| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$3,805.34 |
$6,342.23 |
1.1× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$3,805.34 |
$6,342.23 |
1.1× |
| Ablate inf turbinate submuc (30802) |
$1,431.94 |
$2,386.57 |
0.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,431.94 |
$2,386.57 |
0.9× |
| Abrasion single lesion (15786) |
$1,424.47 |
$2,374.12 |
6.9× |
| Acetabuloplasty resection femoral head (27122) |
$4,487.65 |
$7,479.42 |
0.6× |
| Acromiopl/Acromionect Partial (23130) |
$4,290.11 |
$7,150.19 |
1.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,437.19 |
$2,395.31 |
0.7× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,545.95 |
$2,576.58 |
0.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,104.07 |
$3,506.79 |
0.6× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,545.95 |
$2,576.58 |
0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,121.44 |
$5,202.40 |
1.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,545.95 |
$2,576.58 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,545.95 |
$2,576.58 |
0.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,545.95 |
$2,576.58 |
0.7× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$4,278.35 |
$7,130.58 |
0.6× |
| Amniocentesis diagnostic (59000) |
$1,538.09 |
$2,563.49 |
1.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,958 |
$4,930 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,949.98 |
$3,249.97 |
0.6× |
| Amputate Metacarpal Bone (26910) |
$2,836.37 |
$4,727.28 |
0.8× |
| Amputate Thigh,Re-Amputatn (27596) |
$4,908.36 |
$8,180.60 |
1.5× |
| Amputation Foot Midtarsal (28800) |
$4,739.20 |
$7,898.66 |
1.4× |
| Amputation foot transmetarsal (28805) |
$5,010.06 |
$8,350.10 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$5,983.97 |
$9,973.29 |
1.8× |
| Amputation thigh through femur any level (27590) |
$3,376.60 |
$5,627.67 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,174.44 |
$3,624.06 |
0.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,174.44 |
$3,624.06 |
0.7× |
| Amputation, leg, through tibia and fibula; (27880) |
$8,255.52 |
$13,759.20 |
1.1× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,989.09 |
$4,981.82 |
0.9× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$2,540.06 |
$4,233.44 |
0.8× |
| Anal/Urinary Muscle Study (51784) |
$248.92 |
$414.86 |
1.9× |
| Ankle Arthroscopy/Surgery (29892) |
$7,316.38 |
$12,193.96 |
1.0× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$1,910.90 |
$3,184.83 |
0.7× |
| Anoscopy Ablation Lesion (46615) |
$2,068.10 |
$3,446.83 |
0.7× |
Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$298.48–$1,355.68 |
$497.46–$2,259.46 |
varies |
| Anoscopy remove lesion (46610) |
$1,910.90 |
$3,184.83 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,562.92 |
$2,604.86 |
1.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$1,755.61 |
$2,926.01 |
0.6× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$3,169.96 |
$5,283.27 |
0.6× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$3,294.02 |
$5,490.04 |
0.6× |
| Anterior Tibial Tubercleplasty (27418) |
$4,719.13 |
$7,865.21 |
0.6× |
| Appendectomy (44950) |
$3,659.23 |
$6,098.72 |
0.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$307.49 |
$512.48 |
1.9× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$307.49 |
$512.48 |
1.1× |
| Application cast elbow finger short arm (29075) |
$307.49 |
$512.48 |
1.1× |
| Application Halo Cranial Including Removal (20661) |
$3,025.58 |
$5,042.64 |
1.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$307.49 |
$512.48 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$307.49 |
$512.48 |
1.9× |
| Application multiplane external fixation system (20692) |
$8,439.48 |
$14,065.80 |
0.6× |
| Application of long leg cast (29345) |
$307.49 |
$512.48 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$307.49 |
$512.48 |
2.3× |
| Application uniplane external fixation system (20690) |
$5,922.13 |
$9,870.22 |
0.8× |
| Apply hand/wrist cast (29085) |
$307.49 |
$512.48 |
1.9× |
| Apply long arm cast (29065) |
$307.49 |
$512.48 |
1.1× |
| Apply Short Leg Cast (29405) |
$307.49 |
$512.48 |
1.1× |
| Apply short leg cast (29425) |
$307.49 |
$512.48 |
1.1× |
| Arrest Epiphyseal Distal Femur (27475) |
$9,106.49 |
$15,177.49 |
1.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
$4,567.27 |
$7,612.11 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,869.09 |
$6,448.48 |
1.2× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) range across 6 matching MRF lines |
$1,424.47–$13,496.88 |
$2,374.12–$22,494.80 |
varies |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) range across 2 matching MRF lines |
$8,439.48–$9,337.86 |
$14,065.80–$15,563.10 |
varies |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
$4,278.35 |
$7,130.58 |
0.6× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$8,439.48 |
$14,065.80 |
0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$8,911.82 |
$14,853.03 |
0.7× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$5,941.21 |
$9,902.02 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$431.68 |
$719.46 |
1.4× |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$492.17–$625.10 |
$820.28–$1,041.84 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$591.19 |
$985.32 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$591.19 |
$985.32 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$486.17 |
$810.29 |
1.6× |
| Arthrodesis ankle open (27870) |
$10,758 |
$17,930 |
0.8× |
| Arthrodesis Glenohumeral Joint (23800) |
$7,316.38 |
$12,193.96 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,624.23 |
$7,707.05 |
0.6× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$8,101.66 |
$13,502.76 |
1.1× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$2,736.98 |
$4,561.63 |
0.8× |
| Arthrodesis Pantalar (28705) |
$14,163.38 |
$23,605.63 |
0.8× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$14,163.38 |
$23,605.63 |
0.5× |
Arthrodesis Posterior/Posterolateral Lumbar (22612) range across 4 matching MRF lines |
$1,424.47–$14,163.38 |
$2,374.12–$23,605.63 |
varies |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$10,349.69 |
$17,249.49 |
0.6× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$14,163.38 |
$23,605.63 |
0.8× |
| Arthrodesis subtalar (28725) |
$9,847.20 |
$16,412 |
0.8× |
| Arthrodesis triple (28715) |
$8,439.48 |
$14,065.80 |
0.6× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$7,316.38 |
$12,193.96 |
1.0× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) range across 4 matching MRF lines |
$1,424.47–$10,784.47 |
$2,374.12–$17,974.12 |
varies |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
$10,349.69 |
$17,249.49 |
0.6× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
$10,349.69 |
$17,249.49 |
0.6× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$7,316.38 |
$12,193.96 |
1.0× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
$11,401.78 |
$19,002.97 |
0.9× |
| Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) |
$11,401.78 |
$19,002.97 |
0.9× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
$10,349.69 |
$17,249.49 |
0.6× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
$10,349.69 |
$17,249.49 |
0.6× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$15,620.57 |
$26,034.28 |
0.9× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$10,606.75 |
$17,677.91 |
0.8× |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
$7,316.38 |
$12,193.96 |
1.0× |
| Arthroplasty Ankle (27700) |
$4,719.13 |
$7,865.21 |
0.6× |
| Arthroplasty ankle revision total ankle (27703) |
$9,106.49 |
$15,177.49 |
0.5× |
| Arthroplasty Ankle W/Implant (27702) |
$14,163.38 |
$23,605.63 |
0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$11,194.09 |
$18,656.82 |
0.6× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$11,983.15 |
$19,971.91 |
0.9× |
| Arthroplasty interphalangeal joint each (26535) |
$3,579.28 |
$5,965.46 |
1.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$4,656.97 |
$7,761.62 |
1.4× |
| Arthroplasty Patella W/Prosthesis (27438) |
$8,960.88 |
$14,934.80 |
0.7× |
| Arthroplasty radial head (24365) |
$10,017.14 |
$16,695.24 |
0.8× |
| Arthroplasty Radial Head W/Implant (24366) |
$13,181.46 |
$21,969.10 |
1.0× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
$14,163.38 |
$23,605.63 |
0.8× |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
$13,181.46 |
$21,969.10 |
1.0× |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
$14,163.38 |
$23,605.63 |
0.8× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
$9,541.53 |
$15,902.55 |
0.7× |
| Arthroplasty, patella; without prosthesis (27437) |
$4,278.35 |
$7,130.58 |
0.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$4,842.52 |
$8,070.86 |
2.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,226.86 |
$5,378.10 |
1.0× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$2,820.90 |
$4,701.50 |
0.8× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$2,635.30 |
$4,392.17 |
0.8× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$2,635.30 |
$4,392.17 |
0.8× |
| Arthroscopy hip w/femoroplasty (29914) |
$4,740.30 |
$7,900.50 |
0.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,309.28 |
$5,515.47 |
1.0× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$8,439.48 |
$14,065.80 |
0.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,151.32 |
$5,252.20 |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,150.46 |
$5,250.77 |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,986.62 |
$6,644.37 |
1.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$5,434.49 |
$9,057.48 |
0.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$2,820.90 |
$4,701.50 |
0.8× |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
$4,446.01 |
$7,410.02 |
0.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$5,337.07 |
$8,895.12 |
0.7× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$4,278.35 |
$7,130.58 |
0.6× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$4,842.52 |
$8,070.86 |
0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$2,824.31 |
$4,707.18 |
0.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,671.74 |
$6,119.57 |
1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,128.58 |
$10,214.30 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,842.52 |
$8,070.86 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$2,635.30 |
$4,392.17 |
0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,842.52 |
$8,070.86 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$4,842.52 |
$8,070.86 |
1.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$4,842.52 |
$8,070.86 |
1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,434.49 |
$9,057.48 |
0.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
$4,446.01 |
$7,410.02 |
0.6× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$1,903.55 |
$3,172.59 |
1.2× |
| Arthrotomy W/Meniscus Repair Knee (27403) |
$4,278.35 |
$7,130.58 |
0.6× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
$1,925.30 |
$3,208.84 |
0.6× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$1,941.02 |
$3,235.04 |
0.6× |
| Arthrotomy wrist joint with synovectomy (25105) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,705.40 |
$6,175.67 |
1.1× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) unusually low: confirm this is the full procedure |
$3,376.60 |
$5,627.67 |
0.5× |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,732.15 |
$22,886.91 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,181.46 |
$21,969.10 |
1.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$6,109.10 |
$10,181.84 |
0.8× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$3,579.28 |
$5,965.46 |
1.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,316.38 |
$12,193.96 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$8,439.48 |
$14,065.80 |
0.6× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$4,842.52 |
$8,070.86 |
1.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$2,880.33 |
$4,800.55 |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$2,722.36 |
$4,537.26 |
0.8× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$3,378.94 |
$5,631.56 |
1.0× |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
$4,446.01 |
$7,410.02 |
0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,729.96 |
$7,883.26 |
1.4× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$3,705.40 |
$6,175.67 |
1.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,903.55 |
$3,172.59 |
1.2× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$2,093.90 |
$3,489.84 |
0.6× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$2,878.85 |
$4,798.08 |
0.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,174.44 |
$3,624.06 |
1.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,174.44 |
$3,624.06 |
0.7× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$2,174.44 |
$3,624.06 |
0.7× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$2,878.85 |
$4,798.08 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$573.37 |
$955.61 |
1.8× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$744.96 |
$1,241.60 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,759.10 |
$2,931.84 |
0.8× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$4,767.16 |
$7,945.27 |
2.0× |
| Autologous Chondrocyte Implantation Knee (27412) |
$7,316.38 |
$12,193.96 |
1.0× |
| Av fistula revision (36833) |
$3,869.09 |
$6,448.48 |
0.7× |
| Av Fistula Revision Open (36832) |
$3,869.09 |
$6,448.48 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$692.29 |
$1,153.81 |
3.4× |
| Axillary lymphadenectomy; complete (38745) |
$4,581.59 |
$7,635.99 |
0.7× |
| Biopsy bone open deep (20245) |
$3,848.53 |
$6,414.22 |
1.3× |
| Biopsy bone open superficial (20240) |
$2,073.03 |
$3,455.05 |
0.7× |
| Biopsy External Auditory Canal (69105) |
$1,985.60 |
$3,309.34 |
1.3× |
| Biopsy external ear (69100) |
$1,283.47 |
$2,139.12 |
5.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,283.47 |
$2,139.12 |
0.8× |
| Biopsy nail unit (11755) |
$813.76 |
$1,356.26 |
1.1× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$1,840.15 |
$3,066.91 |
0.5× |
| Biopsy of breast; open, incisional (19101) |
$2,324.74 |
$3,874.56 |
0.6× |
| Biopsy of conjunctiva (68100) |
$2,859 |
$4,765 |
1.2× |
| Biopsy of floor of mouth (41108) |
$1,204.52 |
$2,007.53 |
0.7× |
| Biopsy of foot joint lining (28052) |
$2,174.44 |
$3,624.06 |
0.7× |
| Biopsy of foot joint lining (28050) |
$2,703.60 |
$4,506 |
0.8× |
| Biopsy of lip (40490) |
$1,356.53 |
$2,260.88 |
5.6× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,562.92 |
$2,604.86 |
0.9× |
| Biopsy of nerve (64795) |
$1,791.38 |
$2,985.64 |
0.9× |
| Biopsy of palate, uvula (42100) |
$1,204.52 |
$2,007.53 |
0.8× |
| Biopsy of penis (54100) |
$1,539.93 |
$2,566.55 |
0.9× |
| Biopsy of rectum (45100) |
$1,755.61 |
$2,926.01 |
0.6× |
| Biopsy of urethra (53200) |
$2,535.03 |
$4,225.05 |
1.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$2,271.36 |
$3,785.60 |
0.6× |
| Biopsy Oropharynx (42800) |
$1,575.56 |
$2,625.93 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$2,246.12 |
$3,743.54 |
1.4× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,587.77 |
$2,646.29 |
0.9× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$2,073.03 |
$3,455.05 |
0.7× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,829.45 |
$3,049.08 |
1.1× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$2,073.03 |
$3,455.05 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,587.77 |
$2,646.29 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,640.72 |
$2,734.53 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,073.03 |
$3,455.05 |
0.7× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,644.47 |
$2,740.79 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,587.77 |
$2,646.29 |
0.9× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$2,117.66 |
$3,529.43 |
0.6× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$1,204.52 |
$2,007.53 |
2.2× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,947.49 |
$3,245.82 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,494.97 |
$2,491.62 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$795.94 |
$1,326.56 |
0.8× |
| Biopsy, vestibule of mouth (40808) |
$1,204.52 |
$2,007.53 |
2.2× |
| Biopsy/removal lymph nodes (38510) |
$2,271.36 |
$3,785.60 |
0.6× |
| Bladder Irrigation (51700) |
$1,411.33 |
$2,352.21 |
5.5× |
| Bladder Scan (51798) |
$146.23 |
$243.71 |
2.4× |
| Blepharoplasty Lower Eyelid (15820) |
$2,648.45 |
$4,414.08 |
1.3× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$3,378.94 |
$5,631.56 |
1.6× |
| Blepharoplasty upper eyelid (15822) |
$2,648.45 |
$4,414.08 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,378.94 |
$5,631.56 |
1.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,627.45 |
$2,712.42 |
5.0× |
| Blood Transfusion Service (36430) |
$718.04 |
$1,196.74 |
1.6× |
| Bone Graft Any Donor Area Major/Large (20902) |
$5,716.21 |
$9,527.01 |
0.8× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$4,278.35 |
$7,130.58 |
0.6× |
| Bone Marrow; Aspiration Only (38220) |
$1,095.15 |
$1,825.25 |
0.6× |
Breast augmentation with implant (19325) range across 7 matching MRF lines |
$648–$5,995.08 |
$1,080–$9,991.80 |
varies |
Breast Reduction (19318) range across 3 matching MRF lines |
$378.60–$7,077.60 |
$631–$11,796 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,356.53 |
$2,260.88 |
0.7× |
| Bronchoscopy Clear Airways (31645) |
$1,356.53 |
$2,260.88 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,356.53 |
$2,260.88 |
0.7× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,703.06 |
$2,838.44 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,122.68 |
$1,871.14 |
0.7× |
| Bx Cervix (57500) |
$1,562.92 |
$2,604.86 |
1.7× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,663.48 |
$6,105.80 |
0.9× |
| Bx/exc lymph node open superficial (38500) |
$3,584.10 |
$5,973.50 |
0.9× |
| Canthoplasty (67950) |
$1,707.16 |
$2,845.27 |
0.7× |
| Canthotomy Separate Procedure (67715) |
$1,707.16 |
$2,845.27 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,174.44 |
$3,624.06 |
0.7× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) unusually low: confirm this is the full procedure |
$3,376.60 |
$5,627.67 |
0.5× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,545.95 |
$2,576.58 |
0.9× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,925.30 |
$3,208.84 |
0.6× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
$7,316.38 |
$12,193.96 |
1.0× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$7,316.38 |
$12,193.96 |
1.0× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$7,316.38 |
$12,193.96 |
1.0× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
$7,316.38 |
$12,193.96 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$2,174.44 |
$3,624.06 |
1.3× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$4,739.20 |
$7,898.66 |
2.9× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$2,985.09 |
$4,975.15 |
0.9× |
| Capsulotomy wrist (25085) |
$2,006.74 |
$3,344.57 |
0.6× |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
$4,739.20 |
$7,898.66 |
1.4× |
| Carpal Tunnel Surgery (64721) |
$2,585.75 |
$4,309.58 |
1.3× |
| Carpectomy All Bones Proximal Row (25215) |
$2,878.85 |
$4,798.08 |
0.9× |
| Cartilage graft; costochondral (20910) |
$1,319.90 |
$2,199.84 |
1.7× |
| Cataract surg w/iol 1 stage (66983) |
$2,925.34 |
$4,875.56 |
1.2× |
| Cataract surgery complex (66982) |
$2,925.34 |
$4,875.56 |
1.2× |
| Cautery Cervix Electro/Thermal (57510) |
$2,247.74 |
$3,746.23 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$1,916.27 |
$3,193.78 |
0.6× |
| Cerv artific diskectomy (22856) |
$18,410.59 |
$30,684.32 |
1.0× |
| Cervical lymphadenectomy (complete) (38720) |
$8,028 |
$13,380 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$931.63 |
$1,552.72 |
1.3× |
| Chemical Cautery Tissue (17250) |
$1,356.53 |
$2,260.88 |
6.6× |
| Chemical peel face dermal (15789) |
$1,789.68 |
$2,982.80 |
2.4× |
| Chemodenerv Musc Migraine (64615) |
$573.37 |
$955.61 |
1.8× |
| Chemodenervation of internal anal sphincter (46505) |
$2,133.04 |
$3,555.06 |
1.7× |
| Chest tube placement (32551) |
$1,144.18 |
$1,906.96 |
0.7× |
| Circumcision 28 days or older (54161) |
$2,117.66 |
$3,529.43 |
1.0× |
| Circumcision Neonate (54160) |
$2,117.66 |
$3,529.43 |
3.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,117.66 |
$3,529.43 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,622.97 |
$4,371.61 |
1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,087.01 |
$3,478.35 |
1.3× |
| Claviculectomy partial (23120) |
$4,841.03 |
$8,068.38 |
1.4× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$5,589 |
$9,315 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,762.10 |
$2,936.84 |
7.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,492.15 |
$2,486.91 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,383.78 |
$2,306.30 |
5.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,356.53 |
$2,260.88 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,356.53 |
$2,260.88 |
5.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,551.53 |
$2,585.88 |
0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$1,271.73 |
$2,119.55 |
5.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,296.76 |
$2,161.27 |
0.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,271.75 |
$2,119.58 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,356.53 |
$2,260.88 |
5.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,622.97 |
$4,371.61 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,982.50 |
$3,304.17 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$1,982.50 |
$3,304.17 |
0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,271.71 |
$2,119.52 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,470.96 |
$4,118.26 |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,470.96 |
$4,118.26 |
1.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$1,309.18 |
$2,181.96 |
5.2× |
| Closed tx septal&nose fx (21337) |
$1,982.50 |
$3,304.17 |
0.6× |
| Closed tx talus fracture w/o manipulation (28430) |
$2,622.97 |
$4,371.61 |
10.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,271.72 |
$2,119.53 |
0.8× |
| Closure Gastrostomy Surg (43870) |
$4,167.55 |
$6,945.91 |
1.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$1,018.44 |
$1,697.40 |
4.2× |
| Closure lacrimal punctum (68760) |
$530.95 |
$884.92 |
1.6× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$5,042.38 |
$8,403.97 |
1.5× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
$4,197.87 |
$6,996.45 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,296.76 |
$2,161.27 |
0.8× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$2,952.73 |
$4,921.22 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,492.15 |
$2,486.91 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,271.74 |
$2,119.56 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$1,473.74 |
$2,456.24 |
5.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,622.97 |
$4,371.61 |
1.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$2,470.96 |
$4,118.26 |
9.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,322.13 |
$2,203.55 |
5.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,271.72 |
$2,119.54 |
5.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,177.03 |
$3,628.39 |
1.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,053 |
$3,421.67 |
1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,982.20 |
$3,303.67 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,982.20 |
$3,303.67 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$2,008.84 |
$3,348.07 |
8.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$2,008.84 |
$3,348.07 |
8.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$2,008.84 |
$3,348.07 |
8.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,492.68 |
$2,487.80 |
5.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,492.68 |
$2,487.80 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,356.53 |
$2,260.88 |
4.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx Medial Ankle Fx (27760) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,572.29 |
$2,620.48 |
6.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,271.70 |
$2,119.50 |
5.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,165.28 |
$1,942.13 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,810.97 |
$3,018.29 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,356.53 |
$2,260.88 |
5.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,622.97 |
$4,371.61 |
1.6× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$1,271.74 |
$2,119.57 |
5.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,271.71 |
$2,119.51 |
5.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,382.82 |
$2,304.70 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,492.68 |
$2,487.80 |
0.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,382.23 |
$3,970.39 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,356.53 |
$2,260.88 |
0.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,590.44 |
$5,984.06 |
1.1× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$4,250.10 |
$7,083.50 |
0.8× |
| Coccygectomy, primary (27080) |
$3,376.60 |
$5,627.67 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$11.78 |
$19.63 |
1.3× |
| Colonoscopy Flexible With Decompression (45393) |
$1,510.18 |
$2,516.97 |
1.2× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,356.53 |
$2,260.88 |
1.1× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,356.53 |
$2,260.88 |
1.1× |
Colonoscopy thru stoma (44388) range across 3 matching MRF lines |
$1,120.28–$1,356.53 |
$1,867.14–$2,260.88 |
varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$989.40 |
$1,649 |
0.8× |
| Colonoscopy w/ablation (45388) |
$989.40 |
$1,649 |
0.8× |
| Colonoscopy W/Band Ligation (45398) |
$989.40 |
$1,649 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$989.40 |
$1,649 |
0.8× |
| Colonoscopy W/Resection (45390) |
$1,896.60 |
$3,161 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$1,472.04 |
$2,453.40 |
1.2× |
| Colpocleisis (le fort type) (57120) |
$5,042.38 |
$8,403.97 |
1.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$2,367.31 |
$3,945.51 |
0.7× |
| Colpopexy extraperitoneal (57282) |
$4,675.11 |
$7,791.85 |
0.6× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$4,608.55 |
$7,680.91 |
0.6× |
| Colporrhaphy (57200) |
$2,367.31 |
$3,945.51 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$923.31 |
$1,538.85 |
3.0× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$761.08 |
$1,268.47 |
2.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,161.34 |
$5,268.90 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,247.74 |
$3,746.23 |
0.7× |
| Colpotomy; with exploration (57000) |
$1,916.27 |
$3,193.78 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$989.40 |
$1,649 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$989.40 |
$1,649 |
0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,472.04 |
$2,453.40 |
1.2× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,340 |
$8,900 |
1.0× |
| Complex drainage wound (10180) |
$1,703.06 |
$2,838.44 |
0.6× |
| Composite Skin Graft (15760) |
$1,884.57 |
$3,140.95 |
0.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,161.34 |
$5,268.90 |
1.0× |
| Conization of cervix (57520) |
$2,247.74 |
$3,746.23 |
0.7× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$1,560.30 |
$2,600.50 |
0.6× |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
$1,560.30 |
$2,600.50 |
0.6× |
| Contour of face bone lesion (21029) |
$5,306.81 |
$8,844.69 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,018.44 |
$1,697.40 |
7.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,018.44 |
$1,697.40 |
7.5× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,204.52 |
$2,007.53 |
2.2× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$10,216.60 |
$17,027.67 |
0.8× |
| Correction claw finger, other methods Facility (26499) |
$2,836.37 |
$4,727.28 |
0.8× |
| Correction hammertoe (28285) |
$2,174.44 |
$3,624.06 |
0.7× |
| Correction of inverted nipples (19355) |
$3,324.16 |
$5,540.26 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,739.20 |
$7,898.66 |
1.4× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$5,127.59 |
$8,545.98 |
1.5× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) unusually low: confirm this is the full procedure |
$6,202.30 |
$10,337.17 |
0.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$4,739.20 |
$7,898.66 |
0.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,739.20 |
$7,898.66 |
1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$5,550.60 |
$9,251 |
0.7× |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
$1,707.16 |
$2,845.27 |
0.7× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$9,143.91 |
$15,239.85 |
1.2× |
| Create Tear Sac-Nasal Fistula (68720) |
$2,792.86 |
$4,654.76 |
0.7× |
| Cross Intrinsic Transfer Each Tendon (26510) |
$2,836.37 |
$4,727.28 |
0.8× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$3,869.09 |
$6,448.48 |
0.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$1,018.44 |
$1,697.40 |
4.2× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$1,966.36 |
$3,277.26 |
0.6× |
| Curettage postpartum (59160) |
$1,996.84 |
$3,328.07 |
0.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,382.26 |
$3,970.43 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,411.82 |
$2,353.04 |
0.7× |
| Cysto w/destruction of lesions (52214) |
$2,382.26 |
$3,970.43 |
0.7× |
| Cysto w/insert ureteral stent (52332) |
$2,382.26 |
$3,970.43 |
0.7× |
| Cysto w/removal of lesions small (52224) |
$2,382.26 |
$3,970.43 |
0.7× |
| Cysto w/removal of tumors small (52234) |
$2,382.26 |
$3,970.43 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,494.97 |
$2,491.62 |
0.7× |
| Cystolithotomy (51050) |
$3,169.96 |
$5,283.27 |
0.6× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$5,535.01 |
$9,225.02 |
0.6× |
| Cystoscopy inject material (52327) |
$3,757.47 |
$6,262.45 |
0.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,382.26 |
$3,970.43 |
1.1× |
| Cystourethroscopy (52000) |
$1,127.14 |
$1,878.57 |
1.6× |
| Cystourethroscopy tx female urethral syndrome (52285) |
$2,535.03 |
$4,225.05 |
3.6× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$2,382.26 |
$3,970.43 |
0.7× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$3,041.35 |
$5,068.91 |
0.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,494.97 |
$2,491.62 |
0.7× |
| Cystourethroscopy with biopsy (52204) |
$2,382.26 |
$3,970.43 |
1.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,620.48 |
$4,367.47 |
1.2× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$2,620.48 |
$4,367.47 |
0.7× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,494.97 |
$2,491.62 |
0.7× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,620.48 |
$4,367.47 |
1.2× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$2,620.48 |
$4,367.47 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,283.47 |
$2,139.12 |
3.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,670.82 |
$2,784.70 |
0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,356.53 |
$2,260.88 |
1.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,356.53 |
$2,260.88 |
1.9× |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
$2,878.85 |
$4,798.08 |
0.9× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$2,736.71 |
$4,561.19 |
0.8× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$2,878.86 |
$4,798.10 |
0.9× |
| Dcmprn fasct leg post compartment only (27601) |
$2,736.71 |
$4,561.19 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,356.53 |
$2,260.88 |
1.8× |
| Debride nail 1-5 (11720) |
$761.08 |
$1,268.47 |
12.6× |
| Debride nail 6 or more (11721) |
$761.08 |
$1,268.47 |
12.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,590.42 |
$2,650.70 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$313.96 |
$523.26 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,356.53 |
$2,260.88 |
3.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,878.85 |
$4,798.08 |
1.8× |
| Decompress Fingers/Hand (26035) |
$3,075.38 |
$5,125.63 |
0.9× |
| Decompress Spinal Cord Lmbr (63056) |
$9,143.91 |
$15,239.85 |
1.2× |
| Decompression of leg (27892) |
$3,376.60 |
$5,627.67 |
1.0× |
| Decompression of tibia nerve (28035) |
$3,260.94 |
$5,434.90 |
1.6× |
| Decompressive fasciotomy hand (26037) |
$3,075.38 |
$5,125.63 |
0.9× |
| Deep Muscle Biopsy (20205) |
$1,700.54 |
$2,834.24 |
0.6× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,884.57 |
$3,140.95 |
0.9× |
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) range across 2 matching MRF lines |
$1,884.57–$1,903.55 |
$3,140.95–$3,172.59 |
varies |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
$1,884.57 |
$3,140.95 |
0.9× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$2,104.07 |
$3,506.79 |
0.6× |
| Delivery of placenta (59414) |
$1,996.85 |
$3,328.08 |
0.6× |
| Derma-fat-fascia graft (15770) |
$2,104.07 |
$3,506.79 |
0.6× |
| Dermabrasion segmental face (15781) |
$1,437.19 |
$2,395.31 |
2.0× |
Destroy cerv/thor facet jnt (64633) range across 16 matching MRF lines |
$1,440–$1,584 |
$2,400–$2,640 |
varies |
Destroy lumb/sac facet jnt (64635) range across 17 matching MRF lines |
$1,530–$1,683 |
$2,550–$2,805 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$1,356.53 |
$2,260.88 |
6.6× |
| Destruction Benign Lesions 15/> (17111) |
$1,688.86 |
$2,814.77 |
8.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$2,844 |
$4,740 |
2.3× |
| Destruction Lesions Vulva Extensive (56515) |
$1,769.41 |
$2,949.02 |
0.8× |
| Destruction Lesions Vulva Simple (56501) |
$1,769.41 |
$2,949.02 |
0.8× |
Destruction neurolytic agt genicular nerve w/img (64624) range across 13 matching MRF lines |
$1,522.64–$1,674.90 |
$2,537.73–$2,791.50 |
varies |
| Destruction of lesion, conjunctiva (68135) |
$1,424.47 |
$2,374.12 |
0.6× |
| Destruction of skin lesions (17106) |
$1,356.53 |
$2,260.88 |
3.3× |
| Destruction premalignant lesion 1st (17000) |
$1,356.53 |
$2,260.88 |
6.6× |
| Destruction Vaginal Lesions Simple (57061) |
$1,916.27 |
$3,193.78 |
0.6× |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,087.96–$1,120.28 |
$1,813.26–$1,867.14 |
varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,755.61 |
$2,926.01 |
1.4× |
| Dilat female urethra general/cndj spinal anes (53665) |
$1,922.07 |
$3,203.45 |
0.9× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$1,388.76 |
$2,314.60 |
10.6× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$1,396.43 |
$2,327.38 |
10.3× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,075.38 |
$1,792.30 |
1.2× |
| Dilate Urethra Stricture (53620) |
$1,759.10 |
$2,931.84 |
2.5× |
| Dilate Urethra Stricture (53600) |
$1,388.76 |
$2,314.60 |
5.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,247.74 |
$3,746.23 |
0.7× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$2,605.20 |
$4,342 |
4.7× |
| Dilation Cervical Canal (57800) |
$2,247.74 |
$3,746.23 |
0.7× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$2,073.07 |
$3,455.12 |
0.6× |
| Dilation Salivary Duct (42650) |
$2,605.20 |
$4,342 |
1.6× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$13,852.04 |
$23,086.74 |
2.4× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$6,808.12 |
$11,346.87 |
0.9× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,335.47 |
$2,225.78 |
0.7× |
| Dissection, deep jugular node(s) Facility (38542) |
$4,581.59 |
$7,635.99 |
0.7× |
| Drain Cerebro Spinal Fluid (62272) |
$1,018.44 |
$1,697.40 |
1.4× |
| Drain chest lesion (21502) |
$2,101.07 |
$3,501.79 |
0.6× |
| Drain Hand Tendon Sheath (26020) |
$2,547.60 |
$4,246 |
0.8× |
| Drainage abscess parotid simple (42300) |
$2,605.20 |
$4,342 |
1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,204.52 |
$2,007.53 |
2.2× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,562.92 |
$2,604.86 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,291.14 |
$2,151.90 |
0.8× |
| Drainage of finger abscess simple (26010) |
$1,018.44 |
$1,697.40 |
5.0× |
| Drainage of gum lesion (41800) |
$1,018.44 |
$1,697.40 |
7.5× |
| Drainage of hematoma/fluid (10140) |
$1,562.92 |
$2,604.86 |
0.9× |
| Drainage of hydrocele (55000) |
$1,424.47 |
$2,374.12 |
2.0× |
| Drainage of mouth lesion (41017) |
$1,840.15 |
$3,066.91 |
0.5× |
| Drainage of rectal abscess (45020) |
$2,064.64 |
$3,441.06 |
0.7× |
| Drainage of rectal abscess (45005) |
$1,773.56 |
$2,955.94 |
1.5× |
| Drainage of salivary cyst (42409) |
$2,246.12 |
$3,743.54 |
0.7× |
| Drainage of salivary gland (42305) |
$2,605.20 |
$4,342 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$2,155.81 |
$3,593.01 |
1.3× |
| Drainage of scrotum (54700) |
$2,155.81 |
$3,593.01 |
1.0× |
| Drainage of urethra abscess (53040) |
$2,535.03 |
$4,225.05 |
0.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,294.02 |
$5,490.04 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$2,247.74 |
$3,746.23 |
0.7× |
| Dressing Change Under Anesthesia (15852) |
$1,075.38 |
$1,792.30 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,018.44 |
$1,697.40 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$1,356.53 |
$2,260.88 |
6.6× |
| Dstrj Extensive Retinopathy (67227) |
$4,767.16 |
$7,945.27 |
1.2× |
| Dstrj Lesion Anus Extensive (46924) |
$1,769.41 |
$2,949.02 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$1,769.41 |
$2,949.02 |
0.6× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$1,769.41 |
$2,949.02 |
0.8× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
$1,769.41 |
$2,949.02 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$1,769.41 |
$2,949.02 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,130.40 |
$1,884 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$1,356.53 |
$2,260.88 |
0.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,687.36 |
$2,812.26 |
0.9× |
| Dx laryngoscopy w/oper scope (31526) |
$1,687.36 |
$2,812.26 |
0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$664.85 |
$1,108.08 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd cautery tumor polyp (43250) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd control bleeding any (43255) |
$1,285.80 |
$2,143 |
0.7× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd endo mucosal resection (43254) |
$1,492.20 |
$2,487 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$1,356.53 |
$2,260.88 |
1.5× |
| Egd guide wire insertion (43248) |
$1,356.53 |
$2,260.88 |
1.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,285.80 |
$2,143 |
0.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,285.80 |
$2,143 |
0.7× |
| Egd lesion ablation (43270) |
$1,641.59 |
$2,735.99 |
0.8× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$7,507.54 |
$12,512.57 |
0.7× |
| Egd place gastrostomy tube (43246) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd remove lesion snare (43251) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd Tube/Cath Insertion (43241) |
$1,356.53 |
$2,260.88 |
0.7× |
| Egd us exam duodenum/jejunum (43259) |
$1,285.80 |
$2,143 |
0.7× |
| Egd us transmural injxn/mark (43253) |
$1,285.80 |
$2,143 |
0.7× |
| Egd Varices Ligation (43244) |
$1,285.80 |
$2,143 |
0.7× |
| Egd W/Thrml Txmnt Gerd (43257) |
$2,293.16 |
$3,821.94 |
0.6× |
| Elbow arthroscopy (29830) |
$3,309.28 |
$5,515.47 |
1.0× |
| Electrical stimulation bone healing noninvasive (20974) |
$901.23 |
$1,502.05 |
9.5× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$4,917.22 |
$8,195.36 |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$6,570.10 |
$10,950.16 |
1.2× |
| Endocervical curettage (57505) |
$761.08 |
$1,268.47 |
0.8× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$3,294.02 |
$5,490.04 |
0.6× |
| Endometrial Biopsy (58100) |
$1,356.53 |
$2,260.88 |
6.6× |
| Endoscopic injection/implant (51715) |
$2,961.78 |
$4,936.30 |
0.8× |
| Endoscopic plantar fasciotomy (29893) |
$3,643.96 |
$6,073.27 |
1.1× |
| Endoscopic us exam esoph (43237) |
$1,285.80 |
$2,143 |
0.7× |
| Endoscopy Upper Small Intestine (44360) |
$1,285.80 |
$2,143 |
0.7× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,492.20 |
$2,487 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$3,688.70 |
$6,147.84 |
0.9× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,878.85 |
$4,798.08 |
1.5× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,382.92 |
$2,304.87 |
0.7× |
| Epididymectomy unilateral (54860) |
$2,192.30 |
$3,653.83 |
0.6× |
| Epidural Blood Patch (62273) |
$991.25 |
$1,652.09 |
1.4× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
$4,290.11 |
$7,150.19 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$2,360.89 |
$3,934.82 |
0.7× |
| Ercp duct stent placement (43274) |
$3,389.70 |
$5,649.50 |
0.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,145.88 |
$1,909.80 |
1.2× |
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 3 matching MRF lines |
$1,285.80–$1,356.53 |
$2,143–$2,260.88 |
varies |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,563.49 |
$4,272.49 |
0.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,145.88 |
$1,909.80 |
1.2× |
| Esophagoscopy rigid trnso dx (43191) |
$1,641.59 |
$2,735.99 |
0.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,229.39 |
$2,048.99 |
0.6× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$7,171.49 |
$11,952.49 |
1.2× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$1,641.59 |
$2,735.99 |
0.8× |
| Ethmoidectomy Intranasal Anterior (31200) |
$3,453.70 |
$5,756.17 |
0.6× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$2,246.12 |
$3,743.54 |
1.4× |
| Evacuate mole of uterus (59870) |
$3,456.38 |
$5,760.63 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$525.80 |
$876.34 |
3.9× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$2,073.03 |
$3,455.05 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,073.03 |
$3,455.05 |
1.2× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,587.77 |
$2,646.29 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$813.76 |
$1,356.26 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,399.94 |
$2,333.24 |
0.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,640.72 |
$2,734.53 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,784.44 |
$2,974.07 |
0.6× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$4,092.05 |
$6,820.09 |
0.7× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
$2,331.85 |
$3,886.41 |
0.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$2,324.74 |
$3,874.56 |
0.6× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$2,008.84 |
$3,348.07 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$881.71 |
$1,469.51 |
1.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$881.71 |
$1,469.51 |
1.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,561 |
$2,601.66 |
0.9× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,964.10 |
$3,273.50 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$813.76 |
$1,356.26 |
1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$813.76 |
$1,356.26 |
1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$881.71 |
$1,469.51 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,202.16 |
$3,670.26 |
1.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,256.90 |
$2,094.84 |
0.7× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
$4,278.35 |
$7,130.58 |
0.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,073.03 |
$3,455.05 |
1.2× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc Frenum Labial/Buccal (40819) |
$1,431.94 |
$2,386.57 |
0.9× |
| Exc ganglion wrist recurrent (25112) |
$1,941.02 |
$3,235.04 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,256.90 |
$2,094.84 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$881.71 |
$1,469.51 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,256.90 |
$2,094.84 |
0.7× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,399.94 |
$2,333.24 |
0.8× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,703.06 |
$2,838.44 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,155.81 |
$3,593.01 |
0.6× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,053.50 |
$1,755.84 |
1.0× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$2,119.82 |
$3,533.04 |
0.6× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$1,840.15 |
$3,066.91 |
0.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$2,174.44 |
$3,624.06 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,174.44 |
$3,624.06 |
1.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$1,840.15 |
$3,066.91 |
0.5× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$1,840.15 |
$3,066.91 |
0.5× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
$2,470.70 |
$4,117.84 |
0.7× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$2,246.12 |
$3,743.54 |
0.7× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$2,261.95 |
$3,769.92 |
1.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$3,853.46 |
$6,422.44 |
1.9× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,261.95 |
$3,769.92 |
1.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,703.06 |
$2,838.44 |
0.9× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$4,092.05 |
$6,820.09 |
0.7× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,283.13 |
$3,805.21 |
0.8× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,283.13 |
$3,805.21 |
0.8× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$881.71 |
$1,469.51 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,399.94 |
$2,333.24 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,280.33 |
$3,800.55 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,104.38 |
$3,507.30 |
1.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,280.33 |
$3,800.55 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,356.53 |
$2,260.88 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,280.33 |
$3,800.55 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,104.38 |
$3,507.30 |
1.2× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,472.31 |
$5,787.18 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,297.74 |
$7,162.90 |
1.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$4,401.45 |
$7,335.75 |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,773.56 |
$2,955.94 |
1.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$813.76 |
$1,356.26 |
2.0× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$192.60–$813.76 |
$321–$1,356.26 |
varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,399.94 |
$2,333.24 |
0.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$1,980.58 |
$3,300.96 |
0.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,980.58 |
$3,300.96 |
1.2× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,829.45 |
$3,049.08 |
1.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,670.82 |
$2,784.70 |
0.6× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,122.03 |
$3,536.72 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,703.06 |
$2,838.44 |
0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,703.06 |
$2,838.44 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,688.36 |
$4,480.60 |
0.9× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,829.45 |
$3,049.08 |
1.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$1,700.54 |
$2,834.24 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,703.06 |
$2,838.44 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,640.72 |
$2,734.53 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,810.97 |
$3,018.29 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,703.06 |
$2,838.44 |
0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,703.06 |
$2,838.44 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,073.03 |
$3,455.05 |
0.7× |
| Exc urethral diverticulum spx female (53230) |
$4,197.87 |
$6,996.45 |
0.8× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$2,155.81 |
$3,593.01 |
0.6× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$5,941.21 |
$9,902.02 |
0.8× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$4,278.35 |
$7,130.58 |
0.6× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,174.44 |
$3,624.06 |
0.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,174.44 |
$3,624.06 |
1.3× |
| Exc/fulguration urethral caruncle (53265) |
$2,535.03 |
$4,225.05 |
1.2× |
| Exchange Intraocular Lens (66986) |
$2,487.08 |
$4,145.13 |
1.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$2,535.97 |
$4,226.62 |
0.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,431.94 |
$2,386.57 |
0.9× |
| Excise excessive skin arm (15836) |
$2,104.38 |
$3,507.30 |
0.7× |
| Excise intraspinal lesion (63267) |
$9,776.77 |
$16,294.61 |
1.3× |
| Excise intraspinl lesion crv (63265) |
$10,347.97 |
$17,246.61 |
1.4× |
| Excise Neurofibroma Extensive (64792) |
$3,996.35 |
$6,660.58 |
1.1× |
| Excise oral mucosa for graft (40818) |
$1,416.42 |
$2,360.70 |
2.6× |
| Excise tendon forearm/wrist (25109) |
$2,053 |
$3,421.67 |
0.6× |
| Excise Wrist Tendon Sheath (25118) |
$2,878.85 |
$4,798.08 |
1.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$881.71 |
$1,469.51 |
1.2× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$1,707.16 |
$2,845.27 |
0.7× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$1,961.27 |
$3,268.79 |
0.8× |
| Excision Bone Mandible (21025) |
$3,453.70 |
$5,756.17 |
0.6× |
| Excision Chalazion Single (67800) |
$1,209.14 |
$2,015.23 |
3.7× |
| Excision Distal Ulna Partial/Complete (25240) |
$2,878.85 |
$4,798.08 |
0.9× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,104.38 |
$3,507.30 |
0.7× |
| Excision External Ear Partial Simple Repair (69110) |
$1,982.50 |
$3,304.17 |
0.7× |
| Excision Facial Bone (21026) |
$3,453.70 |
$5,756.17 |
0.6× |
| Excision H/P/P/U Complex Repair (11471) |
$2,316.97 |
$3,861.61 |
0.8× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision Infected Graft Extremity (35903) |
$2,682.28 |
$4,470.46 |
0.8× |
| Excision inferior turbinate partial/complete (30130) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$1,424.47 |
$2,374.12 |
0.6× |
| Excision Lesion Cornea Xcp Pterygium (65400) |
$1,409.57 |
$2,349.28 |
1.4× |
| Excision lesion meniscus/capsule knee (27347) |
$3,260.94 |
$5,434.90 |
1.0× |
| Excision lesion mouth roof (42104) |
$1,840.15 |
$3,066.91 |
0.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,941.02 |
$3,235.04 |
1.2× |
| Excision Lesion Tongue W/O Closure (41110) |
$1,840.15 |
$3,066.91 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,212.41 |
$3,687.35 |
1.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$813.76 |
$1,356.26 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,356.53 |
$2,260.88 |
1.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$881.71 |
$1,469.51 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,256.90 |
$2,094.84 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,256.90 |
$2,094.84 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$881.71 |
$1,469.51 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,399.94 |
$2,333.24 |
0.8× |
| Excision malignant tumor mandible (21044) |
$3,780 |
$6,300 |
0.6× |
| Excision Maxillary Torus Palatinus (21032) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,755.61 |
$2,926.01 |
0.6× |
| Excision Nasal Polyp Extensive (30115) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision nasal polyp(s) simple (30110) |
$2,011.40 |
$3,352.34 |
1.3× |
| Excision of bartholin's gland or cyst (56740) |
$1,916.27 |
$3,193.78 |
0.6× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,376.60 |
$5,627.67 |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
$4,278.35 |
$7,130.58 |
0.6× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
$4,290.11 |
$7,150.19 |
1.3× |
| Excision of extraparenchymal lesion of testis (54512) |
$2,117.66 |
$3,529.43 |
0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,114.20 |
$3,523.67 |
1.3× |
| Excision of gum flap (41821) |
$1,520.07 |
$2,533.45 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,100.34 |
$5,167.24 |
0.8× |
| Excision of hydrocele; unilateral (55040) |
$3,031.53 |
$5,052.55 |
0.8× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
$4,413.60 |
$7,356 |
0.7× |
| Excision of lingual tonsil (42870) |
$3,453.70 |
$5,756.17 |
0.6× |
| Excision of local lesion of epididymis (54830) |
$2,117.66 |
$3,529.43 |
0.6× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,261.95 |
$3,769.92 |
1.1× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$4,092.05 |
$6,820.09 |
0.7× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$4,092.05 |
$6,820.09 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,073.03 |
$3,455.05 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$1,755.61 |
$2,926.01 |
1.4× |
| Excision of sublingual gland (42450) |
$4,092.05 |
$6,820.09 |
0.7× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,092.05 |
$6,820.09 |
0.7× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$4,197.87 |
$6,996.45 |
0.8× |
| Excision of vaginal cyst or tumor (57135) |
$1,996.82 |
$3,328.04 |
0.6× |
| Excision of vaginal septum (57130) |
$1,996.82 |
$3,328.03 |
0.6× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) unusually low: confirm this is the full procedure |
$3,031.53 |
$5,052.55 |
0.5× |
| Excision olecranon bursa (24105) |
$1,941.02 |
$3,235.04 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,376.60 |
$5,627.67 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
$4,278.35 |
$7,130.58 |
0.6× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
$4,278.35 |
$7,130.58 |
0.6× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$5,634.90 |
$9,391.50 |
1.7× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$5,401.10 |
$9,001.84 |
0.7× |
| Excision or fulguration; Skene's glands Facility (53270) |
$2,535.03 |
$4,225.05 |
0.7× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$2,535.03 |
$4,225.05 |
0.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision prepatellar bursa (27340) |
$2,731.21 |
$4,552.02 |
0.8× |
| Excision Radial Head (24130) |
$4,096 |
$6,826.67 |
1.2× |
Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$1,113.60–$4,405.44 |
$1,856–$7,342.40 |
varies |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,670.82 |
$2,784.70 |
0.6× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,155.81 |
$3,593.01 |
1.0× |
| Excision synovial cyst popliteal space (27345) |
$2,540.05 |
$4,233.41 |
0.8× |
| Excision tendon finger flexor/extensor each (26180) |
$1,545.95 |
$2,576.58 |
0.9× |
| Excision tendon palm flexor/extensor single each (26170) |
$1,949.42 |
$3,249.03 |
1.2× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$4,581.59 |
$7,635.99 |
0.7× |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
$4,581.59 |
$7,635.99 |
0.7× |
| Excision Torus Mandibularis (21031) |
$2,470.70 |
$4,117.84 |
0.7× |
Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 3 matching MRF lines |
$477–$2,073.03 |
$795–$3,455.05 |
varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,073.03 |
$3,455.05 |
0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,587.77 |
$2,646.29 |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,073.03 |
$3,455.05 |
1.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,073.03 |
$3,455.05 |
1.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
$2,638.27 |
$4,397.12 |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,280.33 |
$3,800.55 |
0.8× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$2,174.44 |
$3,624.06 |
1.3× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$4,092.05 |
$6,820.09 |
0.7× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$3,585.60 |
$5,976 |
1.2× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$2,104.07 |
$3,506.79 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,073.03 |
$3,455.05 |
0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,964.10 |
$3,273.50 |
1.2× |
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 6 matching MRF lines |
$3,260.94–$3,260.95 |
$5,434.90–$5,434.91 |
varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,073.03 |
$3,455.05 |
0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,132.61 |
$3,554.35 |
0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,587.77 |
$2,646.29 |
0.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$2,878.85 |
$4,798.08 |
0.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,479.43 |
$2,465.72 |
0.9× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$2,878.85 |
$4,798.08 |
0.9× |
Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$1,840.15–$2,274 |
$3,066.91–$3,790 |
varies |
| Excision/destruction lesion pharynx any method (42808) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$2,246.12 |
$3,743.54 |
0.7× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$4,589.95 |
$7,649.91 |
1.9× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$1,982.50 |
$3,304.17 |
0.8× |
| Excision; trochanteric bursa or calcification (27062) |
$3,376.60 |
$5,627.67 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,292.55 |
$3,820.91 |
1.1× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$3,517.31 |
$5,862.18 |
0.6× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$5,144.01 |
$8,573.35 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$1,646.26 |
$2,743.77 |
1.0× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,117.66 |
$3,529.43 |
1.0× |
| Exploration maxillary sinus (31020) |
$2,246.12 |
$3,743.54 |
0.7× |
| Exploration of hip joint (27033) |
$4,719.13 |
$7,865.21 |
0.6× |
| Exploration of knee joint (27310) |
$2,878.85 |
$4,798.08 |
0.9× |
Exploration of spinal fusion (22830) range across 2 matching MRF lines |
$3,237.66–$6,666.99 |
$5,396.10–$11,111.65 |
varies |
| Exploration penetrating wound spx chest (20101) |
$2,292.55 |
$3,820.91 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,218.94 |
$2,031.56 |
0.7× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) unusually low: confirm this is the full procedure |
$2,588.30 |
$4,313.84 |
0.4× |
| Exploratory elbow surgery (24000) |
$2,878.85 |
$4,798.08 |
0.9× |
| Explore for undescended testis (54550) |
$3,031.53 |
$5,052.55 |
0.8× |
| Explore inner ear (69805) |
$4,714.20 |
$7,857 |
0.8× |
| Explore treat shoulder joint (23107) |
$4,278.35 |
$7,130.58 |
0.6× |
| Explore/Treat Elbow Joint (24101) |
$2,878.85 |
$4,798.08 |
0.9× |
| Explore/Treat Hand Joint (26070) |
$1,903.55 |
$3,172.59 |
1.2× |
| Explore/Treat Knee Joint (27331) |
$2,878.85 |
$4,798.08 |
0.9× |
| Extensive ear canal surgery (69150) |
$4,365.48 |
$7,275.80 |
0.7× |
| Extensive mastoid surgery (69511) |
$5,808.71 |
$9,681.18 |
1.0× |
| Extraction of lens (66940) |
$2,162.62 |
$3,604.37 |
0.9× |
| Extraction of lens (66920) |
$2,615.12 |
$4,358.54 |
1.1× |
| Extraction of lens (66930) |
$2,876.76 |
$4,794.60 |
0.7× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$1,982.50 |
$3,304.17 |
0.8× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,839.80 |
$3,066.34 |
0.9× |
| Fasciectomy Palm Only (26121) |
$2,781.48 |
$4,635.80 |
0.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$2,174.44 |
$3,624.06 |
0.7× |
| Fasciotomy Iliotibial Open (27305) |
$3,376.60 |
$5,627.67 |
1.0× |
| Fasciotomy palmar open partial (26045) |
$2,578.52 |
$4,297.53 |
0.8× |
| Fasciotomy palmar percutaneous (26040) |
$2,316.33 |
$3,860.55 |
1.4× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$2,174.44 |
$3,624.06 |
0.7× |
| Fasciotomy, foot and/or toe (28008) |
$2,174.44 |
$3,624.06 |
0.7× |
| Fasciotomy, hip or thigh, any type (27025) |
$3,376.60 |
$5,627.67 |
1.0× |
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 24 matching MRF lines |
$2,781.48–$2,836.37 |
$4,635.80–$4,727.28 |
varies |
| Fine needle aspiration without imaging guidance (10021) |
$795.94 |
$1,326.56 |
1.9× |
| Finger tendon transfer (26497) |
$2,836.37 |
$4,727.28 |
0.8× |
| Flap; neurovascular pedicle (15750) |
$2,693.46 |
$4,489.10 |
0.7× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$2,123.50 |
$3,539.17 |
2.3× |
| Forehead flap w/vasc pedicle (15731) |
$3,121.44 |
$5,202.40 |
0.9× |
| Foreskin manipulation (54450) |
$1,109.32 |
$1,848.87 |
4.3× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
$2,104.07 |
$3,506.79 |
0.6× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$2,246.12 |
$3,743.54 |
0.7× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$1,884.57 |
$3,140.95 |
0.9× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,884.57 |
$3,140.95 |
0.9× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$3,530.55 |
$5,884.25 |
1.5× |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
$3,530.55 |
$5,884.25 |
1.5× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,387.29 |
$2,312.15 |
0.7× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,387.29 |
$2,312.15 |
0.7× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,545.95 |
$2,576.58 |
0.7× |
| Fuse hand bones with graft (25825) |
$7,316.38 |
$12,193.96 |
1.0× |
| Fusion Finger Joint (26860) |
$2,578.52 |
$4,297.53 |
0.8× |
| Fusion of foot bones (28740) |
$5,941.21 |
$9,902.02 |
0.8× |
| Fusion of hand bones (25820) |
$4,719.13 |
$7,865.21 |
0.6× |
| Fusion of hand joint (26843) |
$4,278.35 |
$7,130.58 |
0.6× |
| Fusion of knuckle (26850) |
$5,129.63 |
$8,549.39 |
0.7× |
| Fusion of knuckle joint (26516) |
$2,578.52 |
$4,297.53 |
0.8× |
| Fusion of knuckle with graft (26852) |
$4,278.35 |
$7,130.58 |
0.6× |
| Fusion of shoulder joint (23802) |
$8,439.48 |
$14,065.80 |
0.6× |
| Fusion of tibiofibular joint (27871) |
$8,439.48 |
$14,065.80 |
0.6× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$4,167.55 |
$6,945.91 |
1.2× |
| Gastrocnemius recession (27687) |
$2,878.85 |
$4,798.08 |
0.9× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$5,284.02 |
$8,806.70 |
1.3× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$4,501.26 |
$7,502.10 |
0.7× |
| Goniotomy (65820) |
$8,175.68 |
$13,626.14 |
1.9× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
$3,453.70 |
$5,756.17 |
0.6× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
$2,104.07 |
$3,506.79 |
0.6× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,496.93 |
$2,494.89 |
0.7× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$2,636.51 |
$4,394.18 |
0.7× |
| Grafting of autologous soft tiss by direct exc (15769) |
$3,169.94 |
$5,283.23 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$4,739.20 |
$7,898.66 |
0.6× |
| Hand tendon reconstruction (26500) |
$4,278.35 |
$7,130.58 |
0.6× |
| Hemiarthroplasty hip partial (27125) |
$10,216.60 |
$17,027.67 |
0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,600.70 |
$2,667.84 |
1.7× |
| Hemorrhoidopexy by stapling (46947) |
$2,952.73 |
$4,921.22 |
1.0× |
| Hip arthro acetabuloplasty (29915) |
$8,671.79 |
$14,452.98 |
1.2× |
| Hip arthro w/labral repair (29916) |
$5,230.21 |
$8,717.01 |
0.7× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$2,283.13 |
$3,805.21 |
0.8× |
| Hymenotomy Simple Incision (56442) |
$1,996.81 |
$3,328.01 |
0.6× |
Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$2,309.12–$3,181.03 |
$3,848.53–$5,301.72 |
varies |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$2,997.98 |
$4,996.63 |
0.6× |
| Hysteroscopy Dx Sep Proc (58555) |
$2,309.12 |
$3,848.53 |
0.7× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,339.75 |
$5,566.25 |
0.7× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$2,997.98 |
$4,996.63 |
0.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,309.12 |
$3,848.53 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$3,339.75 |
$5,566.25 |
0.7× |
| I&d abscess peritonsillar (42700) |
$1,018.44 |
$1,697.40 |
4.2× |
| I&d abscess simple (10060) |
$1,562.92 |
$2,604.86 |
7.6× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,135.12 |
$3,558.53 |
1.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,810.89 |
$3,018.15 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,810.89 |
$3,018.15 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,941.02 |
$3,235.04 |
0.6× |
| I&d forearm/wrist bursa (25031) |
$2,387.74 |
$3,979.56 |
1.5× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,076.01 |
$3,460.01 |
0.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,376.60 |
$5,627.67 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,700.54 |
$2,834.24 |
1.8× |
| I&d pilonidal cyst complicated (10081) |
$1,703.06 |
$2,838.44 |
2.4× |
| I&d pilonidal cyst simple (10080) |
$1,437.19 |
$2,395.31 |
2.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,810.89 |
$3,018.15 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,487.92 |
$4,146.54 |
0.8× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,278.93 |
$2,131.55 |
1.4× |
Immediate breast prosthesis (19340) unusually low: confirm this is the full procedure |
$3,906.28 |
$6,510.47 |
0.5× |
| Implant cochlear device (69930) |
$39,991.02 |
$66,651.70 |
1.2× |
| Implant neuroelectrodes (63650) |
$8,784 |
$14,640 |
1.3× |
| Implant Neuroelectrodes (64561) |
$8,784 |
$14,640 |
1.3× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$22,506.68 |
$37,511.14 |
1.1× |
| Implant Spine Infusion Pump (62362) |
$17,074.35 |
$28,457.25 |
0.9× |
| Implant temple bone w/stimul (69714) |
$8,439.48 |
$14,065.80 |
0.6× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$11,135.29 |
$18,558.81 |
0.8× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) unusually low: confirm this is the full procedure |
$4,463.09 |
$7,438.49 |
0.5× |
| Incise external hemorrhoid (46083) |
$1,600.70 |
$2,667.84 |
6.3× |
| Incise finger tendon sheath (26055) |
$1,585.85 |
$2,643.08 |
1.0× |
| Incise flexor carpi radialis (25001) |
$1,941.02 |
$3,235.04 |
0.6× |
| Incise Wrist/Forearm Tendon (25290) |
$2,878.85 |
$4,798.08 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,703.06 |
$2,838.44 |
4.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,889.74 |
$4,816.23 |
1.0× |
| Incision & drainage leg/ankle infected bursa (27604) |
$2,878.85 |
$4,798.08 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,703.06 |
$2,838.44 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,388.76 |
$2,314.60 |
3.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,179.82 |
$1,966.37 |
5.7× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
$1,916.27 |
$3,193.78 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,179.82 |
$1,966.37 |
3.8× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
$5,245.18 |
$8,741.97 |
0.7× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$6,055.69 |
$10,092.81 |
0.8× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$2,199.97 |
$3,666.61 |
1.3× |
| Incision bone cortex foot (28005) |
$4,739.20 |
$7,898.66 |
1.4× |
| Incision extensor tendon sheath wrist (25000) |
$1,941.02 |
$3,235.04 |
1.2× |
| Incision of eardrum (69421) |
$1,840.15 |
$3,066.91 |
0.5× |
| Incision of eye (65850) |
$4,750.82 |
$7,918.04 |
2.0× |
| Incision of fibula (27707) |
$3,859.94 |
$6,433.24 |
1.2× |
| Incision of Foot Tendon (28234) |
$2,174.44 |
$3,624.06 |
1.3× |
| Incision of hip tendon (27001) |
$3,376.60 |
$5,627.67 |
1.0× |
| Incision of labial frenum (frenotomy) (40806) |
$1,204.52 |
$2,007.53 |
2.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,314.47 |
$2,190.79 |
0.8× |
| Incision of lymph channels (38308) |
$2,431.84 |
$4,053.07 |
0.6× |
| Incision of rectal abscess (46040) |
$1,755.61 |
$2,926.01 |
1.4× |
| Incision of tibia & fibula (27709) |
$12,191.61 |
$20,319.35 |
0.9× |
| Incision of urethra (53010) |
$4,197.87 |
$6,996.45 |
0.8× |
| Incision of urethra (53025) |
$2,535.03 |
$4,225.05 |
1.2× |
| Incision of urethra (53000) |
$2,535.03 |
$4,225.05 |
1.2× |
| Incision of urethra (53020) |
$2,535.03 |
$4,225.05 |
1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,165.28 |
$3,608.80 |
1.3× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$3,701.47 |
$6,169.11 |
1.1× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
$2,540.03 |
$4,233.38 |
0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$893.56 |
$1,489.27 |
2.8× |
| Incisional biopsy skin single lesion (11106) |
$727.78 |
$1,212.96 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,980.79 |
$3,301.31 |
2.2× |
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 40 matching MRF lines |
$1,043.21–$1,625.56 |
$1,738.68–$2,709.26 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,048.47 |
$1,747.45 |
1.2× |
| Inject Intravitreal Pharmcologic (67028) |
$313.45 |
$522.41 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$431.68 |
$719.46 |
1.4× |
Injection aa&/strd axillary nerve w/img gdn (64417) range across 44 matching MRF lines |
$1,043.21–$2,036.88 |
$1,738.68–$3,394.80 |
varies |
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 40 matching MRF lines |
$1,043.21–$1,571.17 |
$1,738.68–$2,618.62 |
varies |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$703.84 |
$1,173.06 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,043.21 |
$1,738.68 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,208.03 |
$2,013.38 |
1.7× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 62 matching MRF lines |
$438.90–$1,412.11 |
$731.50–$2,353.52 |
varies |
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 34 matching MRF lines |
$1,043.21–$1,571.17 |
$1,738.68–$2,618.62 |
varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$784.10 |
$1,306.83 |
2.5× |
Injection anesthetic agent suprascapular nerve (64418) range across 68 matching MRF lines |
$445.68–$912 |
$742.80–$1,520 |
varies |
| Injection for identification of sentinel node (38792) |
$519.25 |
$865.41 |
1.3× |
| Injection into disk lesion (62292) |
$1,162.62 |
$1,937.70 |
0.6× |
| Injection single tendon origin/insertion (20551) |
$573.37 |
$955.61 |
1.8× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 40 matching MRF lines |
$486.17–$573.37 |
$810.29–$955.61 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$431.68 |
$719.46 |
1.4× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,204.52 |
$2,007.53 |
0.8× |
Injection therapeutic carpal tunnel (20526) range across 13 matching MRF lines |
$573.37–$1,146.73 |
$955.61–$1,911.22 |
varies |
| Injection Turbinate Therapeutic (30200) |
$1,204.52 |
$2,007.53 |
2.2× |
Injection, anesthetic agent; brachial plexus, single (64415) range across 46 matching MRF lines |
$1,043.21–$2,036.88 |
$1,738.68–$3,394.80 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447) range across 45 matching MRF lines |
$438.90–$1,412.11 |
$731.50–$2,353.52 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 67 matching MRF lines |
$416.75–$1,412.11 |
$694.58–$2,353.52 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$525.80 |
$876.34 |
2.6× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$1,550.53 |
$2,584.21 |
0.7× |
| Ins endovas vena cava filtr (37191) |
$5,932.99 |
$9,888.32 |
1.0× |
| Insert and remove bone pin (20650) |
$2,878.85 |
$4,798.08 |
0.9× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$4,103.78 |
$6,839.63 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$546.17 |
$910.29 |
4.2× |
| Insert Drug Implant Device (11981) |
$525.80 |
$876.34 |
3.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,562.92 |
$2,604.86 |
0.8× |
| Insert Heart Pm Ventricular (33207) |
$11,298.33 |
$18,830.55 |
1.1× |
| Insert multi-comp penis pros (54405) |
$17,180.54 |
$28,634.23 |
0.8× |
| Insert Nasal Septal Button (30220) |
$1,431.94 |
$2,386.57 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,926.78 |
$3,211.30 |
0.6× |
| Insert Pacing Lead & Connect (33224) |
$14,161.68 |
$23,602.80 |
1.3× |
| Insert pulse gen dual leads (33213) |
$10,590.74 |
$17,651.24 |
1.0× |
| Insert spine infusion device (62360) |
$17,074.35 |
$28,457.25 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$144.81 |
$241.35 |
1.1× |
| Insert testicular prosthesis (54660) |
$3,041.35 |
$5,068.91 |
0.6× |
| Insert tissue expander(s) (11960) |
$2,104.38 |
$3,507.30 |
0.6× |
| Insert tunneled cv cath (36561) |
$2,780.54 |
$4,634.24 |
0.9× |
| Insert Uro/Ves Nck Sphincter (53445) |
$17,180.54 |
$28,634.23 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$144.82 |
$241.37 |
1.1× |
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 10 matching MRF lines |
$993.76–$1,754.69 |
$1,656.26–$2,924.49 |
varies |
| Insertion Vascular Pedicle Carpal Bone (25430) |
$4,290.11 |
$7,150.19 |
1.3× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$2,487.08 |
$4,145.13 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,189.12 |
$3,648.53 |
0.7× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,780.54 |
$4,634.24 |
0.9× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$1,926.78–$2,189.12 |
$3,211.30–$3,648.53 |
varies |
Insj/rplcmt breast implant sep day mastectomy (19342) range across 9 matching MRF lines |
$931.20–$5,995.08 |
$1,552–$9,991.80 |
varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$20,746.97 |
$34,578.28 |
0.6× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$18,989.06–$34,259.58 |
$31,648.44–$57,099.30 |
varies |
| Insrt heart pm atrial & vent (33208) |
$12,712.85 |
$21,188.09 |
1.2× |
| Insrt/Redo Neurostim 1 Array (61885) |
$22,504.62 |
$37,507.70 |
0.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,283.13 |
$3,805.21 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,356.53 |
$2,260.88 |
3.3× |
| Intranasal Biopsy (30100) |
$1,204.52 |
$2,007.53 |
0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,979.98 |
$3,299.96 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$820.97 |
$1,368.28 |
3.4× |
| Irrigation maxillary sinus (31000) |
$1,204.52 |
$2,007.53 |
5.0× |
| Island pedicle flap graft (15740) |
$1,387.29 |
$2,312.15 |
0.7× |
| Knee arthroscopy/drainage (29871) |
$3,378.94 |
$5,631.56 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$2,635.30 |
$4,392.17 |
0.8× |
| Knee Arthroscopy/Surgery (29850) |
$3,960 |
$6,600 |
2.4× |
| Lam facetec & foramot lumbar (63047) |
$7,774.01 |
$12,956.69 |
1.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$10,347.97 |
$17,246.61 |
1.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$10,347.97 |
$17,246.61 |
1.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$9,599.73 |
$15,999.55 |
1.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$9,572.54 |
$15,954.23 |
1.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$5,061.62 |
$8,436.03 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,207.66 |
$12,012.77 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$9,143.91 |
$15,239.85 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$9,144.62 |
$15,241.04 |
1.2× |
| Laminotomy Single Lumbar (63042) |
$9,167.10 |
$15,278.50 |
1.2× |
| Lap paraesoph her rpr w/mesh (43282) |
$7,171.49 |
$11,952.49 |
0.7× |
| Lap paraesophag hern repair (43281) |
$7,171.49 |
$11,952.49 |
0.7× |
| Laparo ligate spermatic vein (55550) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparo-vag hyst incl t/o (58552) |
$8,968.84 |
$14,948.07 |
0.8× |
| Laparoscopic myomectomy (58545) |
$4,993.52 |
$8,322.53 |
0.8× |
| Laparoscopy aspiration (49322) |
$3,407.13 |
$5,678.55 |
0.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy fimbrioplasty (58672) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy fulguration oviducts (58670) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy gastrostomy (43653) |
$5,337.42 |
$8,895.70 |
0.9× |
Laparoscopy salpingostomy (58673) unusually low: confirm this is the full procedure |
$4,351.96 |
$7,253.27 |
0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$4,895.99 |
$8,159.98 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$8,968.90 |
$14,948.17 |
0.8× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$8,968.90 |
$14,948.17 |
0.8× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy, surgical, appendectomy (44970) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$5,877.66 |
$9,796.10 |
0.5× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$6,391.49 |
$10,652.49 |
0.6× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$8,233.31 |
$13,722.19 |
0.8× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$5,367.95 |
$8,946.58 |
1.4× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$6,452.16 |
$10,753.60 |
0.6× |
| Laparoscopy, surgical, splenectomy (38120) |
$6,481.58 |
$10,802.63 |
0.6× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$8,968.90 |
$14,948.17 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$8,968.84 |
$14,948.07 |
1.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$8,968.84 |
$14,948.07 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,892.34 |
$9,820.57 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$5,892.34 |
$9,820.57 |
0.5× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$5,720.75 |
$9,534.58 |
0.9× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$3,407.13 |
$5,678.55 |
0.6× |
| Laparoscopy, Tubal Block (58671) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$3,407.13 |
$5,678.55 |
0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$8,233.31 |
$13,722.19 |
2.1× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$8,968.84 |
$14,948.07 |
0.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$4,351.96 |
$7,253.27 |
0.7× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$8,968.84 |
$14,948.07 |
0.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,468.67 |
$4,114.45 |
0.6× |
| Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) |
$4,939.20 |
$8,232 |
0.8× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$2,642.64 |
$4,404.40 |
0.7× |
| Laryngoscopy and dilation (31528) |
$2,156.20 |
$3,593.67 |
0.6× |
| Laryngoscopy diagnostic (31505) |
$1,356.53 |
$2,260.88 |
6.7× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$2,156.20 |
$3,593.67 |
0.6× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$2,156.20 |
$3,593.67 |
0.6× |
| Laryngoscopy flexible diagnostic (31575) |
$1,356.53 |
$2,260.88 |
6.7× |
| Laryngoscopy W/Biopsy (31535) |
$2,156.20 |
$3,593.67 |
0.6× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$2,486.20 |
$4,143.67 |
0.7× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$1,687.36 |
$2,812.26 |
4.2× |
| Larynscop w/tumr exc + scope (31541) |
$2,529.47 |
$4,215.79 |
0.7× |
| Laser treatment of retina (67040) |
$4,767.16 |
$7,945.27 |
1.1× |
| Laser vaporization of prostate (52648) |
$7,648.02 |
$12,746.70 |
1.4× |
| Late closure of wound (13160) |
$1,884.57 |
$3,140.95 |
0.5× |
| Lateral retinacular release open (27425) |
$2,991.64 |
$4,986.07 |
0.9× |
| Lavage cannulation sphenoid sinus (31002) |
$1,204.52 |
$2,007.53 |
0.8× |
| Lengthen metacarpal/finger (26568) |
$4,278.35 |
$7,130.58 |
0.6× |
| Lengthen radius or ulna (25391) |
$8,439.48 |
$14,065.80 |
0.6× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
$4,278.35 |
$7,130.58 |
0.6× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$1,957.02 |
$3,261.70 |
0.6× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$1,957.02 |
$3,261.70 |
0.6× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
$2,444.42 |
$4,074.03 |
0.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$2,444.42 |
$4,074.03 |
0.8× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,316.38 |
$12,193.96 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$8,439.48 |
$14,065.80 |
0.6× |
| Ligate/strip long leg vein (37722) |
$3,774.76 |
$6,291.27 |
1.2× |
| Ligation of a-v fistula (37607) |
$2,444.42 |
$4,074.03 |
0.8× |
| Ligation of hemorrhoids (46946) |
$2,283.13 |
$3,805.21 |
0.8× |
| Ligation Of Neck Artery (37615) |
$3,424.80 |
$5,708 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$1,424.47 |
$2,374.12 |
0.8× |
| Ligation, internal jugular vein Facility (37565) |
$3,424.80 |
$5,708 |
1.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,444.42 |
$4,074.03 |
0.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$6,982.93 |
$11,638.21 |
1.9× |
Lmtd lmphadec staging spx pel¶-aortic (38562) unusually low: confirm this is the full procedure |
$3,006.91 |
$5,011.52 |
0.4× |
| Low Back Disk Surgery (63030) |
$8,576.17 |
$14,293.62 |
1.2× |
| Lsh uterus 250 g or less (58541) |
$8,968.84 |
$14,948.07 |
0.8× |
| Lsh uterus above 250 g (58543) |
$8,968.84 |
$14,948.07 |
0.8× |
| Lsh w/t/o uterus above 250 g (58544) |
$8,968.84 |
$14,948.07 |
0.8× |
Lumbar spine fusion combined (22633) range across 3 matching MRF lines |
$1,424.47–$17,358.48 |
$2,374.12–$28,930.80 |
varies |
| Lysis Intranasal Synechia (30560) |
$1,292.84 |
$2,154.73 |
2.3× |
| Lysis of labial adhesions (56441) |
$1,996.80 |
$3,328 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,287.43 |
$3,812.39 |
1.1× |
| Malar Augmentation Prosthetic Material (21270) |
$4,501.26 |
$7,502.10 |
0.7× |
| Manipulation Ankle Under General Anesthesia (27860) |
$1,925.30 |
$3,208.84 |
0.6× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,296.76 |
$2,161.27 |
0.8× |
| Manipulation hip joint general anesthesia (27275) |
$1,296.76 |
$2,161.27 |
0.8× |
| Manipulation knee joint under general anesthesia (27570) |
$1,296.76 |
$2,161.27 |
0.8× |
| Manipulation spine requiring anesthesia (22505) |
$1,382.87 |
$2,304.78 |
0.8× |
| Manipulation wrist under anesthesia (25259) |
$1,144.18 |
$1,906.96 |
0.7× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,120.28 |
$1,867.14 |
0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,296.76 |
$2,161.27 |
0.8× |
| Marsupialization of bartholin's gland cyst (56440) |
$1,912.86 |
$3,188.10 |
0.6× |
| Mast mod rad (19307) |
$5,200.40 |
$8,667.34 |
0.8× |
| Mastectomy for gynecomastia (19300) |
$3,265.59 |
$5,442.65 |
0.8× |
| Mastectomy partial (19301) |
$3,265.59 |
$5,442.65 |
0.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$3,906.28 |
$6,510.47 |
0.6× |
| Mastectomy simple complete (19303) |
$3,906.28 |
$6,510.47 |
0.6× |
| Mastoidectomy (69501) |
$3,843 |
$6,405 |
0.6× |
Mastopexy (19316) range across 3 matching MRF lines |
$778.08–$3,906.28 |
$1,296.80–$6,510.47 |
varies |
| Metatarsectomy (28140) |
$2,174.44 |
$3,624.06 |
0.7× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$4,092.05 |
$6,820.09 |
1.2× |
| Middle ear surgery proc unlisted (69799) |
$3,842.44 |
$6,404.06 |
15.9× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$2,104.07 |
$3,506.79 |
0.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$2,104.07 |
$3,506.79 |
0.6× |
| Muscle-skin graft trunk (15734) |
$2,104.07 |
$3,506.79 |
0.6× |
| Muscle/tendon transfer upper arm/elbow single (24301) |
$4,278.35 |
$7,130.58 |
0.6× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,294.02 |
$5,490.04 |
1.0× |
| Myringoplasty (69620) |
$2,246.12 |
$3,743.54 |
0.7× |
N Block Inj Celiac Pelus (64530) range across 6 matching MRF lines |
$1,043.21–$1,120.28 |
$1,738.68–$1,867.14 |
varies |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$733.80 |
$1,223 |
1.0× |
| N block inj intercost sng (64420) |
$784.10 |
$1,306.83 |
1.1× |
| N Block Inj Plantar Digit (64455) |
$448.94 |
$748.24 |
1.4× |
| N Block Inj Pudendal (64430) |
$1,043.21 |
$1,738.68 |
1.2× |
N Block Lumbar/Thoracic (64520) range across 9 matching MRF lines |
$908.21–$971.73 |
$1,513.68–$1,619.55 |
varies |
| Nasal Endoscopy Dx (31231) |
$1,175.56 |
$1,959.27 |
5.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$633.65 |
$1,056.08 |
1.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$1,175.56 |
$1,959.27 |
2.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$2,529.47 |
$4,215.79 |
0.7× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$4,001.80 |
$6,669.67 |
0.6× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
$4,307.68 |
$7,179.47 |
0.6× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
$4,307.68 |
$7,179.47 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,687.36 |
$2,812.26 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,529.47 |
$4,215.79 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,687.36 |
$2,812.26 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$3,523.51 |
$5,872.51 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$4,307.71 |
$7,179.51 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$4,001.80 |
$6,669.67 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$4,001.80 |
$6,669.67 |
0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$4,001.80 |
$6,669.67 |
0.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$4,307.71 |
$7,179.51 |
0.6× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$5,986.96 |
$9,978.26 |
0.8× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,500 |
$7,500 |
0.6× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$5,352.73 |
$8,921.22 |
0.7× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$4,001.80 |
$6,669.67 |
0.6× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$5,800.61 |
$9,667.68 |
0.8× |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
$1,687.36 |
$2,812.26 |
0.9× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$247.55 |
$412.59 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,356.53 |
$2,260.88 |
1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,605.90 |
$6,009.83 |
2.2× |
| Neck spine disk surgery (63020) |
$9,599.73 |
$15,999.55 |
1.3× |
Neck spine fusion (22600) likely a partial charge, not the full procedure |
$5,245.18 |
$8,741.97 |
0.3× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
$6,652.07 |
$11,086.78 |
0.7× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
| Nerve graft arm/leg <4 cm (64892) |
$6,396 |
$10,660 |
0.7× |
| Nerve Pedicle Transfer First Stage (64905) |
$5,369.40 |
$8,949 |
0.6× |
Nerve repair w/conduit each nerve (64910) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$4,559.84 |
$7,599.74 |
0.5× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$3,853.46 |
$6,422.44 |
1.9× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,678.21 |
$2,797.02 |
0.8× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$3,853.46 |
$6,422.44 |
1.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,781.23 |
$2,968.71 |
0.9× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$3,853.46 |
$6,422.44 |
1.9× |
| Nipple Exploration (19110) |
$2,324.74 |
$3,874.56 |
0.6× |
| Nipple/areola reconstruction (19350) |
$3,265.59 |
$5,442.65 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,043.21 |
$1,738.68 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$691.24 |
$1,152.06 |
2.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,980.79 |
$3,301.31 |
2.2× |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) range across 3 matching MRF lines |
$684–$1,545.84 |
$1,140–$2,576.40 |
varies |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$684–$1,311.50 |
$1,140–$2,185.83 |
varies |
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$659.07–$784.10 |
$1,098.45–$1,306.83 |
varies |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) range across 2 matching MRF lines |
$659.07–$1,018.44 |
$1,098.45–$1,697.40 |
varies |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) range across 3 matching MRF lines |
$684–$1,596.53 |
$1,140–$2,660.89 |
varies |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$684–$1,497.35 |
$1,140–$2,495.58 |
varies |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 3 matching MRF lines |
$659.07–$1,069.13 |
$1,098.45–$1,781.89 |
varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$921.64 |
$1,536.07 |
2.2× |
| Njx Sclrsnt Spider Veins (36468) |
$921.64 |
$1,536.07 |
2.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$5,240.48 |
$8,734.14 |
0.7× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$4,307.68 |
$7,179.47 |
0.6× |
| Occipital Nerve Block (64405) |
$691.24 |
$1,152.06 |
2.2× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$4,589.95 |
$7,649.91 |
1.1× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
$4,589.95 |
$7,649.91 |
1.1× |
Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,588.30 |
$4,313.84 |
0.4× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$2,271.36 |
$3,785.60 |
0.6× |
| Open bone biopsy (20251) |
$8,539.94 |
$14,233.24 |
1.2× |
| Open bone biopsy (20250) |
$8,539.94 |
$14,233.24 |
2.6× |
| Open bowel to skin (44300) |
$3,353.15 |
$5,588.59 |
1.7× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$29,150.07 |
$48,583.45 |
0.6× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$27,057.13 |
$45,095.22 |
0.9× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open Repair of Rotator Cuff Acute (23410) |
$5,431.09 |
$9,051.81 |
0.7× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) unusually low: confirm this is the full procedure |
$5,245.18 |
$8,741.97 |
0.4× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) unusually low: confirm this is the full procedure |
$5,245.18 |
$8,741.97 |
0.4× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) unusually low: confirm this is the full procedure |
$5,245.18 |
$8,741.97 |
0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment calcaneal fracture (28415) |
$6,290.29 |
$10,483.82 |
0.8× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$8,439.48 |
$14,065.80 |
0.6× |
| Open treatment fracture distal tibia only (27827) |
$8,439.48 |
$14,065.80 |
0.6× |
| Open treatment greater trochanteric fracture (27248) |
$9,145.80 |
$15,243 |
1.2× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$6,290.29 |
$10,483.82 |
0.8× |
| Open Treatment Humeral Condylar Fracture (24579) |
$8,439.48 |
$14,065.80 |
0.6× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Treatment Lunate Dislocation (25695) |
$4,694.15 |
$7,823.59 |
0.6× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,697.40 |
$7,829 |
0.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
$13,077.25 |
$21,795.42 |
1.8× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$5,922.13 |
$9,870.22 |
0.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,290.29 |
$10,483.82 |
0.8× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$5,941.25 |
$9,902.08 |
1.0× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$4,612.02 |
$7,686.70 |
0.8× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$4,821.67 |
$8,036.12 |
0.7× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$4,034.50 |
$6,724.17 |
0.5× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$3,376.60 |
$5,627.67 |
0.5× |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
$4,092.05 |
$6,820.09 |
0.7× |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
$4,092.05 |
$6,820.09 |
0.7× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
$4,210.51 |
$7,017.52 |
1.3× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$15,498.77 |
$25,831.28 |
1.2× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) |
$3,859.94 |
$6,433.24 |
0.5× |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
$4,188.60 |
$6,981 |
0.6× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$2,246.12 |
$3,743.54 |
0.7× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$2,322.29 |
$3,870.48 |
0.7× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$4,612.02 |
$7,686.70 |
0.8× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$4,612.02 |
$7,686.70 |
0.8× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$4,612.02 |
$7,686.70 |
0.8× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$3,453.70 |
$5,756.17 |
0.6× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$6,290.29 |
$10,483.82 |
0.8× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$4,278.35 |
$7,130.58 |
0.6× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
$6,429.07 |
$10,715.12 |
1.9× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$4,821.67 |
$8,036.12 |
1.4× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$4,278.35 |
$7,130.58 |
0.6× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment of ulnar styloid fracture (25652) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open treatment posterior malleolus fracture (27769) |
$5,167.22 |
$8,612.03 |
0.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$4,697.40 |
$7,829 |
0.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,467.35 |
$20,778.91 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$5,922.13 |
$9,870.22 |
0.8× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open tx acute shoulder dislocation (23660) |
$4,697.40 |
$7,829 |
0.6× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$6,290.29 |
$10,483.82 |
0.8× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,693.73 |
$7,822.88 |
1.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$4,697.40 |
$7,829 |
1.4× |
| Open tx carpal scaphoid navicular fracture (25628) |
$4,697.40 |
$7,829 |
0.6× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Tx Depressed Malar Fracture (21360) |
$4,092.05 |
$6,820.09 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
$4,278.35 |
$7,130.58 |
0.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,167.14 |
$8,611.90 |
0.7× |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) unusually low: confirm this is the full procedure |
$4,034.50 |
$6,724.17 |
0.3× |
Open tx femoral supracondylar fracture w/o xtn (27511) unusually low: confirm this is the full procedure |
$4,940.83 |
$8,234.72 |
0.4× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$8,439.48 |
$14,065.80 |
0.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$8,439.48 |
$14,065.80 |
0.6× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
$4,034.50 |
$6,724.17 |
0.5× |
| Open tx interphalangeal joint dislocation (26785) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,697.40 |
$7,829 |
1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,034.50 |
$6,724.17 |
1.2× |
| Open Tx Radial Head/Neck Fracture (24665) |
$4,697.40 |
$7,829 |
0.6× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$10,017.14 |
$16,695.24 |
0.8× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
$4,278.35 |
$7,130.58 |
0.6× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$5,167.14 |
$8,611.90 |
0.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$4,034.50 |
$6,724.17 |
0.5× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
$4,278.35 |
$7,130.58 |
0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,827.38 |
$9,712.30 |
0.8× |
| Open tx ulnar fx proximal end (24685) |
$5,167.14 |
$8,611.90 |
0.7× |
| Opn tx orbit fx combined (21387) |
$4,612.02 |
$7,686.70 |
0.8× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$2,836.37 |
$4,727.28 |
0.8× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$6,290.29 |
$10,483.82 |
1.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,290.29 |
$10,483.82 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,290.29 |
$10,483.82 |
0.8× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$10,216.60 |
$17,027.67 |
1.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,467.35 |
$20,778.91 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,034.50 |
$6,724.17 |
0.5× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$8,439.48 |
$14,065.80 |
0.6× |
| Orbital implant removal/revision (67560) |
$2,821.75 |
$4,702.92 |
0.7× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$2,604.78 |
$4,341.30 |
0.6× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$2,604.78 |
$4,341.30 |
1.1× |
| Orchiectomy partial (54522) |
$2,155.81 |
$3,593.01 |
0.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,031.53 |
$5,052.55 |
0.8× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,031.53 |
$5,052.55 |
0.8× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$4,739.20 |
$7,898.66 |
1.4× |
| Ostc prtl exostc/condylc metar head (28288) |
$2,174.44 |
$3,624.06 |
0.7× |
| Ostectomy calcaneus (28118) |
$2,174.44 |
$3,624.06 |
0.7× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$2,463.60 |
$4,106 |
0.7× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,174.44 |
$3,624.06 |
0.7× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$2,174.44 |
$3,624.06 |
0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,983.48 |
$8,305.80 |
1.5× |
| Osteochondral allograft knee open (27415) |
$8,439.48 |
$14,065.80 |
0.6× |
| Osteochondral knee autograft (27416) |
$7,316.38 |
$12,193.96 |
1.0× |
| Osteochondral talus autogrft (28446) |
$5,941.21 |
$9,902.02 |
0.8× |
| Osteoplasty Humerus (24420) |
$7,316.38 |
$12,193.96 |
1.0× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$4,719.13 |
$7,865.21 |
0.6× |
| Osteoplasty, carpal bone, shortening Facility (25394) |
$4,290.11 |
$7,150.19 |
1.3× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
$4,612.02 |
$7,686.70 |
0.8× |
| Osteoplasty, femur; lengthening Facility (27466) |
$4,643.97 |
$7,739.95 |
0.6× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$5,941.20 |
$9,902 |
0.8× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$6,107.31 |
$10,178.85 |
0.8× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,278.35 |
$7,130.58 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$5,047.20 |
$8,412 |
1.5× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$8,101.66 |
$13,502.76 |
1.1× |
| Osteotomy Clavicle W Bone Graft (23485) |
$8,439.48 |
$14,065.80 |
0.6× |
| Osteotomy Metacarpal Each (26565) |
$2,714.69 |
$4,524.49 |
0.8× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) |
$6,383.25 |
$10,638.75 |
0.9× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) unusually low: confirm this is the full procedure |
$3,237.66 |
$5,396.10 |
0.4× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
$5,929.24 |
$9,882.06 |
0.8× |
| Osteotomy Phalanx Finger Each (26567) |
$2,836.37 |
$4,727.28 |
0.8× |
| Osteotomy radius distal third (25350) |
$4,719.13 |
$7,865.21 |
0.6× |
| Osteotomy Radius Middle/Proximal Third (25355) |
$4,290.11 |
$7,150.19 |
1.3× |
| Osteotomy talus (28302) |
$4,739.20 |
$7,898.66 |
0.6× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$5,401.10 |
$9,001.84 |
0.7× |
| Osteotomy Tibia (27705) |
$4,719.13 |
$7,865.21 |
0.6× |
| Osteotomy Ulna (25360) |
$4,719.13 |
$7,865.21 |
0.6× |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
$4,719.13 |
$7,865.21 |
0.6× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$6,652.51 |
$11,087.51 |
0.9× |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
$6,652.51 |
$11,087.51 |
0.9× |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
$6,600 |
$11,000 |
0.9× |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
$5,638.46 |
$9,397.43 |
0.8× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$4,876.74 |
$8,127.90 |
0.7× |
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) unusually low: confirm this is the full procedure |
$4,929.07 |
$8,215.12 |
0.4× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$3,294.02 |
$5,490.04 |
0.6× |
| Palatopharyngoplasty (42145) |
$4,092.05 |
$6,820.09 |
0.7× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$3,453.70 |
$5,756.17 |
0.6× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
$2,306.17 |
$3,843.62 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$4,092.05 |
$6,820.09 |
0.7× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$5,042.38 |
$8,403.97 |
1.0× |
| Part exc bone femur prox tibia (27360) |
$2,878.85 |
$4,798.08 |
0.9× |
| Part remv talus or calcaneus (28120) |
$2,715.54 |
$4,525.90 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$4,278.35 |
$7,130.58 |
0.6× |
| Partial excision bone clavicle (23180) |
$4,278.35 |
$7,130.58 |
0.6× |
| Partial Excision Bone Humerus (24140) |
$3,705.40 |
$6,175.67 |
1.1× |
| Partial excision bone metacarpal (26230) |
$2,991.64 |
$4,986.07 |
0.9× |
| Partial excision bone olecranon process (24147) |
$2,878.85 |
$4,798.08 |
0.9× |
| Partial Excision Bone Radius (25151) |
$2,878.85 |
$4,798.08 |
0.9× |
| Partial Excision Bone Ulna (25150) |
$2,878.85 |
$4,798.08 |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,804.16 |
$3,006.93 |
1.1× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$9,144.70 |
$15,241.16 |
1.2× |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
$8,297 |
$13,828.33 |
1.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,697.50 |
$4,495.84 |
1.6× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$3,376.60 |
$5,627.67 |
1.0× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$3,376.60 |
$5,627.67 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,996.81 |
$3,328.02 |
0.6× |
| Partial removal of fibula (27641) |
$2,968.65 |
$4,947.75 |
0.9× |
| Partial removal of lip (40530) |
$2,246.12 |
$3,743.54 |
0.7× |
| Partial removal of nose (30150) |
$4,092.05 |
$6,820.09 |
0.7× |
| Partial removal of rib (21600) |
$4,278.35 |
$7,130.58 |
0.6× |
| Partial removal of scapula (23190) |
$3,705.40 |
$6,175.67 |
1.1× |
| Partial removal of thyroid (60220) |
$4,581.59 |
$7,635.99 |
0.7× |
| Partial removal of tibia (27640) |
$3,859.94 |
$6,433.24 |
1.2× |
| Partial removal of toe (28160) |
$2,174.44 |
$3,624.06 |
0.7× |
| Partial removal of tongue (41120) |
$3,778.98 |
$6,298.30 |
0.6× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$4,581.59 |
$7,635.99 |
0.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,174.44 |
$3,624.06 |
0.7× |
| Patellectomy or hemipatellectomy (27350) |
$4,278.35 |
$7,130.58 |
0.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$1,996.83 |
$3,328.05 |
0.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$4,034.50 |
$6,724.17 |
1.2× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
$4,278.35 |
$7,130.58 |
0.6× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$4,034.50 |
$6,724.17 |
2.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$4,034.50 |
$6,724.17 |
1.2× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
$4,278.35 |
$7,130.58 |
0.6× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
$4,034.50 |
$6,724.17 |
2.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,034.50 |
$6,724.17 |
1.2× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$4,092.05 |
$6,820.09 |
1.2× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$4,272.32 |
$7,120.53 |
1.1× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$2,162.62 |
$3,604.37 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$1,018.44 |
$1,697.40 |
1.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,810.64 |
$8,017.73 |
1.4× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) unusually low: confirm this is the full procedure |
$3,237.66 |
$5,396.10 |
0.4× |
| Perq Vertebral Augmentation (22513) |
$4,881.60 |
$8,136 |
0.7× |
| Phalangectomy toe each toe (28150) |
$2,174.44 |
$3,624.06 |
0.7× |
| Phleb Veins - Extrem 20+ (37766) |
$2,970.49 |
$4,950.81 |
0.9× |
| Pin Finger Dislocation (26776) |
$4,327.95 |
$7,213.25 |
1.3× |
| Pin hand dislocation (26676) |
$4,034.50 |
$6,724.17 |
1.2× |
| Pin knuckle dislocation (26706) |
$4,034.50 |
$6,724.17 |
1.2× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$1,484.73 |
$2,474.55 |
1.5× |
| Placement of seton (46020) |
$2,283.13 |
$3,805.21 |
0.8× |
| Plmt expandable cath brst following prtl mast (19296) |
$6,874.82 |
$11,458.03 |
0.8× |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
$3,453.70 |
$5,756.17 |
0.6× |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
$4,858.06 |
$8,096.77 |
0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$3,294.02 |
$5,490.04 |
0.6× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$979.39 |
$1,632.32 |
3.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,415.72 |
$4,026.20 |
1.0× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
$2,415.72 |
$4,026.20 |
1.0× |
| Probing nasolacrimal duct (68810) |
$243.44 |
$405.74 |
0.8× |
| Proctopexy Perineal Approach (45541) |
$2,952.73 |
$4,921.22 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,087.96 |
$1,813.26 |
1.1× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,445.40 |
$2,409 |
1.2× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$1,661.90 |
$2,769.84 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
$8,439.48 |
$14,065.80 |
0.6× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$15,015.56 |
$25,025.94 |
2.0× |
Prosthesis Removal Humeral/Glenoid Component (23334) unusually low: confirm this is the full procedure |
$3,705.40 |
$6,175.67 |
0.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$8,784 |
$14,640 |
1.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,221.50 |
$7,035.84 |
1.3× |
| Prq skel fixj femoral fx prox end neck (27235) |
$4,821.67 |
$8,036.12 |
0.7× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$4,034.50 |
$6,724.17 |
1.2× |
| Prq skel fixj metar fx w/manj (28476) |
$4,899 |
$8,165 |
1.5× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,322.46 |
$8,870.76 |
0.7× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$4,034.50 |
$6,724.17 |
1.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,906.20 |
$8,177 |
1.5× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
$4,278.35 |
$7,130.58 |
0.6× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$4,034.50 |
$6,724.17 |
1.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$5,922.13 |
$9,870.22 |
0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$5,071.25 |
$8,452.08 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$467.99 |
$779.98 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$795.94 |
$1,326.56 |
1.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,018.44 |
$1,697.40 |
1.4× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$968.06 |
$1,613.43 |
1.3× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$4,719.13 |
$7,865.21 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,534.65 |
$4,224.41 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,563.86 |
$5,939.76 |
1.1× |
| Rad resect elbow caps/sr bone w rels (24149) |
$4,351.15 |
$7,251.91 |
0.6× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$4,646.18 |
$7,743.63 |
1.6× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,729.65 |
$6,216.08 |
1.3× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
$3,658.80 |
$6,098 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$1,700.54 |
$2,834.24 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
$4,739.20 |
$7,898.66 |
1.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$4,096 |
$6,826.67 |
1.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$1,797.70 |
$2,996.16 |
0.6× |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
$1,804.16 |
$3,006.93 |
1.1× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$4,719.13 |
$7,865.21 |
0.6× |
| Radical resection of tumor; phalanx of toe Facility (28175) |
$2,174.44 |
$3,624.06 |
1.3× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$3,859.94 |
$6,433.24 |
1.2× |
| Radical Resection Tumor Metatarsal (28173) |
$4,739.20 |
$7,898.66 |
1.4× |
| Radical styloidectomy separate procedure (25230) |
$2,878.85 |
$4,798.08 |
0.9× |
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 13 matching MRF lines |
$1,530–$1,683 |
$2,550–$2,805 |
varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$2,174.44 |
$3,624.06 |
0.7× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$2,697.50 |
$4,495.84 |
0.8× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$2,991.64 |
$4,986.07 |
0.9× |
| Rcnstj Dislocating Patella (27420) |
$4,719.13 |
$7,865.21 |
0.6× |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
$4,612.02 |
$7,686.70 |
0.8× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$5,401.10 |
$9,001.84 |
0.7× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$2,670.53 |
$4,450.89 |
0.7× |
| Re-explore parathyroids (60502) |
$3,572.06 |
$5,953.44 |
0.6× |
| Realignment extensor tendon hand each tendon (26437) |
$1,925.30 |
$3,208.84 |
0.6× |
| Realignment of knee (27457) |
$10,081.43 |
$16,802.39 |
1.4× |
| Reconstr lwr jaw segment (21198) |
$3,815.86 |
$6,359.76 |
0.6× |
| Reconstruct elbow joint (24360) |
$4,307.30 |
$7,178.84 |
0.6× |
| Reconstruct elbow lat ligmnt (24344) |
$8,439.48 |
$14,065.80 |
1.1× |
| Reconstruct elbow med ligmnt (24346) |
$8,439.48 |
$14,065.80 |
0.6× |
| Reconstruct extra finger (26587) |
$2,697.50 |
$4,495.84 |
0.8× |
| Reconstruct finger joint (26545) |
$2,836.37 |
$4,727.28 |
0.8× |
| Reconstruct Finger Joint (26548) |
$2,836.37 |
$4,727.28 |
0.8× |
| Reconstruct lip with flap (40525) |
$2,246.12 |
$3,743.54 |
0.7× |
| Reconstruct ulna/radioulnar (25337) |
$4,719.13 |
$7,865.21 |
0.6× |
| Reconstruct wrist joint (25445) |
$8,572.53 |
$14,287.55 |
1.2× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
$4,612.02 |
$7,686.70 |
0.8× |
| Reconstruction Nail Bed W/Graft (11762) |
$1,387.29 |
$2,312.15 |
0.7× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$4,719.13 |
$7,865.21 |
0.6× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$4,719.13 |
$7,865.21 |
0.6× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$5,186.69 |
$8,644.48 |
0.9× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
$4,092.05 |
$6,820.09 |
0.7× |
| Reconstruction of mouth (40842) |
$4,092.05 |
$6,820.09 |
0.7× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$2,836.37 |
$4,727.28 |
0.8× |
| Reconstruction of urethra (54326) |
$3,805.34 |
$6,342.23 |
1.1× |
| Reconstruction Toe Polydactyly (28344) |
$2,049.59 |
$3,415.99 |
0.6× |
| Reconstruction Tongue Fold (41520) |
$3,491.90 |
$5,819.84 |
1.0× |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
$8,009.03 |
$13,348.39 |
1.3× |
| Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) |
$4,646.18 |
$7,743.63 |
0.6× |
| Reinforce clavicle (23490) |
$7,316.38 |
$12,193.96 |
1.0× |
| Reinforce hip bones (27187) |
$10,216.60 |
$17,027.67 |
1.4× |
Reinsert spinal fixation (22849) range across 2 matching MRF lines |
$1,397.28–$5,454.87 |
$2,328.80–$9,091.45 |
varies |
| Release eye tissue (67343) |
$2,243.49 |
$3,739.15 |
0.9× |
| Release foot/toe nerve (64726) |
$1,703.06 |
$2,838.44 |
0.9× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$1,925.30 |
$3,208.84 |
0.6× |
| Release of big toe (28240) |
$2,174.44 |
$3,624.06 |
0.7× |
| Release of shoulder ligament (23415) |
$4,719.13 |
$7,865.21 |
0.6× |
| Release Thenar Muscle (26508) |
$1,925.30 |
$3,208.84 |
0.6× |
| Relieve Pressure on Nerve(S) (64722) |
$1,703.06 |
$2,838.44 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$1,700.54 |
$2,834.24 |
1.4× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$17,180.54 |
$28,634.23 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,991.64 |
$4,986.07 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,680.46 |
$4,467.44 |
1.6× |
| Removal foreign body foot deep (28192) |
$1,632.28 |
$2,720.47 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,356.53 |
$2,260.88 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,269.60 |
$3,782.67 |
1.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,376.60 |
$5,627.67 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,842.36 |
$3,070.60 |
0.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,840.15 |
$3,066.91 |
0.5× |
| Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) |
$5,846.15 |
$9,743.58 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$970.88 |
$1,618.13 |
16.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,996.84 |
$3,328.06 |
0.6× |
| Removal Implant Deep (20680) |
$2,422.57 |
$4,037.61 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,133.81 |
$3,556.35 |
1.3× |
| Removal implantable contraceptive capsules (11976) |
$525.80 |
$876.34 |
0.7× |
| Removal intact breast implant (19328) |
$3,265.59 |
$5,442.65 |
0.8× |
| Removal of a lesion from the floor of the mouth (41116) |
$1,979.98 |
$3,299.96 |
0.6× |
| Removal of adenoids (42835) |
$2,246.12 |
$3,743.54 |
0.7× |
| Removal of adenoids (42831) |
$2,246.12 |
$3,743.54 |
0.7× |
| Removal of adenoids (42830) |
$2,246.12 |
$3,743.54 |
0.7× |
| Removal of adenoids (42836) |
$2,246.12 |
$3,743.54 |
0.7× |
| Removal of anal fissure (46200) |
$2,283.13 |
$3,805.21 |
0.8× |
| Removal of ankle implant (27704) |
$2,540.06 |
$4,233.43 |
0.8× |
Removal of anterior instrumentation (22855) range across 2 matching MRF lines |
$1,397.28–$11,943.86 |
$2,328.80–$19,906.44 |
varies |
| Removal of bladder cyst (51500) |
$4,015.13 |
$6,691.89 |
0.7× |
| Removal of bone lesion (23140) |
$3,705.40 |
$6,175.67 |
1.1× |
| Removal of calcium deposits (23000) |
$1,903.55 |
$3,172.59 |
0.6× |
| Removal of cervix (57530) |
$3,294.02 |
$5,490.04 |
0.6× |
| Removal of foot joint lining (28072) |
$2,174.44 |
$3,624.06 |
0.7× |
| Removal of heel spur (28119) |
$2,174.44 |
$3,624.06 |
0.7× |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
$6,306.56 |
$10,510.94 |
0.9× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) unusually low: confirm this is the full procedure |
$6,306.56 |
$10,510.94 |
0.5× |
| Removal of humerus lesion (23150) |
$5,143.46 |
$8,572.43 |
1.5× |
| Removal of humerus lesion (23156) |
$5,657.80 |
$9,429.67 |
0.8× |
| Removal of implant from finger or hand (26320) |
$1,399.94 |
$2,333.24 |
0.8× |
| Removal of implanted material, anterior segment of eye (65920) |
$2,821.75 |
$4,702.92 |
1.2× |
| Removal of iris (66630) |
$2,315.66 |
$3,859.44 |
1.0× |
| Removal of knee prosthesis (27488) |
$9,106.49 |
$15,177.49 |
0.7× |
| Removal of lens material (66852) |
$3,463.06 |
$5,771.77 |
0.8× |
| Removal of mammary implant material (19330) |
$3,265.59 |
$5,442.65 |
0.8× |
| Removal of nail bed (11750) |
$1,005.73 |
$1,676.22 |
2.4× |
Removal of posterior segmental instrumentation Facility (22852) unusually low: confirm this is the full procedure |
$3,411.30 |
$5,685.50 |
0.5× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) unusually low: confirm this is the full procedure |
$3,705.40 |
$6,175.67 |
0.5× |
| Removal of residual cervix (57550) |
$3,783.76 |
$6,306.26 |
0.7× |
| Removal of rib (21615) |
$4,646.18 |
$7,743.63 |
0.6× |
| Removal of sesamoid bone (28315) |
$2,174.44 |
$3,624.06 |
0.7× |
| Removal of skin wrinkles (15829) |
$2,378.88 |
$3,964.80 |
0.7× |
| Removal of sperm cord lesion (55520) |
$2,117.66 |
$3,529.43 |
0.6× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$2,878.63 |
$4,797.71 |
0.9× |
| Removal of tendon for graft (20924) |
$4,278.35 |
$7,130.58 |
0.6× |
| Removal of testis (54520) |
$2,155.81 |
$3,593.01 |
0.6× |
| Removal of thymus gland (60520) |
$4,646.18 |
$7,743.63 |
0.8× |
| Removal of thyroid (60271) |
$5,753.90 |
$9,589.84 |
1.0× |
| Removal of tonsils (42825) |
$4,365.48 |
$7,275.80 |
0.7× |
| Removal of tonsils (42826) |
$2,246.12 |
$3,743.54 |
0.7× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$16,796.88 |
$27,994.80 |
2.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,100.55 |
$3,500.91 |
0.7× |
| Removal of wrist bone (25210) |
$2,878.85 |
$4,798.08 |
0.9× |
| Removal peritoneal-venous shunt (49429) |
$2,588.30 |
$4,313.84 |
0.8× |
| Removal ppm generator only (33233) |
$6,164.20 |
$10,273.67 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$525.80 |
$876.34 |
2.6× |
| Removal Submand Stone,Complicated (42335) |
$1,981.20 |
$3,302 |
0.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,256.90 |
$2,094.84 |
0.6× |
| Removal sweat gland lesion (11450) |
$2,280.33 |
$3,800.55 |
0.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$3,113.05 |
$5,188.42 |
1.9× |
| Remove & graft wrist lesion (25136) |
$4,278.35 |
$7,130.58 |
0.6× |
| Remove & graft wrist lesion (25135) |
$4,278.35 |
$7,130.58 |
0.6× |
| Remove Ankle Joint Lining (27626) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove blood clot from eye (65930) |
$3,716.45 |
$6,194.09 |
1.6× |
| Remove drug implant device (11982) |
$525.80 |
$876.34 |
1.2× |
| Remove elbow joint implant (24160) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove Elbow Joint Lining (24102) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove elbow lesion (24120) |
$1,941.02 |
$3,235.04 |
0.6× |
| Remove eye/attach implant (65105) |
$3,535.24 |
$5,892.06 |
0.9× |
| Remove femur lesion/graft (27356) |
$8,439.48 |
$14,065.80 |
0.6× |
| Remove finger bone (26185) |
$1,728.55 |
$2,880.91 |
1.1× |
| Remove Forearm Foreign Body (25248) |
$1,941.02 |
$3,235.04 |
1.2× |
| Remove foreign body from eye (65265) |
$1,799.77 |
$2,999.61 |
0.8× |
| Remove foreign body from eye (65235) |
$2,226.62 |
$3,711.03 |
0.9× |
| Remove Gastric Port Open (43887) |
$4,167.55 |
$6,945.91 |
2.0× |
| Remove groin lymph nodes (38760) |
$4,353 |
$7,255 |
0.6× |
| Remove Hand Bone Lesion (26200) |
$1,479.43 |
$2,465.72 |
0.9× |
| Remove humerus lesion (24110) |
$3,705.40 |
$6,175.67 |
1.1× |
| Remove Intrauterine Device (58301) |
$394.10 |
$656.84 |
1.3× |
| Remove knee joint lining (27334) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove lamina/facets lumbar (63012) |
$9,599.73 |
$15,999.55 |
1.3× |
| Remove Lower Leg Bone Lesion (27635) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove muti-comp penis pros (54406) |
$3,463.81 |
$5,773.02 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$1,018.44 |
$1,697.40 |
7.5× |
| Remove palate/lesion (42120) |
$3,453.70 |
$5,756.17 |
0.6× |
| Remove part lumbar vertebra (22102) |
$8,709.77 |
$14,516.29 |
1.2× |
| Remove part of neck vertebra (22110) |
$8,297 |
$13,828.33 |
1.1× |
| Remove Peritoneal Foreign Body (49402) |
$2,588.30 |
$4,313.84 |
0.7× |
| Remove prostate regrowth (52630) |
$4,973.51 |
$8,289.18 |
0.9× |
| Remove radius head implant (24164) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove self-contd penis pros (54415) |
$3,463.81 |
$5,773.02 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$1,587.77 |
$2,646.29 |
0.9× |
| Remove Skin Nerve Lesion (64774) |
$2,261.95 |
$3,769.92 |
1.1× |
| Remove spine eltrd plate (63662) |
$7,070.22 |
$11,783.70 |
2.0× |
| Remove spine fixation device (22850) |
$11,083.28 |
$18,472.14 |
1.5× |
| Remove spine lamina 1/2 lmbr (63005) |
$9,599.73 |
$15,999.55 |
1.3× |
| Remove spine lamina 1/2 thrc (63003) |
$9,599.73 |
$15,999.55 |
1.3× |
| Remove spine lamina >2 thrc (63016) |
$9,599.73 |
$15,999.55 |
1.3× |
| Remove sympathetic nerves (64821) |
$2,578.52 |
$4,297.53 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$1,754.89 |
$2,924.81 |
1.1× |
| Remove thyroid lesion (60200) |
$4,581.59 |
$7,635.99 |
0.7× |
| Remove tissue expander (11971) |
$2,133.01 |
$3,555.02 |
0.7× |
| Remove wrist joint cartilage (25107) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove&replace pm gen singl (33227) |
$9,627.95 |
$16,046.58 |
1.1× |
| Remove/graft bone lesion (24125) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove/graft finger lesion (26215) |
$2,697.50 |
$4,495.84 |
0.8× |
| Remove/graft foot lesion (28102) |
$5,941.21 |
$9,902.02 |
0.8× |
| Remove/graft foot lesion (28107) |
$5,941.21 |
$9,902.02 |
0.8× |
| Remove/graft forearm lesion (25126) |
$2,878.85 |
$4,798.08 |
0.9× |
| Remove/graft forearm lesion (25125) |
$2,878.85 |
$4,798.08 |
1.8× |
| Remove/graft leg bone lesion (27637) |
$4,278.35 |
$7,130.58 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$525.80 |
$876.34 |
1.2× |
| Remove/replace penis prosth (54410) |
$17,180.54 |
$28,634.23 |
0.8× |
Remv cartilage for graft nasal (20912) range across 2 matching MRF lines |
$338.17–$2,180.75 |
$563.62–$3,634.58 |
varies |
| Remv&replc pm gen dual lead (33228) |
$10,590.74 |
$17,651.24 |
1.0× |
| Reopen fallopian tube (58350) |
$3,294.02 |
$5,490.04 |
0.6× |
| Repair Achilles Tendon (27650) |
$5,110.33 |
$8,517.21 |
0.7× |
| Repair Anorectal Fistula Plug (46707) |
$2,952.73 |
$4,921.22 |
1.0× |
| Repair arm/leg nerve (64857) |
$3,996.35 |
$6,660.58 |
1.1× |
| Repair bladder neck (51845) |
$4,250.10 |
$7,083.50 |
0.8× |
| Repair Bladder-Vagina Lesion (57320) |
$5,042.38 |
$8,403.97 |
1.0× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,869.09 |
$6,448.48 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,910.92 |
$4,851.54 |
0.9× |
| Repair brow ptosis (67900) |
$2,376.26 |
$3,960.44 |
1.0× |
| Repair cleft lip/nasal (40720) |
$4,092.05 |
$6,820.09 |
1.2× |
| Repair cleft lip/nasal (40700) |
$4,092.05 |
$6,820.09 |
0.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$5,148 |
$8,580 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,545.95 |
$2,576.58 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,545.95 |
$2,576.58 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,545.95 |
$2,576.58 |
3.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$429 |
$715 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,545.95 |
$2,576.58 |
3.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,356.53 |
$2,260.88 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,545.95 |
$2,576.58 |
2.0× |
| Repair defect w/autograft radius/ulna (25425) |
$4,965.05 |
$8,275.08 |
0.7× |
| Repair Detached Retina (67101) |
$4,767.16 |
$7,945.27 |
2.0× |
| Repair Ectropion Excision Tarsal Wedge (67916) |
$2,401.25 |
$4,002.08 |
1.0× |
| Repair Ectropion Extensive (67917) |
$2,401.25 |
$4,002.08 |
1.0× |
| Repair Ectropion Suture (67914) |
$1,707.16 |
$2,845.27 |
0.7× |
| Repair Elbow Perc (24357) |
$2,603.05 |
$4,338.42 |
0.8× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$2,401.25 |
$4,002.08 |
1.0× |
| Repair Entropion Extensive (67924) |
$2,401.25 |
$4,002.08 |
1.0× |
| Repair Entropion Suture (67921) |
$1,707.16 |
$2,845.27 |
0.7× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$4,903.33 |
$8,172.22 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,903.55 |
$3,172.59 |
1.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$2,836.37 |
$4,727.28 |
0.8× |
| Repair Eyelid Wound (67935) |
$1,707.16 |
$2,845.27 |
0.7× |
| Repair finger deformity (26590) |
$2,697.50 |
$4,495.84 |
1.6× |
| Repair Finger Tendon (26433) |
$2,053 |
$3,421.67 |
0.6× |
| Repair Finger/Hand Tendon (26350) |
$2,578.52 |
$4,297.53 |
0.8× |
| Repair Fistula Oromaxillary (30580) |
$4,092.05 |
$6,820.09 |
0.7× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,814.20 |
$6,357 |
1.1× |
| Repair Foot Dislocation (28615) |
$5,167.14 |
$8,611.90 |
0.7× |
| Repair Forearm Tendon Sheath (25275) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repair forearm tendon/muscle (25265) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repair Hallux Rigidus (28289) |
$4,739.20 |
$7,898.66 |
1.4× |
| Repair Hand Joint (26540) |
$2,093.90 |
$3,489.84 |
0.6× |
| Repair Hand Tendon (26410) |
$2,053 |
$3,421.67 |
1.2× |
| Repair humerus with graft (24435) |
$8,439.48 |
$14,065.80 |
0.6× |
| Repair incomplete circumcision (54163) |
$2,117.66 |
$3,529.43 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,031.53 |
$5,052.55 |
0.8× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$4,015.13 |
$6,691.89 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,031.53 |
$5,052.55 |
0.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,015.13 |
$6,691.89 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,637.69 |
$2,729.49 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,356.53 |
$2,260.88 |
3.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,356.53 |
$2,260.88 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,356.53 |
$2,260.88 |
3.3× |
Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,113.60–$1,120.28 |
$1,856–$1,867.14 |
varies |
| Repair intrinsic muscles hand each muscle (26591) |
$3,075.38 |
$5,125.63 |
0.9× |
| Repair Laceration Palate </2 Cm (42180) |
$1,204.52 |
$2,007.53 |
2.2× |
| Repair Leg Fascia Defect (27656) |
$3,376.60 |
$5,627.67 |
1.0× |
| Repair lower leg epiphyses (27734) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repair lower leg tendons (27676) |
$4,624.23 |
$7,707.05 |
0.6× |
| Repair nasal septal perforations (30630) |
$2,991.64 |
$4,986.07 |
0.9× |
| Repair Nasal Vestibular Stenosis (30465) |
$3,688.28 |
$6,147.14 |
0.6× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$8,439.48 |
$14,065.80 |
0.6× |
| Repair Nonunion Carpal Bone Each Bone (25431) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair Nonunion Hand (26546) |
$4,278.35 |
$7,130.58 |
0.6× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$8,439.48 |
$14,065.80 |
0.6× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$5,421.98 |
$9,036.63 |
0.7× |
| Repair of anal fistula with fibrin glue (46706) |
$2,283.13 |
$3,805.21 |
0.8× |
| Repair of biceps tendon (24340) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$3,294.02 |
$5,490.04 |
0.6× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
$2,802.10 |
$4,670.16 |
0.8× |
| Repair of fibula epiphysis (27732) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$5,167.14 |
$8,611.90 |
0.7× |
| Repair of hydrocele (55060) |
$2,155.81 |
$3,593.01 |
0.6× |
| Repair of knee ligaments (27409) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair of metatarsals (28322) |
$5,941.21 |
$9,902.02 |
0.8× |
| Repair of nail bed (11760) |
$525.80 |
$876.34 |
0.7× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair of rectocele (45560) |
$2,952.73 |
$4,921.22 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair of shoulder (23420) |
$5,431.09 |
$9,051.81 |
0.7× |
| Repair of urethra injury (53502) |
$2,535.03 |
$4,225.05 |
0.7× |
| Repair of web finger (26560) |
$2,974.76 |
$4,957.93 |
1.8× |
| Repair of web finger (26561) |
$2,836.37 |
$4,727.28 |
0.8× |
| Repair paravag defect vag (57285) |
$4,675.11 |
$7,791.85 |
0.6× |
| Repair radius & ulna (25415) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$3,031.53 |
$5,052.55 |
0.8× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$3,031.53 |
$5,052.55 |
0.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,015.13 |
$6,691.89 |
0.6× |
| Repair retinal detach cplx (67113) |
$4,767.16 |
$7,945.27 |
0.9× |
| Repair Retinal Detachment Scleral Buckling (67107) |
$4,767.16 |
$7,945.27 |
1.1× |
| Repair Rotator Cuff Chronic (23412) |
$5,431.09 |
$9,051.81 |
0.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair shoulder capsule (23462) |
$5,431.09 |
$9,051.81 |
0.7× |
| Repair shoulder capsule (23466) |
$5,431.09 |
$9,051.81 |
0.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,053 |
$3,421.67 |
0.6× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair Toe Dislocation (28645) |
$4,034.50 |
$6,724.17 |
1.2× |
| Repair tongue laceration (41252) |
$2,505.05 |
$4,175.08 |
10.4× |
| Repair Tooth Socket (41874) |
$2,246.12 |
$3,743.54 |
0.7× |
| Repair uro sphincter (53449) |
$5,535.01 |
$9,225.02 |
0.6× |
| Repair webbed toe(s) (28345) |
$2,196.56 |
$3,660.94 |
1.3× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$4,278.35 |
$7,130.58 |
0.6× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
$15,240.87 |
$25,401.45 |
2.1× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
$12,678.19 |
$21,130.31 |
1.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$5,086.62 |
$8,477.70 |
0.7× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$4,719.13 |
$7,865.21 |
0.6× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repair/graft achilles tendon (27652) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair/graft femur head/neck (27170) |
$12,197.47 |
$20,329.11 |
1.6× |
| Repair/graft finger tendon (26428) |
$2,974.76 |
$4,957.93 |
0.9× |
| Repair/Graft Wrist Bone (25440) |
$7,316.38 |
$12,193.96 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$4,719.13 |
$7,865.21 |
0.6× |
Repair/transpose nerve (64856) unusually low: confirm this is the full procedure |
$3,996.35 |
$6,660.58 |
0.4× |
| Replace elbow joint (24363) |
$14,163.38 |
$23,605.63 |
0.8× |
| Replace eye fluid (67025) |
$3,636.37 |
$6,060.62 |
1.5× |
| Replace/Revise Brain Shunt (62230) |
$5,373.25 |
$8,955.41 |
0.6× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$5,638.46 |
$9,397.43 |
0.8× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$2,092.42 |
$3,487.37 |
0.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$2,878.85 |
$4,798.08 |
0.9× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$4,278.35 |
$7,130.58 |
0.6× |
| Repr torn cruciate knee ligam (27407) |
$7,316.38 |
$12,193.96 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,031.53 |
$5,052.55 |
0.8× |
| Resect enlarged toe (28341) |
$5,139.92 |
$8,566.53 |
1.5× |
| Resect enlarged toe tissue (28340) |
$2,705.13 |
$4,508.55 |
0.8× |
| Resect shoulder tumor < 5 cm (23077) |
$3,705.40 |
$6,175.67 |
1.2× |
| Resect thigh/knee tum < 5 cm (27329) |
$2,540.04 |
$4,233.40 |
0.9× |
| Resection of scrotum (55150) |
$2,428.43 |
$4,047.39 |
0.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$2,174.44 |
$3,624.06 |
0.7× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,174.44 |
$3,624.06 |
0.7× |
| Resection/transplantation long tendon biceps (23440) |
$4,278.35 |
$7,130.58 |
0.6× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,070.22 |
$11,783.70 |
2.0× |
| Revis reconst shoulder joint (23473) |
$11,404.22 |
$19,007.04 |
0.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$11,404.22 |
$19,007.04 |
0.9× |
| Revise external ear (69300) |
$2,246.12 |
$3,743.54 |
0.7× |
| Revise finger joint each (26140) |
$1,479.43 |
$2,465.72 |
0.9× |
| Revise Hand/Foot Nerve (64704) |
$1,678.21 |
$2,797.02 |
0.8× |
| Revise hernia & sperm veins (55540) |
$3,031.53 |
$5,052.55 |
0.8× |
| Revise knuckle joint (26530) |
$5,122.67 |
$8,537.79 |
0.7× |
| Revise lower leg tendon (27690) |
$4,719.13 |
$7,865.21 |
0.6× |
| Revise Lower Leg Tendons (27686) |
$2,878.85 |
$4,798.08 |
0.9× |
| Revise palsy hand tendon(s) (25315) |
$4,278.35 |
$7,130.58 |
0.6× |
| Revise penis/urethra (54332) |
$3,520.78 |
$5,867.97 |
1.0× |
| Revise radius & ulna (25365) |
$8,439.48 |
$14,065.80 |
0.6× |
| Revise thumb tendon (26496) |
$2,836.37 |
$4,727.28 |
0.8× |
| Revise ulnar nerve at wrist (64719) |
$1,678.21 |
$2,797.02 |
0.8× |
| Revise ureter (50727) |
$2,073.07 |
$3,455.12 |
0.6× |
| Revise Wrist/Forearm Tendon (25280) |
$2,878.85 |
$4,798.08 |
0.9× |
| Revise/Implant Finger Joint (26536) |
$6,109.10 |
$10,181.84 |
0.8× |
| Revise/Repair Finger/Toe Nerve (64702) |
$1,772.71 |
$2,954.52 |
0.9× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$2,242.43 |
$3,737.38 |
0.7× |
| Revision of big toe (28310) |
$4,278.35 |
$7,130.58 |
0.6× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$2,688.35 |
$4,480.59 |
0.7× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$3,532.02 |
$5,886.70 |
1.0× |
| Revision of eyelid (67880) |
$1,626.60 |
$2,711 |
0.7× |
| Revision of foot (28116) |
$2,174.44 |
$3,624.06 |
0.7× |
| Revision of foot and ankle (28262) |
$4,739.20 |
$7,898.66 |
0.6× |
| Revision of foot bones (28737) |
$9,071.22 |
$15,118.70 |
0.7× |
| Revision of foot fascia (28250) |
$2,049.59 |
$3,415.99 |
0.6× |
| Revision of humerus (24400) |
$7,316.38 |
$12,193.96 |
1.0× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$2,688.35 |
$4,480.59 |
0.7× |
| Revision of knee joint (27442) |
$8,960.88 |
$14,934.80 |
0.7× |
| Revision of leg vein (37780) |
$2,444.42 |
$4,074.03 |
0.8× |
| Revision of lower leg tendon (27685) |
$2,878.85 |
$4,798.08 |
0.9× |
| Revision of nose (30462) |
$4,092.05 |
$6,820.09 |
0.7× |
| Revision of penis (54300) |
$3,805.34 |
$6,342.23 |
1.1× |
| Revision of reconstructed breast (19380) |
$4,272.32 |
$7,120.53 |
0.6× |
| Revision of toe (28312) |
$2,174.44 |
$3,624.06 |
0.7× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$10,216.60 |
$17,027.67 |
0.8× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$10,216.60 |
$17,027.67 |
0.8× |
| Revision of tracheostomy scar (31830) |
$2,246.12 |
$3,743.54 |
0.7× |
| Revision of urethra (57220) |
$4,250.10 |
$7,083.50 |
0.8× |
| Revision of wrist joint (25450) |
$4,290.11 |
$7,150.19 |
1.3× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$11,311.69 |
$18,852.81 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$4,272.32 |
$7,120.53 |
1.1× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) |
$18,339.78 |
$30,566.30 |
1.6× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$8,175.68 |
$13,626.14 |
3.5× |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
$4,278.35 |
$7,130.58 |
0.6× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$2,104.07 |
$3,506.79 |
0.6× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,232.49 |
$10,387.49 |
1.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$10,216.60 |
$17,027.67 |
0.8× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$12,086.04 |
$20,143.40 |
0.7× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$12,086.04 |
$20,143.40 |
0.9× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$7,070.22 |
$11,783.70 |
2.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$7,730.90 |
$12,884.84 |
0.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,070.22 |
$11,783.70 |
2.0× |
| Revj/rpr oprative wound anterior segment (66250) |
$1,409.57 |
$2,349.28 |
0.6× |
| Rhinoplasty primary w/major septal repair (30420) |
$4,617.40 |
$7,695.66 |
0.8× |
| Rhinoplasty Secondary Intermediate Revision (30435) |
$5,391.60 |
$8,986 |
0.9× |
| Rhinoplasty Secondary Major Revision (30450) |
$4,092.05 |
$6,820.09 |
0.7× |
| Rhinoplasty Secondary Minor Revision (30430) |
$3,453.70 |
$5,756.17 |
0.6× |
Rhinp Dfrm W/Colum Lngth Tip Only (30460) range across 2 matching MRF lines |
$571.87–$4,092.05 |
$953.11–$6,820.09 |
varies |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$4,092.05 |
$6,820.09 |
0.7× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
$3,453.70 |
$5,756.17 |
0.6× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$2,104.38 |
$3,507.30 |
0.6× |
| Rhytidectomy Forehead (15824) |
$2,104.38 |
$3,507.30 |
1.0× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$2,104.38 |
$3,507.30 |
0.6× |
| Rib cartilage graft (21230) |
$4,940.40 |
$8,234 |
0.8× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,073.03 |
$3,455.05 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$1,409.99 |
$2,349.98 |
10.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$1,409.99 |
$2,349.98 |
3.1× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$1,209.31 |
$2,015.52 |
3.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,073.03 |
$3,455.05 |
0.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,804.29 |
$3,007.15 |
1.1× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,821.75 |
$4,702.92 |
1.2× |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
$3,636.37 |
$6,060.62 |
1.5× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,162.62 |
$3,604.37 |
0.9× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,991.64 |
$4,986.07 |
1.3× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,567.70 |
$2,612.83 |
0.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$7,070.22 |
$11,783.70 |
3.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,996.35 |
$6,660.58 |
1.1× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
$4,278.35 |
$7,130.58 |
0.6× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$121.80–$1,424.47 |
$203–$2,374.12 |
varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,424.47 |
$2,374.12 |
2.2× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,506.01 |
$4,176.68 |
1.1× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$3,636.37 |
$6,060.62 |
1.5× |
| Rmvl/revj sling stress incontinence (57287) |
$3,294.02 |
$5,490.04 |
1.0× |
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$993.76–$1,424.47 |
$1,656.26–$2,374.12 |
varies |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,746.22 |
$4,577.04 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,408.09 |
$4,013.48 |
0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$4,215.39 |
$7,025.65 |
0.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,215.39 |
$7,025.65 |
1.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$4,215.39 |
$7,025.65 |
0.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$4,215.39 |
$7,025.65 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,215.39 |
$7,025.65 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,215.39 |
$7,025.65 |
1.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$4,215.39 |
$7,025.65 |
0.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$4,215.39 |
$7,025.65 |
0.7× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$1,903.55 |
$3,172.59 |
0.8× |
| Rpr blood vessel direct lower extremity (35226) |
$1,308.11 |
$2,180.18 |
1.8× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$1,982.50 |
$3,304.17 |
0.8× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$4,730.35 |
$7,883.91 |
0.8× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,206.81 |
$5,344.68 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$4,964.40 |
$8,274 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,018.44 |
$1,697.40 |
5.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$6,023.54 |
$10,039.23 |
0.8× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,031.53 |
$5,052.55 |
0.8× |
Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure |
$3,031.53 |
$5,052.55 |
0.5× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,982.50 |
$3,304.17 |
0.8× |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
$4,589.95 |
$7,649.91 |
0.8× |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
$4,589.95 |
$7,649.91 |
1.1× |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
$4,589.95 |
$7,649.91 |
0.8× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$4,034.50 |
$6,724.17 |
0.5× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,940.68 |
$6,567.80 |
0.7× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$5,922.13 |
$9,870.22 |
0.8× |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
$1,912.86 |
$3,188.10 |
0.8× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,767.16 |
$7,945.27 |
1.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,053 |
$3,421.67 |
0.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$2,878.85 |
$4,798.08 |
0.9× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$2,878.85 |
$4,798.08 |
0.9× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$4,739.20 |
$7,898.66 |
0.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,836.37 |
$4,727.28 |
0.8× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$4,278.35 |
$7,130.58 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$4,278.35 |
$7,130.58 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,836.37 |
$4,727.28 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$2,836.37 |
$4,727.28 |
0.8× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$2,836.37 |
$4,727.28 |
0.8× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
$4,278.35 |
$7,130.58 |
0.6× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
$2,836.37 |
$4,727.28 |
0.8× |
| Scrotal exploration (55110) |
$2,196.56 |
$3,660.94 |
0.6× |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
$4,612.02 |
$7,686.70 |
0.8× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$2,758.48 |
$4,597.46 |
0.8× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
$4,841.03 |
$8,068.38 |
1.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
$4,096 |
$6,826.67 |
1.2× |
| Sever cranial nerve (64771) |
$3,853.46 |
$6,422.44 |
1.9× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
$2,224.60 |
$3,707.67 |
0.9× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
$2,092.42 |
$3,487.37 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$989.40 |
$1,649 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,120.28 |
$1,867.14 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$525.80 |
$876.34 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$525.80 |
$876.34 |
2.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$525.80 |
$876.34 |
2.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$525.80 |
$876.34 |
2.6× |
| Shorten radius & ulna (25392) |
$4,278.35 |
$7,130.58 |
0.6× |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
$1,957.02 |
$3,261.70 |
0.6× |
| Shoulder arthroscopy (29820) |
$4,842.52 |
$8,070.86 |
0.7× |
| Shoulder arthroscopy diagnostic (29805) |
$3,309.28 |
$5,515.47 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,842.52 |
$8,070.86 |
1.4× |
| Shoulder joint surgery (23101) |
$3,705.40 |
$6,175.67 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$525.80 |
$876.34 |
1.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$525.80 |
$876.34 |
2.6× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$1,947 |
$3,245 |
0.6× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,120.28 |
$1,867.14 |
1.2× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$989.40 |
$1,649 |
0.8× |
| Sigmoidoscopy W/Resection (45349) |
$989.40 |
$1,649 |
0.3× |
| Sigmoidoscopy W/Ultrasound (45341) |
$989.40 |
$1,649 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,120.28 |
$1,867.14 |
1.2× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$989.40 |
$1,649 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,018.44 |
$1,697.40 |
5.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,018.44 |
$1,697.40 |
5.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$1,018.44 |
$1,697.40 |
5.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,018.44 |
$1,697.40 |
5.0× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$4,092.05 |
$6,820.09 |
0.7× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$4,092.05 |
$6,820.09 |
0.7× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
$4,092.05 |
$6,820.09 |
0.7× |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
$4,092.05 |
$6,820.09 |
0.7× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
$4,092.05 |
$6,820.09 |
0.7× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,545.95 |
$2,576.58 |
0.7× |
| Skin Pedicle Flap Trunk (15570) |
$1,884.57 |
$3,140.95 |
0.9× |
| Skin Pinch Graft (15050) |
$1,356.53 |
$2,260.88 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,432.80 |
$2,388 |
1.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,356.53 |
$2,260.88 |
1.8× |
| Skin Tissue Procedure (17999) |
$354.24 |
$590.40 |
1.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,250.10 |
$7,083.50 |
0.8× |
| Slitting of prepuce (54001) |
$1,922.07 |
$3,203.45 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,018.44 |
$1,697.40 |
5.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,018.44 |
$1,697.40 |
2.5× |
Snip Incision Lacrimal Punctum (68440) range across 3 matching MRF lines |
$413.96–$530.95 |
$689.94–$884.91 |
varies |
| Sphincterotomy anal division sphincter spx (46080) |
$1,661.90 |
$2,769.84 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,018.44 |
$1,697.40 |
1.4× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$2,104.07 |
$3,506.79 |
0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,884.57 |
$3,140.95 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,602.58 |
$4,337.64 |
0.8× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$2,243.49 |
$3,739.15 |
0.9× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$2,243.49 |
$3,739.15 |
0.9× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$2,467.84 |
$4,113.06 |
0.6× |
| Subconjunctival injection (68200) |
$244.21 |
$407.02 |
0.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$525.80 |
$876.34 |
2.6× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$525.80 |
$876.34 |
0.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,493.86 |
$5,823.10 |
1.0× |
| Subtalar arthro w/deb (29906) |
$3,378.94 |
$5,631.56 |
1.0× |
| Suction assisted lipectomy; head and neck (15876) |
$2,104.38 |
$3,507.30 |
0.6× |
Suction assisted lipectomy; trunk (15877) range across 3 matching MRF lines |
$225–$2,104.38 |
$375–$3,507.30 |
varies |
Suction assisted lipectomy; upper extremity (15878) range across 2 matching MRF lines |
$714.60–$2,104.38 |
$1,191–$3,507.30 |
varies |
Suction Lipectomy Lwr Extrem (15879) range across 2 matching MRF lines |
$225–$2,104.38 |
$375–$3,507.30 |
varies |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$2,246.12 |
$3,743.54 |
0.7× |
| Surg Implnt Neuroelect,Epidural (63655) |
$18,339.78 |
$30,566.30 |
0.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,035.14 |
$8,391.90 |
0.8× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$5,035.14 |
$8,391.90 |
0.8× |
| Surg Tx Anal Fistula 2nd Stage (46285) |
$2,283.13 |
$3,805.21 |
0.8× |
| Surg tx anal fistula subq (46270) |
$2,283.13 |
$3,805.21 |
0.8× |
| Surgery to stop leg growth (27479) |
$9,106.49 |
$15,177.49 |
1.2× |
| Surgery to stop leg growth (27477) |
$5,067.78 |
$8,446.30 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,283.13 |
$3,805.21 |
0.8× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$3,996.35 |
$6,660.58 |
1.1× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$3,996.35 |
$6,660.58 |
1.1× |
| Suture 1 Nerve Ulnar Motor (64836) |
$3,996.35 |
$6,660.58 |
1.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,097.01 |
$5,161.69 |
1.6× |
| Suture infrapatellar tendon primary (27380) |
$4,278.35 |
$7,130.58 |
0.6× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$4,278.35 |
$7,130.58 |
0.6× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$4,699.42 |
$7,832.36 |
0.6× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$4,278.35 |
$7,130.58 |
0.6× |
| Suture pharynx for wound or injury (42900) |
$2,246.12 |
$3,743.54 |
1.4× |
| Suture/repair testicular injury (54670) |
$2,155.81 |
$3,593.01 |
0.6× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$2,578.52 |
$4,297.53 |
1.3× |
| Sympathectomy; ulnar artery (64822) |
$2,578.52 |
$4,297.53 |
0.8× |
| Syndactylization toes (28280) |
$2,174.44 |
$3,624.06 |
0.7× |
| Synovectomy carpometacarpal joint (26130) |
$1,925.30 |
$3,208.84 |
0.6× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$2,174.44 |
$3,624.06 |
0.7× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$2,174.44 |
$3,624.06 |
0.7× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
$2,878.85 |
$4,798.08 |
0.9× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$2,836.37 |
$4,727.28 |
0.8× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$4,278.35 |
$7,130.58 |
0.6× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,697.50 |
$4,495.84 |
1.6× |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
$525.80 |
$876.34 |
0.7× |
| Temporary Closure Eyelids Suture (67875) |
$1,356.53 |
$2,260.88 |
1.3× |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
$3,353.25 |
$5,588.75 |
1.0× |
| Tendon shortening (26477) |
$1,957.02 |
$3,261.70 |
0.6× |
| Tendon transfer with graft (26492) |
$2,836.37 |
$4,727.28 |
0.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,260.02 |
$5,433.36 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$4,290.11 |
$7,150.19 |
1.3× |
| Tenodesis distal joint each (26474) |
$1,957.02 |
$3,261.70 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$4,719.13 |
$7,865.21 |
0.6× |
| Tenodesis proximal interphalangeal joint each (26471) |
$1,957.02 |
$3,261.70 |
0.6× |
| Tenodesis Wrist Extensors Fingers (25301) |
$2,878.85 |
$4,798.08 |
0.9× |
| Tenodesis Wrist Flexors Fingers (25300) |
$4,096 |
$6,826.67 |
1.2× |
| Tenolysis extensor foot single tendon (28225) |
$2,174.44 |
$3,624.06 |
0.7× |
| Tenolysis flexor foot single tendon (28220) |
$2,174.44 |
$3,624.06 |
1.3× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$2,836.37 |
$4,727.28 |
0.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$2,053 |
$3,421.67 |
1.2× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$2,878.85 |
$4,798.08 |
0.9× |
| Tenolysis Triceps (24332) |
$3,705.40 |
$6,175.67 |
1.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$1,925.30 |
$3,208.84 |
0.6× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$2,053 |
$3,421.67 |
0.6× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$2,053 |
$3,421.67 |
0.6× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$2,878.85 |
$4,798.08 |
0.9× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$3,376.60 |
$5,627.67 |
2.1× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$1,948.57 |
$3,247.61 |
1.2× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,948.57 |
$3,247.61 |
1.2× |
| Tenotomy Percutaneous Single Each Digit (26060) |
$1,585.85 |
$2,643.08 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,174.44 |
$3,624.06 |
1.3× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$2,540.07 |
$4,233.45 |
0.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,174.44 |
$3,624.06 |
1.3× |
| Tenotomy shoulder area single tendon (23405) |
$4,278.35 |
$7,130.58 |
0.6× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$3,705.40 |
$6,175.67 |
1.1× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$3,376.60 |
$5,627.67 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,174.44 |
$3,624.06 |
1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$11,333.96 |
$18,889.94 |
0.9× |
Thoracoscopy w/bx nodule (32608) unusually low: confirm this is the full procedure |
$4,646.18 |
$7,743.63 |
0.4× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$4,646.18 |
$7,743.63 |
0.8× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$4,015.13 |
$6,691.89 |
0.7× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$5,753.90 |
$9,589.84 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$5,753.90 |
$9,589.84 |
0.9× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,753.90 |
$9,589.84 |
1.0× |
| Tibial Arthroscopy/Surgery (29855) |
$5,525.75 |
$9,209.58 |
0.7× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,545.95 |
$2,576.58 |
0.7× |
Tissue Expander Placement Breast Reconstruction (19357) range across 7 matching MRF lines |
$10,791.06 |
$868.50–$17,985.10 |
0.8× |
| Tlh uterus over 250 g (58572) |
$8,968.90 |
$14,948.17 |
0.8× |
| Tnot elbow lateral/medial debride open (24358) |
$2,878.85 |
$4,798.08 |
0.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,471.58 |
$7,452.64 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,246.12 |
$3,743.54 |
0.7× |
| Tooth extraction (41899) |
$1,580.88 |
$2,634.80 |
6.5× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) range across 3 matching MRF lines |
$1,424.47–$18,410.59 |
$2,374.12–$30,684.32 |
varies |
| Total Knee Arthroplasty (27447) |
$12,279.76 |
$20,466.27 |
0.9× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$4,581.59 |
$7,635.99 |
0.7× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$2,367.31 |
$3,945.51 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,246.12 |
$3,743.54 |
1.4× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$1,807.57 |
$3,012.61 |
0.9× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$1,807.57 |
$3,012.61 |
0.9× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,807.57 |
$3,012.61 |
0.9× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$2,836.37 |
$4,727.28 |
0.8× |
| Transfer skin pedicle flap (15650) |
$3,488.40 |
$5,814 |
1.7× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$2,836.37 |
$4,727.28 |
0.8× |
| Translum Dil Eye Canal (66174) |
$3,530.55 |
$5,884.25 |
0.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$9,143.91 |
$15,239.85 |
1.2× |
| Transplant hand tendon (26480) |
$2,836.37 |
$4,727.28 |
0.8× |
| Transplant of thigh tendon (27396) |
$4,719.13 |
$7,865.21 |
0.6× |
| Transplant/graft hand tendon (26483) |
$2,836.37 |
$4,727.28 |
0.8× |
| Transplant/graft palm tendon (26489) |
$2,836.37 |
$4,727.28 |
0.8× |
| Transur electr resection of prostate (52601) |
$4,973.51 |
$8,289.18 |
0.9× |
| Transurethral incision of prostate (52450) |
$2,515.97 |
$4,193.28 |
0.7× |
| Transurethral resection bladder neck (52500) |
$4,124.75 |
$6,874.58 |
1.1× |
| Treat ankle dislocation (27848) |
$5,167.14 |
$8,611.90 |
0.7× |
| Treat ankle fracture (28445) |
$5,167.14 |
$8,611.90 |
0.7× |
| Treat Big Toe Fracture (28505) |
$4,849.56 |
$8,082.60 |
1.5× |
| Treat Dental Ridge Fracture (21440) |
$2,554.50 |
$4,257.50 |
0.8× |
| Treat dental ridge fracture (21445) |
$3,453.70 |
$5,756.17 |
0.6× |
| Treat dislocation/fracture (23670) |
$6,290.29 |
$10,483.82 |
0.8× |
| Treat ectopic pregnancy (59151) |
$4,549.45 |
$7,582.41 |
0.7× |
| Treat elbow fracture (24586) |
$8,439.48 |
$14,065.80 |
0.6× |
| Treat Elbow Fracture (24635) |
$6,503.95 |
$10,839.92 |
0.9× |
| Treat Finger Fracture Each (26727) |
$4,694.35 |
$7,823.92 |
1.4× |
| Treat fracture radius/ulna (25575) |
$6,290.29 |
$10,483.82 |
0.8× |
| Treat Fx Rad Extra-Articul (25607) |
$6,290.29 |
$10,483.82 |
0.8× |
| Treat Hand Bone Lesion (26034) |
$1,805.86 |
$3,009.77 |
1.1× |
| Treat Humerus Fracture (24505) |
$1,492.68 |
$2,487.80 |
0.9× |
| Treat humerus fracture (23616) |
$14,163.38 |
$23,605.63 |
0.8× |
| Treat knee fracture (27532) |
$2,159.40 |
$3,599 |
0.6× |
| Treat kneecap dislocation (27566) |
$4,697.40 |
$7,829 |
0.6× |
| Treat Kneecap Fracture (27524) |
$4,697.40 |
$7,829 |
0.6× |
| Treat metacarpal fracture (26607) |
$1,925.30 |
$3,208.84 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$2,008.84 |
$3,348.07 |
8.0× |
| Treat midfoot fracture (28456) |
$4,278.35 |
$7,130.58 |
0.6× |
| Treat scapula fracture (23585) |
$6,290.29 |
$10,483.82 |
0.8× |
| Treat Thumb Dislocation (26641) |
$1,356.53 |
$2,260.88 |
5.4× |
| Treat Thumb Fracture (26645) |
$1,271.75 |
$2,119.59 |
0.8× |
| Treat thumb fracture (26665) |
$4,697.40 |
$7,829 |
1.4× |
| Treat/graft heel fracture (28420) |
$8,439.48 |
$14,065.80 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,356.53 |
$2,260.88 |
0.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,799.77 |
$2,999.61 |
3.2× |
| Treatment of anal fissure (46940) |
$1,755.61 |
$2,926.01 |
0.6× |
| Treatment of ankle fracture (27823) |
$6,290.29 |
$10,483.82 |
0.8× |
| Treatment of foot infection (28003) |
$1,941.02 |
$3,235.04 |
0.6× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,210.51 |
$7,017.52 |
0.6× |
| Treatment of nose fracture (21330) |
$3,453.70 |
$5,756.17 |
0.6× |
| Treatment of retina (67141) |
$1,356.53 |
$2,260.88 |
4.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$6,429.07 |
$10,715.12 |
1.9× |
| Treatment of tibia fracture (27756) |
$5,194.08 |
$8,656.80 |
0.7× |
| Trim skin lesion (11055) |
$525.80 |
$876.34 |
2.6× |
| Trim skin lesions 2 to 4 (11056) |
$318.40 |
$530.67 |
1.6× |
| Trim skin lesions over 4 (11057) |
$525.80 |
$876.34 |
2.6× |
| Trurl rescj postop bladder neck contracture (52640) |
$4,124.75 |
$6,874.58 |
1.1× |
| Tubal ligation (58600) |
$3,294.02 |
$5,490.04 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,283.13 |
$3,805.21 |
0.8× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$8,439.48 |
$14,065.80 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,337.05 |
$3,895.08 |
0.7× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$4,210.51 |
$7,017.52 |
0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,162.62 |
$3,604.37 |
0.7× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$2,162.62 |
$3,604.37 |
0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,174.44 |
$3,624.06 |
1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,174.44 |
$3,624.06 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,018.44 |
$1,697.40 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$688.90 |
$1,148.16 |
1.7× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$8,439.48 |
$14,065.80 |
0.6× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,246.12 |
$3,743.54 |
1.4× |
| Tympanoplasty (69631) |
$4,092.05 |
$6,820.09 |
0.7× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$5,186.69 |
$8,644.48 |
0.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$5,186.69 |
$8,644.48 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$5,186.69 |
$8,644.48 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$5,306.81 |
$8,844.69 |
0.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$5,186.69 |
$8,644.48 |
0.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$4,580.78 |
$7,634.64 |
0.8× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$4,580.78 |
$7,634.64 |
0.8× |
| Tympanostomy general anesthesia (69436) |
$2,342.88 |
$3,904.80 |
1.5× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,253.28 |
$5,422.13 |
0.9× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$2,099.21 |
$3,498.68 |
10.2× |
| Unlisted laparoscopy procedure stomach (43659) |
$15,230.65 |
$25,384.41 |
2.5× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$4,350 |
$7,250 |
0.7× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) range across 2 matching MRF lines |
$4,351.96–$4,529.17 |
$7,253.27–$7,548.62 |
varies |
| Unlisted laparoscopy procedure, spleen (38129) |
$4,615.88 |
$7,693.14 |
0.7× |
Unlisted procedure arthroscopy (29999) range across 12 matching MRF lines |
$3,378.94–$5,753.90 |
$5,631.56–$9,589.84 |
varies |
| Unlisted Procedure Esophagus (43499) |
$4,162 |
$6,936.66 |
4.5× |
| Unlisted procedure excision pressure ulcer (15999) |
$1,875.52 |
$3,125.86 |
2.6× |
| Unlisted procedure lacrimal system (68899) |
$979.39 |
$1,632.32 |
3.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$3,378.94 |
$5,631.56 |
13.4× |
| Unlisted procedure liver (47399) |
$2,981.42 |
$4,969.04 |
4.1× |
| Unlisted procedure lungs and pleura (32999) |
$2,024.11 |
$3,373.52 |
3.2× |
Unlisted procedure nervous system (64999) range across 24 matching MRF lines |
$456–$912 |
$760–$1,520 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$1,981.20 |
$3,302 |
8.2× |
| Unlisted procedure pancreas (48999) |
$2,642.04 |
$4,403.40 |
3.7× |
| Unlisted Procedure Rectum (45999) |
$1,600.70 |
$2,667.84 |
1.7× |
Unlisted procedure spine (22899) range across 2 matching MRF lines |
$2,878.85–$3,237.66 |
$4,798.08–$5,396.10 |
varies |
| Unlisted Procedure Trachea Bronchi (31899) |
$2,462.75 |
$4,104.59 |
12.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,481.35 |
$2,468.91 |
2.3× |
| Unlisted Procedure, Urinary System (53899) |
$1,388.76 |
$2,314.60 |
5.4× |
| Urethrlys Transvag W/ Scope (53500) |
$3,503.81 |
$5,839.69 |
1.0× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) |
$5,535.01 |
$9,225.02 |
0.6× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
$3,805.34 |
$6,342.23 |
0.7× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$4,197.87 |
$6,996.45 |
0.8× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$4,197.87 |
$6,996.45 |
0.8× |
| Uvulectomy excision of uvula (42140) |
$1,840.15 |
$3,066.91 |
0.5× |
| Vag hyst complex (58290) |
$9,365.56 |
$15,609.27 |
1.2× |
| Vag hyst incl t/o complex (58291) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vag hyst w/t/o & vag repair (58263) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$9,365.56 |
$15,609.27 |
1.2× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$9,365.56 |
$15,609.27 |
1.8× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$1,996.80 |
$3,328 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,685.80 |
$4,476.33 |
1.3× |
| Vasovasostomy vasovasorrhaphy (55400) |
$2,555.15 |
$4,258.58 |
0.7× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,840.15 |
$3,066.91 |
0.5× |
| Vit for membrane dissect (67043) |
$4,767.16 |
$7,945.27 |
1.1× |
| Vitrectomy mechanical pars plana (67036) |
$4,767.16 |
$7,945.27 |
1.1× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,767.16 |
$7,945.27 |
1.1× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$4,767.16 |
$7,945.27 |
1.1× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$4,767.16 |
$7,945.27 |
1.1× |
| Vulvectomy simple partial (56620) |
$2,208.49 |
$3,680.81 |
0.7× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$5,111.35 |
$8,518.91 |
0.7× |
| Wedging of cast (29740) |
$307.49 |
$512.48 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$1,590.42 |
$2,650.70 |
3.8× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,590.42 |
$2,650.70 |
2.1× |
| Wrist arthroscopy (29840) |
$3,309.28 |
$5,515.47 |
1.0× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$2,635.30 |
$4,392.17 |
0.8× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$3,825.45 |
$6,375.75 |
0.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$3,825.45 |
$6,375.75 |
0.7× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,203.54 |
$10,339.23 |
0.8× |