| Abd paracentesis w/imaging (49083) |
$1,288.20 |
$2,147 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,139.40 |
$1,899 |
1.3× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$8,034.60 |
$13,391 |
0.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$7,563 |
$12,605 |
0.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$5,695.80 |
$9,493 |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,797.80 |
$4,663 |
1.4× |
| Amniocentesis diagnostic (59000) |
$309 |
$515 |
0.3× |
| Amniocentesis therapeutic (59001) |
$606.60 |
$1,011 |
2.0× |
| Amputation Finger/Thumb (26951) |
$3,462 |
$5,770 |
1.1× |
| Amputation metatarsal with toe single (28810) |
$1,786.80 |
$2,978 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,729.20 |
$2,882 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,016 |
$3,360 |
0.6× |
| Amputation, foot; transmetatarsal (28805) |
$3,139.50 |
$5,232.50 |
1.0× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,997 |
$4,995 |
0.9× |
| Ankle arthroscopy/surgery (29894) |
$3,720 |
$6,200 |
1.1× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$5,046 |
$8,410 |
1.5× |
| Ankle scope,part synovectomy (29895) |
$4,925.40 |
$8,209 |
1.5× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$3,514.80 |
$5,858 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,050.60 |
$1,751 |
1.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,132.40 |
$3,554 |
0.8× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$10,016.40 |
$16,694 |
2.0× |
| Appendectomy (44950) |
$4,314.60 |
$7,191 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$250.50 |
$417.50 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$94.20 |
$157 |
1.6× |
| Application finger splint static (29130) |
$249 |
$415 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$270.60 |
$451 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$241.20 |
$402 |
1.5× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
unusually low: confirm this is the full procedure |
$4,551.90 |
$7,586.50 |
0.4× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$4,821 |
$8,035 |
0.7× |
| Application of long leg cast (29345) |
$362.40 |
$604 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$342.60 |
$571 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$189.60 |
$316 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$417.60 |
$696 |
3.2× |
| Application short leg splint calf foot (29515) |
$2,078.10 |
$3,463.50 |
12.8× |
| Apply short leg cast (29405) |
$379.80 |
$633 |
1.4× |
| Apply short leg cast (29425) |
$354 |
$590 |
1.3× |
| Arterial puncture (36600) |
$264.60 |
$441 |
2.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,916.40 |
$8,194 |
1.6× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$3,519 |
$5,865 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$411 |
$685 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$913.20 |
$1,522 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$628.20 |
$1,047 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$460.20 |
$767 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$411 |
$685 |
1.3× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$9,238.20 |
$15,397 |
0.7× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,323 |
$7,205 |
0.6× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$12,520.80 |
$20,868 |
0.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$5,750.10 |
$9,583.50 |
0.8× |
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge, not the full procedure |
$4,703.40 |
$7,839 |
0.3× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$21,375.60 |
$35,626 |
1.2× |
| Arthrodesis; subtalar (28725) |
$9,044.70 |
$15,074.50 |
0.7× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$6,258.60 |
$10,431 |
0.4× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
unusually low: confirm this is the full procedure |
$5,089.20 |
$8,482 |
0.4× |
| Arthroplasty radial head w/implant (24366) |
$10,152 |
$16,920 |
0.8× |
Arthroplasty, patella; with prosthesis (27438)
unusually low: confirm this is the full procedure |
$5,523 |
$9,205 |
0.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$9,023.10 |
$15,038.50 |
1.2× |
| Arthroscopy of joint (29999) |
$4,444.20 |
$7,407 |
18.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,901.50 |
$6,502.50 |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$4,141.80 |
$6,903 |
1.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,364.20 |
$5,607 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,027.60 |
$5,046 |
0.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,065.40 |
$15,109 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,056.60 |
$11,761 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$4,666.80 |
$7,778 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$349.20 |
$582 |
1.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,513.40 |
$4,189 |
1.2× |
| Av fistula revision (36833) |
$3,632.40 |
$6,054 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$1,017.30 |
$1,695.50 |
5.1× |
| Axillary lymphadenectomy; complete (38745) |
$5,107.50 |
$8,512.50 |
0.8× |
| Biopsy Bone Open Deep (20245) |
$1,780.20 |
$2,967 |
0.6× |
| Biopsy bone open superficial (20240) |
$2,679 |
$4,465 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$2,265 |
$3,775 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,100.40 |
$1,834 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$73.20 |
$122 |
0.1× |
| Biopsy external auditory canal (69105) |
$2,111.10 |
$3,518.50 |
1.4× |
| Biopsy muscle deep (20205) |
$2,160.60 |
$3,601 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$2,064 |
$3,440 |
1.3× |
| Biopsy of mouth lesion (40808) |
$1,750.80 |
$2,918 |
3.3× |
| Biopsy of palate, uvula (42100) |
$2,193 |
$3,655 |
1.4× |
| Biopsy of prostate (55705) |
$5,401.80 |
$9,003 |
1.5× |
| Biopsy of tongue (41100) |
$1,951.80 |
$3,253 |
3.6× |
| Biopsy of urethra (53200) |
$2,513.40 |
$4,189 |
1.2× |
| Biopsy of uterus lining (58100) |
$69.60 |
$116 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$6,574.20 |
$10,957 |
1.7× |
| Biopsy Oropharynx (42800) |
$1,750.80 |
$2,918 |
1.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$431.40 |
$719 |
0.3× |
| Biopsy pleura percutaneous needle (32400) |
$431.40 |
$719 |
0.3× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$927 |
$1,545 |
0.6× |
| Biopsy tongue posterior one-third (41105) |
$1,790.40 |
$2,984 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$50.40 |
$84 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$3,399 |
$5,665 |
0.9× |
| Bl exchange/transfuse nb (36450) |
$580.20 |
$967 |
1.3× |
| Bl push transfuse 2 yr/< (36440) |
$343.80 |
$573 |
0.8× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$95.40 |
$159 |
0.1× |
| Bladder Irrigation Simple (51700) |
$109.80 |
$183 |
0.4× |
| Bladder Scan (51798) |
$154.80 |
$258 |
2.6× |
| Blood patch (62273) |
$969 |
$1,615 |
1.4× |
| Blood transfusion service (36430) |
$672 |
$1,120 |
1.5× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
unusually low: confirm this is the full procedure |
$3,117 |
$5,195 |
0.4× |
| Bone marrow aspiration only (38220) |
$927 |
$1,545 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,510.20 |
$2,517 |
0.9× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$990 |
$1,650 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,970.40 |
$3,284 |
1.1× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$3,103.80 |
$5,173 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,472.60 |
$4,121 |
0.7× |
| Bronch ebus samplng 1/2 node (31652) |
$3,151.80 |
$5,253 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$3,151.80 |
$5,253 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,893.60 |
$3,156 |
1.1× |
| Bronchoscopy bronch stents (31636) |
$3,550.80 |
$5,918 |
0.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,773.20 |
$4,622 |
0.7× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,536.50 |
$4,227.50 |
1.4× |
| Bronchoscopy w/markers (31626) |
$4,348.20 |
$7,247 |
0.6× |
Bronchoscopy W/Placement Tracheal Stent (31631)
unusually low: confirm this is the full procedure |
$3,103.80 |
$5,173 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,524.60 |
$2,541 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,466 |
$4,110 |
1.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,758.40 |
$6,264 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,893.60 |
$3,156 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,019.40 |
$1,699 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$2,716.50 |
$4,527.50 |
1.7× |
| Bx breast 1st lesion strtctc (19081) |
$1,132.80 |
$1,888 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$2,508 |
$4,180 |
1.5× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$8,157 |
$13,595 |
1.5× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prostate transperineal ultrasound-guided (55709) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prostate transperineal us gid w/MRI fus gdn 1 (55710) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
$5,401.80 |
$9,003 |
1.5× |
| Bx prst8 trct us guided (55707) |
$5,401.80 |
$9,003 |
1.5× |
| Bx vulva/perineum 1 lesion (56605) |
$46.80 |
$78 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,557.60 |
$2,596 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$2,196.60 |
$3,661 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$246 |
$410 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,082.60 |
$3,471 |
0.6× |
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure |
$6,301.80 |
$10,503 |
0.4× |
| Cessj Therapy Cath Removal (37214) |
$2,992.80 |
$4,988 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$792.60 |
$1,321 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$432 |
$720 |
1.7× |
| Change g-tube to g-j perc (49446) |
$2,091 |
$3,485 |
1.1× |
| Chemical Cautery Tissue (17250) |
$222.90 |
$371.50 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$709.20 |
$1,182 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$844.20 |
$1,407 |
1.2× |
| Chemodenerv Musc Migraine (64615) |
$557.10 |
$928.50 |
1.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$371.40 |
$619 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$709.80 |
$1,183 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$371.40 |
$619 |
1.2× |
| Chest tube placement (32551) |
$2,064.75 |
$3,441.25 |
1.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$176.40 |
$294 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,012.60 |
$5,021 |
0.8× |
| Chromotubation of oviduct, including materials (58350) |
$2,932.20 |
$4,887 |
0.6× |
| Circum 28 days or older (54161) |
$2,629.20 |
$4,382 |
1.3× |
| Circumcision (54150) |
$2,911.20 |
$4,852 |
1.4× |
| Circumcision Neonate (54160) |
$921 |
$1,535 |
1.3× |
| Clearance of tear duct (68530) |
$400.20 |
$667 |
1.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,268 |
$3,780 |
1.4× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$291.60 |
$486 |
1.2× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,849.90 |
$6,416.50 |
2.5× |
| Closed Rx Med Malleolus Fx (27760) |
$361.20 |
$602 |
1.5× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,268 |
$3,780 |
1.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,969.20 |
$3,282 |
1.2× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,740 |
$2,900 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,512 |
$2,520 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$361.20 |
$602 |
1.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,512 |
$2,520 |
0.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,268 |
$3,780 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$361.20 |
$602 |
1.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$361.20 |
$602 |
1.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,923 |
$3,205 |
1.2× |
| Closed Rx Trimalleolar Fx (27816) |
$361.20 |
$602 |
1.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,304.20 |
$5,507 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$317.40 |
$529 |
1.3× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$291.60 |
$486 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$361.20 |
$602 |
1.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,851.60 |
$3,086 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$361.20 |
$602 |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$361.20 |
$602 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,890 |
$3,150 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$361.20 |
$602 |
1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,923 |
$3,205 |
1.2× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,536 |
$2,560 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$355.20 |
$592 |
1.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,043 |
$3,405 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,144.40 |
$8,574 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,268 |
$3,780 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,913.40 |
$3,189 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$306 |
$510 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$318 |
$530 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,512 |
$2,520 |
0.9× |
| Closed tx septal&nose fx (21337) |
$4,198.20 |
$6,997 |
1.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$2,197.80 |
$3,663 |
8.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,693.20 |
$2,822 |
1.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$294.60 |
$491 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$404.40 |
$674 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,043 |
$3,405 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$361.20 |
$602 |
1.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$824.40 |
$1,374 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,268.60 |
$3,781 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$319.20 |
$532 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,268 |
$3,780 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$417.60 |
$696 |
1.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$361.20 |
$602 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$306 |
$510 |
1.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,103 |
$3,505 |
1.3× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,890.60 |
$3,151 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$361.20 |
$602 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$361.20 |
$602 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$361.20 |
$602 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$361.20 |
$602 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$361.20 |
$602 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,675.40 |
$4,459 |
1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,538.40 |
$2,564 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$361.20 |
$602 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$361.20 |
$602 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$361.20 |
$602 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,268 |
$3,780 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$355.20 |
$592 |
1.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$361.80 |
$603 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$361.20 |
$602 |
1.5× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$14,400 |
$24,000 |
9.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$404.40 |
$674 |
1.6× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,079.20 |
$5,132 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$361.20 |
$602 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$361.20 |
$602 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$361.20 |
$602 |
1.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,297.40 |
$3,829 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$361.20 |
$602 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$361.20 |
$602 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$361.20 |
$602 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,302 |
$2,170 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$476.25 |
$793.75 |
1.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,043.60 |
$3,406 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,268.60 |
$3,781 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$403.80 |
$673 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,890.60 |
$3,151 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,287.80 |
$3,813 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,043.60 |
$3,406 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,268 |
$3,780 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,835 |
$4,725 |
1.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$4,041.60 |
$6,736 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$1,428.60 |
$2,381 |
1.2× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,591.20 |
$2,652 |
1.3× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,428.60 |
$2,381 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,425 |
$2,375 |
1.2× |
| Colonoscopy stoma w/snare (44394) |
$1,428.60 |
$2,381 |
1.2× |
| Colonoscopy through stoma with decompression (44408) |
$1,086.60 |
$1,811 |
1.2× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$1,428.60 |
$2,381 |
1.2× |
| Colonoscopy thru stoma (44388) |
$1,194.60 |
$1,991 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,439.40 |
$2,399 |
1.2× |
| Colonoscopy w/band ligation (45398) |
$1,428.60 |
$2,381 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$1,599.60 |
$2,666 |
1.3× |
| Colonoscopy w/resection (45390) |
$1,599.60 |
$2,666 |
0.6× |
| Colonoscopy w/stent plcmt (45389) |
$5,344.80 |
$8,908 |
0.9× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
unusually low: confirm this is the full procedure |
$2,674.80 |
$4,458 |
0.4× |
| Colporrhaphy suture injury vagina (57200) |
$2,539.80 |
$4,233 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$87.60 |
$146 |
0.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$69 |
$115 |
0.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,027.20 |
$6,712 |
1.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,104.30 |
$1,840.50 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$66 |
$110 |
0.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$81.60 |
$136 |
0.3× |
| Colposcopy vulva w/biopsy (56821) |
$84 |
$140 |
0.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$77.40 |
$129 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,599.60 |
$2,666 |
1.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,433.40 |
$2,389 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,599.60 |
$2,666 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,651.80 |
$2,753 |
1.1× |
| Complex Cystometrogram (51726) |
$121.80 |
$203 |
0.5× |
| Complex Drainage, Wound (10180) |
$3,863.70 |
$6,439.50 |
1.3× |
| Complex Uroflowmetry (51741) |
$199.80 |
$333 |
0.9× |
| Conization of cervix (57520) |
$2,649.60 |
$4,416 |
0.8× |
| Conization of cervix (57522) |
$2,745 |
$4,575 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$321 |
$535 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$198 |
$330 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$247.50 |
$412.50 |
1.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,614 |
$2,690 |
3.0× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$2,828.40 |
$4,714 |
0.9× |
| Conversion ext bil drg cath (47535) |
$4,502.40 |
$7,504 |
1.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
unusually low: confirm this is the full procedure |
$5,222.40 |
$8,704 |
0.4× |
| Convert nephrostomy catheter (50434) |
$2,848.80 |
$4,748 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,228.40 |
$3,714 |
1.4× |
| Correction hammertoe (28285) |
$3,237.30 |
$5,395.50 |
1.0× |
| Correction of bunion (28298) |
$3,961.20 |
$6,602 |
0.5× |
| Correction of bunion (28292) |
$3,177.60 |
$5,296 |
1.0× |
| Correction of bunion (28299) |
$6,715.20 |
$11,192 |
0.9× |
| Correction of bunion (28297) |
$7,298.40 |
$12,164 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,841.20 |
$6,402 |
1.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,277.80 |
$5,463 |
1.0× |
| Create eardrum opening (69436) |
$2,052.30 |
$3,420.50 |
1.3× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$5,332.80 |
$8,888 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$176.40 |
$294 |
1.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$150 |
$250 |
0.1× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$7,010.40 |
$11,684 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$472.20 |
$787 |
0.1× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$4,992.60 |
$8,321 |
0.9× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$7,268.40 |
$12,114 |
1.4× |
| Cysto w/removal of tumors small (52234) |
$2,006.40 |
$3,344 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$302.40 |
$504 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,370.60 |
$3,951 |
0.7× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,131.80 |
$3,553 |
0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,765.20 |
$7,942 |
0.9× |
| Cysto/uretero w/lithotripsy (52356) |
$3,753 |
$6,255 |
0.7× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,364.20 |
$5,607 |
0.6× |
| Cystometrogram w/vp (51728) |
$291.60 |
$486 |
0.4× |
| Cystometrogram W/Vp&Up (51729) |
$789.60 |
$1,316 |
1.1× |
| Cystoscopy w/biopsy (52204) |
$240 |
$400 |
0.1× |
| Cystoscopy w/complex removal stone & stent (52315) |
$270 |
$450 |
0.1× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,409 |
$4,015 |
1.2× |
| Cystoscopy,insert ureteral stent (52332) |
$1,614 |
$2,690 |
0.5× |
| Cystourethroscopy (52000) |
$134.40 |
$224 |
0.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$1,742.40 |
$2,904 |
0.8× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$984.60 |
$1,641 |
0.3× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$230.40 |
$384 |
0.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$1,464.90 |
$2,441.50 |
0.4× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,405.60 |
$5,676 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$820.20 |
$1,367 |
2.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,974 |
$3,290 |
0.7× |
| Debride nail 1-5 (11720) |
$129 |
$215 |
2.2× |
| Debride nail 6 or more (11721) |
$86.40 |
$144 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,347.20 |
$3,912 |
5.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,082 |
$3,470 |
2.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,648.50 |
$2,747.50 |
1.0× |
| Declot vascular device (36593) |
$499.80 |
$833 |
1.5× |
| Decompression of leg (27894) |
$4,002.60 |
$6,671 |
1.2× |
| Decompression of tibia nerve (28035) |
$4,300.80 |
$7,168 |
2.2× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$5,257.80 |
$8,763 |
2.6× |
| Delivery placenta separate procedure (59414) |
$2,386.80 |
$3,978 |
0.7× |
| Destr penis lesn,simpl,laser surg (54057) |
$2,353.20 |
$3,922 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$2,422.80 |
$4,038 |
12.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,431.30 |
$2,385.50 |
7.2× |
| Destruction Lesions Vulva Extensive (56515) |
$1,462.20 |
$2,437 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$2,425.80 |
$4,043 |
1.2× |
| Destruction of growth of rectum (45190) |
$2,916.60 |
$4,861 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$247.80 |
$413 |
1.2× |
| Destruction vaginal lesions simple (57061) |
$1,831.20 |
$3,052 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$993 |
$1,655 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,217.40 |
$2,029 |
1.3× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,467 |
$2,445 |
1.2× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$2,017.20 |
$3,362 |
0.6× |
| Dilate Urethra Stricture (53600) |
$333.60 |
$556 |
1.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,383.60 |
$2,306 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,183.20 |
$1,972 |
1.3× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$196.20 |
$327 |
1.5× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$6,746.40 |
$11,244 |
1.2× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,750.80 |
$2,918 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,064 |
$3,440 |
1.3× |
| Drain hand tendon sheath (26020) |
$1,893.60 |
$3,156 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$802.20 |
$1,337 |
1.1× |
| Drain outer ear canal lesion (69020) |
$880.20 |
$1,467 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$349.20 |
$582 |
1.1× |
| Drainage abscess/hematoma nasal int approach (30000) |
$310.20 |
$517 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$741.60 |
$1,236 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,576.20 |
$2,627 |
2.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,265 |
$3,775 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$1,238.10 |
$2,063.50 |
6.2× |
| Drainage mouth roof lesion (42000) |
$329.40 |
$549 |
1.4× |
| Drainage of eyelid abscess (67700) |
$377.40 |
$629 |
1.2× |
| Drainage of gum lesion (41800) |
$198 |
$330 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,253 |
$3,755 |
1.4× |
| Drainage of hydrocele (55000) |
$865.80 |
$1,443 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,939.20 |
$3,232 |
1.2× |
| Draw blood off venous device (36591) |
$176.40 |
$294 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$534.60 |
$891 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$276 |
$460 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$309 |
$515 |
1.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$1,786.80 |
$2,978 |
0.5× |
| Dstrj lesion anus simple surg excision (46922) |
$2,394 |
$3,990 |
0.9× |
| Dstrj lesion penis simple surg excision (54060) |
$2,301 |
$3,835 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,887.60 |
$3,146 |
0.7× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,433.60 |
$4,056 |
1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,382.60 |
$3,971 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,433.60 |
$4,056 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,172.60 |
$3,621 |
1.1× |
| Egd Endo Mucosal Resection (43254) |
$2,433.60 |
$4,056 |
1.3× |
| Egd endoscopic stent place (43266) |
$5,344.80 |
$8,908 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,987.80 |
$3,313 |
2.2× |
| Egd guide wire insertion (43248) |
$1,183.20 |
$1,972 |
1.3× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,172.60 |
$3,621 |
1.1× |
| Egd place gastrostomy tube (43246) |
$2,433.60 |
$4,056 |
1.3× |
| Egd rem tumr/polyp forcep (43250) |
$2,172.60 |
$3,621 |
1.1× |
| Egd remove lesion snare (43251) |
$2,433.60 |
$4,056 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,433.60 |
$4,056 |
1.3× |
| Egd us exam duodenum/jejunum (43259) |
$2,172.60 |
$3,621 |
1.1× |
| Egd us fine needle bx/aspir (43242) |
$2,172.60 |
$3,621 |
1.1× |
| Egd us transmural injxn/mark (43253) |
$2,172.60 |
$3,621 |
1.1× |
| Egd Varices Ligation (43244) |
$2,433.60 |
$4,056 |
1.3× |
| Egd w/transmural drain cyst (43240) |
$3,814.20 |
$6,357 |
0.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$394.20 |
$657 |
1.3× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$172.20 |
$287 |
1.3× |
| Endocervical Curettage (57505) |
$58.20 |
$97 |
0.1× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$2,313.60 |
$3,856 |
0.5× |
| Endoscopic Plantar Fasciotomy (29893) |
$3,342.60 |
$5,571 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,172.60 |
$3,621 |
1.1× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$3,805.80 |
$6,343 |
2.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,716.20 |
$24,527 |
1.3× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,500 |
$7,500 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,500 |
$7,500 |
1.4× |
| Endovenous rf 1st vein (36475) |
$4,500 |
$7,500 |
1.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,382.60 |
$3,971 |
1.2× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,074.40 |
$5,124 |
1.5× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,818.60 |
$8,031 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$2,017.20 |
$3,362 |
0.6× |
| Ercp Duct Stent Placement (43274) |
$5,344.80 |
$8,908 |
0.9× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,841.20 |
$6,402 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,405.60 |
$5,676 |
0.9× |
| Ercp lithotripsy calculi (43265) |
$4,276.20 |
$7,127 |
0.7× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$3,405.60 |
$5,676 |
0.9× |
| Ercp remove forgn body duct (43275) |
$3,405.60 |
$5,676 |
1.8× |
| Ercp sphincter pressure meas (43263) |
$3,405.60 |
$5,676 |
1.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,344.80 |
$8,908 |
0.9× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,405.60 |
$5,676 |
0.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,405.60 |
$5,676 |
0.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,405.60 |
$5,676 |
0.9× |
| Esoph scope w/submucous inj (43201) |
$2,209.80 |
$3,683 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,230 |
$2,050 |
1.4× |
| Esophagosc dilate balloon 30 (43214) |
$2,651.40 |
$4,419 |
1.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,139.40 |
$1,899 |
1.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,209.80 |
$3,683 |
1.2× |
| Esophagoscopy Rigid Balloon (43195) |
$2,103 |
$3,505 |
0.5× |
| Esophagoscopy Transoral Stent Placement (43212) |
$5,425.80 |
$9,043 |
0.9× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$2,712.60 |
$4,521 |
1.4× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$2,193 |
$3,655 |
1.1× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$7,894.20 |
$13,157 |
1.3× |
| Esophagus Surg Procedure Unlisted (43499) |
$1,139.10 |
$1,898.50 |
1.3× |
| Evacuate mole of uterus (59870) |
$1,666.80 |
$2,778 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$176.70 |
$294.50 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$2,403.90 |
$4,006.50 |
0.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,233.80 |
$3,723 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,175.90 |
$3,626.50 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,347.20 |
$3,912 |
1.4× |
| Exc back les sc < 3 cm (21930) |
$2,158.20 |
$3,597 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$865.80 |
$1,443 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,391 |
$3,985 |
1.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$2,025.90 |
$3,376.50 |
1.2× |
| Exc frenum labial/buccal (40819) |
$1,383 |
$2,305 |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,855.80 |
$3,093 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$1,818 |
$3,030 |
0.6× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$7,097.40 |
$11,829 |
1.2× |
| Exc Rect Tum Transanal Full (45172) |
$3,519 |
$5,865 |
1.3× |
| Exc rect tum transanal part (45171) |
$2,313 |
$3,855 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,535.60 |
$4,226 |
1.5× |
| Exc skin abd (15830) |
$5,731.80 |
$9,553 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,855.80 |
$3,093 |
2.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$489 |
$815 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$865.20 |
$1,442 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,914.20 |
$4,857 |
4.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,815.60 |
$3,026 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,952 |
$4,920 |
1.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,707.80 |
$4,513 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,790.90 |
$4,651.50 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,631.80 |
$6,053 |
2.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,536.20 |
$4,227 |
0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$5,824.20 |
$9,707 |
2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,802.70 |
$3,004.50 |
1.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$67.80 |
$113 |
0.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,370.80 |
$5,618 |
1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,385 |
$3,975 |
0.8× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,931.40 |
$3,219 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,591.20 |
$2,652 |
0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$3,141 |
$5,235 |
1.9× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,385 |
$3,975 |
0.8× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,120.40 |
$3,534 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,271.60 |
$3,786 |
1.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,632.40 |
$6,054 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,725.20 |
$4,542 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,855.80 |
$3,093 |
1.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,271.60 |
$3,786 |
0.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,330 |
$5,550 |
1.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,388.40 |
$7,314 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,237.60 |
$5,396 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,075.80 |
$6,793 |
1.1× |
| Exchange nephrostomy cath (50435) |
$2,207.25 |
$3,678.75 |
1.1× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,298 |
$3,830 |
1.2× |
| Excise parotid gland/lesion (42420) |
$7,298.40 |
$12,164 |
1.2× |
| Excise/repair mouth lesion (40812) |
$1,750.80 |
$2,918 |
1.1× |
| Excision Breast Lesion (19125) |
$2,913.90 |
$4,856.50 |
0.7× |
| Excision external ear partial simple repair (69110) |
$1,556.40 |
$2,594 |
0.5× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,460.60 |
$4,101 |
0.9× |
| Excision hidradenitis axillary complex repair (11451) |
$8,462.40 |
$14,104 |
2.9× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,715.60 |
$4,526 |
0.9× |
| Excision hydrocele bilateral (55041) |
$3,859.20 |
$6,432 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$3,556.80 |
$5,928 |
8.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$4,728 |
$7,880 |
6.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,633.40 |
$4,389 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,969.20 |
$3,282 |
2.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$116.40 |
$194 |
0.2× |
| Excision of hydrocele; unilateral (55040) |
$2,686.80 |
$4,478 |
0.8× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,594.60 |
$5,991 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,385 |
$3,975 |
1.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,939.20 |
$3,232 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$3,046.50 |
$5,077.50 |
1.9× |
| Excision of local lesion of epididymis (54830) |
$2,794.20 |
$4,657 |
0.8× |
| Excision of nail fold toe (11765) |
$522.60 |
$871 |
1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,056.70 |
$5,094.50 |
1.1× |
| Excision of single external papilla or tag, anus (46220) |
$2,498.40 |
$4,164 |
2.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,748.20 |
$6,247 |
1.3× |
| Excision of submandibular (submaxillary) gland (42440) |
$4,363.80 |
$7,273 |
0.7× |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
$2,517 |
$4,195 |
1.6× |
| Excision of tongue lesion (41112) |
$1,750.80 |
$2,918 |
0.5× |
| Excision of Umbilicus (49250) |
$1,969.20 |
$3,282 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$3,027.60 |
$5,046 |
0.9× |
| Excision or fulguration; Skene's glands (53270) |
$4,350 |
$7,250 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,961.20 |
$6,602 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,391.60 |
$3,986 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,536.20 |
$4,227 |
1.5× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,855.50 |
$3,092.50 |
1.1× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,474.40 |
$4,124 |
1.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$2,956.80 |
$4,928 |
1.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$3,405.60 |
$5,676 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,931.40 |
$3,219 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,340.90 |
$3,901.50 |
0.8× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$2,649.60 |
$4,416 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,480.90 |
$5,801.50 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,915.90 |
$6,526.50 |
1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$4,560.90 |
$7,601.50 |
1.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,271.60 |
$3,786 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,620.80 |
$4,368 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$2,422.80 |
$4,038 |
1.5× |
| Exploration of knee joint (27310) |
$1,844.40 |
$3,074 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$2,144.40 |
$3,574 |
1.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$3,841.20 |
$6,402 |
7.2× |
| Explore parathyroid glands (60500) |
$6,856.20 |
$11,427 |
1.2× |
| Explore/biopsy eye socket (67400) |
$4,674.60 |
$7,791 |
1.2× |
| Explore/treat ankle joint (27620) |
$6,414 |
$10,690 |
2.0× |
| External Cephalic Version (59412) |
$2,070.60 |
$3,451 |
0.6× |
| Eye surgery procedure (67299) |
$6,863.40 |
$11,439 |
3.0× |
| Fasciotomy foot and/or toe (28008) |
$2,273.40 |
$3,789 |
0.7× |
| Fetal Contraction Stress Test (59020) |
$362.40 |
$604 |
1.8× |
| Fetal non-stress test (59025) |
$405 |
$675 |
2.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$816.60 |
$1,361 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$816.60 |
$1,361 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$397.20 |
$662 |
1.0× |
| Fixation of knee joint (27570) |
$1,590.90 |
$2,651.50 |
1.0× |
| Fluid pressure muscle (20950) |
$816.98 |
$1,361.62 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$1,015.20 |
$1,692 |
4.3× |
| Fna bx w/fluor gdn 1st les (10007) |
$817.20 |
$1,362 |
1.2× |
| Fna bx w/mr gdn 1st les (10011) |
$817.20 |
$1,362 |
1.2× |
| Fusion of foot bones (28730) |
$8,504.40 |
$14,174 |
0.7× |
| Fusion of foot bones (28735) |
$7,780.20 |
$12,967 |
0.6× |
| Fusion of foot bones (28740) |
$6,940.20 |
$11,567 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$272.70 |
$454.50 |
1.3× |
| Gastrocnemius Recession (27687) |
$5,133 |
$8,555 |
1.6× |
Glossectomy; less than one-half tongue (41120)
unusually low: confirm this is the full procedure |
$2,679.60 |
$4,466 |
0.5× |
| Graft ear crtlg autogenous nose/ear (21235) |
$3,571.80 |
$5,953 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$865.20 |
$1,442 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$4,363.80 |
$7,273 |
0.6× |
| Hand tendon reconstruction (26502) |
$3,801 |
$6,335 |
1.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$2,273.40 |
$3,789 |
0.7× |
| Hemorrhoidectomy (46255) |
$3,569.10 |
$5,948.50 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$3,367.80 |
$5,613 |
1.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$3,591.60 |
$5,986 |
1.3× |
| Hip arthro acetabuloplasty (29915) |
$10,275 |
$17,125 |
1.4× |
| Hip arthro w/labral repair (29916) |
$8,417.40 |
$14,029 |
1.2× |
| Hysteroscopy ablation (58563) |
$3,238.20 |
$5,397 |
0.7× |
| Hysteroscopy biopsy (58558) |
$1,971.90 |
$3,286.50 |
0.6× |
| Hysteroscopy dx sep proc (58555) |
$1,339.20 |
$2,232 |
0.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,750.80 |
$2,918 |
0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$3,292.20 |
$5,487 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$1,564.80 |
$2,608 |
6.6× |
| I&d abscess simple (10060) |
$314.40 |
$524 |
1.6× |
| I&d below fascia foot 1 bursal space (28002) |
$1,851.60 |
$3,086 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,321 |
$5,535 |
1.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,280.20 |
$5,467 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,929.20 |
$4,882 |
1.4× |
| I&d perianal abscess superficial (46050) |
$1,336.20 |
$2,227 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$1,449.60 |
$2,416 |
2.1× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,630.40 |
$4,384 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,939.20 |
$3,232 |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$2,061.60 |
$3,436 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$1,708.20 |
$2,847 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,008 |
$1,680 |
0.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$4,387.80 |
$7,313 |
0.5× |
Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360)
likely a partial charge, not the full procedure |
$2,498.40 |
$4,164 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$341.40 |
$569 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,906 |
$6,510 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$816.60 |
$1,361 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,202.60 |
$3,671 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$959.10 |
$1,598.50 |
2.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$302.40 |
$504 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,153.50 |
$1,922.50 |
3.8× |
| Incision extensor tendon sheath wrist (25000) |
$2,434.20 |
$4,057 |
1.5× |
Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568)
likely a partial charge, not the full procedure |
$5,481 |
$9,135 |
0.1× |
| Incision of heel bone (28300) |
$7,016.10 |
$11,693.50 |
1.0× |
| Incision of lingual frenum (41010) |
$1,383.60 |
$2,306 |
0.9× |
| Incision of metatarsal (28308) |
$3,017.10 |
$5,028.50 |
0.9× |
| Incision of rectal abscess (46045) |
$3,291.60 |
$5,486 |
1.2× |
| Incision of rectal abscess (46040) |
$2,073.60 |
$3,456 |
1.7× |
| Incision thrombosed hemorrhoid external (46083) |
$365.40 |
$609 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$1,931.40 |
$3,219 |
2.6× |
| Initial tx 1st degree burn local tx (16000) |
$283.80 |
$473 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$371.40 |
$619 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,078.80 |
$1,798 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,022 |
$3,370 |
2.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,294.20 |
$2,157 |
1.5× |
| Inject Intravitreal Pharmcologic (67028) |
$475.20 |
$792 |
1.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$886.80 |
$1,478 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$886.80 |
$1,478 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,078.80 |
$1,798 |
1.2× |
| Inject Nerv Blck,Pudendal (64430) |
$1,213.80 |
$2,023 |
1.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$668.40 |
$1,114 |
0.8× |
| Inject Sinus Tract Theraputic (20500) |
$1,443 |
$2,405 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$886.80 |
$1,478 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$886.80 |
$1,478 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$931.80 |
$1,553 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$411 |
$685 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$1,278 |
$2,130 |
1.8× |
| Injection for identification of sentinel node (38792) |
$497.40 |
$829 |
1.2× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$541.20 |
$902 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$460.20 |
$767 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$523.80 |
$873 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$616.50 |
$1,027.50 |
2.0× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$79.20 |
$132 |
0.1× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$387 |
$645 |
1.3× |
| Ins cath ren art 1st bilat (36252) |
$5,181 |
$8,635 |
1.6× |
| Ins cath ren art 1st unilat (36251) |
$4,309.80 |
$7,183 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,144.80 |
$6,908 |
1.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,169.80 |
$10,283 |
1.1× |
| Ins endovas vena cava filtr (37191) |
$6,169.80 |
$10,283 |
1.1× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$13,927.20 |
$23,212 |
1.3× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$14,963.40 |
$24,939 |
1.4× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
likely a partial charge, not the full procedure |
$2,997 |
$4,995 |
0.3× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$14,709 |
$24,515 |
1.4× |
| Ins vag brachytx device (57156) |
$391.20 |
$652 |
1.3× |
| Ins/Rep Subq Defibrillator (33270) |
$45,797.40 |
$76,329 |
1.5× |
| Insert 1 electrode pm-defib (33216) |
$8,898 |
$14,830 |
1.1× |
| Insert and remove bone pin (20650) |
$3,801 |
$6,335 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$229.20 |
$382 |
1.8× |
| Insert cervical dilator (59200) |
$461.40 |
$769 |
1.5× |
| Insert Drug Implant Device (11981) |
$114.30 |
$190.50 |
0.9× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,209.80 |
$3,683 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,341.80 |
$3,903 |
1.2× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$3,078 |
$5,130 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,849.80 |
$3,083 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,651.80 |
$2,753 |
0.5× |
| Insert pacing lead & connect (33224) |
$18,316.80 |
$30,528 |
1.8× |
| Insert pessary/other device (57160) |
$43.20 |
$72 |
0.2× |
| Insert picc cath (36569) |
$2,251.80 |
$3,753 |
1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$874.20 |
$1,457 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$198 |
$330 |
1.5× |
| Insert tun ip cath perc (49418) |
$4,155 |
$6,925 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,796 |
$4,660 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$176.40 |
$294 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,411 |
$5,685 |
1.0× |
Insertion of brain neurostimulator pulse with connection to single (61885)
likely a partial charge, not the full procedure |
$2,781 |
$4,635 |
0.1× |
| Insertion of defibrillator electrode (33271) |
$11,833.20 |
$19,722 |
1.4× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$3,556.20 |
$5,927 |
1.9× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$2,433.60 |
$4,056 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,381.20 |
$2,302 |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$846.60 |
$1,411 |
1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,437.60 |
$17,396 |
1.3× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$3,394.80 |
$5,658 |
0.7× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$12,384 |
$20,640 |
1.5× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$32,498.40 |
$54,164 |
1.5× |
Insj multi-component inflatable penile prosth (54405)
likely a partial charge, not the full procedure |
$4,846.20 |
$8,077 |
0.2× |
| Insj penile prosthesis non-inflatable semi-rigid (54400) |
$24,931.20 |
$41,552 |
1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,724.20 |
$6,207 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,188.30 |
$6,980.50 |
1.3× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,466.40 |
$12,444 |
0.9× |
| Insj/rplcmt defib w/lead(s) (33249) |
$34,680 |
$57,800 |
1.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,350.20 |
$13,917 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$32,497.20 |
$54,162 |
1.5× |
| Insrt pulse gen w/mult leads (33231) |
$45,684 |
$76,140 |
1.5× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$2,370.60 |
$3,951 |
0.1× |
| Intraoral i&d tongue/floor lingual (41000) |
$742.20 |
$1,237 |
1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,051.80 |
$6,753 |
1.2× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,542 |
$2,570 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$17,770.80 |
$29,618 |
1.5× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,867.40 |
$9,779 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$832.80 |
$1,388 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$623.40 |
$1,039 |
2.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$373.20 |
$622 |
1.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$5,049 |
$8,415 |
0.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) |
$8,486.40 |
$14,144 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$10,578.60 |
$17,631 |
1.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$6,474 |
$10,790 |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,720.40 |
$14,534 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,677.50 |
$14,462.50 |
1.2× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$5,783.40 |
$9,639 |
0.8× |
| Lap ing hernia repair init (49650) |
$5,555.10 |
$9,258.50 |
0.9× |
| Laparo new ureter/bladder (50947) |
$8,893.20 |
$14,822 |
0.8× |
| Laparo-myomectomy complex (58546) |
$14,013.60 |
$23,356 |
1.3× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
$6,474.60 |
$10,791 |
0.6× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
unusually low: confirm this is the full procedure |
$4,314.60 |
$7,191 |
0.4× |
| Laparoscopy appendectomy (44970) |
$4,141.80 |
$6,903 |
0.7× |
| Laparoscopy biopsy (49321) |
$4,573.20 |
$7,622 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$3,296.10 |
$5,493.50 |
0.5× |
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure |
$3,709.80 |
$6,183 |
0.4× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
unusually low: confirm this is the full procedure |
$5,157 |
$8,595 |
0.5× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$6,301.80 |
$10,503 |
0.6× |
| Laparoscopy Tubal Cautery (58670) |
$3,083.40 |
$5,139 |
0.5× |
| Laparoscopy w/lysis of adhesions (58660) |
$3,709.80 |
$6,183 |
0.6× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$3,061.20 |
$5,102 |
0.5× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$11,036.10 |
$18,393.50 |
1.0× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure |
$4,228.20 |
$7,047 |
0.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$4,660.20 |
$7,767 |
0.8× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
unusually low: confirm this is the full procedure |
$2,413.80 |
$4,023 |
0.4× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$9,686.70 |
$16,144.50 |
0.9× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$10,664.40 |
$17,774 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$7,219.80 |
$12,033 |
0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,721 |
$14,535 |
1.4× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$7,813.20 |
$13,022 |
0.7× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$6,690 |
$11,150 |
0.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,109.80 |
$10,183 |
1.0× |
| Laps abltj renal mass lesion w/intraop us (50542) |
$7,770.60 |
$12,951 |
0.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,938.40 |
$6,564 |
0.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$3,321 |
$5,535 |
0.9× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure |
$3,817.80 |
$6,363 |
0.4× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
unusually low: confirm this is the full procedure |
$3,493.80 |
$5,823 |
0.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$2,474.40 |
$4,124 |
0.7× |
| Laryngoscope w/vc inj (31570) |
$2,755.80 |
$4,593 |
0.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$297.90 |
$496.50 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$1,992 |
$3,320 |
0.5× |
| Laryngoscopy w/bx op scope (31536) |
$4,444.20 |
$7,407 |
1.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,289 |
$3,815 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,116.20 |
$3,527 |
1.2× |
| Larynscop w/tumr exc + scope (31541) |
$2,876.40 |
$4,794 |
0.8× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$6,975 |
$11,625 |
1.3× |
| Late closure of wound (13160) |
$2,103.60 |
$3,506 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$2,146.80 |
$3,578 |
1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$1,260.90 |
$2,101.50 |
0.4× |
| Lithotripsy (50590) |
$5,992.80 |
$9,988 |
1.7× |
| Liver Biopsy (47000) |
$1,378.20 |
$2,297 |
0.8× |
| Lsh uterus 250 g or less (58541) |
$6,214.80 |
$10,358 |
0.6× |
| Lsh w/t/o uterus above 250 g (58544) |
$5,869.80 |
$9,783 |
0.6× |
| Manipulation, elbow, under anesthesia (24300) |
$1,591.20 |
$2,652 |
1.0× |
| Marsup Bartholin Gland Cyst (56440) |
$1,074.90 |
$1,791.50 |
0.3× |
| Mast mod rad (19307) |
$10,433.40 |
$17,389 |
1.6× |
| Mastectomy gynecomastia (19300) |
$4,323.60 |
$7,206 |
1.1× |
| Mastectomy partial (19301) |
$4,444.20 |
$7,407 |
1.1× |
| Mastectomy simple complete (19303) |
$8,265.30 |
$13,775.50 |
1.3× |
| Mastopexy (19316) |
$6,883.80 |
$11,473 |
1.0× |
| Metatarsectomy (28140) |
$2,330.40 |
$3,884 |
0.7× |
| Monocyte distribution width, whole blood (list separately in addition to code for primary procedure) (0427U) |
$1.11 |
$1.85 |
0.2× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$4,224 |
$7,040 |
1.2× |
| Muscle-skin graft trunk (15734) |
$9,187.20 |
$15,312 |
2.6× |
| Musculoskeletal surgery (20999) |
$4,323.60 |
$7,206 |
17.6× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,159.80 |
$1,933 |
1.5× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$1,613.40 |
$2,689 |
0.5× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$264 |
$440 |
1.3× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287)
unusually low: confirm this is the full procedure |
$3,061.20 |
$5,102 |
0.4× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$4,762.80 |
$7,938 |
0.7× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,758 |
$2,930 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$5,133 |
$8,555 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$554.70 |
$924.50 |
1.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$333.60 |
$556 |
1.3× |
| Nerve repair w/allograft (64910) |
$4,725.60 |
$7,876 |
0.5× |
| Neuroeltrd stim post tibial (64566) |
$369.60 |
$616 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$75 |
$125 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,075.80 |
$6,793 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,501.80 |
$7,503 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,294.20 |
$2,157 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$844.20 |
$1,407 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$844.20 |
$1,407 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$950.40 |
$1,584 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$950.40 |
$1,584 |
1.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$3,519 |
$5,865 |
0.5× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,622.80 |
$6,038 |
0.9× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
likely a partial charge, not the full procedure |
$8,182.80 |
$13,638 |
0.3× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
unusually low: confirm this is the full procedure |
$2,916.60 |
$4,861 |
0.4× |
| Open rx mandible fx+dental fix (21462) |
$9,301.20 |
$15,502 |
1.6× |
| Open thrombect av fistula (36831) |
$4,615.20 |
$7,692 |
0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,811 |
$9,685 |
0.8× |
| Open Treatment Humeral Condylar Fracture (24579) |
$7,097.40 |
$11,829 |
0.6× |
| Open Treatment Medial Malleolus Fracture (27766) |
$4,162.80 |
$6,938 |
0.6× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,514.60 |
$4,191 |
0.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,597.80 |
$12,663 |
1.1× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$5,221.80 |
$8,703 |
0.7× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
unusually low: confirm this is the full procedure |
$6,129 |
$10,215 |
0.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$8,307.90 |
$13,846.50 |
0.6× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$4,645.20 |
$7,742 |
0.6× |
| Open treatment of nasomaxillary complex fracture (le fort ii type); with bone grafting (includes obtaining graft) (21348) |
$7,192.80 |
$11,988 |
1.2× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$4,042.20 |
$6,737 |
0.6× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$9,107.40 |
$15,179 |
1.3× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$9,730.20 |
$16,217 |
1.3× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$14,614.80 |
$24,358 |
1.1× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$8,383.80 |
$13,973 |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$5,208 |
$8,680 |
0.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$4,926 |
$8,210 |
0.7× |
| Open treatment talus fracture (28445) |
$5,488.80 |
$9,148 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,755.20 |
$4,592 |
0.8× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$5,329.50 |
$8,882.50 |
0.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$6,534.60 |
$10,891 |
2.0× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$2,554.80 |
$4,258 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,559.80 |
$5,933 |
1.1× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$5,287.20 |
$8,812 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,645.20 |
$7,742 |
1.4× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$8,175.60 |
$13,626 |
0.6× |
| Open/Perq Place Stent Same (37238) |
$14,819.40 |
$24,699 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,715.60 |
$24,526 |
1.3× |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
$5,869.80 |
$9,783 |
0.8× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$13,810.80 |
$23,018 |
1.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$2,838.60 |
$4,731 |
0.9× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$2,309.40 |
$3,849 |
0.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$2,333.10 |
$3,888.50 |
0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,720.60 |
$6,201 |
1.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$2,353.20 |
$3,922 |
0.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,617.60 |
$12,696 |
1.1× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$5,046 |
$8,410 |
0.7× |
| Ovarian cystectomy (58925) |
$4,703.10 |
$7,838.50 |
0.9× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$580.20 |
$967 |
1.3× |
| Partial excision bone talus/calcaneus (28120) |
$4,745.70 |
$7,909.50 |
1.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,043 |
$3,405 |
1.3× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,419.50 |
$4,032.50 |
0.7× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$1,591.20 |
$2,652 |
0.5× |
| Partial Removal Foot Fascia (28060) |
$2,313.60 |
$3,856 |
0.7× |
| Partial removal of thyroid (60220) |
$6,936.60 |
$11,561 |
1.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,675.40 |
$4,459 |
0.8× |
| Pelvic exam under anesthesia (57410) |
$2,535.60 |
$4,226 |
0.8× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,767 |
$2,945 |
1.3× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$8,341.80 |
$13,903 |
1.4× |
| Perc sk fix metatarsal fx w manip (28476) |
$2,675.10 |
$4,458.50 |
0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$17,239.80 |
$28,733 |
1.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,119.60 |
$11,866 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,144.80 |
$6,908 |
1.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,158.20 |
$3,597 |
0.7× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$6,292.80 |
$10,488 |
1.9× |
| Pericardiocentesis W/Imaging (33016) |
$2,313.60 |
$3,856 |
1.5× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$5,825.40 |
$9,709 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$1,298.40 |
$2,164 |
1.8× |
| Perq dev breast 1st strtctc (19283) |
$1,298.40 |
$2,164 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,731 |
$2,885 |
2.5× |
| Perq device breast 1st imag (19281) |
$1,755 |
$2,925 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,452.80 |
$4,088 |
0.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,126.20 |
$6,877 |
1.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,849.80 |
$3,083 |
1.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,172.60 |
$3,621 |
1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$7,777.80 |
$12,963 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$402 |
$670 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,035 |
$1,725 |
1.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$22,430.40 |
$37,384 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$15,867 |
$26,445 |
1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,850.40 |
$13,084 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$11,934.60 |
$19,891 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,950.95 |
$14,918.25 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,002.60 |
$6,671 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,912.20 |
$8,187 |
1.5× |
| Phalangectomy toe each toe (28150) |
$1,815.60 |
$3,026 |
0.6× |
| Place Cath Subclavian Art (36225) |
$4,468.80 |
$7,448 |
1.4× |
| Place Cath Thoracic Aorta (36221) |
$4,468.80 |
$7,448 |
1.4× |
| Place Cath Vertebral Art (36226) |
$7,403.40 |
$12,339 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$831.60 |
$1,386 |
1.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,285 |
$10,475 |
1.0× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$90 |
$150 |
0.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,943 |
$4,905 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,943 |
$4,905 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,564.80 |
$7,608 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,679.20 |
$6,132 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,510.80 |
$7,518 |
1.3× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$5,344.80 |
$8,908 |
0.5× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$4,594.80 |
$7,658 |
0.8× |
| Preputial Stretching (54450) |
$348 |
$580 |
1.4× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$7,119.60 |
$11,866 |
0.4× |
| Proctopexy Perineal Approach (45541) |
$3,859.20 |
$6,432 |
1.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$6,042.60 |
$10,071 |
6.5× |
| Prostatectomy (turp) (52601) |
$5,158.50 |
$8,597.50 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,033.80 |
$1,723 |
1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,075.80 |
$6,793 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,155 |
$6,925 |
1.2× |
Prq skel fixj sprcndylr/transcndylr humeral fx (24538)
unusually low: confirm this is the full procedure |
$3,141 |
$5,235 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$1,127.70 |
$1,879.50 |
2.8× |
| Puncture Aspiration (10160) |
$1,227 |
$2,045 |
3.0× |
| Puncture Aspiration Cyst Breast (19000) |
$963 |
$1,605 |
1.4× |
| Pvb thoracic single inj site (64461) |
$1,053 |
$1,755 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
$4,653 |
$7,755 |
1.6× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$3,801 |
$6,335 |
0.5× |
| Reconstruct lip with flap (40525) |
$3,716.40 |
$6,194 |
1.1× |
| Reduce testis torsion (54600) |
$2,362.20 |
$3,937 |
0.7× |
| Reduction of Large Breast (19318) |
$10,995 |
$18,325 |
1.7× |
| Reduction of rectal prolapse (45900) |
$1,084.20 |
$1,807 |
1.2× |
| Relocation of skin pocket for pacemaker (33222) |
$3,074.40 |
$5,124 |
1.5× |
| Rem endovas vena cava filter (37193) |
$4,468.80 |
$7,448 |
1.4× |
| Removal biliary drg cath (47537) |
$1,115.40 |
$1,859 |
1.2× |
| Removal fb intranasal (30300) |
$249 |
$415 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,362.80 |
$3,938 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$1,939.20 |
$3,232 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,901.40 |
$3,169 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,614 |
$2,690 |
2.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,265 |
$3,775 |
1.4× |
| Removal foreign body pharynx (42809) |
$382.20 |
$637 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,694.80 |
$6,158 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$106.20 |
$177 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$277.50 |
$462.50 |
4.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,849 |
$6,415 |
1.2× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$5,295.60 |
$8,826 |
1.4× |
| Removal of adenoids (42835) |
$1,818 |
$3,030 |
0.6× |
| Removal of adenoids (42831) |
$1,893 |
$3,155 |
0.6× |
| Removal of adenoids (42830) |
$4,001.40 |
$6,669 |
1.2× |
| Removal of arm foreign body (24200) |
$1,690.20 |
$2,817 |
1.0× |
| Removal of cervix (57530) |
$1,992 |
$3,320 |
0.4× |
| Removal of heel bone (28118) |
$4,765.80 |
$7,943 |
1.5× |
| Removal of heel spur (28119) |
$2,347.20 |
$3,912 |
0.7× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,113.60 |
$1,856 |
1.8× |
| Removal of intranasal lesion (30118) |
$4,483.80 |
$7,473 |
1.4× |
| Removal of intrauterine device (iud) (58301) |
$448.80 |
$748 |
1.5× |
| Removal of kidney stone (50081) |
$10,876.20 |
$18,127 |
1.2× |
| Removal of nail bed (11750) |
$1,811.10 |
$3,018.50 |
4.5× |
| Removal of sesamoid bone (28315) |
$2,949.90 |
$4,916.50 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$283.80 |
$473 |
1.4× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$4,962 |
$8,270 |
1.4× |
| Removal of tonsils (42826) |
$1,729.20 |
$2,882 |
0.5× |
| Removal ppm generator only (33233) |
$8,350.20 |
$13,917 |
1.0× |
| Removal subq cardiac rhythm monitor (33286) |
$6,133.80 |
$10,223 |
8.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$54.60 |
$91 |
0.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,144.80 |
$6,908 |
1.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$399 |
$665 |
1.4× |
| Remove anal fist subq (46270) |
$4,123.20 |
$6,872 |
1.5× |
| Remove bladder stone (52318) |
$2,795.40 |
$4,659 |
0.8× |
| Remove by ligat int hem grp (46945) |
$2,725.20 |
$4,542 |
1.0× |
| Remove by ligat int hem grps (46946) |
$2,763 |
$4,605 |
1.0× |
| Remove cerclage suture (59871) |
$3,068.70 |
$5,114.50 |
1.0× |
| Remove cervix/repair vagina (57555) |
$2,394 |
$3,990 |
0.5× |
| Remove drug implant device (11982) |
$1,080.30 |
$1,800.50 |
2.4× |
| Remove Eyelid Foreign Body (67938) |
$399.60 |
$666 |
1.3× |
| Remove femur lesion/bursa (27062) |
$3,882.60 |
$6,471 |
1.2× |
| Remove foreign body from eye (65210) |
$491.40 |
$819 |
1.1× |
| Remove in/ex hem groups 2+ (46260) |
$2,460.60 |
$4,101 |
0.9× |
| Remove in/ex hem grps w/fist (46262) |
$5,444.40 |
$9,074 |
2.0× |
| Remove intrvas foreign body (37197) |
$4,144.80 |
$6,908 |
1.3× |
| Remove Pilonidal Cyst Exten (11771) |
$4,282.80 |
$7,138 |
1.5× |
| Remove renal tube w/fluoro (50389) |
$950.40 |
$1,584 |
1.4× |
| Remove shoulder foreign body (23330) |
$816.60 |
$1,361 |
0.5× |
| Remove Ureter Stent, Percut (50384) |
$2,849.40 |
$4,749 |
1.4× |
| Remove uterus lesion (59100) |
$7,058.40 |
$11,764 |
1.4× |
| Remove&replace pm gen singl (33227) |
$12,525.60 |
$20,876 |
1.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,383.30 |
$2,305.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$249 |
$415 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$176.40 |
$294 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$37,210.80 |
$62,018 |
1.7× |
| Remv&replc cvd gen mult lead (33264) |
$37,575 |
$62,625 |
1.2× |
| Remv&replc cvd gen sing lead (33262) |
$38,341.80 |
$63,903 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$8,754.90 |
$14,591.50 |
0.8× |
| Remv&replc pm gen mult leads (33229) |
$19,697.40 |
$32,829 |
1.0× |
| Renal biopsy (50200) |
$1,551 |
$2,585 |
0.9× |
| Repair achilles tendon (27650) |
$6,011.40 |
$10,019 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,047 |
$6,745 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$820.20 |
$1,367 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,564.80 |
$2,608 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$522.60 |
$871 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,516.50 |
$2,527.50 |
3.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,433.10 |
$2,388.50 |
3.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,361.10 |
$2,268.50 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,851.60 |
$3,086 |
1.2× |
| Repair finger tendon (26433) |
$3,679.80 |
$6,133 |
1.1× |
| Repair finger/hand tendon (26350) |
$4,155 |
$6,925 |
1.3× |
| Repair hallux rigidus (28289) |
$3,841.20 |
$6,402 |
1.2× |
| Repair hand tendon (26410) |
$1,969.20 |
$3,282 |
1.2× |
| Repair incomplete circumcision (54163) |
$2,536.20 |
$4,227 |
1.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,859.20 |
$6,432 |
1.1× |
| Repair initial femoral hernia, any age; reducible (49550) |
$5,444.40 |
$9,074 |
1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,412.40 |
$12,354 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$522.60 |
$871 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$529.80 |
$883 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$529.80 |
$883 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$442.80 |
$738 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$522.60 |
$871 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$522.60 |
$871 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$442.80 |
$738 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$681 |
$1,135 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$522.60 |
$871 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$522.60 |
$871 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$820.20 |
$1,367 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,184 |
$3,640 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,045.20 |
$1,742 |
2.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$522.60 |
$871 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$522.60 |
$871 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$820.20 |
$1,367 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$522.60 |
$871 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,183.40 |
$3,639 |
1.1× |
| Repair kneecap tendon (27380) |
$5,147.70 |
$8,579.50 |
0.7× |
| Repair lead pace-defib dual (33220) |
$4,772.40 |
$7,954 |
1.3× |
| Repair lead pace-defib one (33218) |
$5,622 |
$9,370 |
1.5× |
| Repair lower leg tendons (27676) |
$4,806 |
$8,010 |
0.7× |
| Repair lumbar hernia (49540) |
$4,539.60 |
$7,566 |
0.8× |
| Repair of anal sphincter (46750) |
$2,535.60 |
$4,226 |
0.9× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$11,170.80 |
$18,618 |
1.7× |
| Repair of eye wound (65285) |
$4,162.80 |
$6,938 |
0.8× |
| Repair Of Foot Tendon (28208) |
$4,926.60 |
$8,211 |
1.5× |
| Repair of humerus (24430) |
$10,708.20 |
$17,847 |
0.8× |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$2,675.40 |
$4,459 |
0.4× |
| Repair of leg tendon each (27658) |
$3,370.20 |
$5,617 |
1.0× |
| Repair of nail bed (11760) |
$820.20 |
$1,367 |
1.1× |
| Repair of nasal septum (30520) |
$3,216.60 |
$5,361 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$3,934.20 |
$6,557 |
0.5× |
| Repair of rectum (45505) |
$3,027.60 |
$5,046 |
1.1× |
| Repair of thigh musc (27385) |
$4,182.90 |
$6,971.50 |
0.6× |
| Repair of traumatic corporeal tear(s) (54437) |
$4,282.20 |
$7,137 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$4,684.50 |
$7,807.50 |
0.6× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$9,498 |
$15,830 |
1.3× |
| Repair Tongue Laceration (41250) |
$176.40 |
$294 |
0.4× |
| Repair tooth socket (41874) |
$3,329.40 |
$5,549 |
1.0× |
| Repair tympanic membrane (69610) |
$1,584.60 |
$2,641 |
1.0× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$3,800.40 |
$6,334 |
1.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$4,574.40 |
$7,624 |
1.4× |
| Replace duod/jej tube perc (49451) |
$1,249.20 |
$2,082 |
1.4× |
Replace elbow joint (24363)
unusually low: confirm this is the full procedure |
$8,590.80 |
$14,318 |
0.5× |
| Replace g/c tube perc (49450) |
$1,249.20 |
$2,082 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,288.20 |
$2,147 |
1.4× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,233.60 |
$7,056 |
1.1× |
| Reposition pacing-defib lead (33215) |
$4,468.80 |
$7,448 |
1.4× |
| Rerepair ing hernia reduce (49520) |
$7,091.10 |
$11,818.50 |
2.0× |
| Resect Inferior Turbinate (30140) |
$4,918.80 |
$8,198 |
1.5× |
| Resection of scrotum (55150) |
$1,383.60 |
$2,306 |
0.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$2,878.80 |
$4,798 |
0.9× |
| Revis reconst shoulder joint (23473) |
$10,621.20 |
$17,702 |
0.8× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$7,900.20 |
$13,167 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$2,271.60 |
$3,786 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$3,880.20 |
$6,467 |
2.0× |
| Revise vag graft via vagina (57295) |
$1,591.20 |
$2,652 |
0.5× |
| Revision of cervix (57720) |
$1,734 |
$2,890 |
0.5× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$3,358.80 |
$5,598 |
1.0× |
| Revision of eyelid (67950) |
$2,745.60 |
$4,576 |
1.2× |
| Revision of foot (28116) |
$3,037.20 |
$5,062 |
0.9× |
| Revision of lower leg tendon (27685) |
$2,233.80 |
$3,723 |
0.7× |
| Revision of penis (54300) |
$4,282.20 |
$7,137 |
1.2× |
| Revision of penis (54420) |
$2,452.80 |
$4,088 |
0.7× |
| Revision of tips (37183) |
$8,544 |
$14,240 |
1.5× |
| Revision of toe (28312) |
$3,177 |
$5,295 |
1.0× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low: confirm this is the full procedure |
$6,088.20 |
$10,147 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
unusually low: confirm this is the full procedure |
$5,067 |
$8,445 |
0.4× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$4,842 |
$8,070 |
0.9× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$17,239.80 |
$28,733 |
1.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$17,240.22 |
$28,733.70 |
1.5× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$8,722.20 |
$14,537 |
1.5× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$17,691.60 |
$29,486 |
1.5× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$28,093.20 |
$46,822 |
1.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$28,093.20 |
$46,822 |
1.5× |
Rmvl & rplcmt inflatable penile prosth same sess (54410)
likely a partial charge, not the full procedure |
$5,449.20 |
$9,082 |
0.3× |
| Rmvl & rplcmt non-nfltbl/nfltbl penile prosthesi (54416) |
$14,959.20 |
$24,932 |
0.7× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,452.80 |
$4,088 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,145.40 |
$1,909 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$517.80 |
$863 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$176.40 |
$294 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,382.40 |
$2,304 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,352.80 |
$5,588 |
1.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,939.20 |
$3,232 |
0.7× |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
$4,510.80 |
$7,518 |
1.3× |
| Rmvl of subq defibrillator (33272) |
$5,203.20 |
$8,672 |
1.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,771.80 |
$7,953 |
1.3× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$5,931.60 |
$9,886 |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,315.20 |
$2,192 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,107.50 |
$3,512.50 |
3.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$123 |
$205 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$358.80 |
$598 |
1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,850.40 |
$3,084 |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,145.40 |
$6,909 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,842.40 |
$6,404 |
1.2× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$3,816.60 |
$6,361 |
0.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,027 |
$5,045 |
0.5× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$3,858.90 |
$6,431.50 |
0.6× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure |
$2,474.40 |
$4,124 |
0.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$4,401 |
$7,335 |
1.2× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$3,821.40 |
$6,369 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$4,161 |
$6,935 |
0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,330 |
$5,550 |
0.9× |
| Rpr blood vessel direct lower extremity (35226) |
$879.60 |
$1,466 |
1.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$837.60 |
$1,396 |
0.5× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,801 |
$6,335 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$442.80 |
$738 |
0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$300 |
$500 |
1.3× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$3,150 |
$5,250 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$772.80 |
$1,288 |
3.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$772.80 |
$1,288 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$772.80 |
$1,288 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,118 |
$3,530 |
1.4× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$4,484.40 |
$7,474 |
0.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,724.20 |
$6,207 |
1.2× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,119.20 |
$3,532 |
1.4× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$28,093.20 |
$46,822 |
1.5× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$2,382.60 |
$3,971 |
1.2× |
| Scrotal exploration (55110) |
$3,670.20 |
$6,117 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,122.60 |
$1,871 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,428.60 |
$2,381 |
1.2× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,199.70 |
$1,999.50 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$198.60 |
$331 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$257.40 |
$429 |
1.3× |
| Sigmoidoscopy & decompress (45337) |
$1,232.40 |
$2,054 |
1.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,428.60 |
$2,381 |
1.2× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,428.60 |
$2,381 |
1.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$1,428.60 |
$2,381 |
1.5× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,433.40 |
$2,389 |
1.2× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,217.40 |
$2,029 |
1.3× |
| Sigmoidoscopy w/fb removal (45332) |
$1,428.60 |
$2,381 |
1.2× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,346.60 |
$3,911 |
2.0× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$7,111.80 |
$11,853 |
1.2× |
| Simple destruction of growth of penis using electric current (54055) |
$1,842 |
$3,070 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$522.60 |
$871 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$318 |
$530 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$318 |
$530 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$442.80 |
$738 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,052.40 |
$1,754 |
5.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$318 |
$530 |
1.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$249 |
$415 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$1,412.70 |
$2,354.50 |
7.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$284.40 |
$474 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$318 |
$530 |
1.6× |
| Skin splt grft trnk/arm/leg (15100) |
$3,439.20 |
$5,732 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,077.80 |
$3,463 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,293.20 |
$3,822 |
3.1× |
| Skin Tissue Procedure (17999) |
$841.20 |
$1,402 |
4.2× |
| Skin tissue rearrangement (14040) |
$4,282.80 |
$7,138 |
2.1× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,672.40 |
$4,454 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,986.60 |
$3,311 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,403.40 |
$12,339 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,296.60 |
$7,161 |
1.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,404 |
$12,340 |
1.3× |
| Slitting of prepuce (54001) |
$1,347 |
$2,245 |
0.6× |
| Slitting of prepuce (54000) |
$4,564.20 |
$7,607 |
1.3× |
| Small bowel endoscopy (44366) |
$2,172.60 |
$3,621 |
1.1× |
| Small bowel endoscopy (44364) |
$2,172.60 |
$3,621 |
1.1× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,433.60 |
$4,056 |
1.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,172.60 |
$3,621 |
1.1× |
| Small bowel endoscopy/biopsy (44377) |
$2,172.60 |
$3,621 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,917.90 |
$3,196.50 |
9.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$522.60 |
$871 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$522.60 |
$871 |
1.3× |
| Sphincterotomy (46080) |
$2,082.60 |
$3,471 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$982.80 |
$1,638 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$913.20 |
$1,522 |
1.3× |
| Stimulus evoked response (51792) |
$234 |
$390 |
4.0× |
| Strapping ankle (29540) |
$207.60 |
$346 |
1.3× |
| Strapping shoulder (29240) |
$172.20 |
$287 |
1.3× |
| Strapping unna boot (29580) |
$234.75 |
$391.25 |
1.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$60 |
$100 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,027.60 |
$5,046 |
1.1× |
| Suspension of testis (54640) |
$3,367.80 |
$5,613 |
0.9× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$3,076.80 |
$5,128 |
0.9× |
| Suture Eyelid Wound,Full Thick (67935) |
$3,216.30 |
$5,360.50 |
1.4× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$7,780.80 |
$12,968 |
1.1× |
| Suture/repair testicular injury (54670) |
$2,247.60 |
$3,746 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$249 |
$415 |
0.6× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$21,645.60 |
$36,076 |
1.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,724.20 |
$6,207 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$6,603.60 |
$11,006 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$181.20 |
$302 |
0.1× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,031 |
$3,385 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$993 |
$1,655 |
1.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,029.60 |
$1,716 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,113.60 |
$1,856 |
1.8× |
| Throat Surgery Procedure (42999) |
$295.80 |
$493 |
1.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,243.20 |
$7,072 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$6,169.80 |
$10,283 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$500.40 |
$834 |
1.5× |
| Thrombolytic Venous Therapy (37212) |
$3,723.60 |
$6,206 |
1.2× |
| Thymectomy prtl/tot transcervical appr spx (60520) |
$9,669 |
$16,115 |
1.6× |
| Thyroidectomy, total or complete (60240) |
$7,539.60 |
$12,566 |
1.3× |
Tissue expander placement breast reconstruction (19357)
unusually low: confirm this is the full procedure |
$5,326.80 |
$8,878 |
0.4× |
| Tongue and mouth surg unlisted (41599) |
$2,836.20 |
$4,727 |
12.0× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$5,604.30 |
$9,340.50 |
0.4× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$4,600.20 |
$7,667 |
0.4× |
| Trach Tube Change (31502) |
$268.80 |
$448 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$523.20 |
$872 |
2.2× |
| Transcatheter biopsy (37200) |
$5,971.80 |
$9,953 |
1.1× |
| Transection/avulsion greater occipital nerve (64744) |
$3,882.60 |
$6,471 |
2.0× |
| Transoral Lower Esophageal Myotomy (43497) |
$4,504.20 |
$7,507 |
0.7× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$11,226 |
$18,710 |
1.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,534.20 |
$7,557 |
0.8× |
| Transurethral resection of bladder neck (52500) |
$1,873.20 |
$3,122 |
0.5× |
| Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance,… (52597) |
$17,409 |
$29,015 |
1.8× |
| Treat ectopic pregnancy (59151) |
$3,493.80 |
$5,823 |
0.6× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$3,801 |
$6,335 |
0.3× |
| Treat finger dislocation (26775) |
$342 |
$570 |
1.2× |
| Treat Finger Fracture Each (26727) |
$2,328 |
$3,880 |
0.7× |
| Treat fracture radius/ulna (25575) |
$8,591.40 |
$14,319 |
1.2× |
| Treat fx distal radial (25606) |
$3,599.40 |
$5,999 |
1.1× |
| Treat fx rad extra-articul (25607) |
$3,944.10 |
$6,573.50 |
0.5× |
| Treat heel fracture (28415) |
$9,388.20 |
$15,647 |
1.3× |
| Treat knee fracture (27532) |
$4,444.80 |
$7,408 |
1.4× |
| Treat lower leg fracture (27826) |
$14,332.80 |
$23,888 |
2.0× |
| Treat lower leg fracture (27828) |
$11,519.10 |
$19,198.50 |
0.9× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$4,323.60 |
$7,206 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$318 |
$530 |
1.3× |
| Treat pleurodesis w/agent (32560) |
$928.20 |
$1,547 |
1.5× |
| Treat radius fracture (24665) |
$6,215.40 |
$10,359 |
0.9× |
| Treat skull fracture (62000) |
$4,051.80 |
$6,753 |
1.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,512 |
$2,520 |
0.9× |
| Treat toe fracture (28525) |
$3,780.90 |
$6,301.50 |
1.2× |
Treat ulnar fracture (24685)
unusually low: confirm this is the full procedure |
$2,936.70 |
$4,894.50 |
0.4× |
| Treat wrist bone fracture (25635) |
$1,923 |
$3,205 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$2,540.40 |
$4,234 |
1.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$404.40 |
$674 |
1.6× |
| Treatment of ankle fracture (27822) |
$5,167.50 |
$8,612.50 |
0.7× |
| Treatment of ankle fracture (27792) |
$4,082.40 |
$6,804 |
0.6× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$1,591.20 |
$2,652 |
0.5× |
Treatment of tibia fracture (27759)
unusually low: confirm this is the full procedure |
$5,221.80 |
$8,703 |
0.4× |
| Trim skin lesion (11055) |
$156.60 |
$261 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$171.60 |
$286 |
0.9× |
| Trim skin lesions over 4 (11057) |
$221.40 |
$369 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$78 |
$130 |
1.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,914.60 |
$13,191 |
1.4× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,850.40 |
$13,084 |
1.4× |
| Trurl drainage prostatic abscess (52700) |
$4,931.40 |
$8,219 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,611.80 |
$4,353 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,422.80 |
$4,038 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,591.20 |
$2,652 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,716.20 |
$4,527 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,807.80 |
$3,013 |
2.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$442.80 |
$738 |
1.1× |
| Tympanostomy (69433) |
$650.40 |
$1,084 |
1.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$1,911.60 |
$3,186 |
9.5× |
| Unlisted laparoscopic procedure liver (47379) |
$6,128.40 |
$10,214 |
1.0× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$8,374.80 |
$13,958 |
1.4× |
| Unlisted laparoscopy procedure, stomach (43659) |
$7,641 |
$12,735 |
1.3× |
| Unlisted laparoscopy procedure, uterus (58578) |
$3,439.20 |
$5,732 |
0.6× |
| Unlisted Procedure Biliary Tract (47999) |
$1,340.40 |
$2,234 |
1.5× |
| Unlisted Procedure Casting/Strapping (29799) |
$190.20 |
$317 |
1.2× |
| Unlisted procedure colon (45399) |
$1,233.90 |
$2,056.50 |
1.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$1,795.80 |
$2,993 |
7.6× |
| Unlisted procedure foot or toes (28899) |
$1,750.80 |
$2,918 |
7.1× |
| Unlisted procedure humerus/elbow (24999) |
$337.20 |
$562 |
1.4× |
| Unlisted procedure leg/ankle (27899) |
$3,972 |
$6,620 |
16.2× |
| Unlisted procedure maternity care & delivery (59899) |
$268.80 |
$448 |
1.3× |
| Unlisted procedure pancreas (48999) |
$877.80 |
$1,463 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$1,941.30 |
$3,235.50 |
7.9× |
| Unlisted Procedure Rectum (45999) |
$1,164 |
$1,940 |
1.3× |
| Unlisted Procedure Small Intestine (44799) |
$1,186.80 |
$1,978 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,274.90 |
$3,791.50 |
3.6× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$294.60 |
$491 |
1.2× |
| Unlisted procedure, hands or fingers (26989) |
$343.20 |
$572 |
1.4× |
| Unlisted procedure, male genital system (55899) |
$1,029 |
$1,715 |
4.1× |
| Unlisted procedure, stomach (43999) |
$1,225.80 |
$2,043 |
1.4× |
| Unlisted procedure, vestibule of mouth (40899) |
$310.20 |
$517 |
1.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$235.80 |
$393 |
1.2× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$13,648.20 |
$22,747 |
1.3× |
| Vag hyst complex (58290) |
$3,841.20 |
$6,402 |
0.5× |
| Vaginal delivery only (59409) |
$3,819 |
$6,365 |
1.2× |
| Vaginal hysterectomy (58260) |
$4,444.20 |
$7,407 |
0.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$2,796 |
$4,660 |
0.6× |
| Vasc embolize/occlude artery (37242) |
$14,715.60 |
$24,526 |
0.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,715.60 |
$24,526 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$22,356.90 |
$37,261.50 |
1.9× |
| Vasc embolize/occlude venous (37241) |
$14,715.60 |
$24,526 |
1.3× |
| Vasectomy (55250) |
$269.40 |
$449 |
0.1× |
| Venipuncture (36415) |
$7.80 |
$13 |
0.8× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,383.30 |
$2,305.50 |
0.4× |
| Vulvectomy simple partial (56620) |
$2,992.50 |
$4,987.50 |
0.9× |
| Vulvectomy simple; complete (56625) |
$2,983.50 |
$4,972.50 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,383 |
$2,305 |
3.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,073 |
$3,455 |
2.8× |
| Xfer single deep low leg tendon (27691) |
$6,895.80 |
$11,493 |
1.0× |