| Abd paracentesis w/imaging (49083) |
$1,104.15 |
$1,299 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,110.10 |
$1,306 |
1.2× |
| Ablate inf turbinate submuc (30802) |
$2,210.85 |
$2,601 |
1.4× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$3,173.73 |
$3,733.80 |
1.9× |
| Abltj 1/> lvr tum prq rf (47382) |
$19,003.45 |
$22,357 |
3.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$3,101.16 |
$3,648.43 |
1.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$5,839.29 |
$6,869.75 |
1.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$11,299.05 |
$13,293 |
5.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$6,217.75 |
$7,315 |
2.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,521.95 |
$2,967 |
1.2× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$9,743.55 |
$11,463 |
4.5× |
| Amniocentesis diagnostic (59000) |
$3,706 |
$4,360 |
3.8× |
| Amputation Finger/Thumb (26951) |
$7,566.70 |
$8,902 |
2.2× |
| Amputation toe interphalangeal joint (28825) |
$5,097.88 |
$5,997.50 |
1.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,721.54 |
$5,554.75 |
1.4× |
| Ankle scope,part synovectomy (29895) |
$10,386.15 |
$12,219 |
3.0× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$4,675.85 |
$5,501 |
3.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$7,980.65 |
$9,389 |
2.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$701.25 |
$825 |
4.1× |
| Application cast elbow finger short arm (29075) |
$352.75 |
$415 |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$259.25 |
$305 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$470.05 |
$553 |
1.6× |
| Application Cast Shoulder Spica (29055) |
$381.65 |
$449 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$142.80 |
$168 |
2.3× |
| Application finger splint static (29130) |
$339.15 |
$399 |
2.4× |
| Application long arm splint shoulder hand (29105) |
$447.10 |
$526 |
2.6× |
| Application long leg splint thigh ankle/toes (29505) |
$412.25 |
$485 |
2.4× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$8,293.17 |
$9,756.67 |
1.1× |
| Application of long leg cast (29345) |
$336.60 |
$396 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$532.95 |
$627 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$385.90 |
$454 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$374 |
$440 |
2.7× |
| Application short leg splint calf foot (29515) |
$278.80 |
$328 |
1.6× |
| Apply multlay comprs arm/hand (29584) |
$337.45 |
$397 |
2.0× |
| Apply short leg cast (29405) |
$336.60 |
$396 |
1.1× |
| Arterial puncture (36600) |
$174.25 |
$205 |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$22,205.40 |
$26,124 |
6.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$291.55 |
$343 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,588.22 |
$1,868.50 |
4.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$346.80 |
$408 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,376.15 |
$1,619 |
4.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$12,336.90 |
$14,514 |
1.6× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
unusually low: confirm this is the full procedure |
$8,888.96 |
$10,457.60 |
0.3× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$10,730.40 |
$12,624 |
1.4× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$2,171.02 |
$2,554.14 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge, not the full procedure |
$2,588.76 |
$3,045.59 |
0.1× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$24,196.95 |
$28,467 |
1.8× |
| Arthrodesis; subtalar (28725) |
$7,281.92 |
$8,566.96 |
0.5× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$7,151.76 |
$8,413.84 |
0.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$10,887.65 |
$12,809 |
0.6× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$10,946.30 |
$12,878 |
0.8× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$5,374.55 |
$6,323 |
0.7× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$19,336.65 |
$22,749 |
1.4× |
| Arthroscopy ankle; ext debridem (29898) |
$9,468.15 |
$11,139 |
2.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,782.10 |
$5,626 |
1.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,571.72 |
$5,378.50 |
1.3× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$5,910.90 |
$6,954 |
1.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$5,828.88 |
$6,857.50 |
1.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,968.28 |
$7,021.50 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$9,879.12 |
$11,622.50 |
2.9× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,421.48 |
$2,848.80 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$11,829.88 |
$13,917.50 |
1.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,125.52 |
$7,206.50 |
1.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$6,297.65 |
$7,409 |
1.8× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$8,348.70 |
$9,822 |
2.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,221.55 |
$6,143 |
0.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$3,875.58 |
$4,559.50 |
0.5× |
| Arthrtomy w/bx interphalangeal joint (28054) |
$4,143.75 |
$4,875 |
1.2× |
| Aspir/inj thyroid cyst (60300) |
$940.95 |
$1,107 |
1.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,548.75 |
$4,175 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$516.80 |
$608 |
2.4× |
| Axillary lymphadenectomy; complete (38745) |
$13,373.05 |
$15,733 |
2.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,635 |
$3,100 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,412.30 |
$2,838 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,414.40 |
$1,664 |
0.8× |
| Biopsy of nail unit (11755) |
$1,549.55 |
$1,823 |
2.1× |
| Biopsy of penis (54100) |
$4,143.75 |
$4,875 |
2.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,800.92 |
$4,471.67 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,248.25 |
$2,645 |
1.3× |
| Biopsy pleura percutaneous needle (32400) |
$2,213.40 |
$2,604 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$2,173.88 |
$2,557.50 |
2.9× |
| Biopsy/removal lymph nodes (38525) |
$3,973.64 |
$4,674.88 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,135.86 |
$3,689.25 |
0.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$3,558.10 |
$4,186 |
4.8× |
| Bladder Irrigation Simple (51700) |
$311.10 |
$366 |
1.2× |
| Bladder Scan (51798) |
$79.90 |
$94 |
1.3× |
| Blepharoplasty upper eyelid (15822) |
$12,232.35 |
$14,391 |
5.6× |
| Blood transfusion service (36430) |
$768.40 |
$904 |
1.7× |
| Blood/Lymph System Procedure (38999) |
$624.75 |
$735 |
1.3× |
| Bone marrow aspiration only (38220) |
$1,669.83 |
$1,964.50 |
1.0× |
| Bone Marrow Biopsy (38221) |
$3,051.08 |
$3,589.50 |
1.8× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$961.35 |
$1,131 |
1.3× |
| Breast augmentation with implant (19325) |
$9,954.35 |
$11,711 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,800.80 |
$5,648 |
2.6× |
| Bronch ebus samplng 1/2 node (31652) |
$2,903.43 |
$3,415.80 |
0.7× |
| Bronch ebus samplng 3/> node (31653) |
$1,704.38 |
$2,005.14 |
0.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$4,785.50 |
$5,630 |
2.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,065.10 |
$3,606 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,857.68 |
$2,185.50 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$5,222.40 |
$6,144 |
2.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,684.94 |
$3,158.75 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,629.90 |
$3,094 |
1.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,874.25 |
$2,205 |
1.1× |
| Bx anorectal wall anal approach (45100) |
$3,593.52 |
$4,227.67 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$4,733.65 |
$5,569 |
2.7× |
| Bx breast 1st lesion us imag (19083) |
$3,525.38 |
$4,147.50 |
2.0× |
| Bx vulva/perineum 1 lesion (56605) |
$4,765.95 |
$5,607 |
4.9× |
| Bx/exc lymph node needle superficial (38505) |
$2,558.92 |
$3,010.50 |
1.5× |
| Canthotomy Separate Procedure (67715) |
$3,010.70 |
$3,542 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$5,026 |
$5,912.94 |
1.5× |
| Capsular Contracture Release (23020) |
$2,850.05 |
$3,353 |
0.8× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,430.33 |
$4,035.68 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$18,648.15 |
$21,939 |
5.4× |
| Cataract surgery complex (66982) |
$3,936.35 |
$4,631 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$581.40 |
$684 |
2.5× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,528.85 |
$7,681 |
1.9× |
| Cessj Therapy Cath Removal (37214) |
$3,284.40 |
$3,864 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$285.60 |
$336 |
1.1× |
| Change Ureter Stent, Percut (50382) |
$4,492.25 |
$5,285 |
2.0× |
| Chemical Cautery Tissue (17250) |
$188.70 |
$222 |
0.9× |
| Chest tube placement (32551) |
$2,534.70 |
$2,982 |
1.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$170 |
$200 |
1.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,609.98 |
$5,423.50 |
1.2× |
| Circum 28 days or older (54161) |
$7,151.05 |
$8,413 |
3.2× |
| Circumcision (54150) |
$8,602.85 |
$10,121 |
3.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$256.28 |
$301.50 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$390.15 |
$459 |
1.5× |
| Closed Rx Med Malleolus Fx (27760) |
$333.62 |
$392.50 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,193.85 |
$2,581 |
1.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,193.85 |
$2,581 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$586.50 |
$690 |
2.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,141.58 |
$2,519.50 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$296.65 |
$349 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$261.38 |
$307.50 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$267.75 |
$315 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$295.80 |
$348 |
1.1× |
| Closed treat wrist dislocation (25660) |
$374.85 |
$441 |
1.4× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,314.15 |
$3,899 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$508.72 |
$598.50 |
2.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$288.58 |
$339.50 |
1.1× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$449.65 |
$529 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$7,689.10 |
$9,046 |
29.6× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,193.85 |
$2,581 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$558.45 |
$657 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,141.58 |
$2,519.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$476.42 |
$560.50 |
1.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$239.70 |
$282 |
0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,193.85 |
$2,581 |
1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$804.95 |
$947 |
3.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$449.65 |
$529 |
1.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,107.15 |
$2,479 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$419.05 |
$493 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$377.40 |
$444 |
1.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$306 |
$360 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,193.85 |
$2,581 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$235.45 |
$277 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,193.85 |
$2,581 |
1.3× |
| Closed tx septal&nose fx (21337) |
$3,443.78 |
$4,051.50 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$731 |
$860 |
2.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$361.25 |
$425 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$333.20 |
$392 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,599.86 |
$3,058.66 |
1.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$245.65 |
$289 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$481.95 |
$567 |
1.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$804.95 |
$947 |
3.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$261.38 |
$307.50 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$439.88 |
$517.50 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$891.65 |
$1,049 |
3.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$2,193.85 |
$2,581 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$385.90 |
$454 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$359.55 |
$423 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$295.80 |
$348 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$625.60 |
$736 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$341.70 |
$402 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$637.92 |
$750.50 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$674.90 |
$794 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,193.85 |
$2,581 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,141.58 |
$2,519.50 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,769.70 |
$2,082 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$451.35 |
$531 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$512.55 |
$603 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$494.70 |
$582 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$454.75 |
$535 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$577.15 |
$679 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$519.35 |
$611 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$595 |
$700 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$358.70 |
$422 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$406.72 |
$478.50 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$685.10 |
$806 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$410.55 |
$483 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$461.55 |
$543 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$736.95 |
$867 |
2.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$4,765.95 |
$5,607 |
2.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$558.45 |
$657 |
2.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,080.40 |
$3,624 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,638.80 |
$1,928 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$451.35 |
$531 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$455.60 |
$536 |
1.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,078.25 |
$2,445 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$4,035.80 |
$4,748 |
2.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$269.45 |
$317 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,831.32 |
$2,154.50 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,958.85 |
$3,481 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,388.73 |
$1,633.80 |
1.1× |
| Colonoscopy stoma w/snare (44394) |
$1,484.95 |
$1,747 |
1.2× |
| Colonoscopy thru stoma (44388) |
$2,762.50 |
$3,250 |
2.8× |
| Colonoscopy w/band ligation (45398) |
$3,137.35 |
$3,691 |
2.5× |
| Colonoscopy w/fb removal (45379) |
$2,872.43 |
$3,379.33 |
2.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,876.52 |
$2,207.67 |
1.5× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,592.90 |
$1,874 |
1.3× |
| Complete replacement picc rs&i (36584) |
$4,225.78 |
$4,971.50 |
2.5× |
| Complex Drainage, Wound (10180) |
$4,011.58 |
$4,719.50 |
1.3× |
| Complex Uroflowmetry (51741) |
$418.20 |
$492 |
1.8× |
| Conization of cervix (57520) |
$7,462.15 |
$8,779 |
2.2× |
| Conization of cervix (57522) |
$4,662.25 |
$5,485 |
1.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$469.62 |
$552.50 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,635.40 |
$1,924 |
11.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$507.45 |
$597 |
3.6× |
| Conversion ext bil drg cath (47535) |
$5,097.45 |
$5,997 |
1.4× |
| Convert nephrostomy catheter (50434) |
$2,360.88 |
$2,777.50 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,298 |
$3,880 |
1.9× |
| Corneal transplant (65730) |
$10,443.52 |
$12,286.50 |
2.4× |
| Corneal transplant (65755) |
$9,353.40 |
$11,004 |
2.1× |
| Correction hammertoe (28285) |
$6,484.65 |
$7,629 |
1.9× |
| Correction of bunion (28298) |
$5,379.23 |
$6,328.50 |
0.7× |
| Correction of bunion (28292) |
$6,445.98 |
$7,583.50 |
1.9× |
| Correction of bunion (28299) |
$10,041.90 |
$11,814 |
1.3× |
| Correction of bunion (28297) |
$11,763.15 |
$13,839 |
0.9× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$11,295.22 |
$13,288.50 |
3.3× |
| Create eardrum opening (69436) |
$2,697.90 |
$3,174 |
1.6× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$19,910.40 |
$23,424 |
3.4× |
Cryosurgical ablation prostate w/us & monitori (55873)
likely a partial charge, not the full procedure |
$45.62 |
$53.67 |
0.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$274.55 |
$323 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$366.35 |
$431 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,355.85 |
$6,301 |
2.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$6,771.10 |
$7,966 |
1.8× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$9,812.40 |
$11,544 |
1.7× |
| Cysto w/destruction of lesions (52214) |
$8,395.45 |
$9,877 |
2.3× |
| Cysto w/removal of tumors small (52234) |
$3,315.57 |
$3,900.67 |
0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,878.15 |
$5,739 |
2.2× |
| Cysto w/ureter stricture tx (52341) |
$3,386.40 |
$2,085 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,552.60 |
$5,356 |
1.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,884.95 |
$5,747 |
1.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$7,359.86 |
$8,658.66 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$7,689.52 |
$9,046.50 |
1.4× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,947.02 |
$6,996.50 |
1.1× |
| Cystometrogram W/Vp&Up (51729) |
$1,272.45 |
$1,497 |
1.7× |
| Cystoscopy w/biopsy (52204) |
$5,193.50 |
$6,110 |
2.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$4,614.65 |
$5,429 |
2.1× |
| Cystoscopy,insert ureteral stent (52332) |
$5,608.72 |
$6,598.50 |
1.5× |
| Cystostomy Cystotomy W/Drainage (51040) |
$8,188.05 |
$9,633 |
3.7× |
| Cystourethroscopy (52000) |
$1,855.55 |
$2,183 |
2.5× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,074.90 |
$4,794 |
1.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,832.65 |
$4,509 |
1.7× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$4,869.65 |
$5,729 |
1.3× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,717.45 |
$3,197 |
1.2× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$4,648.65 |
$5,469 |
2.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$4,199 |
$4,940 |
1.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$1,948.73 |
$2,292.62 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,878.55 |
$4,563 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$783.70 |
$922 |
1.1× |
| Debride nail 1-5 (11720) |
$147.90 |
$174 |
2.4× |
| Debride nail 6 or more (11721) |
$136 |
$160 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,246.43 |
$3,819.33 |
7.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,028.52 |
$2,386.50 |
2.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,597.18 |
$3,055.50 |
1.5× |
| Declot vascular device (36593) |
$505.32 |
$594.50 |
1.5× |
| Decompression of tibia nerve (28035) |
$7,861.65 |
$9,249 |
3.8× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$6,736.25 |
$7,925 |
3.1× |
| Derm autograft trnk/arm/leg (15130) |
$2,098.86 |
$2,469.25 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$4,143.75 |
$4,875 |
19.6× |
| Destruction Lesions Vulva Extensive (56515) |
$8,157.45 |
$9,597 |
3.8× |
| Destruction premalignant lesion 1st (17000) |
$124.95 |
$147 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,313.68 |
$1,545.50 |
1.8× |
| Diagnostic sigmoidoscopy (45330) |
$2,592.50 |
$3,050 |
2.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,893.27 |
$2,227.38 |
2.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$17,041.65 |
$20,049 |
125.7× |
| Dilation of salivary duct (42650) |
$4,765.95 |
$5,607 |
2.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$960.50 |
$1,130 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$960.50 |
$1,130 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,160.70 |
$2,542 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$504.05 |
$593 |
2.4× |
| Drainage mouth roof lesion (42000) |
$509.15 |
$599 |
2.0× |
| Drainage of eyelid abscess (67700) |
$466.65 |
$549 |
1.4× |
| Drainage of gum lesion (41800) |
$415.65 |
$489 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$2,213.40 |
$2,604 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,523.65 |
$2,969 |
1.4× |
| Draw blood off venous device (36591) |
$155.55 |
$183 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$599.25 |
$705 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$439.45 |
$517 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$269.02 |
$316.50 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$21.25 |
$25 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$2,795.65 |
$3,289 |
1.0× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$3,489.53 |
$4,105.33 |
1.6× |
| Dstrj lesion penis simple surg excision (54060) |
$5,077.05 |
$5,973 |
2.3× |
| Dx bone marrow bx & aspir (38222) |
$2,975.85 |
$3,501 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,797.78 |
$3,291.50 |
1.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,061.28 |
$3,601.50 |
1.5× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,182.09 |
$2,567.17 |
1.1× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$1,232.22 |
$1,449.67 |
0.2× |
| Egd flexible foreign body removal (43247) |
$1,973.84 |
$2,322.16 |
2.1× |
| Egd guide wire insertion (43248) |
$2,506.65 |
$2,949 |
2.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,854.30 |
$3,358 |
1.4× |
| Egd place gastrostomy tube (43246) |
$3,476.36 |
$4,089.84 |
1.7× |
| Egd rem tumr/polyp forcep (43250) |
$1,105.85 |
$1,301 |
0.5× |
| Egd remove lesion snare (43251) |
$1,416.81 |
$1,666.84 |
0.7× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,554.08 |
$1,828.33 |
0.8× |
| Egd us exam duodenum/jejunum (43259) |
$1,391.66 |
$1,637.25 |
0.7× |
| Egd us fine needle bx/aspir (43242) |
$4,304.40 |
$5,064 |
2.1× |
| Egd Varices Ligation (43244) |
$3,625.25 |
$4,265 |
1.8× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$282.48 |
$332.34 |
2.1× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,042.32 |
$4,755.67 |
1.2× |
| Endoscopic us exam esoph (43237) |
$5,011.60 |
$5,896 |
2.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$3,315.57 |
$3,900.67 |
1.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,179.40 |
$2,564 |
1.0× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,361.35 |
$5,131 |
1.1× |
| Ercp Duct Stent Placement (43274) |
$5,077.05 |
$5,973 |
0.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,869.65 |
$5,729 |
1.2× |
Ercp lithotripsy calculi (43265)
unusually low: confirm this is the full procedure |
$2,900.77 |
$3,412.67 |
0.5× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$5,307.83 |
$6,244.50 |
1.3× |
| Ercp remove forgn body duct (43275) |
$1,450.38 |
$1,706.33 |
0.7× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,284.45 |
$6,217 |
0.8× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$1,169.99 |
$1,376.46 |
0.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,903.56 |
$4,592.42 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$12,232.35 |
$14,391 |
3.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,776.95 |
$3,267 |
2.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$3,288.65 |
$3,869 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$312.80 |
$368 |
2.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$5,384.04 |
$6,334.16 |
3.1× |
| Exc abd les sc 3 cm/> (22903) |
$4,951.16 |
$5,824.90 |
1.6× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$6,114.05 |
$7,193 |
2.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$9,328.75 |
$10,975 |
5.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$7,995.10 |
$9,406 |
4.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$4,676.70 |
$5,502 |
2.7× |
| Exc back les sc < 3 cm (21930) |
$4,143.75 |
$4,875 |
2.4× |
| Exc back tum deep < 5 cm (21932) |
$7,759.37 |
$9,128.67 |
2.5× |
| Exc face les sbq 2 cm/> (21012) |
$5,077.05 |
$5,973 |
2.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,534.73 |
$4,158.50 |
4.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$5,949.43 |
$6,999.33 |
3.4× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$7,876.95 |
$9,267 |
4.5× |
| Exc forearm les sc 3 cm/> (25071) |
$5,146.89 |
$6,055.16 |
3.0× |
| Exc frenum labial/buccal (40819) |
$1,355.75 |
$1,595 |
0.8× |
| Exc hand les sc < 1.5 cm (26115) |
$5,448.08 |
$6,409.50 |
3.1× |
| Exc rect tum transanal part (45171) |
$3,592.10 |
$4,226 |
1.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$6,217.75 |
$7,315 |
3.6× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,214.66 |
$4,958.42 |
1.4× |
| Exc skin abd (15830) |
$8,108.65 |
$9,539.58 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$5,981.45 |
$7,037 |
8.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$3,990.33 |
$4,694.50 |
5.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,833.16 |
$4,509.60 |
5.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$4,197.73 |
$4,938.50 |
2.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$7,831.05 |
$9,213 |
2.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,698.23 |
$5,527.33 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$5,872.16 |
$6,908.42 |
3.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$4,727.02 |
$5,561.20 |
2.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,351.15 |
$5,119 |
1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$7,395.85 |
$8,701 |
2.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,011.77 |
$7,072.67 |
3.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,868.64 |
$4,551.34 |
1.3× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$6,217.75 |
$7,315 |
2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,346.12 |
$1,583.67 |
1.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$5,699.25 |
$6,705 |
7.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,094.96 |
$3,641.12 |
1.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,491.85 |
$6,461 |
1.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$5,388.15 |
$6,339 |
1.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$9,950.95 |
$11,707 |
3.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$11,896.60 |
$13,996 |
6.8× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$9,123.90 |
$10,734 |
3.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,425.15 |
$7,559 |
2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$1,796.05 |
$2,113 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$6,632.55 |
$7,803 |
2.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,349.12 |
$2,763.67 |
0.8× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,525.40 |
$5,324 |
1.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,270.82 |
$5,024.50 |
1.1× |
| Exchange nephrostomy cath (50435) |
$3,861.55 |
$4,543 |
1.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,654.55 |
$3,123 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,849.06 |
$3,351.84 |
1.7× |
| Excise excessive skin arm (15836) |
$16,472.15 |
$19,379 |
5.4× |
| Excise Inferior Turbinate (30130) |
$8,016.63 |
$9,431.33 |
2.3× |
| Excision Breast Lesion (19125) |
$9,869.78 |
$11,611.50 |
2.4× |
| Excision hydrocele bilateral (55041) |
$12,400.65 |
$14,589 |
3.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$5,043.90 |
$5,934 |
6.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$7,047.35 |
$8,291 |
9.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,628.35 |
$1,915.70 |
3.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$6,080.90 |
$7,154 |
8.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$5,221.90 |
$6,143.42 |
7.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$4,975.48 |
$5,853.50 |
2.9× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$5,873.50 |
$6,910 |
7.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,098.86 |
$2,469.25 |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,457.38 |
$4,067.50 |
1.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$6,632.55 |
$7,803 |
8.9× |
| Excision of hydrocele; unilateral (55040) |
$6,321.45 |
$7,437 |
1.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$5,180.75 |
$6,095 |
3.0× |
| Excision of nail fold toe (11765) |
$544.85 |
$641 |
1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,973.35 |
$5,851 |
1.6× |
| Excision of single external papilla or tag, anus (46220) |
$4,828 |
$5,680 |
3.8× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$8,680.34 |
$10,212.16 |
3.9× |
| Excision of Umbilicus (49250) |
$3,936.35 |
$4,631 |
1.0× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
$4,662.25 |
$5,485 |
0.7× |
| Excision of vaginal cyst or tumor (57135) |
$4,246.60 |
$4,996 |
1.2× |
| Excision of vaginal septum (57130) |
$9,503.43 |
$11,180.50 |
2.8× |
| Excision olecranon bursa (24105) |
$9,773.72 |
$11,498.50 |
2.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,694.78 |
$3,170.33 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$9,328.75 |
$10,975 |
3.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$5,802.95 |
$6,827 |
1.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$5,077.05 |
$5,973 |
2.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$5,802.95 |
$6,827 |
3.3× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,231.32 |
$6,154.50 |
3.1× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$3,832.65 |
$4,509 |
1.1× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$6,199.05 |
$7,293 |
3.7× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$9,121.35 |
$10,731 |
3.0× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,388.15 |
$6,339 |
1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$6,839.95 |
$8,047 |
2.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$5,802.95 |
$6,827 |
1.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,880.65 |
$3,389 |
1.3× |
| Exploration of knee joint (27310) |
$9,847.25 |
$11,585 |
2.9× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$5,872.65 |
$6,909 |
1.7× |
| Explore parathyroid glands (60500) |
$10,365.75 |
$12,195 |
1.7× |
| Fasciotomy palmar percutaneous (26040) |
$11,627.15 |
$13,679 |
6.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$13,109.55 |
$15,423 |
3.8× |
| Fetal non-stress test (59025) |
$677.45 |
$797 |
3.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,668.84 |
$1,963.34 |
2.2× |
| Fixation of knee joint (27570) |
$306 |
$360 |
0.2× |
| Flap; neurovascular pedicle (15750) |
$2,072.94 |
$2,438.75 |
0.6× |
| Fluid pressure muscle (20950) |
$960.50 |
$1,130 |
1.3× |
| Forehead flap w/vasc pedicle (15731) |
$7,739.39 |
$9,105.16 |
2.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$2,418.25 |
$2,845 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,312.13 |
$1,543.68 |
0.6× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,867.62 |
$3,373.67 |
1.3× |
| Fusion Finger Joint (26860) |
$11,506.45 |
$13,537 |
3.3× |
Fusion of foot bones (28730)
unusually low: confirm this is the full procedure |
$6,727.54 |
$7,914.75 |
0.5× |
| Fusion of foot bones (28740) |
$14,617.45 |
$17,197 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$431.80 |
$508 |
1.9× |
| Gastrocnemius Recession (27687) |
$10,556.58 |
$12,419.50 |
3.1× |
| Graft ear crtlg autogenous nose/ear (21235) |
$4,319.42 |
$5,081.67 |
0.7× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$5,148.31 |
$6,056.84 |
1.4× |
| Guide Cathet Fluid Drainage (10030) |
$953.70 |
$1,122 |
1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$10,987.52 |
$12,926.50 |
1.4× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$7,015.05 |
$8,253 |
2.0× |
| Hemorrhoidectomy (46255) |
$4,775.72 |
$5,618.50 |
1.6× |
| Hemorrhoidectomy external complete (46250) |
$3,698.78 |
$4,351.50 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$5,660.58 |
$6,659.50 |
1.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$4,454.85 |
$5,241 |
1.5× |
| Hysteroscopy ablation (58563) |
$3,615.90 |
$4,254 |
0.7× |
| Hysteroscopy biopsy (58558) |
$6,312.52 |
$7,426.50 |
1.9× |
| Hysteroscopy dx sep proc (58555) |
$6,140.40 |
$7,224 |
1.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$6,140.40 |
$7,224 |
1.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$7,383.10 |
$8,686 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$521.90 |
$614 |
2.1× |
| I&d abscess simple (10060) |
$555.90 |
$654 |
2.6× |
| I&d below fascia foot 1 bursal space (28002) |
$4,366.02 |
$5,136.50 |
2.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,037.52 |
$5,926.50 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,872.65 |
$6,909 |
1.9× |
| I&d perianal abscess superficial (46050) |
$1,781.60 |
$2,096 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$937.55 |
$1,103 |
1.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,160.70 |
$2,542 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,878.55 |
$4,563 |
1.3× |
| Image Cath Fluid Colxn Visc (49405) |
$3,218.10 |
$3,786 |
1.8× |
| Image Cath Fluid Peri/Retro (49406) |
$3,191.32 |
$3,754.50 |
1.8× |
Implant cochlear device (69930)
unusually low: confirm this is the full procedure |
$13,373.05 |
$15,733 |
0.4× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$9,328.75 |
$10,975 |
0.7× |
| Incise finger tendon sheath (26055) |
$2,555.10 |
$3,006 |
1.5× |
| Incise wrist/forearm tendon (25290) |
$6,288.30 |
$7,398 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$741.20 |
$872 |
1.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,462.85 |
$1,721 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,234.73 |
$6,158.50 |
3.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$565.25 |
$665 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$412.25 |
$485 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$498.10 |
$586 |
1.6× |
| Incision bone cortex foot (28005) |
$7,939.85 |
$9,341 |
2.3× |
| Incision extensor tendon sheath wrist (25000) |
$3,326.62 |
$3,913.66 |
2.0× |
| Incision of eardrum (69421) |
$3,195.15 |
$3,759 |
0.9× |
| Incision of heel bone (28300) |
$6,823.90 |
$8,028.12 |
0.9× |
| Incision of metatarsal (28308) |
$6,943.65 |
$8,169 |
2.0× |
| Incision of rectal abscess (46040) |
$2,579.75 |
$3,035 |
2.0× |
| Incision of tibia (27705) |
$5,366.62 |
$6,313.67 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$437.32 |
$514.50 |
1.7× |
| Incision&drainage bursa foot (28001) |
$3,678.80 |
$4,328 |
2.1× |
| Incisional biopsy skin single lesion (11106) |
$731 |
$860 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$398.22 |
$468.50 |
1.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,740.94 |
$2,048.16 |
1.9× |
| Inj tendon sheath/ligament (20550) |
$449.65 |
$529 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$903.55 |
$1,063 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,694.05 |
$1,993 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$766.70 |
$902 |
2.4× |
| Injection anes other peripheral nerve/branch (64450) |
$1,379.98 |
$1,623.50 |
1.9× |
| Injection for identification of sentinel node (38792) |
$2,923.49 |
$3,439.40 |
6.9× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$663.85 |
$781 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$409.70 |
$482 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$407.15 |
$479 |
1.3× |
| Ins cath ren art 1st bilat (36252) |
$11,660.72 |
$13,718.50 |
3.5× |
| Ins cath ren art 1st unilat (36251) |
$6,882.45 |
$8,097 |
2.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$14,053.90 |
$16,534 |
4.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,026.95 |
$8,267 |
1.2× |
| Ins endovas vena cava filtr (37191) |
$9,186.80 |
$10,808 |
1.6× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$28,590.18 |
$33,635.50 |
2.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$22,580.25 |
$26,565 |
2.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$23,636.80 |
$27,808 |
2.1× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$25,392.05 |
$29,873 |
2.3× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$14,995.70 |
$17,642 |
1.7× |
| Ins/Rep Subq Defibrillator (33270) |
$69,464.55 |
$81,723 |
2.1× |
| Insert 1 electrode pm-defib (33216) |
$15,232.85 |
$17,921 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$208.25 |
$245 |
1.5× |
| Insert cervical dilator (59200) |
$421.60 |
$496 |
1.3× |
| Insert Drug Implant Device (11981) |
$336.18 |
$395.50 |
2.4× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$223.27 |
$262.67 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$2,992 |
$3,520 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,351.15 |
$5,119 |
1.3× |
| Insert pacing lead & connect (33224) |
$19,187.90 |
$22,574 |
1.7× |
| Insert pulse gen mult leads (33221) |
$24,452.80 |
$28,768 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$133.45 |
$157 |
1.0× |
| Insert tun ip cath perc (49418) |
$6,171.85 |
$7,261 |
1.6× |
| Insert tunneled cv cath (36561) |
$6,269.60 |
$7,376 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$200 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,114.05 |
$7,193 |
1.6× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)
likely a partial charge, not the full procedure |
$2,541.29 |
$2,989.75 |
0.1× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$8,589.25 |
$10,105 |
2.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,788 |
$3,280 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$16,287.28 |
$19,161.50 |
1.9× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$20,944.85 |
$24,641 |
2.4× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$46,001.15 |
$54,119 |
2.0× |
| Insj multi-component inflatable penile prosth (54405) |
$21,150.55 |
$24,883 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,630.80 |
$5,448 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,601.90 |
$5,414 |
1.4× |
Insj/rplcmt breast implant sep day mastectomy (19342)
unusually low: confirm this is the full procedure |
$2,639.18 |
$3,104.92 |
0.3× |
| Insj/rplcmt defib w/lead(s) (33249) |
$64,852.45 |
$76,297 |
2.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,123.10 |
$13,086 |
1.3× |
| Insrt pulse gen w/dual leads (33230) |
$74,975.95 |
$88,207 |
3.2× |
| Insrt pulse gen w/mult leads (33231) |
$74,975.95 |
$88,207 |
2.3× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$8,834.90 |
$10,394 |
0.3× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,643.90 |
$1,934 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$26,305.80 |
$30,948 |
2.2× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$13,719.71 |
$16,140.84 |
2.3× |
| Intubation endotracheal emergency procedure (31500) |
$504.90 |
$594 |
2.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$623.05 |
$733 |
2.4× |
| IV injection test vascular flow flap/graft (15860) |
$7,473.41 |
$8,792.25 |
15.9× |
| Keratoplasty (corneal transplant); endothelial (65756) |
$9,927.15 |
$11,679 |
2.3× |
| Knee arthroscopy/surgery (29883) |
$10,519.60 |
$12,376 |
3.1× |
| Knee arthroscopy/surgery (29876) |
$9,636.88 |
$11,337.50 |
2.8× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge, not the full procedure |
$2,234.05 |
$2,628.29 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268)
unusually low: confirm this is the full procedure |
$2,518.92 |
$2,963.43 |
0.3× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low: confirm this is the full procedure |
$2,541.29 |
$2,989.75 |
0.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$3,831.46 |
$4,507.60 |
0.5× |
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042)
unusually low: confirm this is the full procedure |
$3,152.23 |
$3,708.50 |
0.4× |
| Lap ing hernia repair init (49650) |
$6,159.10 |
$7,246 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$8,071.60 |
$9,496 |
1.3× |
| Laparoscopy appendectomy (44970) |
$8,999.16 |
$10,587.25 |
1.4× |
| Laparoscopy biopsy (49321) |
$5,135.70 |
$6,042 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$12,968.02 |
$15,256.50 |
2.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,943.40 |
$16,404 |
1.2× |
| Laparoscopy tubal block (58671) |
$10,845.15 |
$12,759 |
1.7× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,082.60 |
$7,156 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$9,812.40 |
$11,544 |
1.5× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$22,265.75 |
$26,195 |
2.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$13,140.15 |
$15,459 |
1.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$7,536.10 |
$8,866 |
0.7× |
| Laparoscopy, surgical, splenectomy (38120) |
$12,795.90 |
$15,054 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$19,127.55 |
$22,503 |
1.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
$19,221.90 |
$22,614 |
1.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,302.75 |
$7,415 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$13,484.40 |
$15,864 |
1.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,702.74 |
$3,179.69 |
0.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,971.25 |
$7,025 |
0.9× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$11,446.95 |
$13,467 |
2.8× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$20,713.65 |
$24,369 |
1.8× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$12,307.58 |
$14,479.50 |
1.1× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$19,566.15 |
$23,019 |
1.7× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$10,959.90 |
$12,894 |
1.7× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$6,943.65 |
$8,169 |
1.8× |
| Laryngoscopy Flexible Diagnostic (31575) |
$377.40 |
$444 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$677.45 |
$797 |
1.6× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$270.30 |
$318 |
1.3× |
| Laryngoscopy w/biopsy (31535) |
$4,648.65 |
$5,469 |
1.2× |
| Laryngoscopy w/bx op scope (31536) |
$4,396.20 |
$5,172 |
1.1× |
| Laryngoscopy w/exc of tumor (31540) |
$4,351.15 |
$5,119 |
1.1× |
| Larynscop w/tumr exc + scope (31541) |
$5,491.85 |
$6,461 |
1.4× |
| Laser vaporization surgery prostate, complete (52648) |
$15,205.65 |
$17,889 |
2.7× |
| Late closure of wound (13160) |
$5,546.25 |
$6,525 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$11,506.45 |
$13,537 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$12,757.31 |
$15,008.60 |
0.9× |
| Ligation of a-v fistula (37607) |
$7,661.90 |
$9,014 |
2.3× |
| Ligation of hemorrhoid(s) (46221) |
$1,748.88 |
$2,057.50 |
1.8× |
| Ligation or biopsy temporal artery (37609) |
$4,869.65 |
$5,729 |
2.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,325.82 |
$6,265.66 |
1.4× |
| Lithotripsy (50590) |
$8,291.75 |
$9,755 |
2.2× |
| Liver Biopsy (47000) |
$2,300.10 |
$2,706 |
1.3× |
| Lysis Intranasal Synechia (30560) |
$2,416.83 |
$2,843.33 |
4.3× |
| Marsup Bartholin Gland Cyst (56440) |
$6,525.45 |
$7,677 |
1.9× |
| Mastectomy gynecomastia (19300) |
$6,696.20 |
$7,877.88 |
1.6× |
| Mastectomy partial (19301) |
$10,579.52 |
$12,446.50 |
2.6× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$14,100.37 |
$16,588.67 |
2.0× |
| Mastectomy simple complete (19303) |
$13,891.55 |
$16,343 |
2.0× |
| Mastoidectomy (69502) |
$11,713.85 |
$13,781 |
1.9× |
| Mastopexy (19316) |
$3,768.05 |
$4,433 |
0.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,185.35 |
$2,571 |
1.3× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$4,194.96 |
$4,935.25 |
1.3× |
| Mediastinoscpy w/lmph nod bx (39402) |
$16,353.15 |
$19,239 |
2.6× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$4,877.30 |
$5,738 |
1.3× |
| Muscle-skin graft trunk (15734) |
$3,178.83 |
$3,739.80 |
0.9× |
| Myelography Lumbar Injection (62305) |
$2,436.10 |
$2,866 |
2.9× |
| Myelography Lumbar Injection (62304) |
$2,554.25 |
$3,005 |
3.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,129.25 |
$2,505 |
2.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,215.10 |
$2,606 |
2.7× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$259.25 |
$305 |
1.2× |
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
likely a partial charge, not the full procedure |
$1,235.06 |
$1,453 |
0.2× |
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
likely a partial charge, not the full procedure |
$1,848.08 |
$2,174.21 |
0.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$1,865.18 |
$2,194.34 |
0.5× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
likely a partial charge, not the full procedure |
$991.95 |
$1,167 |
0.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$1,575.13 |
$1,853.10 |
0.8× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
unusually low: confirm this is the full procedure |
$2,780.70 |
$3,271.42 |
0.4× |
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255)
unusually low: confirm this is the full procedure |
$2,788 |
$3,280 |
0.4× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$4,419.15 |
$5,199 |
2.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,208.42 |
$1,421.67 |
0.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$3,761.46 |
$4,425.25 |
0.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$4,110.60 |
$4,836 |
0.6× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,718.70 |
$2,022 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$554.20 |
$652 |
1.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,796.15 |
$6,819 |
3.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$21.25 |
$25 |
0.7× |
| Neuroplasty digital 1/both same digit (64702) |
$3,894.53 |
$4,581.80 |
1.9× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$936.70 |
$1,102 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$853.40 |
$1,004 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,609.98 |
$5,423.50 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$847.03 |
$996.50 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,694.05 |
$1,993 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,552.95 |
$1,827 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,008.55 |
$2,363 |
2.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,239.30 |
$1,458 |
1.7× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,846.87 |
$5,702.20 |
1.2× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$12,566.40 |
$14,784 |
1.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$20,656.28 |
$24,301.50 |
2.7× |
| Open treatment metatarsal fracture each (28485) |
$13,886.02 |
$16,336.50 |
1.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$13,541.78 |
$15,931.50 |
1.8× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$15,090.90 |
$17,754 |
1.1× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$9,463.05 |
$11,133 |
1.2× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$7,565.85 |
$8,901 |
0.6× |
| Open treatment of ulnar styloid fracture (25652) |
$5,871.80 |
$6,908 |
0.8× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$7,419.65 |
$8,729 |
2.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,342.40 |
$13,344 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,538.55 |
$4,163 |
1.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$13,427.02 |
$15,796.50 |
1.8× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$19,972.45 |
$23,497 |
1.5× |
| Open tx interphalangeal joint dislocation (26785) |
$10,437.15 |
$12,279 |
3.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$9,468.15 |
$11,139 |
2.7× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$4,432.75 |
$5,215 |
0.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,828.48 |
$8,033.50 |
2.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$8,932.22 |
$10,508.50 |
0.7× |
| Open/Perq Place Stent Same (37238) |
$30,870.30 |
$36,318 |
2.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$30,135.48 |
$35,453.50 |
2.5× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$17,271.15 |
$20,319 |
1.3× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$10,678.55 |
$12,563 |
1.7× |
| Orchiectomy radical tumor inguinal approach (54530) |
$7,876.95 |
$9,267 |
2.1× |
| Orchiectomy, partial (54522) |
$9,463.05 |
$11,133 |
2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$6,082.60 |
$7,156 |
1.8× |
| Osteochondral allograft, knee, open (27415) |
$13,472.50 |
$15,850 |
1.0× |
| Osteotomy midtarsal,autograft (28305) |
$6,727.54 |
$7,914.75 |
0.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
$8,358.05 |
$9,833 |
1.1× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$4,973.35 |
$5,851 |
0.8× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$6,839.95 |
$8,047 |
2.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,761.48 |
$2,072.33 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,869.65 |
$5,729 |
1.4× |
| Partial removal of thyroid (60220) |
$11,506.45 |
$13,537 |
1.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,869.65 |
$5,729 |
1.4× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$12,795.90 |
$15,054 |
1.3× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$8,728.22 |
$10,268.50 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,213.80 |
$1,428 |
1.6× |
| Percut Mech Thrombectomy, Venous (37187) |
$10,280.75 |
$12,095 |
0.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$7,595.60 |
$8,936 |
2.3× |
Percut/Needle Insert,Prostate,Radioisot (55875)
likely a partial charge, not the full procedure |
$1,205.30 |
$1,418 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$6,212.65 |
$7,309 |
1.8× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$7,517.40 |
$8,844 |
2.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,967.68 |
$5,844.34 |
1.4× |
| Peri-implant capsulectomy breast complete (19371) |
$5,125.92 |
$6,030.50 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$2,020.45 |
$2,377 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$1,539.35 |
$1,811 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$2,234.65 |
$2,629 |
3.0× |
| Perq device breast 1st imag (19281) |
$2,248.25 |
$2,645 |
1.3× |
| Perq dilation xst trc endourologic px w/img (50436) |
$6,546.70 |
$7,702 |
1.8× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,732.32 |
$3,214.50 |
1.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,633.30 |
$3,098 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$623.90 |
$734 |
2.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,018.30 |
$1,198 |
1.4× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$39,870.95 |
$46,907 |
2.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$21,294.20 |
$25,052 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$13,014.35 |
$15,311 |
2.2× |
| Pin finger fracture each (26756) |
$5,790.20 |
$6,812 |
1.7× |
| Place Cath Subclavian Art (36225) |
$2,317.52 |
$2,726.50 |
0.7× |
| Place Cath Thoracic Aorta (36221) |
$2,904.02 |
$3,416.50 |
0.9× |
| Place Cath Vertebral Art (36226) |
$8,397.15 |
$9,879 |
1.4× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$2,159.85 |
$2,541 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$543.15 |
$639 |
1.2× |
| Placement of seton (46020) |
$4,662.25 |
$5,485 |
1.6× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500) |
$5,284.45 |
$6,217 |
0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,450.22 |
$7,588.50 |
1.0× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,211 |
$9,660 |
1.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,205.30 |
$1,418 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,902.40 |
$6,944 |
2.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$7,881.62 |
$9,272.50 |
2.1× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,820.40 |
$8,024 |
1.8× |
| Preputial Stretching (54450) |
$285.32 |
$335.67 |
1.1× |
| Prim art mech thrombectomy (37184) |
$23,936 |
$28,160 |
1.2× |
| Prostatectomy (turp) (52601) |
$7,976.40 |
$9,384 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,014.60 |
$7,076 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,975.90 |
$5,854 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$544.85 |
$641 |
1.3× |
| Puncture Aspiration (10160) |
$740.06 |
$870.66 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,580.15 |
$1,859 |
2.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$5,852.53 |
$6,885.33 |
3.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$8,338.08 |
$9,809.50 |
2.4× |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
$5,910.90 |
$6,954 |
1.9× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$10,044.98 |
$11,817.62 |
1.3× |
| Realignment extensor tendon hand each tendon (26437) |
$8,913.95 |
$10,487 |
2.6× |
| Reconstr disloc patella w mscl adv (27422) |
$16,069.25 |
$18,905 |
2.1× |
| Reconstruc toe deform,soft tissue (28313) |
$3,599.27 |
$4,234.43 |
1.0× |
| Reconstruction of nose (30400) |
$3,628.08 |
$4,268.34 |
0.6× |
| Reduction of Large Breast (19318) |
$8,857.85 |
$10,421 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$9,847.25 |
$11,585 |
1.3× |
Reinsertion Spinal Fixation Device (22849)
unusually low: confirm this is the full procedure |
$4,444.48 |
$5,228.80 |
0.3× |
| Release palm contracture (26121) |
$12,831.60 |
$15,096 |
3.7× |
| Release thumb contracture (26508) |
$3,144.15 |
$3,699 |
0.9× |
| Release wrist/forearm tendon (25295) |
$13,079.38 |
$15,387.50 |
3.8× |
| Relocation of skin pocket for pacemaker (33222) |
$2,431.85 |
$2,861 |
1.1× |
| Rem endovas vena cava filter (37193) |
$4,278.90 |
$5,034 |
1.3× |
| Removal Anal Seton Other Marker (46030) |
$7,048.77 |
$8,292.67 |
5.6× |
| Removal biliary drg cath (47537) |
$963.05 |
$1,133 |
1.0× |
| Removal fb intranasal (30300) |
$359.98 |
$423.50 |
2.6× |
| Removal Foreign Body Foot Complicated (28193) |
$2,213.40 |
$2,604 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,569.10 |
$1,846 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$2,059.55 |
$2,423 |
2.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,213.40 |
$2,604 |
1.3× |
| Removal foreign body pharynx (42809) |
$530.40 |
$624 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$1,026.80 |
$1,208 |
16.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$226.95 |
$267 |
3.7× |
| Removal Implant Deep (20680) |
$9,508.95 |
$11,187 |
3.1× |
| Removal Implant From Finger/Hand (26320) |
$3,832.65 |
$4,509 |
2.2× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,054.08 |
$4,769.50 |
1.0× |
| Removal of adenoids (42835) |
$2,051.48 |
$2,413.50 |
0.6× |
| Removal of adenoids (42830) |
$3,544.08 |
$4,169.50 |
1.0× |
| Removal of anal fissure (46200) |
$4,765.95 |
$5,607 |
1.6× |
| Removal of arm foreign body (24200) |
$2,213.40 |
$2,604 |
1.3× |
| Removal of finger lesion (26210) |
$8,499.15 |
$9,999 |
5.0× |
| Removal of heel bone (28118) |
$8,507.86 |
$10,009.25 |
2.5× |
| Removal of heel spur (28119) |
$10,021.50 |
$11,790 |
2.9× |
| Removal of intrauterine device (iud) (58301) |
$1,079.18 |
$1,269.62 |
3.4× |
| Removal of kidney stone (50081) |
$13,713.90 |
$16,134 |
1.4× |
| Removal of nail bed (11750) |
$3,262.73 |
$3,838.50 |
7.6× |
| Removal of sesamoid bone (28315) |
$6,140.40 |
$7,224 |
1.8× |
| Removal of sperm cord lesion (55520) |
$2,183.99 |
$2,569.40 |
0.6× |
| Removal of testis (54520) |
$7,980.65 |
$9,389 |
2.1× |
| Removal of thyroid (60271) |
$14,306.35 |
$16,831 |
2.3× |
| Removal of tonsils (42825) |
$5,534.78 |
$6,511.50 |
0.9× |
| Removal of tonsils (42826) |
$5,194.35 |
$6,111 |
1.5× |
| Removal of vein clot (34421) |
$11,594 |
$13,640 |
3.5× |
| Removal ppm generator only (33233) |
$17,634.95 |
$20,747 |
2.0× |
| Removal subq cardiac rhythm monitor (33286) |
$2,171.75 |
$2,555 |
2.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$10,075.05 |
$11,853 |
3.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$242.25 |
$285 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$358.28 |
$421.50 |
1.2× |
| Remove anal fist 2 stage (46285) |
$10,262.05 |
$12,073 |
3.5× |
| Remove anal fist subq (46270) |
$4,714.10 |
$5,546 |
1.6× |
| Remove bladder stone (52318) |
$5,889.79 |
$6,929.16 |
1.6× |
| Remove by ligat int hem grp (46945) |
$2,786.30 |
$3,278 |
1.0× |
| Remove by ligat int hem grps (46946) |
$4,303.98 |
$5,063.50 |
1.5× |
| Remove drug implant device (11982) |
$3,003.05 |
$3,533 |
6.4× |
| Remove foreign body from eye (65210) |
$543.15 |
$639 |
1.2× |
| Remove in/ex hem groups 2+ (46260) |
$5,113.03 |
$6,015.33 |
1.7× |
| Remove in/ex hem grp w/fistu (46258) |
$4,662.25 |
$5,485 |
1.6× |
| Remove intrvas foreign body (37197) |
$5,729.85 |
$6,741 |
1.7× |
| Remove muti-comp penis pros (54406) |
$15,343.35 |
$18,051 |
4.1× |
| Remove Peritoneal Foreign Body (49402) |
$4,494.38 |
$5,287.50 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$4,768.08 |
$5,609.50 |
1.6× |
| Remove renal tube w/fluoro (50389) |
$910.35 |
$1,071 |
1.2× |
| Remove Ureter Stent, Percut (50384) |
$4,601.90 |
$5,414 |
2.1× |
| Remove uro sphincter (53446) |
$9,468.15 |
$11,139 |
1.7× |
| Remove wrist joint cartilage (25107) |
$11,348.35 |
$13,351 |
3.3× |
| Remove wrist joint implant (25449) |
$34,547.40 |
$40,644 |
4.5× |
| Remove wrist tendon lesion (25111) |
$3,921.90 |
$4,614 |
2.3× |
| Remove&replace pm gen singl (33227) |
$16,104.10 |
$18,946 |
1.8× |
| Remv Ext Canal Foreign Body (69200) |
$266.48 |
$313.50 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$555.90 |
$654 |
4.0× |
| Remv&replc cvd gen dual lead (33263) |
$68,433.92 |
$80,510.50 |
2.9× |
| Remv&replc cvd gen mult lead (33264) |
$62,212.35 |
$73,191 |
1.9× |
| Remv&replc cvd gen sing lead (33262) |
$65,174.60 |
$76,676 |
2.8× |
| Remv&replc pm gen dual lead (33228) |
$18,531.70 |
$21,802 |
1.7× |
| Remv&replc pm gen mult leads (33229) |
$19,414 |
$22,840 |
1.0× |
| Renal biopsy (50200) |
$1,677.90 |
$1,974 |
1.0× |
| Repair achilles tendon (27650) |
$14,220.50 |
$16,730 |
1.9× |
| Repair arm tendon/muscle (24341) |
$6,011.77 |
$7,072.67 |
0.8× |
| Repair brow defect (67900) |
$3,524.38 |
$4,146.33 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,813.69 |
$2,133.75 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$391 |
$460 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,213.82 |
$2,604.50 |
5.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$4,626.55 |
$5,443 |
10.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,078.65 |
$1,269 |
2.5× |
| Repair elbow deb/attch open (24359) |
$8,186.35 |
$9,631 |
2.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,941.62 |
$5,813.67 |
2.9× |
| Repair hallux rigidus (28289) |
$7,358.45 |
$8,657 |
2.1× |
| Repair hand joint with graft (26542) |
$8,377.60 |
$9,856 |
2.4× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,453.10 |
$2,886 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$8,107.41 |
$9,538.13 |
2.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$9,468.15 |
$11,139 |
2.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,746.90 |
$9,114 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$555.05 |
$653 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$711.02 |
$836.50 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$619.65 |
$729 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$860.20 |
$1,012 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$854.25 |
$1,005 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$578.85 |
$681 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$834.70 |
$982 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$673.20 |
$792 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,735.70 |
$2,042 |
4.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$689.35 |
$811 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$814.18 |
$957.86 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$612 |
$720 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$917.15 |
$1,079 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,488.80 |
$2,928 |
1.1× |
| Repair kneecap tendon (27380) |
$13,318.93 |
$15,669.33 |
1.7× |
| Repair lead pace-defib dual (33220) |
$9,701.90 |
$11,414 |
2.5× |
| Repair lead pace-defib one (33218) |
$11,736.80 |
$13,808 |
3.0× |
| Repair nasal vestibular stenosis (30465) |
$4,313.86 |
$5,075.12 |
0.7× |
| Repair nonunion radius/ulna w autogrft (25405) |
$8,052.05 |
$9,473 |
1.1× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$18,189.15 |
$21,399 |
2.7× |
Repair of biceps tendon (24340)
unusually low: confirm this is the full procedure |
$3,570.57 |
$4,200.67 |
0.5× |
| Repair of eardrum structures (69631) |
$9,847.25 |
$11,585 |
1.6× |
| Repair Of Foot Tendon (28208) |
$8,384.26 |
$9,863.84 |
2.4× |
| Repair of nail bed (11760) |
$2,978.82 |
$3,504.50 |
3.8× |
| Repair of nasal septum (30520) |
$1,692.78 |
$1,991.50 |
0.5× |
| Repair of rectum (45505) |
$5,164.60 |
$6,076 |
1.8× |
| Repair of thigh musc (27385) |
$8,548.45 |
$10,057 |
1.1× |
Repair oro-maxillary fistula (30580)
unusually low: confirm this is the full procedure |
$2,898.08 |
$3,409.50 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,151.95 |
$10,767 |
1.2× |
| Repair Tongue Laceration (41250) |
$543.15 |
$639 |
1.2× |
| Repair wrist joints (25447) |
$10,521.30 |
$12,378 |
3.1× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$8,042.70 |
$9,462 |
2.3× |
| Repair/graft flex foot tendon (28202) |
$4,145.66 |
$4,877.25 |
0.5× |
| Repair/revise wrist joint (25320) |
$5,249.32 |
$6,175.67 |
0.7× |
| Replace Tissue Expander (11970) |
$6,465.10 |
$7,606 |
0.8× |
| Reposition pacing-defib lead (33215) |
$4,247.45 |
$4,997 |
1.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$10,835.38 |
$12,747.50 |
3.1× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,413.65 |
$6,369 |
1.6× |
| Rerepair fem hernia reduce (49555) |
$2,961.06 |
$3,483.60 |
0.8× |
| Rerepair ing hernia blocked (49521) |
$8,144.36 |
$9,581.60 |
1.2× |
| Rerepair ing hernia reduce (49520) |
$7,976.40 |
$9,384 |
2.1× |
| Resect Inferior Turbinate (30140) |
$3,941.31 |
$4,636.84 |
1.1× |
| Revise finger joint (26535) |
$14,804.45 |
$17,417 |
4.3× |
| Revise knuckle joint (26530) |
$12,128.65 |
$14,269 |
1.6× |
| Revise median n/carpal tunnel surg (64721) |
$3,566.60 |
$4,196 |
1.7× |
| Revise ulnar nerve at elbow (64718) |
$6,160.80 |
$7,248 |
3.0× |
| Revise ulnar nerve at wrist (64719) |
$4,477.80 |
$5,268 |
2.2× |
| Revise wrist joint (25332) |
$17,041.65 |
$20,049 |
4.9× |
| Revise/implant finger joint (26536) |
$13,580.45 |
$15,977 |
1.8× |
| Revision of lower leg tendon (27685) |
$5,910.62 |
$6,953.67 |
1.7× |
| Revision of reconstructed breast (19380) |
$3,835.48 |
$4,512.33 |
0.5× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$18,116.48 |
$21,313.50 |
1.3× |
| Revision of upper eyelid (15823) |
$8,862.81 |
$10,426.84 |
4.1× |
| Revision peri-implant capsule breast (19370) |
$2,888.30 |
$3,398 |
0.7× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$8,952.20 |
$10,532 |
1.5× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$4,008.32 |
$4,715.67 |
0.6× |
Rhinp Prim Complete Xtrnl Parts (30410)
unusually low: confirm this is the full procedure |
$2,824.76 |
$3,323.25 |
0.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,780.35 |
$3,271 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,236.75 |
$1,455 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$530.40 |
$624 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$322.58 |
$379.50 |
2.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,936.35 |
$4,631 |
1.3× |
| Rmvl of subq defibrillator (33272) |
$8,372.50 |
$9,850 |
2.1× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$7,402.65 |
$8,709 |
1.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,594.70 |
$6,582 |
1.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$5,594.70 |
$6,582 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,185.35 |
$2,571 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,152.60 |
$1,356 |
1.7× |
| Rplc gtube revj gstrst trc (43763) |
$337.45 |
$397 |
1.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$5,284.45 |
$6,217 |
1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,465.85 |
$2,901 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,978.45 |
$5,857 |
1.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,506.80 |
$10,008 |
1.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,576.80 |
$4,208 |
0.5× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$3,767.24 |
$4,432.04 |
0.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,069.66 |
$4,787.84 |
1.1× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$9,225.05 |
$10,853 |
1.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,327.56 |
$5,091.25 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$5,078.33 |
$5,974.50 |
1.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$10,959.90 |
$12,894 |
3.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$6,217.75 |
$7,315 |
3.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$419.90 |
$494 |
1.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$813.45 |
$957 |
3.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$912.90 |
$1,074 |
1.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$951.15 |
$1,119 |
1.4× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$5,919.40 |
$6,964 |
1.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$5,750.25 |
$6,765 |
3.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,060.82 |
$2,424.50 |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,903.20 |
$4,592 |
3.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$4,145.88 |
$4,877.50 |
19.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$9,230.15 |
$10,859 |
2.7× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$2,691.95 |
$3,167 |
2.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,899.35 |
$3,411 |
2.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$4,131.85 |
$4,861 |
3.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$4,517.75 |
$5,315 |
4.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$531.68 |
$625.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$603.50 |
$710 |
2.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$622.20 |
$732 |
2.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$544.85 |
$641 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$583.95 |
$687 |
2.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$622.20 |
$732 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$589.05 |
$693 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$176.80 |
$208 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$681.28 |
$801.50 |
3.2× |
| Skin splt grft trnk/arm/leg (15100) |
$2,556.52 |
$3,007.67 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$3,104.20 |
$3,652 |
4.0× |
| Skin sub graft trnk/arm/leg (15271) |
$3,179.85 |
$3,741 |
4.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,783.80 |
$5,628 |
2.2× |
| Skin tissue rearrangement (14040) |
$5,424.14 |
$6,381.34 |
2.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,005.88 |
$3,536.33 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$2,398.70 |
$2,822 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,615.60 |
$10,136 |
1.5× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$8,615.60 |
$10,136 |
2.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,411.65 |
$12,249 |
1.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,109.45 |
$10,717 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$603.50 |
$710 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$442.42 |
$520.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$544.85 |
$641 |
1.3× |
| Sphincterotomy (46080) |
$3,885.21 |
$4,570.84 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,229.95 |
$1,447 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$1,229.95 |
$1,447 |
1.7× |
| Strapping ankle (29540) |
$215.05 |
$253 |
1.3× |
| Strapping hand/finger (29280) |
$119.85 |
$141 |
1.9× |
| Strapping knee (29530) |
$179.35 |
$211 |
1.3× |
| Strapping shoulder (29240) |
$199.75 |
$235 |
1.4× |
| Strapping unna boot (29580) |
$763.72 |
$898.50 |
4.5× |
| Suction assisted lipectomy upper extremity (15878) |
$19,795.65 |
$23,289 |
9.1× |
| Surgery to stop leg growth (27477) |
$16,183.15 |
$19,039 |
2.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,005.88 |
$3,536.33 |
1.0× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$3,894.53 |
$4,581.80 |
1.9× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$5,700.10 |
$6,706 |
3.4× |
| Tangential biopsy skin single lesion (11102) |
$1,201.90 |
$1,414 |
2.8× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$36,407.62 |
$42,832.50 |
1.8× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$4,459.10 |
$5,246 |
1.3× |
| Tendon excision palm/finger (26145) |
$6,255.15 |
$7,359 |
3.7× |
| Tenodesis long tendon biceps (23430) |
$8,301.10 |
$9,766 |
1.1× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$7,383.10 |
$8,686 |
2.1× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$7,180.08 |
$8,447.15 |
4.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$11,203.85 |
$13,181 |
3.2× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$4,227.05 |
$4,973 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,606.76 |
$4,243.25 |
2.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$3,617.80 |
$4,256.24 |
2.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,512.20 |
$4,132 |
2.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$991.10 |
$1,166 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$826.62 |
$972.50 |
1.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,284.40 |
$3,864 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$3,650.75 |
$4,295 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$822.38 |
$967.50 |
2.4× |
| Thrombolytic Venous Therapy (37212) |
$6,672.50 |
$7,850 |
2.0× |
| Thyroid biopsy (60100) |
$899.30 |
$1,058 |
1.2× |
| Thyroidectomy, total or complete (60240) |
$16,795.15 |
$19,759 |
2.6× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$5,251.30 |
$6,178 |
2.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$5,722.54 |
$6,732.40 |
2.6× |
Tissue expander placement breast reconstruction (19357)
unusually low: confirm this is the full procedure |
$4,733.65 |
$5,569 |
0.3× |
| Total hip arthroplasty (27130) |
$14,875.85 |
$17,501 |
1.1× |
| Total knee arthroplasty (27447) |
$16,552.90 |
$19,474 |
1.2× |
| Trach Tube Change (31502) |
$2,209.58 |
$2,599.50 |
8.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$738.65 |
$869 |
3.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,399.10 |
$1,646 |
0.9× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$17,106.25 |
$20,125 |
8.3× |
| Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) |
$6,541.26 |
$7,695.60 |
1.9× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
unusually low: confirm this is the full procedure |
$2,640.10 |
$3,106 |
0.5× |
| Transplant forearm tendon (25310) |
$7,947.50 |
$9,350 |
2.3× |
| Transurethral incision of prostate (52450) |
$4,973.35 |
$5,851 |
1.3× |
| Transurethral resection of bladder neck (52500) |
$4,351.15 |
$5,119 |
1.2× |
| Treat ectopic pregnancy (59151) |
$6,484.65 |
$7,629 |
1.0× |
| Treat elbow fracture (24587) |
$21,631.65 |
$25,449 |
1.6× |
| Treat Finger Fracture Each (26727) |
$7,902.45 |
$9,297 |
2.3× |
| Treat Fracture Radius & Ulna (25560) |
$576.30 |
$678 |
2.2× |
| Treat fracture radius/ulna (25575) |
$27,817.95 |
$32,727 |
3.6× |
| Treat fx distal radial (25606) |
$10,213.60 |
$12,016 |
3.0× |
| Treat fx rad extra-articul (25607) |
$10,845.15 |
$12,759 |
1.4× |
| Treat humerus fracture (23630) |
$11,040.65 |
$12,989 |
1.4× |
| Treat humerus fracture (24500) |
$433.92 |
$510.50 |
1.7× |
| Treat humerus fracture (24577) |
$2,193.85 |
$2,581 |
1.3× |
| Treat humerus fracture (23600) |
$397.38 |
$467.50 |
1.5× |
| Treat kneecap dislocation (27566) |
$10,298.03 |
$12,115.33 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$245.65 |
$289 |
0.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,193.85 |
$2,581 |
1.3× |
| Treat toe fracture (28525) |
$5,996.32 |
$7,054.50 |
1.7× |
| Treat ulnar fracture (24685) |
$13,484.40 |
$15,864 |
1.8× |
| Treat wrist bone fracture (25622) |
$324.28 |
$381.50 |
1.2× |
| Treat Wrist Bone Fracture (25630) |
$269.45 |
$317 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$594.15 |
$699 |
2.3× |
| Treatment of ankle fracture (27822) |
$14,650.60 |
$17,236 |
1.9× |
| Treatment of ankle fracture (27792) |
$10,386.15 |
$12,219 |
1.4× |
| Treatment of foot infection (28003) |
$7,015.05 |
$8,253 |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$288.15 |
$339 |
1.1× |
| Trim skin lesion (11055) |
$174.25 |
$205 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$96.90 |
$114 |
1.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$16,463.65 |
$19,369 |
2.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$11,367.62 |
$13,373.66 |
1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,215.15 |
$4,959 |
1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,141.65 |
$6,049 |
1.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,152.65 |
$3,709 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$5,334.60 |
$6,276 |
6.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,193.85 |
$2,581 |
1.3× |
| Unlisted laparoscopic procedure liver (47379) |
$6,698.57 |
$7,880.67 |
1.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,193.08 |
$6,109.50 |
0.8× |
Unlisted laparoscopy procedure, spermatic cord (55559)
unusually low: confirm this is the full procedure |
$2,834.58 |
$3,334.80 |
0.4× |
| Unlisted laparoscopy procedure, stomach (43659) |
$18,648.15 |
$21,939 |
2.9× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,828.90 |
$8,034 |
1.1× |
| Unlisted procedure accessory sinuses (31299) |
$991.95 |
$1,167 |
4.0× |
| Unlisted procedure anus (46999) |
$1,856.82 |
$2,184.50 |
1.9× |
| Unlisted Procedure Breast (19499) |
$4,824.60 |
$5,676 |
1.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$184.88 |
$217.50 |
1.1× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$8,662.35 |
$10,191 |
34.7× |
| Unlisted procedure femur or knee (27599) |
$3,079.55 |
$3,623 |
11.8× |
| Unlisted procedure foot or toes (28899) |
$5,209.08 |
$6,128.33 |
20.0× |
| Unlisted procedure humerus/elbow (24999) |
$3,933.80 |
$4,628 |
15.1× |
| Unlisted procedure maternity care & delivery (59899) |
$264.35 |
$311 |
1.2× |
| Unlisted Procedure Nervous System (64999) |
$2,262.46 |
$2,661.71 |
7.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$4,490.55 |
$5,283 |
17.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$857.65 |
$1,009 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$8,395.45 |
$9,877 |
8.8× |
| Unlisted procedure, stomach (43999) |
$17,045.90 |
$20,054 |
17.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$7,781.75 |
$9,155 |
36.5× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$29,920 |
$35,200 |
2.7× |
| Urology Surgery Procedure (53899) |
$5,284.45 |
$6,217 |
20.1× |
| Vaginal delivery only (59409) |
$4,480.35 |
$5,271 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$29,708.35 |
$34,951 |
1.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$31,336.10 |
$36,866 |
2.6× |
| Vasc embolize/occlude organ (37243) |
$31,336.10 |
$36,866 |
2.6× |
| Vasc embolize/occlude venous (37241) |
$29,220.02 |
$34,376.50 |
2.4× |
| Vasectomy (55250) |
$5,166.30 |
$6,078 |
2.3× |
| Venipuncture (36415) |
$21.25 |
$25 |
2.3× |
| Vulvectomy simple partial (56620) |
$6,632.55 |
$7,803 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$3,453.83 |
$4,063.33 |
8.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$5,595.55 |
$6,583 |
7.2× |
| Wrist arthroscop,excis triang cart (29846) |
$16,197.18 |
$19,055.50 |
4.7× |
| Wrist replacement (25446) |
$29,831.60 |
$35,096 |
1.6× |
| Xfer single deep low leg tendon (27691) |
$10,981.43 |
$12,919.33 |
1.4× |