlude Organ (37243) |
$16,060.54 |
$26,767.56 |
1.4× |
| Vasc embolize/occlude venous (37241) |
$16,905.91 |
$28,176.51 |
1.5× |
| Venous Mech Thrombectomy (37187) |
$7,107.92 |
$11,846.54 |
0.6× |
| Wedge excision skin nail fold (11765) |
$5,111.06 |
$8,518.44 |
12.5× |
| Wedging of cast (29740) |
$251.98 |
$419.97 |
0.9× |
| Wedging of clubfoot cast (29750) |
$278.22 |
$463.70 |
1.0× |
| Windowing of cast (29730) |
$235.37 |
$392.28 |
1.4× |
| Wound Prep F/N/Hf/G (15004) |
$1,198.40 |
$1,997.34 |
2.9× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,404.86 |
$2,341.44 |
0.9× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$6,781.90 |
$11,303.16 |
1.1× |
| Xtroral I&D Floor Masticator Space (41018) |
$1,304.89 |
$2,174.82 |
0.8× |