| Abd paracentesis w/imaging (49083) |
$1,504.50 |
$3,009 |
1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,331 |
$2,662 |
1.5× |
| Ablate inf turbinate submuc (30802) |
$1,576.12 |
$3,152.25 |
1.1× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$11,014 |
$22,028 |
0.6× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$9,084.50 |
$18,169 |
0.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,314 |
$2,628 |
0.9× |
| Acne surgery (10040) |
$281 |
$562 |
1.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$2,628 |
$5,256 |
0.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,557.33 |
$3,114.66 |
0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,971 |
$3,942 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$5,876.50 |
$11,753 |
2.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,537.16 |
$5,074.33 |
1.3× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,204.50 |
$2,409 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$5,402 |
$10,804 |
2.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,285 |
$6,570 |
1.6× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$4,400.67 |
$8,801.34 |
0.6× |
| Amputate metacarpal bone (26910) |
$5,302.50 |
$10,605 |
1.7× |
| Amputation Finger/Thumb (26951) |
$2,774 |
$5,548 |
0.9× |
| Amputation metatarsal with toe single (28810) |
$3,723 |
$7,446 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$2,409 |
$4,818 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,160.34 |
$4,320.66 |
0.7× |
| Anoscopy diagnostic (46600) |
$153 |
$306 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,796 |
$7,592 |
1.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$2,238.67 |
$4,477.33 |
0.5× |
| Anterior tibial tubercleplasty (27418) |
$7,995 |
$15,990 |
1.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$417 |
$834 |
2.7× |
| Application cast elbow finger short arm (29075) |
$365 |
$730 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$321.50 |
$643 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$82 |
$164 |
1.4× |
| Application finger splint static (29130) |
$153 |
$306 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$245 |
$490 |
1.6× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
unusually low: confirm this is the full procedure |
$5,840 |
$11,680 |
0.5× |
| Application of rigid total contact leg cast (29445) |
$363.25 |
$726.50 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$153 |
$306 |
1.2× |
| Apply long leg splint (29505) |
$200.50 |
$401 |
1.3× |
| Apply short leg cast (29405) |
$365 |
$730 |
1.3× |
| Apply short leg splint (29515) |
$212.75 |
$425.50 |
1.4× |
| Arterial puncture (36600) |
$148.50 |
$297 |
1.2× |
| Arteriovenous Anastomosis Open Direct (36821) |
$8,979 |
$17,958 |
2.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$8,455.25 |
$16,910.50 |
1.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$6,840.70 |
$13,681.38 |
0.6× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure |
$2,266 |
$4,532 |
0.2× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$13,693 |
$27,386 |
1.1× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$14,055.25 |
$28,110.50 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$705.50 |
$1,411 |
2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,144.50 |
$2,289 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$877 |
$1,754 |
3.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$500 |
$1,000 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$891.75 |
$1,783.50 |
3.0× |
| Arthrodesis ankle open (27870) |
$12,511 |
$25,022 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,232.92 |
$16,465.84 |
1.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,183.50 |
$14,367 |
1.0× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$15,860 |
$31,720 |
5.0× |
| Arthrodesis triple (28715) |
$18,042 |
$36,084 |
1.5× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$25,734.26 |
$51,468.52 |
1.0× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$21,348.50 |
$42,697 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$14,232 |
$28,464 |
0.8× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$3,997.50 |
$7,995 |
0.3× |
| Arthroplasty Ankle W/Implant (27702) |
$24,056 |
$48,112 |
0.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$24,823 |
$49,646 |
1.5× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$15,933.50 |
$31,867 |
1.3× |
| Arthroplasty, radial head; with implant Facility (24366) |
$7,860.75 |
$15,721.50 |
0.6× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$6,424 |
$12,847.99 |
0.9× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$4,465.66 |
$8,931.33 |
0.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$9,828 |
$19,656 |
3.1× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$4,161 |
$8,322 |
1.3× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,016.75 |
$12,033.50 |
1.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$9,834 |
$19,668 |
3.1× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$8,767 |
$17,534 |
2.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$2,725.34 |
$5,450.67 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$4,097.56 |
$8,195.12 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$4,778 |
$9,556 |
1.5× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,165.67 |
$4,331.33 |
0.7× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$4,775.42 |
$9,550.84 |
1.5× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$2,387.71 |
$4,775.42 |
0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,565.50 |
$5,131 |
0.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,694.25 |
$9,388.50 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$6,328.50 |
$12,657 |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$6,387.25 |
$12,774.50 |
2.0× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,638 |
$5,276 |
0.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,354.50 |
$14,709 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$6,700.58 |
$13,401.16 |
2.1× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,064.54 |
$14,129.08 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,832.12 |
$13,664.25 |
1.0× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$4,088 |
$8,176 |
1.3× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$3,796 |
$7,592 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,036.58 |
$16,073.16 |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,486.75 |
$10,973.50 |
1.7× |
| Aspirate pleura w/ imaging (32555) |
$1,939 |
$3,878 |
3.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$897.50 |
$1,795 |
3.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$814 |
$1,628 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,284.50 |
$2,569 |
0.6× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,397.25 |
$14,794.50 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$339.25 |
$678.50 |
1.7× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$5,592.50 |
$11,185 |
0.5× |
| Biopsy bone open deep (20245) |
$1,362.67 |
$2,725.33 |
0.5× |
| Biopsy bone open superficial (20240) |
$3,046 |
$6,092 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,813.50 |
$3,627 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,766.50 |
$3,533 |
1.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,040.50 |
$2,081 |
1.2× |
| Biopsy External Auditory Canal (69105) |
$1,293.75 |
$2,587.50 |
0.9× |
| Biopsy external ear (69100) |
$286.50 |
$573 |
1.3× |
| Biopsy intranasal (30100) |
$1,666.50 |
$3,333 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,472 |
$2,944 |
0.9× |
| Biopsy of eyelid lining (68100) |
$2,733 |
$5,466 |
1.2× |
| Biopsy of floor of mouth (41108) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy of lip (40490) |
$1,742.25 |
$3,484.50 |
7.6× |
| Biopsy of mouth lesion (40808) |
$624.75 |
$1,249.50 |
1.2× |
| Biopsy of palate, uvula (42100) |
$1,848.25 |
$3,696.50 |
1.2× |
| Biopsy of penis (54100) |
$1,207.66 |
$2,415.33 |
0.8× |
| Biopsy of tongue (41100) |
$629.50 |
$1,259 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,243.25 |
$10,486.50 |
1.4× |
| Biopsy Oropharynx (42800) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$1,946.50 |
$3,893 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$3,939.50 |
$7,879 |
5.8× |
| Biopsy soft tissue back,superf (21920) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,811 |
$7,622 |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,721 |
$7,442 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,014.25 |
$2,028.50 |
1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,059 |
$2,118 |
1.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$4,891 |
$9,782 |
1.3× |
| Biopsy/removal lymph nodes (38510) |
$5,978 |
$11,956 |
1.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,043.25 |
$2,086.50 |
1.5× |
| Bladder Irrigation Simple (51700) |
$291.75 |
$583.50 |
1.2× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,015 |
$4,030 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$5,256 |
$10,512 |
2.6× |
| Blepharotomy drain absc eyelid (67700) |
$451 |
$902 |
1.5× |
| Blood patch (62273) |
$1,068 |
$2,136 |
1.6× |
| Blood transfusion service (36430) |
$691.25 |
$1,382.50 |
1.6× |
| Bone marrow aspiration only (38220) |
$924.67 |
$1,849.34 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,898.50 |
$3,797 |
1.2× |
| Breast Reduction (19318) |
$10,902 |
$21,804 |
1.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$3,066.54 |
$6,133.08 |
1.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,776.92 |
$5,553.83 |
1.6× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,731 |
$3,462 |
0.5× |
| Bronch ebus samplng 1/2 node (31652) |
$8,330.76 |
$16,661.51 |
2.3× |
| Bronch ebus samplng 3/> node (31653) |
$5,272.01 |
$10,544.02 |
1.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,998 |
$3,996 |
1.2× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,405 |
$14,810 |
1.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$5,046 |
$10,092 |
1.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$6,169.67 |
$12,339.33 |
3.6× |
| Bronchoscopy w/tumor excise (31640) |
$4,475 |
$8,950 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,983.50 |
$7,967 |
2.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,749.25 |
$3,498.50 |
1.1× |
| Bx anorectal wall anal approach (45100) |
$372.83 |
$745.66 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$1,890.75 |
$3,781.50 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$1,813.50 |
$3,627 |
1.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,438.25 |
$2,876.50 |
0.9× |
| Canthoplasty (67950) |
$2,733 |
$5,466 |
1.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$6,072 |
$12,144 |
1.9× |
| Car-t admn autologous (38228) |
$363 |
$726 |
1.1× |
| Cartilage graft; nasal septum Facility (20912) |
$1,995.33 |
$3,990.66 |
0.6× |
| Casting/strapping procedure (29799) |
$231.50 |
$463 |
1.5× |
| Change Cystostomy Tube Complicated (51710) |
$911.50 |
$1,823 |
1.4× |
| Change of cystostomy tube simple (51705) |
$343.75 |
$687.50 |
1.4× |
| Change Ureter Stent, Percut (50382) |
$5,081.50 |
$10,163 |
2.5× |
| Chemical cautery tissue (17250) |
$353 |
$706 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$795.25 |
$1,590.50 |
1.2× |
| Chemodenerv Eccrine Glands (64650) |
$353 |
$706 |
1.2× |
| Chemodenerv musc migraine (64615) |
$418 |
$836 |
1.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$528 |
$1,056 |
1.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$353 |
$706 |
1.2× |
| Chemodenervation internal anal sphincter (46505) |
$370 |
$740 |
0.3× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$849.75 |
$1,699.50 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$594.75 |
$1,189.50 |
2.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,150.50 |
$4,301 |
1.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,530.50 |
$7,061 |
1.0× |
| Chorionic villus sampling (59015) |
$1,059 |
$2,118 |
1.2× |
| Chromotubation oviduct (58350) |
$2,537.33 |
$5,074.66 |
0.5× |
| Circum 28 days or older (54161) |
$5,694 |
$11,388 |
2.8× |
| Circumcision (54150) |
$2,976 |
$5,952 |
1.5× |
| Circumcision Neonate (54160) |
$1,097.75 |
$2,195.50 |
1.6× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$292 |
$584 |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,848.50 |
$3,697 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$334 |
$668 |
1.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$284 |
$568 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,129 |
$6,258 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,352 |
$4,704 |
1.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$347.50 |
$695 |
1.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,364 |
$4,728 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$334 |
$668 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$334 |
$668 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,311 |
$4,622 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$362.50 |
$725 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,442 |
$4,884 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,783.50 |
$3,567 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$312.50 |
$625 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$334 |
$668 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$284 |
$568 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,442 |
$4,884 |
1.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,311 |
$4,622 |
1.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$283.50 |
$567 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$491.50 |
$983 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,848.50 |
$3,697 |
1.2× |
| Closure of gastrostomy, surgical (43870) |
$4,368 |
$8,736 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$272.50 |
$545 |
1.2× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$284 |
$568 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,311 |
$4,622 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$334 |
$668 |
1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,442 |
$4,884 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$328.75 |
$657.50 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$334 |
$668 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$443 |
$886 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,571.50 |
$5,143 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$353 |
$706 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$353 |
$706 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,490 |
$6,980 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$334 |
$668 |
1.4× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$681 |
$1,362 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$353 |
$706 |
1.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,364 |
$4,728 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$443 |
$886 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$284 |
$568 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$397 |
$794 |
1.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,127 |
$4,254 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$428 |
$856 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$630 |
1.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,180 |
$4,360 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$302.75 |
$605.50 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,899.75 |
$5,799.50 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$334 |
$668 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,442 |
$4,884 |
1.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$173.25 |
$346.50 |
1.3× |
| Colonoscopy flex w/blln dilat (45386) |
$510 |
$1,020 |
0.4× |
| Colonoscopy flex w/inj submuc (45381) |
$314.64 |
$629.26 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$432.34 |
$864.67 |
0.4× |
Colonoscopy Flx With Endoscopic Stent Placement (45389)
likely a partial charge, not the full procedure |
$597.50 |
$1,195 |
0.1× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,035 |
$2,070 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$410 |
$820 |
0.4× |
| Colonoscopy thru stoma (44388) |
$387.50 |
$775 |
0.4× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,728 |
$3,456 |
1.5× |
| Colonoscopy w/band ligation (45398) |
$1,661.50 |
$3,323 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$457.50 |
$915 |
0.4× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$343.34 |
$686.67 |
0.3× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$697.50 |
$1,395 |
0.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$6,570 |
$13,140 |
0.9× |
| Colporrhaphy Suture Injury Vagina (57200) |
$10,094.83 |
$20,189.66 |
3.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$357.75 |
$715.50 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$285.75 |
$571.50 |
1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$365 |
$730 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,565.50 |
$7,131 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$402.50 |
$805 |
1.4× |
| Colposcopy vulva w/biopsy (56821) |
$350.50 |
$701 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$350.50 |
$701 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,059 |
$2,118 |
1.2× |
| Combined anteroposterior colporrhaphy; (57260) |
$19,410 |
$38,820 |
4.0× |
| Complex Uroflowmetry (51741) |
$248.50 |
$497 |
1.2× |
| Conization of cervix (57520) |
$5,402 |
$10,804 |
1.7× |
| Conization of cervix (57522) |
$3,721 |
$7,442 |
1.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$827.50 |
$1,655 |
4.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$160 |
$320 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$179.50 |
$359 |
1.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,993 |
$5,986 |
5.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,318.50 |
$6,637 |
1.8× |
| Convert nephrostomy catheter (50434) |
$1,888.75 |
$3,777.50 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,320.75 |
$4,641.50 |
1.5× |
| Correction hammertoe (28285) |
$2,180.82 |
$4,361.62 |
0.7× |
| Correction of bunion (28298) |
$4,581 |
$9,162 |
0.7× |
| Correction of bunion (28292) |
$1,902.75 |
$3,805.50 |
0.6× |
| Correction of bunion (28299) |
$7,782 |
$15,564 |
1.1× |
| Correction of bunion (28297) |
$10,090.50 |
$20,181 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,838.25 |
$15,676.50 |
2.5× |
| Csf shunt reprogram (62252) |
$408 |
$816 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$167.50 |
$335 |
1.3× |
| Curettage postpartum (59160) |
$4,436 |
$8,872 |
1.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,812 |
$5,624 |
1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,822.58 |
$3,645.17 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$2,263 |
$4,526 |
0.7× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,051.50 |
$8,103 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,234 |
$8,468 |
1.2× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$1,387 |
$2,774 |
0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,318.50 |
$4,637 |
1.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,025.50 |
$8,051 |
1.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,650 |
$7,300 |
1.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,088 |
$8,176 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$8,740.58 |
$17,481.17 |
1.7× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,066 |
$10,132 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,175.25 |
$6,350.50 |
1.6× |
| Cystouretero & or pyeloscope (52351) |
$2,342.75 |
$4,685.50 |
0.7× |
| Cystourethroscopy (52000) |
$801.50 |
$1,603 |
1.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$335 |
$670 |
0.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$801.50 |
$1,603 |
1.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$2,190 |
$4,380 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,118.32 |
$8,236.62 |
2.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$5,366.67 |
$10,733.34 |
1.6× |
| Cystourethroscopy with biopsy (52204) |
$1,095 |
$2,190 |
0.5× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,403 |
$4,806 |
1.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$7,008 |
$14,016 |
1.4× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,344.50 |
$4,689 |
1.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Facility (52355) |
$3,696 |
$7,392 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$467 |
$934 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,926 |
$7,852 |
1.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$4,575 |
$9,150 |
1.4× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$5,800.50 |
$11,601 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$4,190 |
$8,380 |
6.1× |
| Debride nail 1-5 (11720) |
$114.50 |
$229 |
2.0× |
| Debride nail 6 or more (11721) |
$89.75 |
$179.50 |
1.6× |
| Debride skin musc at fx site (11011) |
$814 |
$1,628 |
1.2× |
| Debride tissue/muscle (11043) |
$1,242.75 |
$2,485.50 |
1.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$231 |
$462 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$697.25 |
$1,394.50 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,300.66 |
$4,601.33 |
1.4× |
| Declot vascular device (36593) |
$380 |
$760 |
1.2× |
| Decompression Of Tibia Nerve (28035) |
$3,212 |
$6,424 |
1.7× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,371.50 |
$4,743 |
1.2× |
| Dermabrasion segmental face (15781) |
$4,368 |
$8,736 |
6.4× |
| Destroy cerv/thor facet jnt (64633) |
$1,874.34 |
$3,748.67 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$1,381.75 |
$2,763.50 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$1,515.50 |
$3,031 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$231 |
$462 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$238.50 |
$477 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,542.50 |
$3,085 |
1.8× |
| Destruction Lesions Vulva Simple (56501) |
$1,899.50 |
$3,799 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,702.34 |
$5,404.67 |
1.4× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$632.50 |
$1,265 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$239.75 |
$479.50 |
1.2× |
| Destruction Vaginal Lesions Simple (57061) |
$3,720.50 |
$7,441 |
1.2× |
| Diagnostic anoscopy (46601) |
$513.50 |
$1,027 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,081.50 |
$2,163 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$630 |
$1,260 |
0.7× |
| Dil urethra,female,subsequent (53661) |
$153 |
$306 |
1.2× |
| Dilate Urethra Stricture (53620) |
$801.50 |
$1,603 |
1.2× |
| Dilate urethra stricture (53621) |
$287.50 |
$575 |
1.2× |
| Dilate urethra stricture (53600) |
$287.50 |
$575 |
1.2× |
| Dilation and curettage (58120) |
$4,297 |
$8,594 |
1.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$100 |
$200 |
0.1× |
| Dilation of cervical canal (57800) |
$3,721 |
$7,442 |
1.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$3,066 |
$6,132 |
1.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,799 |
$3,598 |
1.1× |
| Drain lower leg bursa (27604) |
$3,761 |
$7,522 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,044.75 |
$2,089.50 |
1.5× |
| Drain Spinal Cord Cyst (62268) |
$1,017 |
$2,034 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$483.50 |
$967 |
1.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$360 |
$720 |
1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,131.50 |
$2,263 |
2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$899.75 |
$1,799.50 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,477.25 |
$4,954.50 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$352.50 |
$705 |
1.8× |
| Drainage Mouth Roof Lesion (42000) |
$360 |
$720 |
1.6× |
| Drainage of gum lesion (41800) |
$156.50 |
$313 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,898.50 |
$3,797 |
1.2× |
| Drainage of hydrocele (55000) |
$875.75 |
$1,751.50 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,167.50 |
$4,335 |
1.4× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,151.50 |
$4,303 |
1.1× |
| Draw blood off venous device (36591) |
$163.25 |
$326.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$299 |
$598 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$292 |
$584 |
1.5× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$849.50 |
$1,699 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$1,968.08 |
$3,936.17 |
0.7× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$458.25 |
$916.50 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$2,371.50 |
$4,743 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,847.25 |
$5,694.50 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,215.50 |
$4,431 |
1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$282.50 |
$565 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$580 |
$1,160 |
0.3× |
| Egd band ligation esophgeal/gastric varices (43244) |
$386.67 |
$773.34 |
0.2× |
| Egd control bleeding any (43255) |
$281.67 |
$563.34 |
0.2× |
| Egd dilate stricture (43245) |
$1,561.08 |
$3,122.17 |
0.8× |
| Egd endo mucosal resection (43254) |
$1,877.50 |
$3,755 |
1.0× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$1,569.50 |
$3,139 |
0.3× |
| Egd flexible foreign body removal (43247) |
$894 |
$1,788 |
1.0× |
| Egd guide wire insertion (43248) |
$615 |
$1,230 |
0.7× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,564 |
$3,128 |
0.8× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,326.67 |
$2,653.34 |
0.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,569.50 |
$3,139 |
0.8× |
| Egd place gastrostomy tube (43246) |
$1,305 |
$2,610 |
0.7× |
| Egd remove lesion snare (43251) |
$197.50 |
$395 |
0.1× |
| Egd tube/cath insertion (43241) |
$2,206 |
$4,412 |
1.2× |
| Egd us exam duodenum/jejunum (43259) |
$745.67 |
$1,491.34 |
0.4× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,520.34 |
$3,040.67 |
0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$353 |
$706 |
1.2× |
| EMG anal/urethral sphincter (51785) |
$287 |
$574 |
1.2× |
| Endocervical Curettage (57505) |
$1,014.25 |
$2,028.50 |
1.1× |
| Endometrial Biopsy (58100) |
$239 |
$478 |
1.2× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$43,359 |
$86,718 |
6.2× |
| Endoscopic us exam esoph (43237) |
$1,367.50 |
$2,735 |
0.7× |
| Endoscopy Upper Small Intestine (44360) |
$1,152 |
$2,304 |
0.6× |
| Endoven ther chem adhes 1st (36482) |
$3,946.75 |
$7,893.50 |
0.7× |
| Endovenous laser, 1st vein (36478) |
$5,188 |
$10,376 |
1.7× |
| Endovenous rf 1st vein (36475) |
$4,428.50 |
$8,857 |
1.5× |
| Enterorrhaphy single perforation (44602) |
$1,971 |
$3,942 |
0.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,072.50 |
$6,145 |
1.5× |
| Episiotomy or vaginal repair (59300) |
$4,265.50 |
$8,531 |
1.4× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,548.21 |
$3,096.42 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,387 |
$2,774 |
0.4× |
| Ercp ea duct/ampulla dilate (43277) |
$10,317.34 |
$20,634.67 |
2.8× |
| Ercp lithotripsy calculi (43265) |
$3,068.38 |
$6,136.75 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,579.34 |
$5,158.67 |
0.7× |
| Ercp remove forgn body duct (43275) |
$2,170.17 |
$4,340.34 |
1.2× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,314 |
$2,628 |
0.2× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$945 |
$1,890 |
0.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,323 |
$2,646 |
0.4× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,829.50 |
$3,659 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$296.25 |
$592.50 |
0.3× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,044 |
$2,088 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$580 |
$1,160 |
0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$247.50 |
$495 |
0.1× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$11,534 |
$23,068 |
2.0× |
| Evacuation of subungual hematoma (11740) |
$187.25 |
$374.50 |
1.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,920 |
$5,840 |
1.8× |
| Exc abdl tum deep 5 cm/> (22901) |
$4,599 |
$9,198 |
1.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,019.67 |
$4,039.33 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$814 |
$1,628 |
1.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,049.75 |
$4,099.50 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,823 |
$3,646 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,898.50 |
$3,797 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$821.25 |
$1,642.50 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$3,260.67 |
$6,521.34 |
2.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$814 |
$1,628 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,203.38 |
$4,406.75 |
1.4× |
| Exc forearm les sc 3 cm/> (25071) |
$3,212 |
$6,424 |
2.0× |
| Exc Frenum Labial/Buccal (40819) |
$1,694.75 |
$3,389.50 |
1.1× |
| Exc ganglion wrist recurrent (25112) |
$4,161 |
$8,322 |
2.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,811 |
$7,622 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,264.25 |
$4,528.50 |
1.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,848.50 |
$3,697 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$14,381 |
$28,762 |
5.1× |
| Exc rect tum transanal part (45171) |
$3,942 |
$7,884 |
1.5× |
| Exc skin abd (15830) |
$10,627.84 |
$21,255.66 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,825 |
$3,650 |
2.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$912.50 |
$1,825 |
2.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,019.84 |
$2,039.66 |
1.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$4,711.62 |
$9,423.25 |
2.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$4,956 |
$9,912 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,114.67 |
$6,229.34 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,360.58 |
$4,721.17 |
1.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,326 |
$8,652 |
1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,389.84 |
$8,779.67 |
2.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,349.25 |
$6,698.50 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,494 |
$2,988 |
0.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,454.50 |
$4,909 |
0.9× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,896 |
$7,792 |
1.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,696 |
$7,392 |
1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,701 |
$5,402 |
1.7× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$4,154.50 |
$8,309 |
2.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$5,694 |
$11,388 |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,869 |
$7,738 |
2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,338.50 |
$6,677 |
1.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$6,132 |
$12,264 |
2.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,993 |
$5,986 |
1.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,409 |
$4,818 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,429.25 |
$4,858.50 |
0.7× |
| Exchange nephrostomy cath (50435) |
$2,403 |
$4,806 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,673.25 |
$3,346.50 |
0.9× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$7,812 |
$15,624 |
2.4× |
| Excise cutaneous neurofibroma (64788) |
$2,579.33 |
$5,158.66 |
1.4× |
| Excise mandible lesion (21040) |
$16,716 |
$33,432 |
5.2× |
| Excise pharynx lesion (42808) |
$2,968.67 |
$5,937.34 |
0.9× |
| Excise/repair mouth lesion (40812) |
$1,783.50 |
$3,567 |
1.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$3,978.50 |
$7,957 |
1.2× |
| Excision external ear partial simple repair (69110) |
$6,604.58 |
$13,209.16 |
2.4× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,442 |
$6,884 |
1.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$1,861.50 |
$3,723 |
0.7× |
| Excision hydrocele bilateral (55041) |
$6,424 |
$12,848 |
1.9× |
| Excision interdigital morton neuroma single each (28080) |
$3,316.67 |
$6,633.33 |
2.1× |
| Excision lesion mouth roof (42104) |
$3,631 |
$7,262 |
1.1× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,946.50 |
$3,893 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$924.50 |
$1,849 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$467.50 |
$935 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,213.88 |
$2,427.75 |
1.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,793.50 |
$5,587 |
4.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$5,621 |
$11,242 |
3.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,482 |
$4,964 |
1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,672 |
$9,344 |
1.7× |
| Excision nasal polyp extensive (30115) |
$1,898 |
$3,796 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,554 |
$3,108 |
2.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$814 |
$1,628 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,564.12 |
$5,128.25 |
1.6× |
| Excision of hydrocele unilateral (55040) |
$4,440.84 |
$8,881.67 |
1.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$3,066 |
$6,132 |
3.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$4,368 |
$8,736 |
1.4× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$5,571.17 |
$11,142.33 |
1.6× |
| Excision of lesion of tongue without closure (41110) |
$4,333.50 |
$8,667 |
1.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,898.25 |
$3,796.50 |
1.2× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,733 |
$5,466 |
1.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$21,143 |
$42,286 |
3.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$13,611.50 |
$27,223 |
2.4× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$24,056 |
$48,112 |
4.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,205 |
$12,410 |
2.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,647.75 |
$3,295.50 |
1.4× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$4,781.50 |
$9,563 |
2.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,344.75 |
$2,689.50 |
1.2× |
| Excision of tongue lesion (41112) |
$3,584.50 |
$7,169 |
1.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$6,720 |
$13,440 |
2.0× |
| Excision olecranon bursa (24105) |
$3,791 |
$7,582 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,942 |
$7,884 |
1.4× |
| Excision prepatellar bursa (27340) |
$4,663.34 |
$9,326.67 |
1.5× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,339 |
$6,678 |
1.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$6,789 |
$13,578 |
2.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,570 |
$13,140 |
4.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,772 |
$5,544 |
1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,504 |
$7,008 |
2.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,431 |
$6,862 |
2.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,220 |
$6,440 |
1.1× |
Excision, lesion of palate, uvula; with local flap closure Facility (42107)
unusually low: confirm this is the full procedure |
$2,044 |
$4,088 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,796 |
$7,592 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$8,614 |
$17,228 |
5.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,759.50 |
$7,519 |
1.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,144 |
$6,288 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$5,160.36 |
$10,320.72 |
1.6× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,686.50 |
$7,373 |
2.4× |
| Explo/Drain Breast Abscess (19020) |
$3,092.50 |
$6,185 |
1.9× |
| Exploration of knee joint (27310) |
$1,898 |
$3,796 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$3,896.25 |
$7,792.50 |
2.4× |
| Explore Parathyroid Glands (60500) |
$11,169 |
$22,338 |
2.0× |
| External cephalic version (59412) |
$3,988 |
$7,976 |
1.3× |
| Fasciotomy foot and/or toe (28008) |
$3,212 |
$6,424 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$5,600 |
$11,200 |
1.8× |
| Fetal contraction stress test (59020) |
$475.50 |
$951 |
2.4× |
| Fetal non-stress test (59025) |
$253.25 |
$506.50 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,592.50 |
$3,185 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$467.50 |
$935 |
1.2× |
| Fit/Insert Intravag Support Device (57160) |
$239 |
$478 |
1.2× |
| Fitting of diaphragm/cap (57170) |
$232.50 |
$465 |
1.2× |
| Fixation of shoulder (23700) |
$2,107.04 |
$4,214.08 |
1.4× |
| Fluid pressure muscle (20950) |
$955.50 |
$1,911 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$572.50 |
$1,145 |
2.5× |
| Foreskin manipulation (54450) |
$287.50 |
$575 |
1.2× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$1,599.92 |
$3,199.83 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,163 |
$4,326 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,508.25 |
$5,016.50 |
1.3× |
| Fusion of foot bones (28740) |
$8,230.50 |
$16,461 |
1.2× |
| Gastrocnemius recession (27687) |
$11,886 |
$23,772 |
3.8× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,103.62 |
$6,207.25 |
0.9× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$3,962 |
$7,924 |
1.2× |
| Gstr rstcv px trnsorl esg (43889) |
$10,522 |
$21,044 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,254.50 |
$2,509 |
1.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$4,599 |
$9,198 |
0.7× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$6,059 |
$12,118 |
1.9× |
| Hemorrhoidectomy (46255) |
$5,183 |
$10,366 |
1.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,964 |
$9,928 |
1.8× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,275.25 |
$6,550.50 |
1.2× |
| Hemorrhoidopexy by stapling (46947) |
$4,453 |
$8,906 |
1.7× |
| Hip arthro acetabuloplasty (29915) |
$10,804 |
$21,608 |
1.5× |
| Hip arthro w/labral repair (29916) |
$11,536 |
$23,072 |
1.6× |
| Hysteroscopy biopsy (58558) |
$3,649 |
$7,298 |
1.2× |
| Hysteroscopy removal leiomyomata (58561) |
$5,767 |
$11,534 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$4,307 |
$8,614 |
0.9× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$4,963.50 |
$9,927 |
1.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,066 |
$6,132 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$1,493.75 |
$2,987.50 |
6.5× |
| I&d abscess simple (10060) |
$281.50 |
$563 |
1.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,339 |
$6,678 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,819 |
$5,638 |
1.4× |
| I&d forearm/wrist bursa (25031) |
$1,848.50 |
$3,697 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$1,044.75 |
$2,089.50 |
1.5× |
| I&d submucosal abscess rectum (45005) |
$1,776.33 |
$3,552.66 |
1.5× |
| I&d vulva/perineal abscess (56405) |
$402.50 |
$805 |
1.4× |
| Image Cath Fluid Colxn Visc (49405) |
$3,884.50 |
$7,769 |
2.4× |
| Image Cath Fluid Peri/Retro (49406) |
$3,732.25 |
$7,464.50 |
2.3× |
| Implant neuroelectrodes (63650) |
$5,388 |
$10,776 |
0.9× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$18,368.50 |
$36,737 |
1.5× |
| Incise external hemorrhoid (46083) |
$308.75 |
$617.50 |
1.3× |
| Incise finger tendon sheath (26055) |
$1,898 |
$3,796 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$547 |
$1,094 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,044.75 |
$2,089.50 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,898.50 |
$3,797 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$558.50 |
$1,117 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$239 |
$478 |
1.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$2,856 |
$5,712 |
1.1× |
| Incision and drainage perianal abscess superficial (46050) |
$1,317.50 |
$2,635 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,640 |
$7,280 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$1,992.30 |
$3,984.58 |
1.3× |
| Incision of eardrum (69421) |
$2,213.75 |
$4,427.50 |
0.7× |
| Incision of eardrum (69420) |
$545 |
$1,090 |
2.4× |
| Incision of eyelid fold (67715) |
$2,960.50 |
$5,921 |
1.3× |
| Incision of fibula (27707) |
$2,200.33 |
$4,400.66 |
0.7× |
| Incision of labial frenum (frenotomy) (40806) |
$891.50 |
$1,783 |
1.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,026 |
$4,052 |
1.4× |
| Incision of rectal abscess (46040) |
$2,025.50 |
$4,051 |
1.8× |
| Incision of urethra (53020) |
$2,002 |
$4,004 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$849.50 |
$1,699 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$307 |
$614 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$839.92 |
$1,679.84 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$781.58 |
$1,563.16 |
2.6× |
| Inj therapeutic carpal tunnel (20526) |
$443.75 |
$887.50 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,638.50 |
$3,277 |
1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,077 |
$2,154 |
1.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,638.50 |
$3,277 |
1.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,054.75 |
$2,109.50 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$667.17 |
$1,334.33 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,785.50 |
$3,571 |
2.1× |
| Inject Tendon Origin/Insert (20551) |
$651.50 |
$1,303 |
2.2× |
| Inject/treat eye socket (67500) |
$365 |
$730 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,167.25 |
$2,334.50 |
1.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,172.75 |
$2,345.50 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$464.50 |
$929 |
1.6× |
| Injection anesthetic agent femoral nerve single (64447) |
$912.50 |
$1,825 |
1.3× |
| Injection for identification of sentinel node (38792) |
$781 |
$1,562 |
2.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$2,555 |
$5,110 |
4.2× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$873 |
$1,746 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$632.67 |
$1,265.33 |
2.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$479 |
$958 |
1.6× |
| Injection(s) spider veins (36468) |
$467.50 |
$935 |
1.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$353 |
$706 |
1.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$341 |
$682 |
0.4× |
| Ins cath ren art 1st unilat (36251) |
$5,196 |
$10,392 |
1.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,113.50 |
$6,227 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,330.50 |
$14,661 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$3,677 |
$7,354 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,276.25 |
$10,552.50 |
0.5× |
| Ins Vag Brachytx Device (57156) |
$398.25 |
$796.50 |
1.4× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$10,482 |
$20,964 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$285.25 |
$570.50 |
2.3× |
| Insert cath pleura w/ image (32557) |
$2,038.25 |
$4,076.50 |
1.3× |
| Insert cath pleura w/o image (32556) |
$2,206 |
$4,412 |
1.2× |
| Insert cervical dilator (59200) |
$456 |
$912 |
1.5× |
| Insert Drug Implant Device (11981) |
$154.50 |
$309 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$4,518.38 |
$9,036.75 |
2.4× |
| Insert non-tunnel cv cath (36556) |
$2,587.25 |
$5,174.50 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,865 |
$5,730 |
0.9× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,988.50 |
$9,977 |
0.5× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$246.75 |
$493.50 |
1.9× |
| Insert testicular prosthesis (54660) |
$4,284 |
$8,568 |
0.8× |
| Insert tun ip cath perc (49418) |
$3,676.50 |
$7,353 |
1.1× |
| Insert tunneled cv cath (36561) |
$5,059 |
$10,118 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$204.50 |
$409 |
1.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,659.75 |
$7,319.50 |
1.1× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$2,109.50 |
$4,219 |
1.4× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,382.50 |
$18,765 |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$721.50 |
$1,443 |
1.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$5,600 |
$11,200 |
0.7× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$4,967.50 |
$9,935 |
1.0× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$4,912.50 |
$9,825 |
0.3× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$3,258.50 |
$6,517 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$4,988.50 |
$9,977 |
0.5× |
| Insj picc rs&i 5 yr+ (36573) |
$1,745.25 |
$3,490.50 |
1.1× |
| Insj rx elut implt lac canal (68841) |
$2,733 |
$5,466 |
1.2× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,467.50 |
$10,935 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,533.58 |
$9,067.17 |
1.5× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$15,198.08 |
$30,396.16 |
1.9× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$10,143.50 |
$20,287 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,468.50 |
$6,937 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$3,003 |
$6,006 |
0.4× |
| Intro cath dialysis circuit (36901) |
$1,546 |
$3,092 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$5,939.25 |
$11,878.50 |
0.5× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,189.75 |
$14,379.50 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$297.75 |
$595.50 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$346.25 |
$692.50 |
1.4× |
| IV injection test vascular flow flap/graft (15860) |
$4,633.33 |
$9,266.66 |
10.7× |
| Labyrinthotomy Transcanal (69801) |
$1,843.50 |
$3,687 |
1.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$12,451 |
$24,902 |
1.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$30,700.34 |
$61,400.67 |
4.4× |
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012)
unusually low: confirm this is the full procedure |
$2,647.88 |
$5,295.75 |
0.4× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$11,185 |
$22,370 |
1.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$5,367.34 |
$10,734.67 |
0.8× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$15,896.67 |
$31,793.34 |
2.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$60,902 |
$121,804 |
8.7× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,209.50 |
$16,419 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$8,833 |
$17,666 |
1.3× |
| Lap ing hernia repair init (49650) |
$15,720.50 |
$31,441 |
2.7× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,425 |
$20,850 |
1.0× |
| Lap paraesophag hern repair (43281) |
$15,927.62 |
$31,855.25 |
1.5× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$5,046 |
$10,092 |
0.9× |
| Laparoscopy appendectomy (44970) |
$7,121.50 |
$14,243 |
1.2× |
| Laparoscopy biopsy (49321) |
$3,585.42 |
$7,170.83 |
0.6× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$31,939.50 |
$63,879 |
3.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$19,348.84 |
$38,697.67 |
1.9× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,302.50 |
$10,605 |
0.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$17,831.63 |
$35,663.26 |
1.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$10,888 |
$21,776 |
1.9× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$20,699 |
$41,398 |
2.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$11,086.50 |
$22,173 |
3.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$19,047 |
$38,094 |
5.1× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$35,084 |
$70,168 |
3.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure |
$3,578.69 |
$7,157.37 |
0.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$9,492 |
$18,984 |
1.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$19,113.75 |
$38,227.50 |
1.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$25,319.50 |
$50,639 |
2.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$15,555 |
$31,110 |
2.7× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$14,750.25 |
$29,500.50 |
1.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$27,636.50 |
$55,273 |
4.7× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$5,644.50 |
$11,289 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,785.75 |
$11,571.50 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,709.42 |
$11,418.83 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$18,866 |
$37,732 |
1.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$39,770.10 |
$79,540.20 |
6.8× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$9,212.25 |
$18,424.50 |
1.6× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$2,409 |
$4,818 |
0.7× |
| Laryngoscopy diagnostic (31505) |
$229.50 |
$459 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$474.50 |
$949 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$283.25 |
$566.50 |
1.5× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,350.75 |
$4,701.50 |
1.4× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$2,688 |
$5,376 |
1.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$450 |
$900 |
1.2× |
| Laryngoscopy w/biopsy (31535) |
$2,409 |
$4,818 |
0.7× |
| Laryngoscopy w/bx op scope (31536) |
$6,716 |
$13,432 |
1.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,264.50 |
$4,529 |
1.3× |
| Larynscop w/tumr exc + scope (31541) |
$6,350.25 |
$12,700.50 |
1.8× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$3,474.58 |
$6,949.17 |
0.7× |
| Late closure of wound (13160) |
$4,758.75 |
$9,517.50 |
1.4× |
| Lateral canthopexy (21282) |
$5,488 |
$10,976 |
1.7× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$7,300 |
$14,600 |
2.4× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,131 |
$10,262 |
0.7× |
| Ligation of a-v fistula (37607) |
$4,380 |
$8,760 |
1.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,291.88 |
$2,583.75 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$1,017.50 |
$2,035 |
0.6× |
| Lip Surgery Procedure (40799) |
$358 |
$716 |
1.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,564.58 |
$5,129.16 |
0.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,934.83 |
$3,869.66 |
0.6× |
| Lithotripsy (50590) |
$7,859.25 |
$15,718.50 |
2.3× |
| Liver Biopsy (47000) |
$1,905 |
$3,810 |
1.2× |
| Lyse chest fibrin init day (32561) |
$721.50 |
$1,443 |
1.2× |
| Lysis Intranasal Synechia (30560) |
$1,323.12 |
$2,646.25 |
2.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,403 |
$4,806 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$1,213.75 |
$2,427.50 |
0.8× |
| Mast mod rad (19307) |
$11,680 |
$23,360 |
1.8× |
| Mastectomy partial (19301) |
$3,086.38 |
$6,172.75 |
0.8× |
| Mastectomy simple complete (19303) |
$14,138.34 |
$28,276.67 |
2.2× |
| Mastopexy (19316) |
$5,741.75 |
$11,483.50 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$2,869.50 |
$5,739 |
0.9× |
| Mediastinoscpy w/lmph nod bx (39402) |
$4,015 |
$8,030 |
0.7× |
| Muscle-skin graft trunk (15734) |
$1,508.67 |
$3,017.33 |
0.4× |
| Myelography Lumbar Injection (62304) |
$1,543.50 |
$3,087 |
2.0× |
| Myringoplasty (69620) |
$3,581.25 |
$7,162.50 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,037 |
$2,074 |
1.5× |
| N Block Inj, Plantar Digit (64455) |
$2,361.50 |
$4,723 |
8.0× |
| Nasal endoscopy dx (31231) |
$344.25 |
$688.50 |
1.8× |
| Nasal surgery procedure (30999) |
$2,725.33 |
$5,450.66 |
11.9× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$5,670 |
$11,340 |
0.8× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$1,058.50 |
$2,117 |
0.3× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
unusually low: confirm this is the full procedure |
$2,803.20 |
$5,606.41 |
0.4× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$7,650.50 |
$15,301 |
1.1× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
$4,831.50 |
$9,663 |
0.7× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$1,596 |
$3,192 |
0.9× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288)
likely a partial charge, not the full procedure |
$1,872.45 |
$3,744.90 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,021 |
$6,042 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,022 |
$4,044 |
1.2× |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure |
$2,194.56 |
$4,389.12 |
0.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$3,595.26 |
$7,190.52 |
0.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$4,015 |
$8,030.01 |
0.6× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$1,989.25 |
$3,978.50 |
0.3× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
unusually low: confirm this is the full procedure |
$2,129.17 |
$4,258.33 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$537 |
$1,074 |
1.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$615 |
$1,230 |
0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,181 |
$4,362 |
1.4× |
| Needle biopsy of pancreas (48102) |
$3,981.50 |
$7,963 |
2.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$62.25 |
$124.50 |
2.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$74 |
$148 |
2.6× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,433.33 |
$4,866.66 |
1.3× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$2,100 |
$4,200 |
1.1× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,088 |
$8,176 |
2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$543.25 |
$1,086.50 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$1,010.50 |
$2,021 |
1.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$291.75 |
$583.50 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,925 |
$5,850 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$821.92 |
$1,643.84 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$335 |
$670 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,016.50 |
$2,033 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$757.50 |
$1,515 |
1.1× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,371.50 |
$4,743 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,371.50 |
$4,743 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,350 |
$4,700 |
3.5× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$2,350 |
$4,700 |
3.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$941.25 |
$1,882.50 |
2.4× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure |
$2,073.20 |
$4,146.40 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$1,042.50 |
$2,085 |
1.2× |
| Occipital Nerve Block (64405) |
$594 |
$1,188 |
2.0× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$862.50 |
$1,725 |
0.2× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$267.50 |
$535 |
0.4× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,527 |
$5,054 |
0.9× |
| Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) |
$2,275.69 |
$4,551.37 |
0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,431 |
$6,862 |
0.9× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
unusually low: confirm this is the full procedure |
$15,016.50 |
$30,033 |
0.4× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$7,611 |
$15,222 |
1.2× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$20,778 |
$41,556 |
0.7× |
| Open thrombect av fistula (36831) |
$5,559 |
$11,118 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,092.50 |
$18,185 |
1.3× |
| Open treatment calcaneal fracture (28415) |
$6,207 |
$12,414 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$9,235.50 |
$18,471 |
0.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,601 |
$13,202 |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$5,388 |
$10,776 |
0.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$3,809.17 |
$7,618.33 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$22,857 |
$45,714 |
3.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$10,176 |
$20,352 |
1.4× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$11,033.50 |
$22,067 |
1.6× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) |
$7,777.83 |
$15,555.66 |
1.1× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$32,900.50 |
$65,801 |
2.6× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$12,881 |
$25,762 |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$8,937.25 |
$17,874.50 |
1.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$12,484.50 |
$24,969 |
1.8× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$3,539.84 |
$7,079.66 |
0.5× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) |
$8,665 |
$17,330 |
1.2× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$9,042.75 |
$18,085.50 |
1.3× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$10,441.50 |
$20,883 |
1.5× |
| Open treatment of ulnar styloid fracture (25652) |
$6,242 |
$12,484 |
0.9× |
| Open treatment posterior malleolus fracture (27769) |
$4,618.50 |
$9,237 |
0.7× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,382.25 |
$26,764.50 |
1.1× |
| Open treatment talus fracture (28445) |
$7,415.24 |
$14,830.48 |
1.1× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$5,046 |
$10,092 |
0.7× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$7,964.50 |
$15,929 |
2.5× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,012.50 |
$14,025 |
1.0× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$2,651 |
$5,302 |
0.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$3,815.84 |
$7,631.66 |
0.5× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,809.67 |
$7,619.34 |
1.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$17,443.50 |
$34,887 |
1.4× |
| Open tx interphalangeal joint dislocation (26785) |
$4,595.50 |
$9,191 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$10,432.50 |
$20,865 |
3.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$4,380 |
$8,760 |
1.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$8,551.50 |
$17,103 |
2.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$8,551.50 |
$17,103 |
1.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$12,570 |
$25,140 |
1.8× |
| Open tx ulnar fx proximal end (24685) |
$7,712.42 |
$15,424.83 |
1.1× |
| Open/Perq Place Stent Same (37238) |
$13,466.50 |
$26,933 |
1.2× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,466.50 |
$26,933 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,482.75 |
$14,965.50 |
1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,551.50 |
$17,103 |
1.2× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$9,748.25 |
$19,496.50 |
1.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,986.50 |
$11,973 |
0.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,246.50 |
$32,493 |
1.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,368 |
$8,736 |
1.3× |
| Ostectomy calcaneus (28118) |
$5,852.16 |
$11,704.33 |
1.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,761 |
$7,522 |
1.2× |
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure |
$3,997.50 |
$7,995 |
0.3× |
Osteot shrt corrj prox phalanx 1st toe (28310)
likely a partial charge, not the full procedure |
$1,389.75 |
$2,779.50 |
0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,779.50 |
$5,559 |
0.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,392.06 |
$12,784.12 |
0.9× |
| P-mastectomy w/ln removal (19302) |
$19,836 |
$39,672 |
3.1× |
| Palatopharyngoplasty (42145) |
$7,008 |
$14,016 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$5,388 |
$10,776 |
1.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,942 |
$7,884 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,571.50 |
$5,143 |
1.7× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) |
$12,083.67 |
$24,167.34 |
1.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,142 |
$4,284 |
1.4× |
| Partial removal of thyroid (60220) |
$15,456.75 |
$30,913.50 |
2.6× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$12,012 |
$24,024 |
2.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,469.38 |
$4,938.75 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,920 |
$5,840 |
0.9× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$11,156.50 |
$22,313 |
1.9× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$3,982 |
$7,964 |
0.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,752.50 |
$3,505 |
2.6× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,969 |
$15,938 |
0.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$4,233.75 |
$8,467.50 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,745.25 |
$3,490.50 |
1.1× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,720.50 |
$7,441 |
1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$11,102 |
$22,204 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$898.25 |
$1,796.50 |
1.3× |
| Perq device breast 1st imag (19281) |
$1,041 |
$2,082 |
0.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,051.50 |
$8,103 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$380.75 |
$761.50 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,314.25 |
$2,628.50 |
1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,162 |
$8,324 |
1.3× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$10,442.25 |
$20,884.50 |
0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,757.50 |
$19,515 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,049.50 |
$10,099 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,303.50 |
$12,607 |
0.9× |
| Perq Vertebral Augmentation (22513) |
$6,588.50 |
$13,177 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,761 |
$7,522 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,761 |
$7,522 |
1.2× |
| Phleb veins - extrem 20+ (37766) |
$6,789 |
$13,578 |
2.2× |
| Picc line placement (36569) |
$1,745.25 |
$3,490.50 |
1.1× |
| Place Cath Subclavian Art (36225) |
$3,113.50 |
$6,227 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$8,606.75 |
$17,213.50 |
2.8× |
| Place Cath Vertebral Art (36226) |
$4,679.33 |
$9,358.66 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$518.25 |
$1,036.50 |
1.2× |
| Placement of seton (46020) |
$2,222.42 |
$4,444.83 |
0.8× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,109.25 |
$2,218.50 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,198.50 |
$8,397 |
2.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,198.50 |
$8,397 |
1.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,051.50 |
$8,103 |
1.2× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$441 |
$882 |
1.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$36,573.50 |
$73,147 |
7.6× |
| Prim art mech thrombectomy (37184) |
$9,515.50 |
$19,031 |
0.5× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,915.50 |
$5,831 |
1.3× |
| Probe nasolacrimal duct (68810) |
$365 |
$730 |
1.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$632.50 |
$1,265 |
1.2× |
| Prostate Saturation Sampling (55706) |
$2,772 |
$5,544 |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,026 |
$2,052 |
1.5× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
unusually low: confirm this is the full procedure |
$2,622.50 |
$5,245 |
0.4× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,621.50 |
$7,243 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,616 |
$7,232 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,616 |
$7,232 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$2,908 |
$5,816 |
0.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,302.50 |
$10,605 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$467.50 |
$935 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,133 |
$2,266 |
1.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$922.25 |
$1,844.50 |
2.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,644 |
$3,288 |
0.9× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$328 |
$656 |
0.5× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$6,699.50 |
$13,399 |
1.0× |
| Re-explore parathyroids (60502) |
$6,570 |
$13,140 |
1.1× |
| Reconstruct Finger Joint (26548) |
$4,738 |
$9,476 |
1.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$7,549 |
$15,098 |
1.1× |
| Release elbow joint (24006) |
$4,293.67 |
$8,587.33 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$2,058 |
$4,116 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$6,577 |
$13,154 |
2.2× |
| Removal Anal Seton Other Marker (46030) |
$1,226.58 |
$2,453.17 |
1.1× |
| Removal biliary drg cath (47537) |
$1,554 |
$3,108 |
1.8× |
| Removal foreign body foot deep (28192) |
$2,772 |
$5,544 |
1.7× |
| Removal foreign body foot subcutaneous (28190) |
$2,774 |
$5,548 |
4.1× |
| Removal foreign body intranasal (30300) |
$169.75 |
$339.50 |
1.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,077.50 |
$10,155 |
1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$118.25 |
$236.50 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$1,003.75 |
$2,007.50 |
17.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$11,336.25 |
$22,672.50 |
3.6× |
| Removal implant deep (20680) |
$8,193.84 |
$16,387.68 |
2.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,181.25 |
$4,362.50 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$982.75 |
$1,965.50 |
1.4× |
| Removal of adenoids (42835) |
$2,628 |
$5,256 |
0.8× |
| Removal of adenoids (42831) |
$2,737.50 |
$5,475 |
0.9× |
| Removal of adenoids (42830) |
$3,285 |
$6,570 |
1.0× |
| Removal of anal fissure (46200) |
$1,710.38 |
$3,420.75 |
0.6× |
Removal of anterior instrumentation (eg, dwyer device) (22855)
unusually low: confirm this is the full procedure |
$2,380.95 |
$4,761.90 |
0.3× |
| Removal of breast capsule (19371) |
$11,461 |
$22,922 |
3.0× |
| Removal of embedded foreign body, eyelid (67938) |
$351 |
$702 |
1.1× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$365 |
$730 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$529 |
$1,058 |
1.2× |
| Removal of heel spur (28119) |
$5,183 |
$10,366 |
1.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,338 |
$4,676 |
3.9× |
| Removal of intranasal lesion (30118) |
$1,606 |
$3,212 |
0.5× |
| Removal of iud (58301) |
$350.50 |
$701 |
1.2× |
| Removal of kidney stone (50081) |
$27,619.50 |
$55,239 |
3.0× |
| Removal of nail bed (11750) |
$528.50 |
$1,057 |
1.3× |
| Removal of salivary stone (42330) |
$4,891 |
$9,782 |
1.5× |
| Removal of sesamoid bone (28315) |
$3,601.34 |
$7,202.67 |
1.1× |
| Removal of tail bone (27080) |
$10,585 |
$21,170 |
3.3× |
| Removal of testis (54520) |
$6,935 |
$13,870 |
2.0× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,141.34 |
$4,282.67 |
0.4× |
| Removal of tonsils (42826) |
$5,209.08 |
$10,418.15 |
1.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,587 |
$5,174 |
0.8× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,983 |
$7,966 |
1.3× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$3,096.50 |
$6,193 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$253.75 |
$507.50 |
1.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,539.50 |
$3,079 |
2.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,172 |
$4,344 |
1.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$7,336.50 |
$14,673 |
4.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$321.50 |
$643 |
1.2× |
| Remove anal fist subq (46270) |
$3,577 |
$7,154 |
1.3× |
| Remove drug implant device (11982) |
$734 |
$1,468 |
1.7× |
| Remove palate/lesion (42120) |
$4,988.34 |
$9,976.67 |
0.9× |
| Remove Pilonidal Cyst Exten (11771) |
$4,612 |
$9,224 |
1.6× |
Remove Prostate Regrowth (52630)
unusually low: confirm this is the full procedure |
$2,409 |
$4,818 |
0.5× |
| Remove pulse generator (33241) |
$3,268 |
$6,536 |
0.9× |
| Remove renal tube w/fluoro (50389) |
$933.50 |
$1,867 |
1.4× |
| Remove spine eltrd perq aray (63661) |
$5,913 |
$11,826 |
3.1× |
| Remove spine eltrd plate (63662) |
$7,896 |
$15,792 |
2.3× |
| Remove Tendon Sheath Lesion (26160) |
$3,402 |
$6,804 |
2.2× |
| Remove thyroid duct lesion (60280) |
$12,556 |
$25,112 |
2.1× |
| Remove vagina gland lesion (56740) |
$4,088 |
$8,176 |
1.3× |
| Remove/Insert Drug Implant (11983) |
$507.25 |
$1,014.50 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,893.50 |
$3,787 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$179.50 |
$359 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$153 |
$306 |
1.2× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$7,843.50 |
$15,687 |
0.4× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$10,728 |
$21,456 |
0.4× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$4,636 |
$9,272 |
0.5× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$8,276 |
$16,552 |
0.4× |
| Renal Biopsy Percutaneous (50200) |
$2,531.75 |
$5,063.50 |
1.6× |
| Repair achilles tendon (27650) |
$5,012.67 |
$10,025.34 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,935.08 |
$9,870.17 |
1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$935.50 |
$1,871 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,816.38 |
$3,632.75 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$680 |
$1,360 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$974.50 |
$1,949 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$467.50 |
$935 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,610.88 |
$3,221.75 |
4.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$571.83 |
$1,143.66 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,113.25 |
$2,226.50 |
1.6× |
| Repair detached retina (67110) |
$2,653 |
$5,306 |
1.2× |
| Repair ectropion suture (67914) |
$2,733 |
$5,466 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,442 |
$4,884 |
1.6× |
| Repair eyelid defect (67916) |
$2,733 |
$5,466 |
1.2× |
| Repair Fibula Nonunion (27726) |
$8,722.50 |
$17,445 |
1.2× |
| Repair hand tendon (26410) |
$2,036 |
$4,072 |
1.3× |
| Repair inguinal hernia, sliding, any age (49525) |
$5,694 |
$11,388 |
1.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$5,475 |
$10,950 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,920.50 |
$15,841 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$601.75 |
$1,203.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$643.50 |
$1,287 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$2,619.75 |
$5,239.50 |
6.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$467.50 |
$935 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$517.50 |
$1,035 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$517.50 |
$1,035 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$849.50 |
$1,699 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$636 |
$1,272 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$621.25 |
$1,242.50 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$922.25 |
$1,844.50 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,812.92 |
$3,625.83 |
4.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$517.50 |
$1,035 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$882 |
$1,764 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$918.25 |
$1,836.50 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$643.50 |
$1,287 |
1.6× |
| Repair lead pace-defib dual (33220) |
$3,045 |
$6,090 |
0.8× |
| Repair lead pace-defib one (33218) |
$3,045 |
$6,090 |
0.8× |
| Repair lumbar hernia (49540) |
$4,362 |
$8,724 |
0.7× |
| Repair Mouth Laceration (40831) |
$810 |
$1,620 |
1.6× |
| Repair Nasal Stenosis (30465) |
$5,219.50 |
$10,439 |
0.9× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$21,523.50 |
$43,047 |
3.4× |
| Repair of biceps tendon (24340) |
$11,032.67 |
$22,065.33 |
1.6× |
Repair of humerus (24430)
unusually low: confirm this is the full procedure |
$5,388 |
$10,776 |
0.4× |
| Repair of hydrocele (55060) |
$1,849.33 |
$3,698.66 |
0.5× |
| Repair of leg tendon each (27664) |
$3,762.50 |
$7,525 |
0.5× |
| Repair of leg tendon each (27658) |
$7,979.02 |
$15,958.04 |
2.5× |
| Repair of nail bed (11760) |
$974.50 |
$1,949 |
1.4× |
| Repair of nasal septum (30520) |
$3,198.12 |
$6,396.25 |
1.0× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$25,553.95 |
$51,107.90 |
2.1× |
| Repair of sperm duct (55400) |
$11,972 |
$23,944 |
3.5× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$6,168.50 |
$12,337 |
1.8× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,156.67 |
$4,313.34 |
0.3× |
| Repair tongue laceration (41252) |
$332.50 |
$665 |
1.5× |
| Repair tympanic membrane (69610) |
$1,731.50 |
$3,463 |
1.2× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$6,798 |
$13,596 |
1.0× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
unusually low: confirm this is the full procedure |
$3,506 |
$7,012 |
0.5× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure |
$3,278 |
$6,556 |
0.5× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$6,655.17 |
$13,310.34 |
0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,773.50 |
$3,547 |
2.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,298.25 |
$2,596.50 |
1.5× |
| Replace Tissue Expander (11970) |
$7,117.50 |
$14,235 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,756 |
$5,512 |
3.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,045 |
$6,090 |
0.8× |
| Reposition cv cath w/fluoro (36597) |
$1,463.50 |
$2,927 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$5,183 |
$10,366 |
1.6× |
| Resection of lip, more than one-fourth, without reconstruction Facility (40530) |
$1,557.34 |
$3,114.67 |
0.5× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,696 |
$7,392 |
1.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,893.34 |
$7,786.67 |
1.2× |
| Revise eyelid defect (67909) |
$2,733 |
$5,466 |
1.2× |
| Revise finger/toe nerve (64702) |
$2,674.34 |
$5,348.67 |
1.4× |
| Revise Hand/Foot Nerve (64704) |
$3,763.50 |
$7,527 |
2.0× |
Revise Lower Leg Tendon (27691)
unusually low: confirm this is the full procedure |
$3,292.13 |
$6,584.25 |
0.5× |
| Revise spine eltrd perq aray (63663) |
$3,621.50 |
$7,243 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$3,212 |
$6,424 |
1.7× |
| Revise/Remove Neuroreceiver (63688) |
$3,552.67 |
$7,105.34 |
1.1× |
| Revision of foot (28116) |
$4,891 |
$9,782 |
1.5× |
| Revision of lower leg tendon (27685) |
$3,879.25 |
$7,758.50 |
1.2× |
| Revision of reconstructed breast (19380) |
$3,634 |
$7,268 |
0.6× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$24,381 |
$48,762 |
2.0× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$13,168.50 |
$26,337 |
2.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$17,739 |
$35,478 |
1.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,234 |
$8,468 |
1.3× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$8,053.50 |
$16,107 |
1.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$8,053.50 |
$16,107 |
1.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$10,324.50 |
$20,649 |
0.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$10,324.50 |
$20,649 |
0.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,649.50 |
$9,299 |
0.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,649.50 |
$9,299 |
0.8× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$8,948 |
$17,896 |
0.8× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$8,948 |
$17,896 |
0.8× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$9,843 |
$19,686 |
0.9× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$9,843 |
$19,686 |
0.9× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$12,348 |
$24,696 |
0.7× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$12,348 |
$24,696 |
0.7× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,403 |
$4,806 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$172.50 |
$345 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$494 |
$988 |
1.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,339 |
$6,678 |
1.2× |
| Rmvl of subq defibrillator (33272) |
$3,045 |
$6,090 |
0.8× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,268 |
$6,536 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,952 |
$5,904 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,984 |
$3,968 |
3.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,809.50 |
$3,619 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,809.50 |
$3,619 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,040 |
$6,080 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$8,936 |
$17,872 |
1.5× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,132 |
$12,264 |
1.8× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$14,562 |
$29,124 |
2.3× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,183 |
$10,366 |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,869 |
$7,738 |
1.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$9,598.01 |
$19,196.02 |
1.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$4,672 |
$9,344 |
0.8× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$888.75 |
$1,777.50 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$810 |
$1,620 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$810 |
$1,620 |
1.6× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,504 |
$7,008 |
0.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,234 |
$8,468 |
1.3× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$4,161 |
$8,322 |
1.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,201.50 |
$12,403 |
2.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$2,772.50 |
$5,545 |
0.9× |
| Sclerotx Fluid Collection (49185) |
$2,531.25 |
$5,062.50 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$114.38 |
$228.75 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$168.90 |
$337.81 |
0.1× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$561.26 |
$1,122.52 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$491 |
$982 |
1.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$222.75 |
$445.50 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$231 |
$462 |
1.2× |
| Shoulder Arthroscopy/Surgery (29825) |
$6,497 |
$12,994 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$227.25 |
$454.50 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$691.75 |
$1,383.50 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$372.75 |
$745.50 |
1.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$248.50 |
$497 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$720 |
$1,440 |
0.6× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,188.34 |
$2,376.67 |
1.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,212.50 |
$4,425 |
1.9× |
| Sigmoidoscopy w/biopsy (45331) |
$300 |
$600 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$555 |
$1,110 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$374.25 |
$748.50 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$337.75 |
$675.50 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$293 |
$586 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$290.50 |
$581 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$316.50 |
$633 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$295 |
$590 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$374.25 |
$748.50 |
1.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,947 |
$3,894 |
2.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,792 |
$3,584 |
2.5× |
| Skin sub grft t/arm/lg child (15273) |
$4,118.50 |
$8,237 |
2.1× |
| Skin Tissue Procedure (17999) |
$1,742.38 |
$3,484.75 |
9.0× |
| Skin tissue rearrangement (14040) |
$5,621 |
$11,242 |
2.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,131.76 |
$16,263.52 |
1.5× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$7,330.75 |
$14,661.50 |
2.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,069.50 |
$10,139 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,096.60 |
$8,193.18 |
0.8× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$335 |
$670 |
0.2× |
| Small bowel endoscopy/biopsy (44377) |
$1,200 |
$2,400 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,392 |
$2,784 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$334.50 |
$669 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$609 |
$1,218 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$601.75 |
$1,203.50 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,048.25 |
$2,096.50 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$1,341.50 |
$2,683 |
2.0× |
| Spine Surgery Procedure Unlisted (22899) |
$5,257.75 |
$10,515.50 |
22.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,164 |
$6,328 |
1.0× |
| Strapping unna boot (29580) |
$212 |
$424 |
1.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,263 |
$4,526 |
0.7× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$483 |
$966 |
1.5× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure |
$1,362.67 |
$2,725.33 |
0.2× |
Surg nasopharyngoscopy dilat eustachian tube uni (69705)
unusually low: confirm this is the full procedure |
$2,800 |
$5,600 |
0.5× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$4,476.92 |
$8,953.84 |
1.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$2,336 |
$4,672 |
0.9× |
| Suspension of testis (54640) |
$3,796 |
$7,592 |
1.1× |
| Suture infrapatellar tendon primary (27380) |
$8,551.50 |
$17,103 |
1.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure |
$2,331.67 |
$4,663.33 |
0.3× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$7,339.75 |
$12,940 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$13,852.50 |
$27,705 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$410.25 |
$820.50 |
1.0× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$5,668.50 |
$11,337 |
0.3× |
| Tenodesis long tendon biceps (23430) |
$7,755.26 |
$15,510.52 |
1.1× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,796 |
$7,592 |
2.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy, adductor of hip, open Facility (27001) |
$915 |
$1,830 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$584 |
$1,168 |
0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,848.50 |
$3,697 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,209 |
$2,418 |
1.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$8,275 |
$16,550 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,124 |
$2,248 |
1.9× |
| Thoracoscopy w/bx pleura (32609) |
$4,020 |
$8,040 |
0.7× |
| Throat Surgery Procedure (42999) |
$1,873.67 |
$3,747.33 |
8.2× |
| Thrombolytic Art Therapy (37211) |
$6,304.50 |
$12,609 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$730.50 |
$1,461 |
2.3× |
| Thyroid biopsy (60100) |
$814 |
$1,628 |
1.2× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$9,039.17 |
$18,078.34 |
1.6× |
| Thyroidectomy, total or complete (60240) |
$17,009 |
$34,018 |
2.9× |
| Tnot elbow lateral/medial debride open (24358) |
$7,058.97 |
$14,117.93 |
2.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$2,920 |
$5,840 |
0.9× |
| Tongue and mouth surg unlisted (41599) |
$351.50 |
$703 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,986 |
$11,972 |
1.9× |
| Total hip arthroplasty (27130) |
$17,304 |
$34,608 |
1.4× |
| Total Knee Arthroplasty (27447) |
$15,827 |
$31,654 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$620 |
$1,240 |
1.2× |
| Tracheostomy planned (31600) |
$3,810.50 |
$7,621 |
1.2× |
| Tracheotomy tube change (31502) |
$2,436 |
$4,872 |
10.6× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$18,203 |
$36,406 |
9.6× |
| Transoral Lower Esophageal Myotomy (43497) |
$10,439 |
$20,878 |
1.8× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,092 |
$6,184 |
0.6× |
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure |
$812.63 |
$1,625.25 |
0.2× |
| Transur electr resection of prostate (52601) |
$3,285 |
$6,570 |
0.6× |
| Transurethral resection bladder neck (52500) |
$4,307 |
$8,614 |
1.3× |
| Treat Big Toe Fracture (28505) |
$5,813 |
$11,626 |
1.8× |
| Treat clavicle fracture (23505) |
$1,848.50 |
$3,697 |
1.2× |
| Treat elbow fracture (24586) |
$19,151.50 |
$38,303 |
1.5× |
| Treat Elbow Fracture (24635) |
$24,507 |
$49,014 |
3.5× |
| Treat fracture radius/ulna (25575) |
$13,989.77 |
$27,979.54 |
2.0× |
| Treat humerus fracture (24500) |
$284 |
$568 |
1.2× |
| Treat knee fracture (27532) |
$3,761 |
$7,522 |
1.2× |
| Treat Knee Fracture (27535) |
$32,572.50 |
$65,145 |
4.6× |
| Treat Kneecap Fracture (27524) |
$11,971.50 |
$23,943 |
1.7× |
| Treat Lower Leg Fracture (27828) |
$26,765.75 |
$53,531.50 |
2.2× |
| Treat Metatarsal Fracture (28475) |
$419.50 |
$839 |
1.8× |
| Treat Thumb Dislocation (26641) |
$347.50 |
$695 |
1.5× |
| Treat thumb fracture (26665) |
$9,114.13 |
$18,228.25 |
2.9× |
| Treat vagina infection (57150) |
$80.50 |
$161 |
1.4× |
| Treatment closed elbow dislocation req anes (24605) |
$2,442 |
$4,884 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$299.50 |
$599 |
1.3× |
| Treatment of fibula fracture (27784) |
$8,779 |
$17,558 |
1.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$6,657.50 |
$13,315 |
2.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$4,332.50 |
$8,665 |
18.2× |
| Trim skin lesion (11055) |
$231 |
$462 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$239.75 |
$479.50 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$129 |
$258 |
2.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,483 |
$14,966 |
1.4× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$4,822 |
$9,644 |
0.9× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,092.67 |
$4,185.34 |
0.6× |
| Tube thoracostomy includes water seal (32551) |
$2,138.25 |
$4,276.50 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,725 |
$3,450 |
0.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$9,791.25 |
$19,582.50 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,544.25 |
$5,088.50 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$929.50 |
$1,859 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$606.50 |
$1,213 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,117 |
$4,234 |
1.4× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$10,451.25 |
$20,902.50 |
0.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$14,493.75 |
$28,987.50 |
2.5× |
| Tympanostomy (69433) |
$629.50 |
$1,259 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$1,727.67 |
$3,455.33 |
1.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,368.75 |
$2,737.50 |
7.0× |
| Unlisted laparoscopic procedure liver (47379) |
$9,018.75 |
$18,037.50 |
1.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$25,154 |
$50,308 |
4.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$8,791.94 |
$17,583.87 |
1.5× |
| Unlisted laparoscopy procedure, appendix (44979) |
$5,188 |
$10,376 |
0.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$23,168 |
$46,336 |
4.0× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$3,284.56 |
$6,569.12 |
0.6× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$6,233.17 |
$12,466.33 |
1.1× |
| Unlisted Procedure Accessory Sinuses (31299) |
$1,545.17 |
$3,090.33 |
6.7× |
| Unlisted procedure anus (46999) |
$2,786 |
$5,572 |
3.1× |
| Unlisted procedure arthroscopy (29999) |
$3,164 |
$6,328 |
13.3× |
| Unlisted procedure colon (45399) |
$1,401.50 |
$2,803 |
1.6× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,570 |
$13,140 |
28.7× |
| Unlisted procedure foot or toes (28899) |
$4,152 |
$8,304 |
17.4× |
| Unlisted Procedure Lungs & Pleura (32999) |
$990 |
$1,980 |
1.6× |
| Unlisted Procedure Male Genital System (55899) |
$362 |
$724 |
1.5× |
| Unlisted Procedure Muscskeletal System General (20999) |
$2,701 |
$5,402 |
11.3× |
| Unlisted procedure nervous system (64999) |
$464.50 |
$929 |
1.6× |
| Unlisted procedure pancreas (48999) |
$1,569.50 |
$3,139 |
2.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$10,034.34 |
$20,068.66 |
42.1× |
| Unlisted procedure rectum (45999) |
$152.50 |
$305 |
0.2× |
| Unlisted procedure shoulder (23929) |
$1,829 |
$3,658 |
7.7× |
| Unlisted Procedure Small Intestine (44799) |
$1,042.50 |
$2,085 |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$902.50 |
$1,805 |
1.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,376 |
$10,752 |
6.1× |
| Unlisted procedure, hands or fingers (26989) |
$5,110 |
$10,220 |
21.4× |
| Unlisted procedure, leg or ankle (27899) |
$1,937 |
$3,874 |
8.1× |
| Unlisted procedure, stomach (43999) |
$4,609.25 |
$9,218.50 |
5.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$6,399 |
$12,798 |
32.7× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,988.50 |
$9,977 |
0.5× |
| Urine flow measurement (51736) |
$153 |
$306 |
1.2× |
| Urology Surgery Procedure (53899) |
$287.50 |
$575 |
1.2× |
| Us urine capacity measure (51798) |
$105.50 |
$211 |
1.8× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,782.50 |
$3,565 |
0.6× |
| Uvulectomy excision of uvula (42140) |
$3,650 |
$7,300 |
1.1× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$57,718.50 |
$115,437 |
11.9× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$4,598.50 |
$9,197 |
1.5× |
| Vasc embolize/occlude artery (37242) |
$10,266.75 |
$20,533.50 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,143.50 |
$22,287 |
1.0× |
| Vasc embolize/occlude organ (37243) |
$10,707 |
$21,414 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,403 |
$4,806 |
1.2× |
| Venipuncture (36415) |
$9 |
$18 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,180.50 |
$2,361 |
0.4× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,017 |
$2,034 |
1.2× |
| Vulvectomy Simple Partial (56620) |
$3,212 |
$6,424 |
1.0× |
| Wedge excision skin nail fold (11765) |
$556.25 |
$1,112.50 |
1.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$4,368 |
$8,736 |
6.1× |