| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,079.02 |
$5,438.69 |
2.1× |
| Amputation metatarsal with toe single (28810) |
$5,682.51 |
$7,576.68 |
1.8× |
| Amputation toe interphalangeal joint (28825) |
$4,121.83 |
$5,495.77 |
1.3× |
| Apply short leg cast (29405) |
$323.47 |
$431.29 |
1.2× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$19,417.14 |
$25,889.52 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$3,455.75 |
$4,607.66 |
11.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,210.67 |
$17,614.23 |
1.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$20,940.98 |
$27,921.31 |
1.2× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$36,811.55 |
$49,082.07 |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$31,308.75 |
$41,745 |
1.9× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,916.58 |
$7,888.78 |
1.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$17,552.62 |
$23,403.50 |
2.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$16,571.70 |
$22,095.60 |
2.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$22,790.72 |
$30,387.63 |
3.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$4,199.30 |
$5,599.06 |
2.1× |
| Breast augmentation with implant (19325) |
$6,506.73 |
$8,675.64 |
0.8× |
| Breast Reduction (19318) |
$8,734.25 |
$11,645.66 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$160.13 |
$213.51 |
0.1× |
| Cataract surgery complex (66982) |
$3,709.89 |
$4,946.52 |
1.7× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,009.98 |
$5,346.64 |
1.3× |
| Colonoscopy flex w/inj submuc (45381) |
$2,955.51 |
$3,940.69 |
2.6× |
| Colonoscopy thru stoma (44388) |
$2,671.81 |
$3,562.41 |
3.0× |
| Colonoscopy w/band ligation (45398) |
$2,889.22 |
$3,852.29 |
2.5× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$3,502.24 |
$4,669.66 |
3.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,388.38 |
$4,517.84 |
1.3× |
| Correction hammertoe (28285) |
$5,653.80 |
$7,538.40 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,687.82 |
$4,917.09 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$2,544.52 |
$3,392.69 |
2.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,931.87 |
$3,909.16 |
3.4× |
| Dstrj lesion anus simple surg excision (46922) |
$3,486.69 |
$4,648.92 |
1.3× |
| Ear Cartilage Graft (21235) |
$4,797.32 |
$6,396.43 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,150.16 |
$4,200.22 |
1.7× |
| Egd band ligation esophgeal/gastric varices (43244) |
$3,153.27 |
$4,204.36 |
1.7× |
| Egd control bleeding any (43255) |
$3,194.12 |
$4,258.83 |
1.7× |
| Egd dilate stricture (43245) |
$3,150.43 |
$4,200.58 |
1.7× |
| Egd remove lesion snare (43251) |
$2,954.21 |
$3,938.94 |
1.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,651.22 |
$4,868.30 |
4.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$3,091.81 |
$4,122.42 |
4.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,891.57 |
$3,855.42 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,780.13 |
$3,706.84 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,856.81 |
$2,475.74 |
2.7× |
| Exc back les sc < 3 cm (21930) |
$4,127.77 |
$5,503.69 |
2.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,158.76 |
$2,878.34 |
3.2× |
| Exc skin abd (15830) |
$12,162.66 |
$16,216.88 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,838.47 |
$2,451.29 |
4.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,948.88 |
$2,598.51 |
2.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,976.11 |
$3,968.14 |
1.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,908.33 |
$6,544.44 |
1.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$931.80 |
$1,242.40 |
0.3× |
| Excise Inferior Turbinate (30130) |
$6,094.02 |
$8,125.36 |
1.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,844.72 |
$2,459.63 |
4.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$2,027.55 |
$2,703.40 |
3.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,288.48 |
$3,051.30 |
3.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,858.55 |
$2,478.06 |
2.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,022 |
$2,696 |
3.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,763.13 |
$3,684.17 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$3,095.12 |
$4,126.83 |
2.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,853.52 |
$2,471.36 |
2.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,850.44 |
$2,467.25 |
2.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,182.55 |
$2,910.07 |
3.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,889.15 |
$6,518.86 |
3.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,067.75 |
$2,757.01 |
1.3× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$6,032.81 |
$8,043.75 |
1.1× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500)
likely a partial charge, not the full procedure |
$1,442.30 |
$1,923.06 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,442.76 |
$8,590.34 |
4.1× |
| Explore Parathyroid Glands (60500) |
$6,748.38 |
$8,997.84 |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$5,664.69 |
$7,552.92 |
1.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,100.57 |
$5,467.43 |
1.3× |
| Fix Entropion,Extensv Lid Repair (67924) |
$3,317.20 |
$4,422.94 |
1.5× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,419.73 |
$5,892.97 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$6,365.12 |
$8,486.82 |
2.0× |
| Hemorrhoidectomy (46255) |
$3,583.48 |
$4,777.97 |
1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,924.11 |
$5,232.15 |
1.5× |
| Incise finger tendon sheath (26055) |
$1,975.94 |
$2,634.58 |
1.3× |
| Incision extensor tendon sheath wrist (25000) |
$2,244.63 |
$2,992.84 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,758.36 |
$3,677.82 |
1.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,257.93 |
$3,010.57 |
2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$3,194.24 |
$4,258.98 |
3.8× |
| Insert tunneled cv cath (36561) |
$5,618.52 |
$7,491.37 |
1.9× |
| Knee Arthroscopy/Surgery (29879) |
$5,547.59 |
$7,396.79 |
1.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$12,232.56 |
$16,310.08 |
1.8× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$12,959.83 |
$17,279.78 |
1.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$14,639.84 |
$19,519.79 |
2.1× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$11,340.79 |
$15,121.05 |
1.6× |
| Lap ing hernia repair init (49650) |
$15,868.67 |
$21,158.23 |
2.7× |
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure |
$3,455.79 |
$4,607.72 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,371.08 |
$1,828.11 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,435.55 |
$3,247.40 |
0.2× |
| Laryngoscopy w/biopsy (31535) |
$3,547.59 |
$4,730.12 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,217.28 |
$5,623.04 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$2,776.04 |
$3,701.39 |
3.1× |
| Manipulation knee joint under general anesthesia (27570) |
$3,128.81 |
$4,171.75 |
2.0× |
| Mastopexy (19316) |
$8,285.67 |
$11,047.56 |
1.3× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$6,554.32 |
$8,739.10 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$4,218.68 |
$5,624.90 |
2.5× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,391.19 |
$9,854.92 |
1.1× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$6,958.53 |
$9,278.04 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,956.52 |
$5,275.35 |
2.6× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,618.89 |
$3,491.86 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,281.56 |
$3,042.08 |
2.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,196.35 |
$9,595.14 |
1.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$6,375.12 |
$8,500.16 |
2.0× |
| Partial removal of thyroid (60220) |
$7,652.22 |
$10,202.96 |
1.3× |
| Perq Vertebral Augmentation (22513) |
$13,069.50 |
$17,426 |
1.9× |
| Puncture Aspiration Cyst Breast (19000) |
$214.68 |
$286.24 |
0.3× |
| Relieve inner eye pressure (65820) |
$4,290.74 |
$5,720.99 |
1.1× |
| Removal implant deep (20680) |
$4,903.52 |
$6,538.03 |
1.8× |
| Removal of adenoids (42830) |
$3,848.86 |
$5,131.81 |
1.2× |
| Removal of anal fissure (46200) |
$3,479.48 |
$4,639.31 |
1.3× |
| Removal of breast capsule (19371) |
$1,625.96 |
$2,167.94 |
0.4× |
| Removal of tonsils (42826) |
$3,863.22 |
$5,150.97 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$2,639.99 |
$3,519.98 |
1.7× |
| Repair brow defect (67900) |
$5,284.61 |
$7,046.14 |
2.3× |
| Repair Ectropion Extensive (67917) |
$3,573.42 |
$4,764.56 |
1.6× |
| Repair eyelid defect (67904) |
$4,139.69 |
$5,519.59 |
1.8× |
| Repair of nasal septum (30520) |
$5,363.89 |
$7,151.85 |
1.7× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,443.04 |
$1,924.05 |
0.4× |
| Repair secondary achilles tendon w/wo graft (27654) |
$10,402.52 |
$13,870.03 |
1.5× |
| Repair tympanic membrane (69610) |
$3,719.91 |
$4,959.87 |
2.5× |
| Replace Tissue Expander (11970) |
$9,358.98 |
$12,478.64 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$2,787.16 |
$3,716.21 |
1.5× |
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure |
$1,786.75 |
$2,382.33 |
0.3× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,382.38 |
$3,176.50 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,983.12 |
$2,644.16 |
1.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$11,260.15 |
$15,013.53 |
1.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,350.72 |
$12,467.62 |
2.7× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$1,441.53 |
$1,922.04 |
0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$13,964.24 |
$18,618.98 |
2.2× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,074.98 |
$1,433.30 |
0.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,917.72 |
$3,890.30 |
3.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,864.30 |
$3,819.06 |
2.5× |
| Sigmoidoscopy w/biopsy (45331) |
$2,733.22 |
$3,644.29 |
3.1× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,004.06 |
$6,672.08 |
1.6× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,374.31 |
$4,499.08 |
1.3× |
| Thyroid biopsy (60100) |
$202.37 |
$269.82 |
0.3× |
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure |
$2,268.53 |
$3,024.70 |
0.4× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$9,641.76 |
$12,855.68 |
0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,948.71 |
$5,264.95 |
1.2× |
| Total hip arthroplasty (27130) |
$19,651.96 |
$26,202.61 |
1.6× |
| Total Knee Arthroplasty (27447) |
$21,375.51 |
$28,500.68 |
1.7× |
| Translum Dil Eye Canal (66174) |
$5,455 |
$7,273.33 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,475.49 |
$4,633.98 |
1.3× |
| Tympanostomy general anesthesia (69436) |
$3,534.18 |
$4,712.24 |
2.4× |
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure |
$1,503.76 |
$2,005.01 |
0.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$3,543.62 |
$4,724.83 |
15.6× |
| Venipuncture (36415) |
$9.58 |
$12.77 |
1.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,286.73 |
$7,048.98 |
1.0× |