| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$26,282.65 |
$43,804.42 |
7.4× |
| Abd paracentesis w/imaging (49083) |
$2,001.90 |
$3,336.50 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$688.80 |
$1,148 |
0.8× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$2,367.60 |
$3,946 |
0.1× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,694.40 |
$17,824 |
1.5× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,062.40 |
$5,104 |
1.8× |
| Abltj 1/> lvr tum prq rf (47382) |
$4,137.60 |
$6,896 |
0.7× |
| Acne surgery (10040) |
$555 |
$925 |
2.8× |
| Adding Walker Previously Applied Cast (29440) |
$237 |
$395 |
1.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$15,408.88 |
$25,681.47 |
7.4× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$11,309.62 |
$18,849.37 |
5.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$15,698.44 |
$26,164.08 |
4.4× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$10,746 |
$17,910 |
5.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$11,309.62 |
$18,849.37 |
5.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$11,763.37 |
$19,605.62 |
5.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$10,416 |
$17,360 |
5.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$9,806.66 |
$16,344.43 |
4.7× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$13,686.25 |
$22,810.42 |
1.9× |
| Amniocentesis diagnostic (59000) |
$530.40 |
$884 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,481.60 |
$4,136 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,481.60 |
$4,136 |
0.8× |
| Amputation foot transmetarsal (28805) |
$38,669.78 |
$64,449.64 |
11.8× |
| Amputation toe interphalangeal joint (28825) |
$9,739.88 |
$16,233.13 |
3.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$8,552.94 |
$14,254.90 |
2.6× |
| Anoscopy diagnostic (46600) |
$88.80 |
$148 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$9,787.65 |
$16,312.75 |
8.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$5,724 |
$9,540 |
2.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$25,941.55 |
$43,235.92 |
5.2× |
| Anterior tibial tubercleplasty (27418) |
$53,967.70 |
$89,946.16 |
7.4× |
| Appendectomy (44950) |
$9,864 |
$16,440 |
1.5× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$579.60 |
$966 |
3.6× |
| Application cast elbow finger short arm (29075) |
$237 |
$395 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$237 |
$395 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$477.60 |
$796 |
8.1× |
| Application finger splint static (29130) |
$477.60 |
$796 |
3.6× |
| Application Hip Spica Cast 1 Leg (29305) |
$237 |
$395 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$477.60 |
$796 |
2.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$237 |
$395 |
0.8× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$277,004.19 |
$461,673.65 |
21.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$237 |
$395 |
0.8× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$11,270.48 |
$18,784.13 |
40.2× |
| Application of long leg cast (29345) |
$237 |
$395 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$591.60 |
$986 |
2.1× |
| Application Short Arm Splint Dynamic (29126) |
$477.60 |
$796 |
3.6× |
| Application short arm splint forearm-hand static (29125) |
$477.60 |
$796 |
3.6× |
| Apply Hand/Wrist Cast (29085) |
$237 |
$395 |
1.5× |
| Apply long leg splint (29505) |
$477.60 |
$796 |
2.9× |
| Apply short leg cast (29405) |
$237 |
$395 |
0.8× |
| Apply short leg cast (29425) |
$237 |
$395 |
0.8× |
| Apply short leg splint (29515) |
$477.60 |
$796 |
2.9× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$25,989.14 |
$43,315.23 |
3.6× |
| Arterial puncture (36600) |
$105 |
$175 |
0.8× |
| Arteriovenous Anastomosis Open Direct (36821) |
$16,017.61 |
$26,696.02 |
5.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$18,383.27 |
$30,638.78 |
3.3× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$87,565.90 |
$145,943.17 |
6.8× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$144,641.45 |
$241,069.08 |
11.2× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$145,324.07 |
$242,206.78 |
11.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$17,347.54 |
$28,912.58 |
56.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,291.80 |
$2,153 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$603.60 |
$1,006 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,327.80 |
$2,213 |
4.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$17,032.70 |
$28,387.84 |
55.3× |
| Arthrodesis ankle open (27870) |
$51,219.61 |
$85,366.02 |
4.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$40,117.41 |
$66,862.35 |
5.5× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$29,199.08 |
$48,665.13 |
8.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$72,642.30 |
$121,070.50 |
4.1× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$179,178.13 |
$298,630.22 |
6.6× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$29,191.33 |
$48,652.22 |
4.0× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$103,738.76 |
$172,897.93 |
5.9× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$183,654.40 |
$306,090.67 |
14.3× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$35,819.43 |
$59,699.05 |
2.8× |
| Arthrodesis; subtalar (28725) |
$100,385.69 |
$167,309.48 |
7.8× |
| Arthroplasty Ankle W/Implant (27702) |
$137,089.01 |
$228,481.68 |
5.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$68,081.80 |
$113,469.68 |
3.9× |
| Arthroplasty interphalangeal joint each (26535) |
$15,535.72 |
$25,892.87 |
4.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$10,731.70 |
$17,886.17 |
3.3× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$49,100.27 |
$81,833.78 |
3.8× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$41,235.36 |
$68,725.60 |
5.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$28,717.98 |
$47,863.30 |
8.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$12,731.56 |
$21,219.27 |
3.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$31,468.36 |
$52,447.26 |
9.6× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$53,534.26 |
$89,223.76 |
16.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$32,462.99 |
$54,104.98 |
9.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$14,076.42 |
$23,460.70 |
4.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$21,816.92 |
$36,361.53 |
6.6× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$15,664.03 |
$26,106.72 |
4.8× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$43,903.20 |
$73,172 |
6.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$15,664.03 |
$26,106.72 |
4.8× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$16,675.04 |
$27,791.74 |
5.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$34,975.84 |
$58,293.07 |
10.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$33,242.43 |
$55,404.05 |
4.6× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$32,007.70 |
$53,346.16 |
4.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$35,401.67 |
$59,002.78 |
10.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$33,969.70 |
$56,616.16 |
4.7× |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
$24,468.32 |
$40,780.53 |
7.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$13,976.44 |
$23,294.07 |
4.3× |
| Arthrotomy with biopsy; interphalangeal joint Facility (28054) |
$14,662.50 |
$24,437.50 |
4.5× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$52,922.68 |
$88,204.47 |
16.1× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$31,130.20 |
$51,883.67 |
9.5× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$9,784.07 |
$16,306.78 |
3.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$36,214.12 |
$60,356.87 |
5.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$28,015.44 |
$46,692.40 |
8.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,195.80 |
$1,993 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,195.80 |
$1,993 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$1,321.80 |
$2,203 |
2.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$186 |
$310 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,356 |
$7,260 |
2.1× |
| Av fistula revision (36833) |
$14,885.46 |
$24,809.10 |
2.7× |
| Av Fuse Uppr Arm Basilic (36819) |
$20,148.04 |
$33,580.08 |
3.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$6,757.39 |
$11,262.32 |
33.6× |
| Axillary lymphadenectomy; complete (38745) |
$30,287.29 |
$50,478.82 |
5.0× |
| Biliary Endoscopy Percut,Biopsy (47553) |
$4,067.40 |
$6,779 |
0.6× |
Biliary endoscopy percut,dil strict (47555)
unusually low: confirm this is the full procedure |
$2,674.20 |
$4,457 |
0.4× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$11,626.20 |
$19,377 |
1.1× |
| Biopsy bone open superficial (20240) |
$19,560.20 |
$32,600.34 |
6.7× |
| Biopsy bone trocar/needle deep (20225) |
$3,513.30 |
$5,855.50 |
2.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$8,957.61 |
$14,929.35 |
5.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$8,637.05 |
$14,395.08 |
9.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,238.40 |
$2,064 |
0.7× |
| Biopsy Nail Unit Separate Procedure (11755) |
$1,351.80 |
$2,253 |
1.9× |
| Biopsy of breast; open, incisional (19101) |
$21,666.26 |
$36,110.43 |
5.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$13,546.52 |
$22,577.53 |
3.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$3,065.40 |
$5,109 |
1.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$11,400.05 |
$19,000.08 |
12.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$10,486.05 |
$17,476.75 |
11.3× |
| Biopsy/removal lymph nodes (38525) |
$19,380.88 |
$32,301.46 |
4.9× |
| Biopsy/removal lymph nodes (38510) |
$18,981.47 |
$31,635.78 |
4.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$15,684.79 |
$26,141.32 |
22.4× |
| Bladder Irrigation Simple (51700) |
$276 |
$460 |
1.1× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$47,541.43 |
$79,235.72 |
23.0× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$47,541.43 |
$79,235.72 |
23.0× |
| Blepharotomy drain absc eyelid (67700) |
$221.40 |
$369 |
0.7× |
| Blood patch (62273) |
$607.80 |
$1,013 |
0.9× |
| Blood transfusion service (36430) |
$1,612.80 |
$2,688 |
3.6× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$172,454.52 |
$287,424.19 |
23.7× |
| Bone marrow aspiration only (38220) |
$105 |
$175 |
0.1× |
| Bone Marrow Biopsy (38221) |
$1,148.40 |
$1,914 |
0.7× |
| Breast augmentation with implant (19325) |
$37,641.42 |
$62,735.70 |
4.6× |
| Breast Reduction (19318) |
$30,119.29 |
$50,198.82 |
4.5× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$27,755.57 |
$46,259.28 |
15.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$28,595.56 |
$47,659.27 |
16.0× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$25,030.68 |
$41,717.80 |
6.7× |
| Bronch ebus samplng 1/2 node (31652) |
$26,847.13 |
$44,745.22 |
7.2× |
| Bronch ebus samplng 3/> node (31653) |
$20,613.26 |
$34,355.43 |
5.5× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,331.20 |
$5,552 |
1.9× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$23,323.81 |
$38,873.02 |
6.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,331.20 |
$5,552 |
1.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,331.20 |
$5,552 |
1.9× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$785.40 |
$1,309 |
2.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$15,713.32 |
$26,188.86 |
8.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,350 |
$2,250 |
0.8× |
| Bx anorectal wall anal approach (45100) |
$10,707.20 |
$17,845.33 |
3.8× |
| Bx breast 1st lesion mr imag (19085) |
$4,155 |
$6,925 |
2.5× |
| Bx breast 1st lesion strtctc (19081) |
$5,809.20 |
$9,682 |
3.5× |
| Bx breast 1st lesion us imag (19083) |
$6,177.74 |
$10,296.22 |
3.7× |
| Bx/exc lymph node needle superficial (38505) |
$7,239.13 |
$12,065.22 |
4.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$28,587.86 |
$47,646.43 |
8.7× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$3,039 |
$5,065 |
1.9× |
| Carpectomy All Bones Proximal Row (25215) |
$35,819.43 |
$59,699.05 |
10.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$180.60 |
$301 |
0.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$12,363 |
$20,605 |
3.8× |
| Change of cystostomy tube simple (51705) |
$179.40 |
$299 |
0.7× |
| Chemical cautery tissue (17250) |
$385.80 |
$643 |
1.9× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,443.60 |
$2,406 |
0.7× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,674.20 |
$4,457 |
0.7× |
| Chorionic villus sampling (59015) |
$2,345.40 |
$3,909 |
2.5× |
| Chromotubation oviduct (58350) |
$24,814.65 |
$41,357.75 |
4.9× |
| Circum 28 days or older (54161) |
$10,917.83 |
$18,196.38 |
5.2× |
| Circumcision (54150) |
$1,290 |
$2,150 |
0.6× |
| Claviculectomy; total (23125) |
$72,620.63 |
$121,034.38 |
22.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$76,306.49 |
$127,177.48 |
308.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$172.80 |
$288 |
0.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,195.80 |
$1,993 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$431.40 |
$719 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$172.80 |
$288 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$445.80 |
$743 |
1.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$172.80 |
$288 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$172.80 |
$288 |
0.7× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$381 |
$635 |
0.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$172.80 |
$288 |
0.7× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$172.80 |
$288 |
0.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,195.80 |
$1,993 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$17,490.89 |
$29,151.48 |
70.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$445.80 |
$743 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$172.80 |
$288 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,195.80 |
$1,993 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$172.80 |
$288 |
0.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$172.80 |
$288 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,195.80 |
$1,993 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$172.80 |
$288 |
0.7× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,195.80 |
$1,993 |
0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,195.80 |
$1,993 |
0.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,965 |
$3,275 |
1.3× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$11,791.80 |
$19,653 |
3.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$172.80 |
$288 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$172.80 |
$288 |
0.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,195.80 |
$1,993 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$172.80 |
$288 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$6,814.26 |
$11,357.10 |
4.2× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$6,206.70 |
$10,344.50 |
3.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$172.80 |
$288 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,195.80 |
$1,993 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$172.80 |
$288 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,195.80 |
$1,993 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$24,232.19 |
$40,386.98 |
97.9× |
| Closure of gastrostomy, surgical (43870) |
$10,918.20 |
$18,197 |
2.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$174 |
$290 |
0.7× |
| Closure of rectovaginal fistula; vaginal or transanal approach Facility (57300) |
$17,812.12 |
$29,686.87 |
5.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$476.40 |
$794 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,566 |
$2,610 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$172.80 |
$288 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$172.80 |
$288 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$172.80 |
$288 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$172.80 |
$288 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$172.80 |
$288 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$5,133 |
$8,555 |
3.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,965 |
$3,275 |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$431.40 |
$719 |
1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$172.80 |
$288 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$172.80 |
$288 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$431.40 |
$719 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$172.80 |
$288 |
0.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,965 |
$3,275 |
1.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$172.80 |
$288 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$172.80 |
$288 |
0.7× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$431.40 |
$719 |
1.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$172.80 |
$288 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$172.80 |
$288 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$172.80 |
$288 |
0.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$172.80 |
$288 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$172.80 |
$288 |
0.7× |
| Cltx post ankle fx w/mnpj (27768) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,039 |
$5,065 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$172.80 |
$288 |
0.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$172.80 |
$288 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$19,989.29 |
$33,315.48 |
6.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$445.80 |
$743 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,195.80 |
$1,993 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$172.80 |
$288 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$445.80 |
$743 |
1.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$120.60 |
$201 |
0.9× |
| Colonoscopy flex w/blln dilat (45386) |
$7,385.09 |
$12,308.48 |
6.2× |
| Colonoscopy flex w/inj submuc (45381) |
$7,751.41 |
$12,919.02 |
6.5× |
| Colonoscopy flex w/rem forcep (45384) |
$5,342.54 |
$8,904.24 |
4.5× |
| Colonoscopy stoma w/biopsy (44389) |
$8,409.92 |
$14,016.54 |
7.0× |
| Colonoscopy thru stoma (44388) |
$5,437.73 |
$9,062.88 |
5.8× |
| Colonoscopy w/ablation (45388) |
$11,703.53 |
$19,505.88 |
9.7× |
| Colonoscopy w/band ligation (45398) |
$8,518.04 |
$14,196.73 |
7.1× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$6,040.07 |
$10,066.78 |
5.0× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$10,471.57 |
$17,452.62 |
3.8× |
| Colpocentesis (57020) |
$26,400.56 |
$44,000.93 |
5.3× |
| Colpocleisis (le fort type) (57120) |
$19,110.29 |
$31,850.48 |
3.8× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$24,776.26 |
$41,293.77 |
3.3× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) |
$39,365.98 |
$65,609.97 |
5.3× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,356.80 |
$3,928 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$20,257.31 |
$33,762.18 |
66.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$132.60 |
$221 |
0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$201 |
$335 |
0.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$8,921.42 |
$14,869.03 |
2.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$201.60 |
$336 |
0.7× |
| Colposcopy vulva w/biopsy (56821) |
$201.60 |
$336 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$201 |
$335 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$7,638.68 |
$12,731.13 |
8.3× |
| Combined anteroposterior colporrhaphy; (57260) |
$23,492.47 |
$39,154.12 |
4.7× |
| Conization of cervix (57520) |
$10,811.76 |
$18,019.60 |
3.3× |
| Conization of cervix (57522) |
$9,409.06 |
$15,681.77 |
2.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$296.40 |
$494 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$96.60 |
$161 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$199.20 |
$332 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$381 |
$635 |
0.7× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$2,371.80 |
$3,953 |
0.7× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$60,336.77 |
$100,561.28 |
4.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,915.80 |
$3,193 |
1.0× |
| Convert nephrostomy catheter (50434) |
$1,419.60 |
$2,366 |
0.7× |
| Cordocentesis (59012) |
$156.60 |
$261 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,650.80 |
$4,418 |
1.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$2,671.80 |
$4,453 |
0.8× |
| Correction hammertoe (28285) |
$36,890.71 |
$61,484.52 |
11.2× |
| Correction of bunion (28298) |
$67,803.38 |
$113,005.64 |
9.3× |
| Correction of bunion (28292) |
$12,918.85 |
$21,531.42 |
3.9× |
| Correction of bunion (28299) |
$39,023.44 |
$65,039.08 |
5.4× |
| Correction of bunion (28297) |
$47,247.37 |
$78,745.62 |
3.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$20,973.36 |
$34,955.61 |
6.4× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$21,667.96 |
$36,113.27 |
3.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$96.60 |
$161 |
0.7× |
| Curettage postpartum (59160) |
$7,499.25 |
$12,498.75 |
2.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$12,878.20 |
$21,463.67 |
6.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$15,372.97 |
$25,621.62 |
7.3× |
| Cysto w/destruction of lesions (52214) |
$9,343.13 |
$15,571.88 |
2.6× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$29,676.53 |
$49,460.88 |
5.5× |
| Cysto w/insert ureteral stent (52332) |
$15,593.80 |
$25,989.66 |
4.4× |
| Cysto w/removal of tumors small (52234) |
$18,437.35 |
$30,728.92 |
5.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$9,660.45 |
$16,100.75 |
4.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$17,424.74 |
$29,041.22 |
4.9× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$18,727.42 |
$31,212.36 |
3.5× |
| Cysto/uretero w/lithotripsy (52356) |
$25,922.15 |
$43,203.58 |
4.8× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$20,974.52 |
$34,957.53 |
3.9× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$9,909.60 |
$16,516 |
4.7× |
| Cystouretero & or pyeloscope (52351) |
$14,497.02 |
$24,161.70 |
4.1× |
| Cystourethroscopy (52000) |
$11,400.05 |
$19,000.08 |
16.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$14,889.10 |
$24,815.17 |
7.1× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$14,287.24 |
$23,812.08 |
4.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$7,893.78 |
$13,156.30 |
3.8× |
| Cystourethroscopy with biopsy (52204) |
$13,693.43 |
$22,822.38 |
6.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$18,839.16 |
$31,398.60 |
3.5× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$1,546.20 |
$2,577 |
0.7× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$9,459.11 |
$15,765.18 |
4.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,210.80 |
$2,018 |
3.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,153.40 |
$3,589 |
0.7× |
| Debride nail 1-5 (11720) |
$89.40 |
$149 |
1.5× |
| Debride nail 6 or more (11721) |
$229.80 |
$383 |
3.9× |
| Debride tissue/muscle (11043) |
$2,770.20 |
$4,617 |
3.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,111.40 |
$3,519 |
5.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$9,416.88 |
$15,694.81 |
5.7× |
| Declot vascular device (36593) |
$441.90 |
$736.50 |
1.3× |
| Decompression of lower leg (27600) |
$49,993.03 |
$83,321.72 |
15.2× |
| Decompression Of Tibia Nerve (28035) |
$81,817.10 |
$136,361.83 |
41.8× |
| Decompression; plantar digital nerve Facility (64726) |
$40,168.73 |
$66,947.88 |
20.5× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$12,629.71 |
$21,049.52 |
6.1× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$22,468.71 |
$37,447.85 |
6.3× |
| Destroy internal hemorrhoids (46930) |
$11,107.04 |
$18,511.73 |
9.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$358.20 |
$597 |
1.8× |
| Destruction Vaginal Lesions Simple (57061) |
$8,710.05 |
$14,516.75 |
2.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,427.20 |
$5,712 |
4.8× |
| Diagnostic sigmoidoscopy (45330) |
$3,604.20 |
$6,007 |
3.9× |
| Dilate Urethra Stricture (53620) |
$521.40 |
$869 |
0.7× |
| Dilation and curettage (58120) |
$11,830.10 |
$19,716.83 |
3.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$4,203.81 |
$7,006.35 |
4.6× |
| Dilation of cervical canal (57800) |
$9,186.46 |
$15,310.77 |
2.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,456.80 |
$2,428 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$541.20 |
$902 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$2,148.60 |
$3,581 |
7.0× |
| Drainage external auditory canal abscess (69020) |
$541.20 |
$902 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$541.20 |
$902 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$2,401.20 |
$4,002 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$603.60 |
$1,006 |
3.0× |
| Drainage Mouth Roof Lesion (42000) |
$174 |
$290 |
0.7× |
| Drainage of gum lesion (41800) |
$97.20 |
$162 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$5,664.16 |
$9,440.26 |
3.4× |
| Drainage of scrotal wall abscess (55100) |
$3,495.60 |
$5,826 |
2.1× |
| Draw blood off venous device (36591) |
$175.80 |
$293 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$553.20 |
$922 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$333.30 |
$555.50 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$163.80 |
$273 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$13,288.21 |
$22,147.02 |
4.8× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$13,664.20 |
$22,773.67 |
6.6× |
| Dx bone marrow bx & aspir (38222) |
$3,600.60 |
$6,001 |
1.2× |
| Ear Cartilage Graft (21235) |
$25,083.13 |
$41,805.22 |
4.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$16,577.75 |
$27,629.58 |
8.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$5,747.20 |
$9,578.68 |
3.0× |
| Egd band ligation esophgeal/gastric varices (43244) |
$5,187.86 |
$8,646.43 |
2.7× |
| Egd control bleeding any (43255) |
$8,677.29 |
$14,462.15 |
4.5× |
| Egd dilate stricture (43245) |
$5,292.50 |
$8,820.83 |
2.7× |
| Egd endo mucosal resection (43254) |
$8,525.48 |
$14,209.13 |
4.4× |
| Egd flexible foreign body removal (43247) |
$4,331.85 |
$7,219.75 |
4.8× |
| Egd guide wire insertion (43248) |
$4,869.10 |
$8,115.16 |
5.4× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$7,595.55 |
$12,659.25 |
3.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$7,930.70 |
$13,217.83 |
4.1× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$57,149.97 |
$95,249.95 |
5.4× |
| Egd place gastrostomy tube (43246) |
$4,200.60 |
$7,001 |
2.2× |
| Egd remove lesion snare (43251) |
$5,258.96 |
$8,764.94 |
2.7× |
| Egd us exam duodenum/jejunum (43259) |
$4,127.28 |
$6,878.80 |
2.1× |
| Egd us transmural injxn/mark (43253) |
$39,805.76 |
$66,342.93 |
20.7× |
| Endometrial Biopsy (58100) |
$12,281.62 |
$20,469.37 |
60.6× |
| Endoscopic plantar fasciotomy (29893) |
$16,615.33 |
$27,692.22 |
5.1× |
| Endoscopic us exam esoph (43237) |
$4,065.60 |
$6,776 |
2.1× |
| Endoscopy bowel pouch/biop (44386) |
$3,766.80 |
$6,278 |
4.0× |
| Endovenous rf 1st vein (36475) |
$3,822.60 |
$6,371 |
1.2× |
| Ercp Duct Stent Placement (43274) |
$23,046.02 |
$38,410.03 |
3.8× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$12,552.11 |
$20,920.18 |
3.2× |
| Ercp ea duct/ampulla dilate (43277) |
$16,505.82 |
$27,509.70 |
4.3× |
| Ercp lithotripsy calculi (43265) |
$17,449.69 |
$29,082.82 |
2.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$11,188.49 |
$18,647.48 |
2.9× |
| Ercp remove forgn body duct (43275) |
$12,365.24 |
$20,608.73 |
6.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$12,953.76 |
$21,589.60 |
2.1× |
| Ercp W/Biopsy Single/Multiple (43261) |
$24,213.37 |
$40,355.62 |
6.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$10,402.06 |
$17,336.76 |
2.7× |
| Escharotomy initial incision (16035) |
$311.40 |
$519 |
0.8× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$8,462.86 |
$14,104.78 |
9.3× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$18,815.27 |
$31,358.78 |
4.9× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$4,605.38 |
$7,675.63 |
5.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$3,798.60 |
$6,331 |
4.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,605.80 |
$4,343 |
1.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,452 |
$2,420 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,452 |
$2,420 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$272.40 |
$454 |
2.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$8,560.54 |
$14,267.57 |
12.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$20,018.89 |
$33,364.82 |
12.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$10,821.23 |
$18,035.38 |
6.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$7,471.98 |
$12,453.30 |
4.5× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$8,292.81 |
$13,821.35 |
11.7× |
| Exc back les sc < 3 cm (21930) |
$16,138.36 |
$26,897.28 |
9.7× |
| Exc back tum deep < 5 cm (21932) |
$10,901.98 |
$18,169.97 |
3.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$9,719.07 |
$16,198.45 |
13.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$9,329.35 |
$15,548.92 |
5.6× |
| Exc forearm les sc 3 cm/> (25071) |
$10,767.28 |
$17,945.48 |
6.5× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$11,431.12 |
$19,051.87 |
7.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$11,534.39 |
$19,223.98 |
7.1× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$19,338.60 |
$32,231 |
5.8× |
| Exc neck tum deep < 5 cm (21556) |
$10,723.28 |
$17,872.13 |
3.7× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$19,223.53 |
$32,039.22 |
6.9× |
| Exc rect tum transanal part (45171) |
$17,149.21 |
$28,582.02 |
6.2× |
| Exc skin abd (15830) |
$45,423.66 |
$75,706.10 |
6.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$7,082.93 |
$11,804.88 |
10.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$13,607.21 |
$22,678.68 |
33.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$19,705.51 |
$32,842.52 |
27.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$12,497.05 |
$20,828.42 |
4.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$10,205.26 |
$17,008.77 |
3.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$21,427.77 |
$35,712.95 |
12.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$12,397.91 |
$20,663.18 |
7.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$10,554.13 |
$17,590.22 |
3.6× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$18,341.41 |
$30,569.02 |
6.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$8,971.02 |
$14,951.70 |
5.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$7,944.52 |
$13,240.88 |
4.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$13,893.84 |
$23,156.40 |
4.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$12,789.76 |
$21,316.27 |
4.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$11,627.01 |
$19,378.35 |
4.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$14,136.35 |
$23,560.58 |
4.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$6,988.06 |
$11,646.77 |
4.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$11,918.38 |
$19,863.96 |
7.2× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$9,501.68 |
$15,836.14 |
3.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$10,018.28 |
$16,697.13 |
3.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$36,890.71 |
$61,484.52 |
11.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$12,587.17 |
$20,978.62 |
7.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,201.60 |
$10,336 |
1.7× |
| Exchange nephrostomy cath (50435) |
$5,814.82 |
$9,691.38 |
2.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,259.60 |
$3,766 |
1.2× |
| Excise excessive skin arm (15836) |
$31,680.04 |
$52,800.06 |
10.9× |
| Excision Bone Mandible (21025) |
$18,991.43 |
$31,652.38 |
3.2× |
| Excision Breast Lesion (19125) |
$17,733.86 |
$29,556.43 |
4.5× |
| Excision external ear; complete amputation Facility (69120) |
$15,155.39 |
$25,258.98 |
2.6× |
| Excision H/P/P/U Complex Repair (11471) |
$15,298.89 |
$25,498.15 |
5.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$11,845.75 |
$19,742.92 |
4.1× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$98,214.01 |
$163,690.02 |
33.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$16,506.73 |
$27,511.22 |
5.7× |
| Excision interdigital morton neuroma single each (28080) |
$45,514.82 |
$75,858.02 |
28.2× |
| Excision lesion meniscus/capsule knee (27347) |
$18,278.10 |
$30,463.50 |
5.6× |
| Excision lesion mouth roof (42104) |
$7,798.80 |
$12,998 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$7,862.98 |
$13,104.97 |
11.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$7,491.11 |
$12,485.18 |
18.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$20,596.64 |
$34,327.73 |
29.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$13,639.76 |
$22,732.93 |
19.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$15,995.70 |
$26,659.50 |
22.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$9,454.48 |
$15,757.47 |
13.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$13,570.05 |
$22,616.75 |
8.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$12,697.17 |
$21,161.95 |
4.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$14,719.64 |
$24,532.74 |
20.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$11,359.52 |
$18,932.53 |
16.0× |
| Excision of cervical stump, vaginal approach; Facility (57550) |
$22,535.83 |
$37,559.72 |
4.5× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
$7,916.11 |
$13,193.52 |
3.3× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$103,931.30 |
$173,218.83 |
31.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$8,991.30 |
$14,985.50 |
5.6× |
| Excision of hydrocele unilateral (55040) |
$9,347.28 |
$15,578.79 |
2.6× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$16,730.61 |
$27,884.35 |
4.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$9,365.92 |
$15,609.87 |
5.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$31,981.64 |
$53,302.74 |
5.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$19,886.02 |
$33,143.37 |
6.8× |
| Excision of single external papilla or tag, anus (46220) |
$13,955.56 |
$23,259.27 |
11.6× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$43,209.24 |
$72,015.40 |
14.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$12,362.26 |
$20,603.77 |
10.3× |
| Excision olecranon bursa (24105) |
$9,121.40 |
$15,202.33 |
2.8× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$12,686.24 |
$21,143.73 |
3.9× |
| Excision or fulguration; urethral prolapse Facility (53275) |
$10,221.11 |
$17,035.18 |
2.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$15,773.27 |
$26,288.78 |
5.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$12,726.86 |
$21,211.42 |
7.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$24,187.40 |
$40,312.33 |
8.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$7,611.59 |
$12,685.98 |
4.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$11,524.62 |
$19,207.70 |
7.0× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Facility (15835) |
$58,034.35 |
$96,723.92 |
19.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$22,844.89 |
$38,074.82 |
7.8× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$10,627.79 |
$17,712.98 |
3.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$11,065.22 |
$18,442.03 |
3.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$10,443.31 |
$17,405.52 |
6.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$11,328.40 |
$18,880.68 |
3.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,971.25 |
$6,618.75 |
1.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$10,319.81 |
$17,199.68 |
3.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$12,932.86 |
$21,554.76 |
4.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$10,423.81 |
$17,373.02 |
3.2× |
| Explo/Drain Breast Abscess (19020) |
$1,250.40 |
$2,084 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,250.40 |
$2,084 |
0.8× |
| Explore inner ear (69806) |
$22,430.23 |
$37,383.72 |
3.8× |
| Explore Parathyroid Glands (60500) |
$27,548.19 |
$45,913.65 |
4.6× |
| External cephalic version (59412) |
$3,183.60 |
$5,306 |
1.0× |
| Extraction of lens (66920) |
$23,308.57 |
$38,847.62 |
10.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$14,136.35 |
$23,560.58 |
4.3× |
| Fasciotomy foot and/or toe (28008) |
$14,979.69 |
$24,966.15 |
4.6× |
| Fetal contraction stress test (59020) |
$759.60 |
$1,266 |
3.7× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$172.20 |
$287 |
0.6× |
| Fetal non-stress test (59025) |
$767.40 |
$1,279 |
3.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,166.60 |
$3,611 |
3.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$3,261 |
$5,435 |
4.6× |
| Fine needle aspiration without imaging guidance (10021) |
$141 |
$235 |
0.3× |
| Fluid pressure muscle (20950) |
$541.20 |
$902 |
0.8× |
| Fluoro exam of g/colon tube (49465) |
$338.40 |
$564 |
1.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,887 |
$3,145 |
2.7× |
| Forehead flap w/vasc pedicle (15731) |
$15,152.59 |
$25,254.32 |
4.3× |
| Foreskin manipulation (54450) |
$179.40 |
$299 |
0.7× |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
$21,836.78 |
$36,394.63 |
3.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$18,003.23 |
$30,005.38 |
8.7× |
| Fusion of foot bones (28740) |
$97,974.65 |
$163,291.08 |
13.5× |
| Fusion of knuckle (26850) |
$24,650.68 |
$41,084.47 |
3.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$229.20 |
$382 |
1.1× |
| Gastrocnemius recession (27687) |
$53,135.46 |
$88,559.10 |
16.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$60,546.14 |
$100,910.23 |
15.7× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$19,415.75 |
$32,359.58 |
9.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$30,710.87 |
$51,184.78 |
8.6× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$21,711.64 |
$36,186.08 |
6.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,401.60 |
$2,336 |
2.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$28,100.68 |
$46,834.47 |
3.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$13,160.02 |
$21,933.36 |
4.0× |
| Hemorrhoidectomy (46255) |
$14,320.72 |
$23,867.88 |
5.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$15,909.65 |
$26,516.08 |
5.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$14,483.36 |
$24,138.93 |
5.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$9,030.37 |
$15,050.62 |
3.2× |
| Hip arthro acetabuloplasty (29915) |
$37,328.89 |
$62,214.82 |
5.1× |
| Hip arthro w/labral repair (29916) |
$46,191.19 |
$76,985.32 |
6.3× |
| Hysteroscopy biopsy (58558) |
$17,202.52 |
$28,670.87 |
5.3× |
| Hysteroscopy removal leiomyomata (58561) |
$21,315.67 |
$35,526.12 |
4.2× |
| Hysteroscopy w endometrial ablation (58563) |
$25,467.28 |
$42,445.46 |
5.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$11,857.21 |
$19,762.02 |
3.7× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,371.80 |
$3,953 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$1,132.80 |
$1,888 |
4.8× |
| I&d abscess simple (10060) |
$580.80 |
$968 |
2.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$8,074.69 |
$13,457.82 |
2.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,546.20 |
$2,577 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$4,502.64 |
$7,504.40 |
6.3× |
| I&d submucosal abscess rectum (45005) |
$1,122 |
$1,870 |
0.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,250.40 |
$2,084 |
0.8× |
| I&d vulva/perineal abscess (56405) |
$460.20 |
$767 |
1.5× |
| Image Cath Fluid Colxn Visc (49405) |
$3,176.40 |
$5,294 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$7,089 |
$11,815 |
4.3× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,124.80 |
$5,208 |
1.9× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$142,553.40 |
$237,589 |
17.4× |
| Implant cochlear device (69930) |
$108,356.46 |
$180,594.09 |
3.3× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$38,130.99 |
$63,551.65 |
3.0× |
| Incise external hemorrhoid (46083) |
$850.80 |
$1,418 |
3.4× |
| Incise finger tendon sheath (26055) |
$5,795.82 |
$9,659.70 |
3.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$249 |
$415 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$555.60 |
$926 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$7,045.43 |
$11,742.38 |
4.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$740.40 |
$1,234 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$600 |
$1,000 |
3.0× |
| Incision and drainage perianal abscess superficial (46050) |
$5,640.63 |
$9,401.05 |
6.0× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$2,153.40 |
$3,589 |
0.7× |
| Incision of eyelid fold (67715) |
$1,762.80 |
$2,938 |
0.7× |
| Incision of rectal abscess (46040) |
$12,494.47 |
$20,824.12 |
10.4× |
| Incisional biopsy skin single lesion (11106) |
$940.80 |
$1,568 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$150.60 |
$251 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$967.20 |
$1,612 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$3,985.40 |
$6,642.32 |
12.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,435.20 |
$2,392 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,506.20 |
$4,177 |
2.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,793.40 |
$2,989 |
2.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$653.40 |
$1,089 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,217.40 |
$2,029 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$952.80 |
$1,588 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$950.40 |
$1,584 |
1.1× |
| Inject Sinus Tract Theraputic (20500) |
$990.60 |
$1,651 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$549.60 |
$916 |
1.8× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,299.60 |
$2,166 |
1.5× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,506.20 |
$4,177 |
2.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$672 |
$1,120 |
0.9× |
| Injection aa&/strd pudendal nerve (64430) |
$1,444.80 |
$2,408 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,188 |
$1,980 |
3.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$226.80 |
$378 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,776 |
$2,960 |
2.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,573.80 |
$2,623 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$501 |
$835 |
0.7× |
| Injection for identification of sentinel node (38792) |
$34,096.81 |
$56,828.02 |
85.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$566.40 |
$944 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$226.80 |
$378 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$226.80 |
$378 |
0.7× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,816.80 |
$3,028 |
2.0× |
| Ins cath ren art 1st bilat (36252) |
$6,693 |
$11,155 |
2.1× |
| Ins cath ren art 1st unilat (36251) |
$26,909.81 |
$44,849.68 |
8.5× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,228.20 |
$12,047 |
1.3× |
| Ins endovas vena cava filtr (37191) |
$8,878.80 |
$14,798 |
1.6× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$20,640.60 |
$34,401 |
2.0× |
| Ins Vag Brachytx Device (57156) |
$608.40 |
$1,014 |
2.0× |
| Ins/Rep Subq Defibrillator (33270) |
$65,328 |
$108,880 |
2.1× |
| Insert and remove bone pin (20650) |
$2,481.60 |
$4,136 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$255.30 |
$425.50 |
2.0× |
| Insert cath pleura w/ image (32557) |
$1,407.60 |
$2,346 |
0.9× |
| Insert cath pleura w/o image (32556) |
$1,250.40 |
$2,084 |
0.6× |
| Insert cervical dilator (59200) |
$600.60 |
$1,001 |
2.0× |
| Insert Drug Implant Device (11981) |
$6,738.74 |
$11,231.23 |
50.5× |
| Insert gastrostomy tube percutaneous (49440) |
$2,816.40 |
$4,694 |
1.5× |
| Insert heart pm atrial (33206) |
$12,371.40 |
$20,619 |
1.2× |
| Insert heart pm ventricular (33207) |
$23,722.20 |
$39,537 |
2.3× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$7,923.60 |
$13,206 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$2,515.80 |
$4,193 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,237.40 |
$3,729 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,572.20 |
$4,287 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$115.20 |
$192 |
0.9× |
| Insert tun ip cath perc (49418) |
$7,071.60 |
$11,786 |
2.0× |
| Insert tunneled cv cath (36561) |
$10,381.39 |
$17,302.32 |
3.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$107.40 |
$179 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$13,939.84 |
$23,233.08 |
3.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,961.20 |
$6,602 |
6.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,830.80 |
$19,718 |
1.4× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$89,277.64 |
$148,796.07 |
4.6× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$11,513.40 |
$19,189 |
1.4× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,580.80 |
$15,968 |
1.2× |
| Insj picc rs&i 5 yr+ (36573) |
$3,932.40 |
$6,554 |
2.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,066.72 |
$8,444.54 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,879.87 |
$13,133.12 |
2.5× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$23,919.62 |
$39,866.03 |
2.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$72,649.80 |
$121,083 |
2.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,140.20 |
$13,567 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$47,547.60 |
$79,246 |
2.1× |
| Insrt/redo spine n generator (63685) |
$148,808.40 |
$248,014 |
4.8× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$13,269.20 |
$22,115.33 |
4.8× |
| Interdental Fixation (21110) |
$1,156.80 |
$1,928 |
0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$5,617.62 |
$9,362.71 |
4.0× |
| Intraoral i&d tongue/floor masticator space (41009) |
$962.40 |
$1,604 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$869.40 |
$1,449 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$793.80 |
$1,323 |
3.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$179.40 |
$299 |
0.7× |
| Knee Arthroscopy/Surgery (29879) |
$17,760.20 |
$29,600.33 |
5.4× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$50,882.72 |
$84,804.53 |
7.0× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$157,635.12 |
$262,725.20 |
8.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$140,233.76 |
$233,722.93 |
19.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$28,479.86 |
$47,466.43 |
3.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$113,400.90 |
$189,001.49 |
15.6× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$30,200.01 |
$50,333.35 |
4.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$28,176.28 |
$46,960.46 |
3.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$53,521.01 |
$89,201.68 |
7.4× |
| Lap ing hernia repair init (49650) |
$15,342.07 |
$25,570.12 |
2.5× |
| Lap insert tunnel ip cath (49324) |
$14,725.25 |
$24,542.08 |
2.4× |
| Lap paraesoph her rpr w/mesh (43282) |
$29,643.93 |
$49,406.55 |
2.8× |
| Lap paraesophag hern repair (43281) |
$32,137.78 |
$53,562.97 |
3.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$19,977.70 |
$33,296.18 |
3.3× |
| Laparoscopy appendectomy (44970) |
$23,720.44 |
$39,534.07 |
3.9× |
| Laparoscopy biopsy (49321) |
$29,518.26 |
$49,197.11 |
4.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$22,954.51 |
$38,257.52 |
2.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$23,757.98 |
$39,596.63 |
2.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$23,139.78 |
$38,566.30 |
3.8× |
| Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) |
$38,996.41 |
$64,994.02 |
3.7× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$31,606.44 |
$52,677.40 |
3.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$19,846.24 |
$33,077.07 |
3.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$48,967.22 |
$81,612.03 |
4.6× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$18,533.54 |
$30,889.23 |
4.8× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$27,940.49 |
$46,567.48 |
4.6× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$24,419.12 |
$40,698.53 |
2.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$24,036.71 |
$40,061.18 |
2.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$26,651.90 |
$44,419.83 |
2.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$21,156.70 |
$35,261.17 |
3.5× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$29,492.42 |
$49,154.04 |
2.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$15,850.46 |
$26,417.43 |
2.6× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$23,556.92 |
$39,261.53 |
2.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$24,340.91 |
$40,568.18 |
2.3× |
| Laparoscopy, surgical; with fimbrioplasty Facility (58672) |
$28,066.78 |
$46,777.97 |
4.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$15,263.10 |
$25,438.50 |
2.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$23,508.42 |
$39,180.70 |
3.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$34,554.75 |
$57,591.25 |
3.2× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$12,520.11 |
$20,866.85 |
2.1× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$23,889.39 |
$39,815.65 |
3.9× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$17,642.78 |
$29,404.63 |
2.9× |
| Laryngoscopy flexible diagnostic (31575) |
$149.40 |
$249 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$12,652.45 |
$21,087.42 |
3.4× |
| Larynscop w/tumr exc + scope (31541) |
$12,214.98 |
$20,358.30 |
3.3× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$30,590.97 |
$50,984.95 |
5.7× |
| Late closure of wound (13160) |
$13,093.24 |
$21,822.07 |
3.7× |
| Lateral retinacular release open (27425) |
$12,731.56 |
$21,219.27 |
3.9× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$43,547.75 |
$72,579.58 |
6.0× |
| Ligation Internal/Common Carotid Artery (37605) |
$2,483.40 |
$4,139 |
0.8× |
| Ligation of a-v fistula (37607) |
$9,737.40 |
$16,228.99 |
3.1× |
| Lip Surgery Procedure (40799) |
$174 |
$290 |
0.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$18,705.93 |
$31,176.55 |
5.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$31,565.34 |
$52,608.90 |
8.9× |
| Lithotripsy (50590) |
$11,156.10 |
$18,593.50 |
3.2× |
| Liver Biopsy (47000) |
$4,064.10 |
$6,773.50 |
2.5× |
| Lyse chest fibrin init day (32561) |
$1,090.80 |
$1,818 |
1.7× |
| Lyse Chest Fibrin Subq Day (32562) |
$705.60 |
$1,176 |
1.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$11,190.60 |
$18,651 |
5.3× |
| Manipulation knee joint under general anesthesia (27570) |
$6,423.28 |
$10,705.48 |
4.0× |
| Marsupialization Bartholins Gland Cyst (56440) |
$9,977.06 |
$16,628.43 |
3.1× |
| Mast mod rad (19307) |
$19,157.25 |
$31,928.75 |
2.9× |
| Mastectomy for gynecomastia (19300) |
$30,182.20 |
$50,303.67 |
7.7× |
| Mastectomy partial (19301) |
$22,219.42 |
$37,032.37 |
5.7× |
| Mastectomy simple complete (19303) |
$38,855.96 |
$64,759.93 |
5.8× |
| Mastoidectomy; complete (69502) |
$27,763.88 |
$46,273.13 |
4.7× |
| Mastopexy (19316) |
$30,438.09 |
$50,730.15 |
4.6× |
| Mech remov tunneled cv cath (36595) |
$1,149 |
$1,915 |
0.4× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$11,817.60 |
$19,696 |
3.3× |
| Muscle-skin graft trunk (15734) |
$24,146.12 |
$40,243.53 |
6.8× |
| Myelography Lumbar Injection (62305) |
$5,319 |
$8,865 |
6.8× |
| Myelography Lumbar Injection (62304) |
$4,807.20 |
$8,012 |
6.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$5,069.40 |
$8,449 |
6.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$790.80 |
$1,318 |
1.1× |
| N Block Inj, Plantar Digit (64455) |
$583.80 |
$973 |
1.9× |
| Nasal endoscopy dx (31231) |
$149.40 |
$249 |
0.7× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$18,911.22 |
$31,518.69 |
2.7× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$32,479.44 |
$54,132.40 |
8.7× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$16,362.33 |
$27,270.55 |
2.3× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$34,189.90 |
$56,983.17 |
19.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$8,216.55 |
$13,694.25 |
4.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,333.20 |
$2,222 |
0.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$30,805.34 |
$51,342.24 |
4.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$31,163.84 |
$51,939.74 |
4.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$544.20 |
$907 |
1.2× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$18,451.35 |
$30,752.25 |
5.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$7,112.06 |
$11,853.42 |
4.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$26.40 |
$44 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$33.60 |
$56 |
1.2× |
| Nerve repair w/allograft (64910) |
$71,432.34 |
$119,053.90 |
8.1× |
| Nerve repair w/nerve allograft first strand (64912) |
$271,625.83 |
$452,709.72 |
30.9× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$9,304.23 |
$15,507.05 |
4.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,199.40 |
$1,999 |
2.9× |
| Nfct ds csf metag ngs alys (0480U) |
$6,378.60 |
$10,631 |
3.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$7,032.60 |
$11,721 |
3.3× |
| Nipple/areola reconstruction (19350) |
$179,611.40 |
$299,352.33 |
45.7× |
| Njx aa&/strd sciatic nerve (64445) |
$1,816.80 |
$3,028 |
2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$7,291.80 |
$12,153 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,556 |
$9,260 |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,481.60 |
$4,136 |
2.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$16,600.49 |
$27,667.48 |
18.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,284.40 |
$5,474 |
4.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$9,208.34 |
$15,347.24 |
10.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,530.40 |
$5,884 |
5.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$4,489.20 |
$7,482 |
6.4× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$22,279.57 |
$37,132.62 |
3.1× |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
$270 |
$450 |
2.1× |
| Occipital Nerve Block (64405) |
$1,188 |
$1,980 |
3.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$15,619.39 |
$26,032.32 |
4.0× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$89,277.64 |
$148,796.07 |
14.0× |
| Open thrombect av fistula (36831) |
$15,799.66 |
$26,332.76 |
2.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$28,940.69 |
$48,234.48 |
4.0× |
| Open treatment calcaneal fracture (28415) |
$44,888.71 |
$74,814.52 |
6.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$17,572.68 |
$29,287.80 |
2.4× |
| Open treatment metatarsal fracture each (28485) |
$96,487.32 |
$160,812.20 |
13.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$34,265.76 |
$57,109.60 |
4.7× |
| Open treatment of lunate dislocation Facility (25695) |
$11,439.19 |
$19,065.32 |
1.6× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$48,996.19 |
$81,660.32 |
8.2× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
$119,943.07 |
$199,905.12 |
20.2× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$38,807.86 |
$64,679.77 |
5.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$22,938.72 |
$38,231.20 |
3.2× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$31,907.46 |
$53,179.09 |
4.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$19,277.98 |
$32,129.97 |
2.6× |
| Open Treatment Proximal Humeral Fracture (23615) |
$40,311.80 |
$67,186.34 |
3.1× |
| Open tx carpal scaphoid navicular fracture (25628) |
$42,710.96 |
$71,184.93 |
5.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$34,458.84 |
$57,431.41 |
4.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$31,815.47 |
$53,025.78 |
4.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$35,781.86 |
$59,636.44 |
2.8× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$23,223.98 |
$38,706.64 |
7.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$32,754.02 |
$54,590.03 |
10.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$26,403.98 |
$44,006.63 |
3.6× |
| Open tx ulnar fx proximal end (24685) |
$23,911.19 |
$39,851.98 |
3.3× |
| Open/Perq Place Stent Same (37238) |
$40,295.12 |
$67,158.54 |
3.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$29,108.25 |
$48,513.75 |
2.5× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$24,777.18 |
$41,295.30 |
3.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$21,648.26 |
$36,080.42 |
3.0× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$20,915.33 |
$34,858.88 |
2.9× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$37,817.06 |
$63,028.43 |
2.9× |
| Ostectomy calcaneus (28118) |
$47,791.54 |
$79,652.57 |
14.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$24,786.95 |
$41,311.58 |
7.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$14,376.50 |
$23,960.82 |
4.4× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$91,524.03 |
$152,540.05 |
27.9× |
| Osteochondral allograft, knee, open (27415) |
$62,767.26 |
$104,612.10 |
4.9× |
| Osteoplasty, femur; lengthening Facility (27466) |
$27,119.19 |
$45,198.65 |
3.7× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$35,392.34 |
$58,987.23 |
4.9× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$32,659.48 |
$54,432.46 |
4.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$38,935.36 |
$64,892.27 |
11.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$48,606.43 |
$81,010.72 |
6.7× |
| Osteotomy radius distal third (25350) |
$35,508.56 |
$59,180.93 |
4.9× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$32,902.04 |
$54,836.74 |
4.5× |
| Osteotomy, mandible, segmental; Facility (21198) |
$188,090.78 |
$313,484.63 |
31.7× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$23,846.27 |
$39,743.78 |
4.0× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$25,863.63 |
$43,106.05 |
4.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$33,110.32 |
$55,183.86 |
10.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$72,221.90 |
$120,369.84 |
22.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,195.80 |
$1,993 |
0.7× |
| Partial removal of thyroid (60220) |
$31,159.87 |
$51,933.12 |
5.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$11,900.17 |
$19,833.62 |
3.6× |
| Pelvic examination under anesthesia (other than local) (57410) |
$10,097.30 |
$16,828.83 |
3.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$9,573 |
$15,955 |
0.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,351.80 |
$2,253 |
1.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,725 |
$12,875 |
0.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$7,923.60 |
$13,206 |
2.5× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$9,961.81 |
$16,603.02 |
3.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,207.80 |
$2,013 |
0.8× |
| Perirectal inj sclerosing solution prolapse (45520) |
$9,059.39 |
$15,098.98 |
9.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$9,804.60 |
$16,341 |
0.5× |
| Perq dev breast 1st mr guide (19287) |
$1,330.20 |
$2,217 |
1.9× |
| Perq dev breast 1st strtctc (19283) |
$6,344.40 |
$10,574 |
8.9× |
| Perq dev breast 1st us imag (19285) |
$2,233.80 |
$3,723 |
3.1× |
| Perq device breast 1st imag (19281) |
$3,538.20 |
$5,897 |
2.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$3,720.30 |
$6,200.50 |
14.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,227.60 |
$2,046 |
1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$18,312.68 |
$30,521.13 |
5.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,901 |
$29,835 |
2.5× |
| Perq Vertebral Augmentation (22513) |
$17,901 |
$29,835 |
2.5× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$6,992.40 |
$11,654 |
2.1× |
| Picc line placement (36569) |
$5,150.40 |
$8,584 |
3.3× |
| Place Cath Subclavian Art (36225) |
$8,979.60 |
$14,966 |
2.8× |
| Place Cath Vertebral Art (36226) |
$15,827.40 |
$26,379 |
2.8× |
| Place duod/jej tube perc (49441) |
$3,628.80 |
$6,048 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$352.20 |
$587 |
0.8× |
| Placement of seton (46020) |
$11,647.42 |
$19,412.37 |
4.2× |
| Plastic operation on penis to correct angulation Facility (54360) |
$9,460.49 |
$15,767.48 |
2.7× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) |
$20,271.38 |
$33,785.63 |
3.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$3,720.60 |
$6,201 |
0.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$11,773.20 |
$19,622 |
1.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$5,476.20 |
$9,127 |
3.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,475.40 |
$7,459 |
2.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$5,119.20 |
$8,532 |
1.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$9,157.20 |
$15,262 |
2.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,391.20 |
$10,652 |
1.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$19,110.29 |
$31,850.48 |
3.8× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$8,209.80 |
$13,683 |
0.4× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$18,404.17 |
$30,673.62 |
7.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$13,831.24 |
$23,052.07 |
14.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,142 |
$3,570 |
0.8× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$90,915.98 |
$151,526.63 |
14.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,332.40 |
$10,554 |
1.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,983.01 |
$9,971.68 |
1.8× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$5,731.01 |
$9,551.68 |
1.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$12,723 |
$21,205 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$556.20 |
$927 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$487.80 |
$813 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$427.20 |
$712 |
1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,279.20 |
$2,132 |
1.8× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,418.40 |
$2,364 |
2.0× |
| Radical excision external auditory canal lesion; without neck dissection Facility (69150) |
$21,151.99 |
$35,253.32 |
3.6× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$10,422.62 |
$17,371.03 |
6.5× |
| Rcnstj Dislocating Patella (27420) |
$45,370.37 |
$75,617.28 |
6.2× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$693 |
$1,155 |
0.7× |
| Reconstruct extra finger (26587) |
$11,175 |
$18,625 |
3.4× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Facility (21142) |
$54,751.24 |
$91,252.07 |
9.2× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Facility (21143) |
$236,927.35 |
$394,878.92 |
39.9× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$85,650.52 |
$142,750.87 |
14.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$40,321.43 |
$67,202.38 |
5.5× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Facility (21196) |
$55,343.47 |
$92,239.12 |
9.3× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
$54,751.24 |
$91,252.07 |
9.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$16,098.05 |
$26,830.08 |
2.2× |
| Relocation of skin pocket for pacemaker (33222) |
$1,875.60 |
$3,126 |
0.9× |
| Rem Endovas Vena Cava Filter (37193) |
$6,834 |
$11,390 |
2.2× |
| Removal biliary drg cath (47537) |
$2,909.40 |
$4,849 |
3.2× |
| Removal foreign body foot subcutaneous (28190) |
$8,457.83 |
$14,096.38 |
11.9× |
| Removal foreign body intranasal (30300) |
$278.40 |
$464 |
2.1× |
| Removal foreign body jawbone (41806) |
$1,156.80 |
$1,928 |
0.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,249.20 |
$2,082 |
0.8× |
| Removal foreign body pharynx (42809) |
$427.20 |
$712 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$45.60 |
$76 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$282.60 |
$471 |
4.8× |
| Removal implant deep (20680) |
$27,180.82 |
$45,301.37 |
9.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$8,780.21 |
$14,633.68 |
12.4× |
| Removal Intact Mammary Implant (19328) |
$21,995.81 |
$36,659.68 |
5.6× |
| Removal of adenoids (42830) |
$9,980.87 |
$16,634.78 |
3.0× |
| Removal of anal fissure (46200) |
$12,442.43 |
$20,737.38 |
4.5× |
| Removal of breast capsule (19371) |
$17,260.79 |
$28,767.98 |
4.4× |
| Removal of embedded foreign body, eyelid (67938) |
$221.40 |
$369 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$433.80 |
$723 |
1.0× |
| Removal of heel spur (28119) |
$14,263.72 |
$23,772.87 |
4.3× |
| Removal of implant material (19330) |
$25,585.54 |
$42,642.57 |
6.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$202.80 |
$338 |
0.3× |
| Removal of iris (66635) |
$11,092.81 |
$18,488.02 |
4.8× |
| Removal of iud (58301) |
$15,231.88 |
$25,386.47 |
49.8× |
| Removal of nail bed (11750) |
$20,632.65 |
$34,387.75 |
50.6× |
| Removal of skin wrinkles (15829) |
$45,102.49 |
$75,170.82 |
12.7× |
| Removal of tonsils (42826) |
$12,895.33 |
$21,492.22 |
3.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$13,174.81 |
$21,958.02 |
4.2× |
| Removal ppm generator only (33233) |
$5,923.20 |
$9,872 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$4,817.64 |
$8,029.40 |
23.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,914.90 |
$3,191.50 |
2.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$4,410.91 |
$7,351.52 |
2.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$11,890.24 |
$19,817.07 |
7.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$237 |
$395 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$237 |
$395 |
0.8× |
| Remove anal fist subq (46270) |
$12,162.68 |
$20,271.13 |
4.4× |
| Remove drug implant device (11982) |
$30,876.04 |
$51,460.07 |
68.9× |
| Remove ext hem groups 2+ (46250) |
$10,062.35 |
$16,770.58 |
3.6× |
| Remove foreign body from eye (65235) |
$1,800.60 |
$3,001 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$10,361.29 |
$17,268.82 |
3.6× |
| Remove pulse generator (33241) |
$4,153.80 |
$6,923 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$589.20 |
$982 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$3,272.74 |
$5,454.57 |
2.0× |
| Remove thyroid duct lesion (60280) |
$13,679.44 |
$22,799.07 |
2.3× |
| Remove tissue expander (11971) |
$16,881.02 |
$28,135.03 |
5.8× |
| Remove&replace pm gen singl (33227) |
$17,020.80 |
$28,368 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$251.40 |
$419 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$97.20 |
$162 |
0.7× |
| Remv&replc cvd gen dual lead (33263) |
$71,731.80 |
$119,553 |
3.2× |
| Remv&replc cvd gen mult lead (33264) |
$93,251.40 |
$155,419 |
3.0× |
| Remv&replc cvd gen sing lead (33262) |
$71,731.80 |
$119,553 |
3.2× |
| Remv&replc pm gen dual lead (33228) |
$10,432.20 |
$17,387 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$21,780 |
$36,300 |
1.1× |
| Remv/revisn shldr/hip spica cast (29710) |
$237 |
$395 |
0.8× |
| Renal Biopsy Percutaneous (50200) |
$1,389 |
$2,315 |
0.8× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$5,911.20 |
$9,852 |
1.8× |
| Repair achilles tendon (27650) |
$24,974.01 |
$41,623.35 |
3.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,483.40 |
$4,139 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$7,282.96 |
$12,138.26 |
9.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$11,286 |
$18,810 |
15.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$7,925.40 |
$13,209 |
19.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$12,269.62 |
$20,449.38 |
30.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,921.80 |
$3,203 |
4.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$12,144.67 |
$20,241.12 |
29.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,921.80 |
$3,203 |
2.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$10,560.95 |
$17,601.58 |
14.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,195.80 |
$1,993 |
0.7× |
| Repair Eyelid Wound (67935) |
$1,762.80 |
$2,938 |
0.7× |
| Repair Fibula Nonunion (27726) |
$65,080 |
$108,466.67 |
8.9× |
| Repair forearm tendon/muscle (25260) |
$2,481.60 |
$4,136 |
0.8× |
| Repair incomplete circumcision (54163) |
$9,460.49 |
$15,767.48 |
4.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$18,039.79 |
$30,066.32 |
5.0× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) |
$13,638.23 |
$22,730.38 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,108.80 |
$1,848 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$4,889.73 |
$8,149.55 |
12.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$6,691.20 |
$11,152 |
16.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,108.80 |
$1,848 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,108.80 |
$1,848 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,108.80 |
$1,848 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,108.80 |
$1,848 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$7,081.80 |
$11,803 |
17.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$8,800.85 |
$14,668.08 |
21.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,108.80 |
$1,848 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,108.80 |
$1,848 |
2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$9,032.39 |
$15,053.98 |
22.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$9,686.50 |
$16,144.17 |
23.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,108.80 |
$1,848 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,108.80 |
$1,848 |
2.7× |
| Repair lead pace-defib dual (33220) |
$7,145.40 |
$11,909 |
1.9× |
| Repair lead pace-defib one (33218) |
$11,554.20 |
$19,257 |
3.1× |
| Repair Lower Leg Tendons (27675) |
$57,512.88 |
$95,854.80 |
17.5× |
| Repair Nasal Stenosis (30465) |
$15,209.90 |
$25,349.83 |
2.6× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$27,609.02 |
$46,015.03 |
4.3× |
| Repair of biceps tendon (24340) |
$78,688.82 |
$131,148.03 |
10.8× |
| Repair of nail bed (11760) |
$14,157.10 |
$23,595.17 |
19.1× |
| Repair of nasal septum (30520) |
$14,320 |
$23,866.67 |
4.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$35,508.56 |
$59,180.93 |
4.9× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$19,098.90 |
$31,831.50 |
5.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$52,606.74 |
$87,677.89 |
7.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$2,481.60 |
$4,136 |
0.8× |
| Repair tongue laceration (41252) |
$174 |
$290 |
0.7× |
| Repair Tongue Laceration (41250) |
$315.60 |
$526 |
0.7× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$82,939.76 |
$138,232.93 |
11.4× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$55,345.04 |
$92,241.74 |
7.6× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$23,978.66 |
$39,964.43 |
3.3× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$21,816.92 |
$36,361.53 |
3.0× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$100,283.18 |
$167,138.63 |
13.8× |
| Repair/revise wrist joint (25320) |
$26,884 |
$44,806.67 |
3.7× |
| Repeat control of nosebleed (30906) |
$174 |
$290 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$790.80 |
$1,318 |
0.9× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$731.40 |
$1,219 |
0.8× |
| Replace Tissue Expander (11970) |
$35,000.86 |
$58,334.77 |
4.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,179.60 |
$1,966 |
1.3× |
| Reposition cv cath w/fluoro (36597) |
$1,462.20 |
$2,437 |
0.9× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$66,517.91 |
$110,863.18 |
20.3× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$11,431.12 |
$19,051.87 |
3.5× |
| Revis reconst shoulder joint (23473) |
$95,234.17 |
$158,723.62 |
7.4× |
| Revise external ear (69300) |
$20,585.11 |
$34,308.52 |
6.2× |
| Revise knuckle joint (26530) |
$16,228.74 |
$27,047.90 |
2.2× |
| Revise Lower Leg Tendon (27691) |
$18,742 |
$31,236.67 |
2.6× |
| Revise ulnar nerve at elbow (64718) |
$8,172.73 |
$13,621.22 |
4.2× |
| Revision of eyelid (67961) |
$1,762.80 |
$2,938 |
0.7× |
| Revision of lower leg tendon (27685) |
$15,176.07 |
$25,293.45 |
4.6× |
| Revision of penis (54300) |
$10,917.83 |
$18,196.38 |
3.1× |
| Revision of reconstructed breast (19380) |
$23,249.80 |
$38,749.68 |
3.5× |
| Revision of tips (37183) |
$3,936 |
$6,560 |
0.7× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$37,304.96 |
$62,174.93 |
2.9× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$130,971.38 |
$218,285.62 |
7.4× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$14,022.74 |
$23,371.24 |
2.5× |
| Rhinoplasty, primary; including major septal repair Facility (30420) |
$46,643.48 |
$77,739.13 |
7.9× |
| Rhytidectomy Cheek Chin & Neck (15828) |
$31,639.98 |
$52,733.30 |
8.9× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
$45,102.49 |
$75,170.82 |
12.7× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$835.80 |
$1,393 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$688.80 |
$1,148 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$97.20 |
$162 |
0.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$315.60 |
$526 |
0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,523.40 |
$7,539 |
1.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$5,448.60 |
$9,081 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,753.66 |
$6,256.11 |
2.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,763.70 |
$2,939.50 |
2.8× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,501.20 |
$7,502 |
1.2× |
| Rplc gtube revj gstrst trc (43763) |
$558.60 |
$931 |
2.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,796 |
$4,660 |
1.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,587.80 |
$4,313 |
1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,587.80 |
$4,313 |
0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$19,608.14 |
$32,680.23 |
3.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$21,324.68 |
$35,541.14 |
5.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$18,192.38 |
$30,320.63 |
2.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$16,399.48 |
$27,332.47 |
4.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$20,031.73 |
$33,386.22 |
3.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$14,697.28 |
$24,495.47 |
2.4× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$541.20 |
$902 |
0.8× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$25,251.42 |
$42,085.70 |
3.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$174 |
$290 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$381 |
$635 |
0.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$381 |
$635 |
0.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$26,867.79 |
$44,779.65 |
8.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$483 |
$805 |
0.8× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$76,306.49 |
$127,177.48 |
23.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$7,619.78 |
$12,699.63 |
2.3× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$4,860.60 |
$8,101 |
1.5× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$4,522.80 |
$7,538 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$5,291.92 |
$8,819.87 |
5.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$6,053.04 |
$10,088.40 |
5.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$4,084.21 |
$6,807.02 |
1.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$311.40 |
$519 |
0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$4,689.97 |
$7,816.62 |
3.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$5,800.93 |
$9,668.22 |
4.8× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$4,152.37 |
$6,920.62 |
4.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$4,945.20 |
$8,242 |
5.3× |
| Sigmoidoscopy w/biopsy (45331) |
$4,131.86 |
$6,886.43 |
4.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$941.40 |
$1,569 |
2.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$941.40 |
$1,569 |
4.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$941.40 |
$1,569 |
4.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$941.40 |
$1,569 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$941.40 |
$1,569 |
4.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$941.40 |
$1,569 |
4.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$941.40 |
$1,569 |
4.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$800.40 |
$1,334 |
4.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$941.40 |
$1,569 |
4.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$941.40 |
$1,569 |
4.7× |
| Skin sub graft face/nk/hf/g (15275) |
$9,088.66 |
$15,147.77 |
12.3× |
| Skin sub graft trnk/arm/leg (15271) |
$6,816.30 |
$11,360.50 |
9.2× |
| Skin sub grft t/arm/lg child (15273) |
$250.80 |
$418 |
0.1× |
| Skin Tissue Procedure (17999) |
$41,451.77 |
$69,086.28 |
205.9× |
| Skin tissue rearrangement (14040) |
$127,320.26 |
$212,200.43 |
61.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$29,868.34 |
$49,780.57 |
8.4× |
| Skn sub grft f/n/hf/g child (15277) |
$39,324.84 |
$65,541.40 |
19.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,713.40 |
$16,189 |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$8,678.40 |
$14,464 |
2.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$11,438.40 |
$19,064 |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$23,444.20 |
$39,073.67 |
4.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$941.40 |
$1,569 |
4.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$941.40 |
$1,569 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$941.40 |
$1,569 |
2.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$15,316.15 |
$25,526.92 |
5.5× |
| Spinal puncture lumbar diagnostic (62270) |
$2,268 |
$3,780 |
3.2× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$21,053.63 |
$35,089.38 |
3.5× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$10,446.56 |
$17,410.93 |
4.4× |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
$9,778.16 |
$16,296.93 |
4.1× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
$8,377.78 |
$13,962.97 |
2.1× |
| Strapping ankle (29540) |
$121.80 |
$203 |
0.7× |
| Strapping elbow or wrist (29260) |
$48 |
$80 |
0.8× |
| Strapping hand/finger (29280) |
$48 |
$80 |
0.8× |
| Strapping knee (29530) |
$97.20 |
$162 |
0.7× |
| Strapping shoulder (29240) |
$477.60 |
$796 |
3.6× |
| Strapping unna boot (29580) |
$376.80 |
$628 |
2.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$15,046.90 |
$25,078.18 |
4.5× |
| Subtalar Arthro W/Deb (29906) |
$133,070.05 |
$221,783.42 |
40.5× |
| Suction assisted lipectomy lower extremity (15879) |
$53,583.11 |
$89,305.18 |
15.1× |
| Suction Assisted Lipectomy Trunk (15877) |
$56,854.12 |
$94,756.87 |
16.0× |
| Suction assisted lipectomy; head and neck (15876) |
$62,641.09 |
$104,401.82 |
17.6× |
| Suction assisted lipectomy; upper extremity (15878) |
$53,051.98 |
$88,419.96 |
25.6× |
| Surgery of breast capsule (19370) |
$34,585.46 |
$57,642.43 |
8.8× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$31,998.78 |
$53,331.30 |
9.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$12,374.03 |
$20,623.38 |
4.4× |
| Suspension of testis (54640) |
$13,976.21 |
$23,293.68 |
3.9× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$15,648.75 |
$26,081.25 |
2.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$13,073.77 |
$21,789.62 |
8.1× |
| Tangential biopsy skin single lesion (11102) |
$4,230.34 |
$7,050.57 |
10.4× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$6,736.80 |
$11,228 |
0.2× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$42,183 |
$70,305 |
2.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,872.81 |
$6,454.68 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$59,985.23 |
$99,975.38 |
8.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$81,817.10 |
$136,361.83 |
24.9× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$3,039 |
$5,065 |
1.9× |
| Tenotomy percutaneous single each digit (26060) |
$3,449.55 |
$5,749.25 |
2.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,039 |
$5,065 |
1.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$47,062.09 |
$78,436.82 |
29.2× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$54,008.45 |
$90,014.08 |
16.5× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,039 |
$5,065 |
1.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,548.40 |
$5,914 |
2.3× |
| Ther Apheresis,White Blood Cells (36511) |
$4,722.60 |
$7,871 |
3.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,166.40 |
$1,944 |
1.9× |
| Throat Surgery Procedure (42999) |
$174 |
$290 |
0.7× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,383.20 |
$3,972 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$482.40 |
$804 |
1.5× |
| Thrombolytic Venous Therapy (37212) |
$2,433.30 |
$4,055.50 |
0.8× |
| Thyroid biopsy (60100) |
$3,675.60 |
$6,126 |
5.2× |
| Thyroidectomy, total or complete (60240) |
$33,222.47 |
$55,370.78 |
5.5× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$49,357.28 |
$82,262.12 |
3.6× |
| Tongue and mouth surg unlisted (41599) |
$174 |
$290 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$12,106.66 |
$20,177.77 |
3.6× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$87,727.27 |
$146,212.12 |
5.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$78,903.95 |
$131,506.58 |
4.5× |
| Total hip arthroplasty (27130) |
$54,780.41 |
$91,300.68 |
4.3× |
| Total Knee Arthroplasty (27447) |
$54,018.50 |
$90,030.82 |
4.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$2,356.80 |
$3,928 |
0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$381 |
$635 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$174 |
$290 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,156.80 |
$1,928 |
0.7× |
| Tracheotomy tube change (31502) |
$432 |
$720 |
1.8× |
| Transcatheter biopsy (37200) |
$3,627 |
$6,045 |
0.6× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$39,889.21 |
$66,482.02 |
5.5× |
| Transur electr resection of prostate (52601) |
$19,148.95 |
$31,914.92 |
3.6× |
| Treat clavicle dislocation (23540) |
$172.80 |
$288 |
0.7× |
| Treat clavicle fracture (23505) |
$1,195.80 |
$1,993 |
0.7× |
| Treat elbow fracture (24586) |
$53,420.33 |
$89,033.88 |
4.1× |
| Treat fracture radius/ulna (25575) |
$21,816.04 |
$36,360.07 |
3.0× |
| Treat humerus fracture (24500) |
$453.60 |
$756 |
1.8× |
| Treat knee fracture (27532) |
$4,878 |
$8,130 |
1.5× |
| Treat Knee Fracture (27535) |
$11,424 |
$19,040 |
1.6× |
| Treat Kneecap Fracture (27524) |
$45,162.14 |
$75,270.23 |
6.2× |
| Treat Metatarsal Fracture (28475) |
$172.80 |
$288 |
0.7× |
| Treat pleurodesis w/agent (32560) |
$1,056 |
$1,760 |
1.7× |
| Treat radius fracture (24665) |
$14,723.43 |
$24,539.05 |
2.0× |
| Treat Thigh Fracture (27246) |
$658.20 |
$1,097 |
2.7× |
| Treat Thumb Dislocation (26641) |
$172.80 |
$288 |
0.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,195.80 |
$1,993 |
0.7× |
| Treat wrist bone fracture (25622) |
$476.40 |
$794 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$453.60 |
$756 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,195.80 |
$1,993 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$172.80 |
$288 |
0.7× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$8,926.28 |
$14,877.13 |
2.7× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$12,063.60 |
$20,106 |
3.7× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$16,890.26 |
$28,150.43 |
5.1× |
| Trim skin lesion (11055) |
$190.80 |
$318 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$122.40 |
$204 |
0.6× |
| Trim skin lesions over 4 (11057) |
$174.60 |
$291 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$12,111 |
$20,185 |
2.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,213.94 |
$22,023.23 |
2.3× |
| Tube thoracostomy includes water seal (32551) |
$1,445.40 |
$2,409 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$9,558.22 |
$15,930.37 |
2.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$8,604.60 |
$14,341 |
5.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$485.40 |
$809 |
0.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$25,103.21 |
$41,838.68 |
4.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$24,702.18 |
$41,170.30 |
4.2× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$21,342.52 |
$35,570.87 |
3.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$23,388.06 |
$38,980.10 |
3.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$18,290.15 |
$30,483.58 |
3.1× |
| Tympanostomy general anesthesia (69436) |
$21,342.52 |
$35,570.87 |
13.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$6,648.32 |
$11,080.53 |
1.9× |
| Unlisted Cardiac Surgery (33999) |
$949.20 |
$1,582 |
1.5× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$11,010.68 |
$18,351.13 |
54.3× |
| Unlisted laparoscopic procedure liver (47379) |
$21,971.10 |
$36,618.50 |
3.6× |
| Unlisted laparoscopic procedure, ureter (50949) |
$29,550.29 |
$49,250.48 |
4.9× |
| Unlisted laparoscopy procedure stomach (43659) |
$21,998 |
$36,663.33 |
3.6× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$25,433.12 |
$42,388.53 |
4.2× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$58,436.78 |
$97,394.63 |
9.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$22,970.09 |
$38,283.48 |
3.8× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$21,406.73 |
$35,677.88 |
3.5× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$22,262.74 |
$37,104.57 |
3.7× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$19,688.74 |
$32,814.57 |
3.2× |
| Unlisted laparoscopy procedure, rectum (45499) |
$14,087.15 |
$23,478.58 |
2.3× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$22,800.26 |
$38,000.43 |
3.8× |
| Unlisted laparoscopy procedure, spleen (38129) |
$22,530.50 |
$37,550.83 |
3.7× |
| Unlisted laparoscopy procedure, uterus (58578) |
$15,040.87 |
$25,068.12 |
2.5× |
| Unlisted procedure anus (46999) |
$17,524.37 |
$29,207.28 |
18.8× |
| Unlisted procedure arthroscopy (29999) |
$19,107.28 |
$31,845.47 |
77.2× |
| Unlisted procedure dentoalveolar structures (41899) |
$14,090.92 |
$23,484.87 |
59.3× |
| Unlisted procedure femur or knee (27599) |
$34,786.16 |
$57,976.93 |
140.6× |
| Unlisted procedure foot or toes (28899) |
$43,597.22 |
$72,662.02 |
176.2× |
| Unlisted Procedure Male Genital System (55899) |
$16,781.16 |
$27,968.60 |
66.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$94,002.77 |
$156,671.28 |
379.9× |
| Unlisted procedure nervous system (64999) |
$7,250.24 |
$12,083.73 |
23.5× |
| Unlisted procedure rectum (45999) |
$17,842.52 |
$29,737.53 |
19.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$6,804.34 |
$11,340.56 |
10.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$14,756.25 |
$24,593.75 |
16.2× |
| Unlisted procedure, hands or fingers (26989) |
$13,093.17 |
$21,821.95 |
52.9× |
| Unlisted procedure, stomach (43999) |
$900 |
$1,500 |
1.0× |
| Unlisted procedure, vestibule of mouth (40899) |
$461.40 |
$769 |
1.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$7,288.70 |
$12,147.83 |
35.9× |
| Upgrade of pacemaker system (33214) |
$13,504.20 |
$22,507 |
1.3× |
| Us urine capacity measure (51798) |
$114.30 |
$190.50 |
1.9× |
| Vaginal delivery only (59409) |
$4,052.40 |
$6,754 |
1.2× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$17,096.18 |
$28,493.63 |
3.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$25,466.60 |
$42,444.33 |
5.1× |
| Vasc embolize/occlude artery (37242) |
$72,361.76 |
$120,602.93 |
3.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,936.60 |
$26,561 |
1.4× |
| Vasc embolize/occlude organ (37243) |
$25,551.60 |
$42,586 |
2.2× |
| Vasc embolize/occlude venous (37241) |
$25,643.40 |
$42,739 |
2.2× |
| Venipuncture (36415) |
$26.40 |
$44 |
2.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$21,342.52 |
$35,570.87 |
6.4× |
| Vulvectomy Simple Partial (56620) |
$11,511.29 |
$19,185.48 |
3.5× |
| Vulvectomy simple; complete (56625) |
$10,563.20 |
$17,605.33 |
3.3× |
| Vulvectomy, radical, partial; Facility (56630) |
$10,693.16 |
$17,821.93 |
2.1× |
| Wedge excision skin nail fold (11765) |
$311.40 |
$519 |
0.8× |
| Wedging of cast (29740) |
$237 |
$395 |
0.8× |
| Windowing of cast (29730) |
$237 |
$395 |
1.5× |
| Wound Prep F/N/Hf/G (15004) |
$30,155.29 |
$50,258.82 |
73.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$31,845.73 |
$53,076.22 |
42.9× |