| Abd paracentesis w/imaging (49083) |
$1,750.17 |
$2,500.24 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,527.97 |
$5,039.96 |
3.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$15,547.70 |
$22,210.99 |
0.8× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$13,575.39 |
$19,393.41 |
1.2× |
| Abltj 1/> lvr tum prq rf (47382) |
$12,725.10 |
$18,178.70 |
1.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,800.33 |
$2,571.90 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$7,757.67 |
$11,082.38 |
2.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,821.67 |
$5,459.53 |
1.7× |
| Amniocentesis diagnostic (59000) |
$1,707.29 |
$2,438.99 |
1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$5,051.63 |
$7,216.61 |
1.4× |
| Amputation Finger/Thumb (26951) |
$3,978.85 |
$5,684.07 |
1.1× |
| Amputation foot transmetarsal (28805) |
$8,359.31 |
$11,941.86 |
2.3× |
| Amputation toe interphalangeal joint (28825) |
$4,225.18 |
$6,035.98 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,951.96 |
$7,074.22 |
1.4× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$6,823.59 |
$9,747.99 |
1.9× |
| Analyze spine infus pump (62367) |
$728.27 |
$1,040.38 |
2.2× |
| Anoscopy diagnostic (46600) |
$512.98 |
$732.82 |
3.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,684.20 |
$3,834.57 |
2.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,422.62 |
$4,889.46 |
1.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$3,970.41 |
$5,672.02 |
0.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$775.55 |
$1,107.93 |
4.4× |
| Application cast elbow finger short arm (29075) |
$657.22 |
$938.88 |
2.1× |
| Application Finger Splint Dynamic (29131) |
$176.53 |
$252.19 |
2.7× |
| Application finger splint static (29130) |
$392.70 |
$561 |
2.7× |
| Application long arm splint shoulder hand (29105) |
$346.38 |
$494.83 |
1.9× |
| Application of long leg cast (29345) |
$724.39 |
$1,034.84 |
2.4× |
| Application of rigid total contact leg cast (29445) |
$672.60 |
$960.86 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$305.17 |
$435.95 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$460.38 |
$657.69 |
3.2× |
| Application uniplane external fixation system (20690) |
$7,108.25 |
$10,154.64 |
0.9× |
| Application, cast; figure-of-eight Facility (29049) |
$690.07 |
$985.82 |
2.3× |
| Apply long leg splint (29505) |
$377.72 |
$539.60 |
2.1× |
| Apply short leg cast (29405) |
$724.39 |
$1,034.84 |
2.4× |
| Apply short leg cast (29425) |
$5,480.64 |
$7,829.48 |
17.9× |
| Apply short leg splint (29515) |
$373.32 |
$533.31 |
2.1× |
| Arterial puncture (36600) |
$284.24 |
$406.06 |
1.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$8,911.35 |
$12,730.50 |
2.6× |
| Artery-vein autograft (36825) |
$14,515.52 |
$20,736.45 |
2.4× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure |
$4,514.79 |
$6,449.70 |
0.3× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$8,530.18 |
$12,185.97 |
0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$15,915.44 |
$22,736.34 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$441.22 |
$630.30 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$774.94 |
$1,107.06 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,527.60 |
$2,182.29 |
4.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$658.44 |
$940.62 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$915.13 |
$1,307.33 |
2.7× |
| Arthrodesis ankle open (27870) |
$10,954.67 |
$15,649.53 |
0.8× |
| Arthrodesis great toe interphalangeal joint (28755) |
$5,447.02 |
$7,781.46 |
0.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,732.52 |
$9,617.89 |
0.8× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$8,709.31 |
$12,441.87 |
2.4× |
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure |
$8,204.20 |
$11,720.30 |
0.4× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$8,934.28 |
$12,763.26 |
0.3× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$7,748.02 |
$11,068.60 |
0.3× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
unusually low: confirm this is the full procedure |
$11,291.40 |
$16,130.57 |
0.4× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600)
likely a partial charge, not the full procedure |
$3,366.60 |
$4,809.42 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$5,829.80 |
$8,328.28 |
0.3× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
likely a partial charge, not the full procedure |
$2,049.73 |
$2,928.18 |
0.1× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$9,675.07 |
$13,821.53 |
1.2× |
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure |
$3,651.55 |
$5,216.50 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$8,698.35 |
$12,426.21 |
0.5× |
| Arthroplasty patella w/prosthesis (27438) |
$10,864.41 |
$15,520.59 |
0.8× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$9,884.29 |
$14,120.42 |
2.8× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$8,445.18 |
$12,064.54 |
0.6× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$15,444.01 |
$22,062.87 |
8.8× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$6,736.36 |
$9,623.37 |
1.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$6,709.18 |
$9,584.54 |
1.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,689.26 |
$3,841.80 |
0.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,783.18 |
$2,547.40 |
0.5× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$8,799.01 |
$12,570.02 |
2.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$6,222.75 |
$8,889.64 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$8,445.42 |
$12,064.88 |
2.4× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,801.60 |
$2,573.72 |
0.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,175.07 |
$7,392.95 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,840.89 |
$2,629.84 |
0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,927.10 |
$7,038.72 |
0.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$4,426.38 |
$6,323.40 |
1.2× |
| Arthrotomy, wrist joint; with biopsy Facility (25100) |
$5,164.83 |
$7,378.33 |
1.4× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$11,859.79 |
$16,942.56 |
3.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$11,844.99 |
$16,921.41 |
1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$7,594.22 |
$10,848.88 |
2.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$6,217.83 |
$8,882.62 |
1.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$3,317.07 |
$4,738.67 |
1.9× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,022.91 |
$7,175.59 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$2,005.46 |
$2,864.95 |
2.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$649.04 |
$927.21 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,307.69 |
$6,153.84 |
1.9× |
| Aspiration bladder needle (51100) |
$823.52 |
$1,176.45 |
3.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$773.55 |
$1,105.08 |
3.5× |
| Biopsy bone open deep (20245) |
$4,578.57 |
$6,540.81 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,909.86 |
$4,156.94 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,613.67 |
$3,733.81 |
1.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$2,790.86 |
$3,986.94 |
2.8× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$5,874.42 |
$8,392.03 |
3.2× |
| Biopsy muscle deep (20205) |
$5,798.18 |
$8,283.12 |
1.8× |
| Biopsy muscle percutaneous needle (20206) |
$3,190.56 |
$4,557.94 |
1.8× |
| Biopsy of breast; open, incisional (19101) |
$5,290.41 |
$7,557.72 |
1.2× |
| Biopsy of palate, uvula (42100) |
$2,500.83 |
$3,572.61 |
1.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,183.06 |
$7,404.36 |
1.2× |
| Biopsy Oropharynx (42800) |
$4,149.24 |
$5,927.49 |
2.4× |
| Biopsy Salivary Gland,Needle (42400) |
$2,723.21 |
$3,890.30 |
3.5× |
| Biopsy soft tissue neck/thorax (21550) |
$4,354 |
$6,220 |
2.4× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$2,511.35 |
$3,587.64 |
1.4× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$9,990.04 |
$14,271.49 |
5.5× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$4,410.35 |
$6,300.50 |
2.4× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$3,198.80 |
$4,569.72 |
1.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$2,662.37 |
$3,803.38 |
2.6× |
| Biopsy/removal lymph nodes (38525) |
$3,027.58 |
$4,325.12 |
0.7× |
| Biopsy/removal lymph nodes (38510) |
$8,566.47 |
$12,237.81 |
2.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,717.77 |
$2,453.96 |
2.2× |
| Bladder Irrigation Simple (51700) |
$960.32 |
$1,371.89 |
3.5× |
| Blepharoplasty, Upper Eyelid (15822) |
$11,215.27 |
$16,021.81 |
5.0× |
| Blepharotomy drain absc eyelid (67700) |
$934.42 |
$1,334.88 |
2.7× |
| Blood patch (62273) |
$3,217.83 |
$4,596.90 |
4.2× |
| Blood transfusion service (36430) |
$1,717.40 |
$2,453.44 |
3.6× |
| Bone marrow aspiration only (38220) |
$2,491.94 |
$3,559.92 |
1.4× |
| Bone Marrow Biopsy (38221) |
$2,638.78 |
$3,769.68 |
1.5× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$3,574.97 |
$5,107.10 |
1.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,141.68 |
$4,488.10 |
1.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$5,581.72 |
$7,973.88 |
1.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$2,475.28 |
$3,536.11 |
0.6× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,411.05 |
$2,015.79 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,356.92 |
$4,795.60 |
1.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,663.50 |
$3,805 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,947.24 |
$5,638.92 |
2.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,141.68 |
$4,488.10 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,052 |
$4,360 |
1.7× |
| Bx breast 1st lesion mr imag (19085) |
$4,327.86 |
$6,182.66 |
2.4× |
| Bx breast 1st lesion strtctc (19081) |
$5,126.74 |
$7,323.91 |
2.8× |
| Bx breast 1st lesion us imag (19083) |
$3,329.12 |
$4,755.89 |
1.8× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$6,536.71 |
$9,338.15 |
2.1× |
| Bx/exc lymph node needle superficial (38505) |
$4,110.79 |
$5,872.56 |
2.3× |
| Capsulorrhaphy, anterior, any type; with bone block Facility (23460) |
$14,366.46 |
$20,523.51 |
1.8× |
| Carpectomy All Bones Proximal Row (25215) |
$8,770.28 |
$12,528.96 |
2.4× |
| Casting/strapping procedure (29799) |
$401.44 |
$573.48 |
2.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$531.58 |
$759.40 |
2.2× |
| Cauterization,cervix,electro/thermal (57510) |
$5,989.09 |
$8,555.84 |
1.7× |
| Cessj Therapy Cath Removal (37214) |
$6,795.25 |
$9,707.50 |
2.0× |
| Change Cystostomy Tube Complicated (51710) |
$4,835.63 |
$6,908.04 |
6.3× |
| Change of cystostomy tube simple (51705) |
$736.65 |
$1,052.35 |
2.7× |
| Change Ureter Stent, Percut (50382) |
$6,625.98 |
$9,465.69 |
2.9× |
| Chemical cautery tissue (17250) |
$656.40 |
$937.72 |
3.0× |
| Chemodenerv musc migraine (64615) |
$1,332.11 |
$1,903.02 |
4.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$2,038.87 |
$2,912.67 |
6.1× |
| Chemodenervation internal anal sphincter (46505) |
$5,543.28 |
$7,918.97 |
4.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$5,571.49 |
$7,959.27 |
1.4× |
| Chromotubation oviduct (58350) |
$2,918.14 |
$4,168.77 |
0.5× |
| Circum 28 days or older (54161) |
$5,480.64 |
$7,829.48 |
2.4× |
| Circumcision (54150) |
$5,937.46 |
$8,482.09 |
2.6× |
| Circumcision Neonate (54160) |
$1,762.75 |
$2,518.22 |
2.3× |
| Claviculectomy partial (23120) |
$10,460.33 |
$14,943.33 |
2.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$781.42 |
$1,116.31 |
2.9× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,723.83 |
$5,319.75 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$787.28 |
$1,124.68 |
2.9× |
| Closed Rx Radial Shaft Fx (25500) |
$781.42 |
$1,116.31 |
2.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$4,275.47 |
$6,107.81 |
2.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$781.42 |
$1,116.31 |
2.9× |
| Closed Treat Vert Body Fract (22310) |
$762.22 |
$1,088.88 |
2.8× |
| Closed treat wrist dislocation (25660) |
$1,044.44 |
$1,492.05 |
3.9× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,165.15 |
$3,093.07 |
0.6× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,860.93 |
$2,658.47 |
3.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$781.42 |
$1,116.31 |
2.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$781.42 |
$1,116.31 |
2.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,442.64 |
$4,918.06 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$681.36 |
$973.36 |
2.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$781.42 |
$1,116.31 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,044.44 |
$1,492.05 |
3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$4,588.44 |
$6,554.92 |
2.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$781.42 |
$1,116.31 |
2.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$734.09 |
$1,048.70 |
2.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,493.54 |
$2,133.63 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$781.42 |
$1,116.31 |
2.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$14,686.88 |
$20,981.26 |
8.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$733.82 |
$1,048.31 |
2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$643.16 |
$918.80 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$4,193.41 |
$5,990.58 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$762.22 |
$1,088.88 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,279.97 |
$3,257.10 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,723.83 |
$5,319.75 |
2.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$767.89 |
$1,096.99 |
2.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$851.13 |
$1,215.90 |
3.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$4,385.14 |
$6,264.48 |
2.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$420.76 |
$601.08 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$4,003.60 |
$5,719.44 |
2.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$775.46 |
$1,107.80 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$787.28 |
$1,124.68 |
2.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$874.48 |
$1,249.26 |
3.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$660.98 |
$944.25 |
2.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$781.42 |
$1,116.31 |
2.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,038.67 |
$5,769.53 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$871.09 |
$1,244.41 |
3.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,723.83 |
$5,319.75 |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$770.64 |
$1,100.92 |
2.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$683.55 |
$976.50 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$680.74 |
$972.48 |
2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$791.98 |
$1,131.40 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$781.42 |
$1,116.31 |
2.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$781.42 |
$1,116.31 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,687.60 |
$5,268 |
2.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,557.05 |
$5,081.50 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,182.72 |
$5,975.31 |
2.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$803.02 |
$1,147.17 |
3.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$781.42 |
$1,116.31 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$723.93 |
$1,034.18 |
2.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,257.57 |
$6,082.24 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$786.09 |
$1,122.98 |
2.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,723.83 |
$5,319.75 |
2.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$5,694.78 |
$8,135.40 |
3.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$448.40 |
$640.58 |
1.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$724.39 |
$1,034.84 |
2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$627.47 |
$896.39 |
2.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$8,389.58 |
$11,985.12 |
2.3× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$781.42 |
$1,116.31 |
2.9× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$4,226.11 |
$6,037.30 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,009.95 |
$1,442.78 |
3.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$781.42 |
$1,116.31 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$683.55 |
$976.50 |
2.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$724.91 |
$1,035.58 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$683.37 |
$976.24 |
2.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,658.71 |
$5,226.73 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,044.44 |
$1,492.05 |
3.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,202.56 |
$3,146.51 |
1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$788.06 |
$1,125.80 |
2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$5,131.16 |
$7,330.23 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$793.95 |
$1,134.21 |
2.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,337.31 |
$3,339.02 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$4,011.70 |
$5,731 |
2.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,723.83 |
$5,319.75 |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$522.22 |
$746.03 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,299.52 |
$6,142.16 |
2.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$239.61 |
$342.30 |
1.6× |
| Colonoscopy flex w/blln dilat (45386) |
$3,619.85 |
$5,171.21 |
2.8× |
| Colonoscopy flex w/inj submuc (45381) |
$2,822.12 |
$4,031.60 |
2.2× |
| Colonoscopy thru stoma (44388) |
$3,619.85 |
$5,171.21 |
3.6× |
| Colonoscopy w/ablation (45388) |
$1,383.39 |
$1,976.27 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$2,509.44 |
$3,584.91 |
1.9× |
| Colonoscopy w/fb removal (45379) |
$1,224.71 |
$1,749.59 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,660.53 |
$3,800.76 |
2.0× |
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure |
$2,915.45 |
$4,164.93 |
0.4× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
unusually low: confirm this is the full procedure |
$2,794.84 |
$3,992.63 |
0.3× |
| Colporrhaphy Suture Injury Vagina (57200) |
$6,499.20 |
$9,284.58 |
1.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$9,113.39 |
$13,019.13 |
27.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,756.25 |
$9,651.78 |
1.9× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,160.25 |
$5,943.21 |
0.8× |
| Conization of cervix (57520) |
$5,324.73 |
$7,606.76 |
1.5× |
| Conization of cervix (57522) |
$9,315.43 |
$13,307.76 |
2.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$610.85 |
$872.64 |
2.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$425.37 |
$607.67 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$202.74 |
$289.63 |
1.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,674.53 |
$3,820.76 |
4.5× |
| Conversion ext bil drg cath (47535) |
$4,961.81 |
$7,088.30 |
1.3× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) |
$16,454.21 |
$23,506.02 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,383.97 |
$4,834.24 |
1.6× |
| Convert nephrostomy catheter (50434) |
$4,766.48 |
$6,809.25 |
2.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,542.42 |
$6,489.17 |
2.5× |
| Correction hammertoe (28285) |
$2,611.27 |
$3,730.38 |
0.7× |
| Correction of bunion (28292) |
$7,594.22 |
$10,848.88 |
2.1× |
| Correction of bunion (28299) |
$5,228.33 |
$7,469.04 |
0.7× |
| Correction of bunion (28297) |
$7,598.40 |
$10,854.85 |
0.5× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$245.76 |
$351.08 |
1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,501.55 |
$6,430.79 |
1.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$4,875.72 |
$6,965.32 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$180.46 |
$257.80 |
1.2× |
| Curettage postpartum (59160) |
$7,968.49 |
$11,383.56 |
2.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,915.45 |
$4,164.93 |
1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,766.48 |
$6,809.25 |
2.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$6,303.32 |
$9,004.74 |
1.6× |
| Cysto w/destruction of lesions (52214) |
$6,359.44 |
$9,084.92 |
1.6× |
| Cysto w/insert ureteral stent (52332) |
$5,366.46 |
$7,666.36 |
1.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,078.81 |
$8,684.02 |
1.6× |
| Cysto w/removal of tumors small (52234) |
$6,078.81 |
$8,684.02 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$6,206.94 |
$8,867.05 |
2.7× |
| Cysto w/ureter stricture tx (52341) |
$6,829.35 |
$9,756.22 |
1.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,178.40 |
$5,969.14 |
1.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,930.46 |
$5,614.95 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,251.18 |
$7,501.69 |
0.9× |
| Cysto/uretero w/lithotripsy (52356) |
$10,090.16 |
$14,414.52 |
1.7× |
| Cysto/uretero w/up stricture (52345) |
$3,238.04 |
$4,625.77 |
0.8× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$10,456.29 |
$14,937.55 |
1.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860)
likely a partial charge, not the full procedure |
$2,915.45 |
$4,164.93 |
0.3× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$2,478.56 |
$3,540.81 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,295.19 |
$6,135.98 |
1.9× |
| Cystouretero & or pyeloscope (52351) |
$2,306.90 |
$3,295.57 |
0.6× |
| Cystourethroscopy (52000) |
$6,778.45 |
$9,683.50 |
8.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$4,597.06 |
$6,567.22 |
2.0× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$2,662.37 |
$3,803.38 |
0.7× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,025.79 |
$2,893.99 |
0.5× |
| Cystourethroscopy with biopsy (52204) |
$4,351.88 |
$6,216.97 |
1.9× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$4,619.09 |
$6,598.70 |
0.8× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$7,313.59 |
$10,447.98 |
1.2× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$9,191.91 |
$13,131.30 |
4.0× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$4,511.12 |
$6,444.46 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,458.86 |
$2,084.08 |
3.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$3,419.43 |
$4,884.90 |
4.4× |
| Debride nail 1-5 (11720) |
$210.07 |
$300.10 |
3.2× |
| Debride nail 6 or more (11721) |
$196.25 |
$280.35 |
3.0× |
| Debride tissue/muscle (11043) |
$2,262.96 |
$3,232.81 |
2.8× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$2,784.71 |
$3,978.16 |
4.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$870.78 |
$1,243.97 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,289.28 |
$3,270.40 |
1.3× |
| Declot vascular device (36593) |
$678.16 |
$968.80 |
1.9× |
| Destroy cerv/thor facet jnt (64633) |
$3,446.99 |
$4,924.27 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,658.57 |
$3,797.95 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$530.71 |
$758.16 |
2.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,606.18 |
$3,723.12 |
2.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,448.17 |
$3,497.39 |
3.2× |
| Diagnostic sigmoidoscopy (45330) |
$2,628.75 |
$3,755.35 |
2.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$4,144.98 |
$5,921.40 |
3.2× |
| Dilate Urethra Stricture (53620) |
$1,761.37 |
$2,516.24 |
2.3× |
| Dilate urethra stricture (53600) |
$1,299.60 |
$1,856.57 |
4.7× |
| Dilation and curettage (58120) |
$3,239.84 |
$4,628.34 |
0.9× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$442.25 |
$631.78 |
3.1× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$10,213.36 |
$14,590.51 |
1.7× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,924.99 |
$2,749.99 |
1.0× |
| Dissection, deep jugular node(s) Facility (38542) |
$5,039.57 |
$7,199.39 |
0.8× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$15,152.89 |
$21,646.99 |
2.5× |
| Drain bladder by trocar/cath (51101) |
$2,367.27 |
$3,381.81 |
2.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$3,408.84 |
$4,869.76 |
1.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$942.95 |
$1,347.07 |
1.2× |
| Drain Spinal Cord Cyst (62268) |
$2,041.80 |
$2,916.86 |
2.1× |
| Drain/inj small joint/bursa w/us (20604) |
$617.10 |
$881.56 |
1.8× |
| Drainage external auditory canal abscess (69020) |
$1,637.12 |
$2,338.74 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$523.36 |
$747.65 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$5,918.81 |
$8,455.44 |
3.3× |
| Drainage Finger Abscess Simple (26010) |
$1,533.38 |
$2,190.55 |
7.0× |
| Drainage of gum lesion (41800) |
$304.26 |
$434.65 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$2,540.58 |
$3,629.39 |
1.4× |
| Drainage of mouth lesion (41017) |
$5,728.82 |
$8,184.04 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$3,123.97 |
$4,462.82 |
1.7× |
| Drainage tendon sheath digit&/palm each (26020) |
$4,928.30 |
$7,040.43 |
1.4× |
| Draw blood off venous device (36591) |
$409.80 |
$585.43 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$577.26 |
$824.66 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$466.73 |
$666.75 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$385.70 |
$551 |
1.8× |
| Dstrj lesion anus simple surg excision (46922) |
$1,816.22 |
$2,594.60 |
0.6× |
| Dx bone marrow bx & aspir (38222) |
$5,860.96 |
$8,372.80 |
1.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$4,707.58 |
$6,725.12 |
2.4× |
| Dx laryngoscopy w/oper scope (31526) |
$2,456.57 |
$3,509.38 |
1.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,442 |
$3,488.58 |
1.2× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,437.29 |
$3,481.84 |
1.2× |
| Egd control bleeding any (43255) |
$2,275 |
$3,250 |
1.1× |
| Egd dilate stricture (43245) |
$2,275 |
$3,250 |
1.1× |
| Egd flexible foreign body removal (43247) |
$2,275 |
$3,250 |
2.3× |
| Egd guide wire insertion (43248) |
$1,749.86 |
$2,499.80 |
1.8× |
| Egd place gastrostomy tube (43246) |
$4,050.98 |
$5,787.11 |
1.9× |
| Egd remove lesion snare (43251) |
$1,206.61 |
$1,723.73 |
0.6× |
| Egd tube/cath insertion (43241) |
$6,022.67 |
$8,603.82 |
2.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$728.27 |
$1,040.38 |
2.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$728.27 |
$1,040.38 |
2.2× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$728.27 |
$1,040.38 |
2.2× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$17,501.20 |
$25,001.71 |
2.9× |
| Endometrial Biopsy (58100) |
$487.90 |
$697 |
2.2× |
| Endoscopy Upper Small Intestine (44360) |
$2,413.24 |
$3,447.48 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$18,794.20 |
$26,848.86 |
3.1× |
| Endovenous rf 1st vein (36475) |
$6,901.45 |
$9,859.22 |
2.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$4,472.83 |
$6,389.75 |
2.0× |
| Epididymectomy unilateral (54860) |
$5,944.59 |
$8,492.27 |
1.5× |
| Episiotomy or vaginal repair (59300) |
$10,357.38 |
$14,796.26 |
2.9× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,707.69 |
$2,439.56 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$5,829.10 |
$8,327.28 |
1.4× |
| Ercp ea duct/ampulla dilate (43277) |
$904.96 |
$1,292.80 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$5,604.90 |
$8,007 |
1.3× |
| Ercp remove forgn body duct (43275) |
$3,489.06 |
$4,984.36 |
1.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$5,604.90 |
$8,007 |
1.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$5,604.90 |
$8,007 |
1.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,714.62 |
$5,306.60 |
3.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,244.67 |
$3,206.67 |
2.3× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$2,111.35 |
$3,016.22 |
1.0× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$2,038.87 |
$2,912.67 |
0.5× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$3,790.14 |
$5,414.48 |
1.8× |
| Esophagoscopy rigid trnso dx (43191) |
$1,519.70 |
$2,171 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$194.64 |
$278.06 |
1.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$7,861.27 |
$11,230.39 |
4.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,135.43 |
$5,907.76 |
2.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,924.29 |
$4,177.55 |
1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,209.81 |
$1,728.30 |
1.6× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,007.56 |
$2,867.94 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$5,025.71 |
$7,179.58 |
2.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$5,070.22 |
$7,243.17 |
2.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$3,363.34 |
$4,804.78 |
4.3× |
| Exc back les sc < 3 cm (21930) |
$3,151.14 |
$4,501.64 |
1.7× |
| Exc back tum deep < 5 cm (21932) |
$5,164.83 |
$7,378.33 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,371.96 |
$3,388.51 |
3.1× |
| Exc forearm les sc 3 cm/> (25071) |
$1,398.12 |
$1,997.32 |
0.8× |
| Exc ganglion wrist recurrent (25112) |
$2,260.98 |
$3,229.97 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$5,543.28 |
$7,918.97 |
3.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,691.77 |
$6,702.53 |
2.7× |
| Exc neck tum deep < 5 cm (21556) |
$7,530.13 |
$10,757.33 |
2.4× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$6,752.33 |
$9,646.18 |
3.2× |
| Exc rect tum transanal part (45171) |
$4,174.17 |
$5,963.10 |
1.4× |
| Exc skin abd (15830) |
$20,688.44 |
$29,554.91 |
2.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,603.02 |
$2,290.02 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,442.65 |
$2,060.92 |
3.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,289 |
$3,270 |
2.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$6,016.34 |
$8,594.77 |
1.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,976.03 |
$7,108.62 |
1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,881 |
$6,972.85 |
2.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,429.10 |
$2,041.57 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,375.85 |
$4,822.64 |
1.1× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$7,064.38 |
$10,091.98 |
2.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$4,881 |
$6,972.85 |
2.7× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$5,070.22 |
$7,243.17 |
2.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,330.40 |
$7,614.86 |
1.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,495.97 |
$7,851.39 |
1.7× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$5,472.75 |
$7,818.22 |
3.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,870.70 |
$2,672.43 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,547.08 |
$5,067.25 |
2.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$4,975.61 |
$7,108.01 |
2.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,741.42 |
$5,344.89 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$5,315.09 |
$7,592.98 |
2.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,978.08 |
$4,254.40 |
0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,380.15 |
$4,828.78 |
1.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$2,419.15 |
$3,455.93 |
0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$9,670.75 |
$13,815.36 |
2.5× |
| Exchange nephrostomy cath (50435) |
$3,844.37 |
$5,491.95 |
1.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,917.06 |
$5,595.80 |
1.9× |
| Excise Inferior Turbinate (30130) |
$4,931.85 |
$7,045.50 |
1.4× |
| Excise pharynx lesion (42808) |
$1,368.28 |
$1,954.68 |
0.4× |
| Excise Wrist Tendon Sheath (25118) |
$3,399.92 |
$4,857.03 |
1.9× |
| Excision Aural Polyp (69540) |
$1,799.51 |
$2,570.73 |
1.1× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
$8,359.37 |
$11,941.96 |
2.3× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$7,313.59 |
$10,447.98 |
1.1× |
| Excision Breast Lesion (19125) |
$7,362.37 |
$10,517.67 |
1.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$4,012.53 |
$5,732.19 |
1.1× |
| Excision external ear partial simple repair (69110) |
$5,921.73 |
$8,459.61 |
1.9× |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) |
$12,952.17 |
$18,503.10 |
1.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$5,212.14 |
$7,445.91 |
1.6× |
| Excision hydrocele bilateral (55041) |
$2,754.47 |
$3,934.96 |
0.7× |
| Excision interdigital morton neuroma single each (28080) |
$5,100.23 |
$7,286.04 |
2.9× |
| Excision lesion mouth roof (42104) |
$3,433.86 |
$4,905.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,025.79 |
$2,893.99 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,372.98 |
$1,961.40 |
1.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$8,949.31 |
$12,784.73 |
11.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,518.34 |
$5,026.20 |
1.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,259.44 |
$7,513.49 |
6.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,451.38 |
$3,501.97 |
3.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$5,921.73 |
$8,459.61 |
3.4× |
| Excision of hydrocele unilateral (55040) |
$5,637.89 |
$8,054.13 |
1.4× |
| Excision of lactiferous duct fistula Facility (19112) |
$4,975.61 |
$7,108.01 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$5,495.97 |
$7,851.39 |
1.5× |
| Excision of malignant tumor of mandible; Facility (21044) |
$5,259.44 |
$7,513.49 |
0.8× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$5,306.75 |
$7,581.07 |
2.5× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$15,788.61 |
$22,555.16 |
2.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$8,235.29 |
$11,764.70 |
1.3× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$17,195.03 |
$24,564.33 |
2.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,495.97 |
$7,851.39 |
1.7× |
| Excision of single external papilla or tag, anus (46220) |
$4,691.77 |
$6,702.53 |
3.6× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$4,115.86 |
$5,879.81 |
1.8× |
| Excision of sublingual gland (42450) |
$4,271.31 |
$6,101.87 |
0.7× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$9,614.76 |
$13,735.36 |
1.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$4,856 |
$6,937.14 |
3.7× |
| Excision of tongue lesion (41112) |
$5,732.50 |
$8,189.29 |
1.6× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$11,627.80 |
$16,611.14 |
1.8× |
| Excision of vaginal cyst or tumor (57135) |
$6,920.70 |
$9,886.72 |
2.0× |
| Excision olecranon bursa (24105) |
$5,163.42 |
$7,376.32 |
1.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$6,118.49 |
$8,740.70 |
1.7× |
| Excision or fulguration of carcinoma of urethra Facility (53220) |
$2,475.28 |
$3,536.11 |
0.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$6,016.34 |
$8,594.77 |
1.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,842.60 |
$4,060.86 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,444.07 |
$4,920.10 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$4,500.34 |
$6,429.06 |
2.5× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$5,448.67 |
$7,783.81 |
3.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,546.34 |
$2,209.06 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,354.06 |
$7,648.65 |
1.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$5,590.59 |
$7,986.55 |
3.1× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$6,640.07 |
$9,485.82 |
2.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,444.07 |
$4,920.10 |
1.1× |
| Explo/Drain Breast Abscess (19020) |
$5,572.30 |
$7,960.42 |
3.1× |
| Exploration of knee joint (27310) |
$9,517.47 |
$13,596.39 |
2.7× |
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure |
$1,417.82 |
$2,025.45 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,808.79 |
$4,012.55 |
1.6× |
| Explore Parathyroid Glands (60500) |
$13,996.05 |
$19,994.36 |
2.2× |
| Explore/Treat Elbow Joint (24101) |
$7,679.29 |
$10,970.41 |
2.1× |
| External cephalic version (59412) |
$8,038.10 |
$11,483 |
2.3× |
| Fasciectomy Palm Only (26121) |
$3,741.42 |
$5,344.89 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$6,303.32 |
$9,004.74 |
1.8× |
| Fasciotomy foot and/or toe (28008) |
$3,298.46 |
$4,712.08 |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,510.14 |
$6,443.06 |
1.3× |
| Fetal non-stress test (59025) |
$862.89 |
$1,232.70 |
3.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,746.26 |
$2,494.65 |
2.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,977.79 |
$2,825.41 |
2.5× |
| Fine needle aspiration without imaging guidance (10021) |
$875.08 |
$1,250.12 |
2.0× |
| Fluoro exam of g/colon tube (49465) |
$885.25 |
$1,264.64 |
3.4× |
| Forearm or wrist surgery (25999) |
$619.56 |
$885.08 |
2.3× |
| Foreskin manipulation (54450) |
$699.23 |
$998.90 |
2.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$7,145.21 |
$10,207.44 |
3.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,100.06 |
$3,000.08 |
0.9× |
| Fusion of foot bones (28740) |
$10,626.84 |
$15,181.20 |
1.3× |
| Fusion of hand bones (25820) |
$4,758.75 |
$6,798.21 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$387.93 |
$554.19 |
1.6× |
| Gastrocnemius recession (27687) |
$3,351.47 |
$4,787.82 |
0.9× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$3,726.30 |
$5,323.29 |
0.9× |
| Glossectomy; less than one-half tongue Facility (41120) |
$9,895.38 |
$14,136.26 |
1.5× |
| Grafting Of Autologous Soft Tiss By Direct Exc (15769) |
$2,506.42 |
$3,580.60 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$2,731.35 |
$3,901.92 |
3.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$5,772.56 |
$8,246.51 |
1.6× |
| Hem vw factor&clgn iii bndg (0279U) |
$59.77 |
$85.38 |
5.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$4,880.02 |
$6,971.46 |
1.4× |
| Hemorrhoidectomy (46255) |
$5,022.91 |
$7,175.59 |
1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,833.69 |
$6,905.27 |
1.6× |
| Hysteroscopy biopsy (58558) |
$4,146.08 |
$5,922.98 |
1.2× |
| Hysteroscopy removal leiomyomata (58561) |
$6,479.68 |
$9,256.68 |
1.2× |
| Hysteroscopy w endometrial ablation (58563) |
$3,307.19 |
$4,724.55 |
0.6× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$2,874.38 |
$4,106.26 |
0.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,786.38 |
$6,837.69 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$1,358.96 |
$1,941.38 |
5.2× |
| I&d abscess simple (10060) |
$427.70 |
$611 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,080.69 |
$7,258.13 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,527.82 |
$9,325.46 |
2.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$6,707.38 |
$9,581.96 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$1,533.38 |
$2,190.55 |
2.0× |
| I&d vulva/perineal abscess (56405) |
$1,400.30 |
$2,000.43 |
4.2× |
| Image Cath Fluid Colxn Visc (49405) |
$3,379.06 |
$4,827.23 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$4,533.50 |
$6,476.42 |
2.5× |
| Implant neuroelectrodes (63650) |
$3,566.40 |
$5,094.86 |
0.5× |
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350)
unusually low: confirm this is the full procedure |
$3,728.35 |
$5,326.22 |
0.4× |
| Incise external hemorrhoid (46083) |
$1,347.99 |
$1,925.70 |
4.9× |
| Incise finger tendon sheath (26055) |
$1,898.65 |
$2,712.36 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,289.88 |
$3,271.25 |
5.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,708.03 |
$3,868.61 |
3.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,083.66 |
$5,833.80 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$801.54 |
$1,145.05 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$299.20 |
$427.43 |
1.4× |
| Incision and drainage perianal abscess superficial (46050) |
$2,847.44 |
$4,067.77 |
2.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$5,831.36 |
$8,330.51 |
1.8× |
| Incision extensor tendon sheath wrist (25000) |
$4,951.96 |
$7,074.22 |
2.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,932.50 |
$4,189.28 |
1.7× |
| Incision of rectal abscess (46040) |
$5,023.17 |
$7,175.95 |
3.8× |
| Incisional biopsy skin single lesion (11106) |
$3,262.86 |
$4,661.23 |
4.0× |
| Initial tx 1st degree burn local tx (16000) |
$274.03 |
$391.47 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,993.92 |
$2,848.46 |
2.1× |
| Inj tendon sheath/ligament (20550) |
$649.72 |
$928.16 |
1.9× |
| Inj therapeutic carpal tunnel (20526) |
$674.73 |
$963.90 |
2.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$3,804.31 |
$5,434.73 |
3.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$4,768.59 |
$6,812.27 |
4.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,124.99 |
$3,035.70 |
2.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$5,235.73 |
$7,479.62 |
5.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,929.75 |
$4,185.36 |
3.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,022.52 |
$2,889.32 |
2.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,722.08 |
$2,460.12 |
2.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,939.50 |
$4,199.28 |
3.0× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,706.22 |
$3,866.02 |
2.8× |
| Inject Sinus Tract Theraputic (20500) |
$2,054.93 |
$2,935.62 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$612.50 |
$875 |
1.8× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$2,179.88 |
$3,114.12 |
2.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,255.89 |
$3,222.70 |
2.9× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,946.06 |
$4,208.65 |
3.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$2,161.60 |
$3,088 |
2.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,086.30 |
$1,551.86 |
3.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$795.26 |
$1,136.09 |
2.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,948.10 |
$2,783 |
2.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,905.41 |
$2,722.02 |
2.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,291.37 |
$3,273.38 |
3.0× |
| Injection for identification of sentinel node (38792) |
$2,085.74 |
$2,979.64 |
4.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$549.50 |
$785 |
0.8× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$915.84 |
$1,308.34 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,056.33 |
$1,509.04 |
3.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,323.74 |
$1,891.05 |
3.9× |
| Injection(s) spider veins (36468) |
$429.86 |
$614.08 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$795.26 |
$1,136.09 |
2.4× |
| Ins cath ren art 1st bilat (36252) |
$8,016.62 |
$11,452.32 |
2.3× |
| Ins cath ren art 1st unilat (36251) |
$7,719.71 |
$11,028.16 |
2.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,779.84 |
$11,114.05 |
1.3× |
| Ins endovas vena cava filtr (37191) |
$7,002.07 |
$10,002.96 |
1.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$27,522.60 |
$39,318 |
2.4× |
| Ins/Rep Subq Defibrillator (33270) |
$89,040.25 |
$127,200.36 |
2.6× |
| Insert Bladder Cath Complex (51703) |
$707.07 |
$1,010.10 |
5.0× |
| Insert cath pleura w/ image (32557) |
$1,547.74 |
$2,211.05 |
0.9× |
| Insert cath pleura w/o image (32556) |
$1,625.12 |
$2,321.60 |
0.8× |
| Insert gastrostomy tube percutaneous (49440) |
$4,133.29 |
$5,904.70 |
2.0× |
| Insert heart pm atrial (33206) |
$29,724.41 |
$42,463.44 |
2.6× |
| Insert heart pm ventricular (33207) |
$16,476.16 |
$23,537.37 |
1.4× |
| Insert hepatic shunt (tips) (37182) |
$25,335.42 |
$36,193.46 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$5,355.61 |
$7,650.87 |
1.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,590.76 |
$3,701.08 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,525.48 |
$3,607.83 |
1.5× |
| Insert pulse gen mult leads (33221) |
$49,855.08 |
$71,221.54 |
2.4× |
| Insert subq implantable defib electrode (33271) |
$19,888.32 |
$28,411.90 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$4,445.57 |
$6,350.82 |
30.5× |
| Insert tun ip cath perc (49418) |
$9,775.31 |
$13,964.73 |
2.5× |
| Insert tunneled cv cath (36561) |
$6,483.40 |
$9,262 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$298.09 |
$425.84 |
2.0× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$8,512.86 |
$12,161.23 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$12,538.07 |
$17,911.53 |
3.2× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$5,629.81 |
$8,042.58 |
3.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$32,565.27 |
$46,521.82 |
3.6× |
Insertion/rplcmt peripheral/gastric npgr (64590)
unusually low: confirm this is the full procedure |
$6,700.94 |
$9,572.77 |
0.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$18,975.60 |
$27,108 |
2.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$19,116.08 |
$27,308.68 |
2.1× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$39,412.94 |
$56,304.20 |
3.4× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$69,633.36 |
$99,476.22 |
2.9× |
| Insj picc rs&i 5 yr+ (36573) |
$5,295.81 |
$7,565.44 |
3.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,145.21 |
$10,207.44 |
2.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$6,795.25 |
$9,707.50 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$9,333.98 |
$13,334.26 |
2.7× |
| Insj/rplcmt defib w/lead(s) (33249) |
$74,336.03 |
$106,194.33 |
2.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$23,263.81 |
$33,234.02 |
2.6× |
| Insrt pulse gen w/dual leads (33230) |
$69,633.36 |
$99,476.22 |
2.9× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$7,132.81 |
$10,189.73 |
0.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,689.14 |
$5,270.21 |
2.4× |
| Intro cath dialysis circuit (36901) |
$9,403.60 |
$13,433.71 |
5.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$29,269.03 |
$41,812.90 |
2.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$13,816.60 |
$19,738 |
2.2× |
| Intro Gastrointestinal Tube (44500) |
$1,644.62 |
$2,349.45 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$851.09 |
$1,215.84 |
3.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$804.87 |
$1,149.82 |
2.9× |
| Kidney endoscopy (50553) |
$3,238.04 |
$4,625.77 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$9,936.82 |
$14,195.46 |
1.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
likely a partial charge, not the full procedure |
$1,477.05 |
$2,110.07 |
0.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,735.38 |
$8,193.40 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,589.88 |
$12,271.26 |
1.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$10,248.68 |
$14,640.97 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,579.68 |
$10,828.11 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$11,287.36 |
$16,124.79 |
1.4× |
| Lap ing hernia repair init (49650) |
$11,387.51 |
$16,267.87 |
1.7× |
| Lap insert tunnel ip cath (49324) |
$6,583.95 |
$9,405.64 |
1.0× |
| Lap paraesophag hern repair (43281) |
$8,211.60 |
$11,730.86 |
0.7× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$6,303.32 |
$9,004.74 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,833.65 |
$9,762.36 |
1.0× |
| Laparoscopy biopsy (49321) |
$10,979.20 |
$15,684.57 |
1.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,431.32 |
$19,187.60 |
1.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$8,946.18 |
$12,780.26 |
0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,773.74 |
$8,248.20 |
0.9× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$22,845.61 |
$32,636.59 |
2.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$6,645.23 |
$9,493.19 |
0.6× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$11,319.57 |
$16,170.82 |
1.7× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$10,662.37 |
$15,231.96 |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$8,828.99 |
$12,612.84 |
2.1× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$5,677.34 |
$8,110.48 |
0.9× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$14,837.89 |
$21,196.98 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$9,109.62 |
$13,013.74 |
0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$3,471.96 |
$4,959.94 |
0.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$11,915.92 |
$17,022.74 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,861.17 |
$15,515.95 |
1.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$15,071.92 |
$21,531.31 |
1.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$20,497.31 |
$29,281.87 |
1.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,368.40 |
$20,526.28 |
2.2× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$6,318.72 |
$9,026.74 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$6,318.72 |
$9,026.74 |
0.5× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$6,527.82 |
$9,325.46 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,359.44 |
$9,084.92 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,892.64 |
$9,846.63 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$15,006.71 |
$21,438.15 |
1.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$10,294.33 |
$14,706.19 |
1.6× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$3,273.64 |
$4,676.63 |
0.5× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,910.44 |
$8,443.48 |
1.4× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$6,359.44 |
$9,084.92 |
1.6× |
| Laryngoscopy diagnostic (31505) |
$465.52 |
$665.03 |
2.1× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Facility (31528) |
$8,523.56 |
$12,176.51 |
2.1× |
| Laryngoscopy flexible diagnostic (31575) |
$834.23 |
$1,191.75 |
3.8× |
| Laryngoscopy w/biopsy (31535) |
$4,691.77 |
$6,702.53 |
1.1× |
| Laryngoscopy w/bx op scope (31536) |
$5,401.36 |
$7,716.23 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,912.81 |
$7,018.30 |
2.5× |
| Larynscop w/tumr exc + scope (31541) |
$5,354.06 |
$7,648.65 |
1.3× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$6,471.70 |
$9,245.28 |
1.1× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$9,970.43 |
$14,243.47 |
1.7× |
| Late closure of wound (13160) |
$5,979.53 |
$8,542.19 |
1.5× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$8,537.35 |
$12,196.22 |
2.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$11,807.27 |
$16,867.53 |
1.5× |
| Ligation of a-v fistula (37607) |
$5,698.77 |
$8,141.10 |
1.6× |
| Ligation or biopsy temporal artery (37609) |
$8,211.60 |
$11,730.86 |
4.5× |
| Limited pharyngectomy Facility (42890) |
$12,496.01 |
$17,851.44 |
1.9× |
| Lip shave (40500) |
$6,725.93 |
$9,608.47 |
1.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$5,104.95 |
$7,292.78 |
1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,241.20 |
$6,058.86 |
1.1× |
| Liver Biopsy (47000) |
$3,052 |
$4,360 |
1.7× |
| Manipulation knee joint under general anesthesia (27570) |
$3,583.04 |
$5,118.62 |
2.0× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$2,710.95 |
$3,872.78 |
0.8× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,212.14 |
$7,445.91 |
1.5× |
| Mast mod rad (19307) |
$6,577.11 |
$9,395.87 |
0.9× |
| Mastectomy partial (19301) |
$2,211 |
$3,158.57 |
0.5× |
| Mastectomy simple complete (19303) |
$4,137.80 |
$5,911.14 |
0.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,629.85 |
$3,756.93 |
1.5× |
| Mech remov tunneled cv cath (36595) |
$6,795.25 |
$9,707.50 |
2.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$5,874.42 |
$8,392.03 |
0.9× |
| Myelography Lumbar Injection (62305) |
$1,942.50 |
$2,775 |
2.3× |
| Myelography Lumbar Injection (62304) |
$2,722.26 |
$3,888.94 |
3.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,952.11 |
$2,788.73 |
2.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,952.11 |
$2,788.73 |
2.3× |
| Myringoplasty (69620) |
$4,483.96 |
$6,405.65 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,097.01 |
$1,567.16 |
1.4× |
| N Block Inj, Plantar Digit (64455) |
$2,177.64 |
$3,110.92 |
6.5× |
| Nasal endoscopy dx (31231) |
$1,519.70 |
$2,171 |
6.9× |
| Nasal surgery procedure (30999) |
$1,786.30 |
$2,551.86 |
6.9× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254)
likely a partial charge, not the full procedure |
$1,173.78 |
$1,676.83 |
0.2× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,841.50 |
$5,487.86 |
0.9× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$4,354.67 |
$6,220.95 |
0.6× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287)
unusually low: confirm this is the full procedure |
$3,238.04 |
$4,625.77 |
0.4× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$1,684.63 |
$2,406.62 |
0.9× |
| Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) |
$7,766.45 |
$11,094.93 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$4,067.02 |
$5,810.03 |
2.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$5,637.89 |
$8,054.13 |
2.9× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$5,735.27 |
$8,193.24 |
0.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$5,465.88 |
$7,808.40 |
0.7× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$4,193.10 |
$5,990.14 |
0.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,893 |
$6,990 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$469.29 |
$670.42 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,762.73 |
$6,803.90 |
2.7× |
| Needle biopsy of pancreas (48102) |
$3,410.99 |
$4,872.84 |
1.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$95.91 |
$137.01 |
3.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$191.82 |
$274.03 |
6.1× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$4,995.03 |
$7,135.75 |
2.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,870.70 |
$2,672.43 |
0.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,880.65 |
$4,115.22 |
1.3× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$10,939.30 |
$15,627.57 |
5.1× |
| Njx aa&/strd sciatic nerve (64445) |
$3,907.72 |
$5,582.46 |
5.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,948.10 |
$2,783 |
2.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$777.29 |
$1,110.41 |
2.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$11,729.06 |
$16,755.80 |
3.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,487.50 |
$9,267.86 |
1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,215.66 |
$6,022.37 |
4.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,206.76 |
$4,581.08 |
4.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,755.64 |
$2,508.05 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,005.83 |
$2,865.47 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,712.96 |
$5,304.22 |
4.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,211.66 |
$3,159.52 |
2.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,669.28 |
$2,384.70 |
2.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,669.28 |
$2,384.70 |
2.2× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$1,156.01 |
$1,651.44 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$1,100.50 |
$1,572.15 |
1.1× |
| Occipital Nerve Block (64405) |
$1,370.15 |
$1,957.36 |
4.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,051.60 |
$5,788 |
0.9× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure |
$12,158.20 |
$17,368.85 |
0.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$10,251.11 |
$14,644.44 |
1.3× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,199.37 |
$10,284.81 |
0.9× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,187.46 |
$1,696.37 |
0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,887.88 |
$14,125.54 |
1.2× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676)
unusually low: confirm this is the full procedure |
$3,823.51 |
$5,462.16 |
0.5× |
| Open treatment of mandibular fracture; with interdental fixation Facility (21462) |
$13,221.56 |
$18,887.94 |
2.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$7,647.02 |
$10,924.32 |
1.0× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$15,174.62 |
$21,678.03 |
1.1× |
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure |
$2,723.51 |
$3,890.73 |
0.3× |
| Open Treatment Proximal Humeral Fracture (23615) |
$10,797.06 |
$15,424.38 |
0.8× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$2,732.94 |
$3,904.20 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low: confirm this is the full procedure |
$3,562.39 |
$5,089.13 |
0.4× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$16,050.13 |
$22,928.76 |
4.5× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure |
$3,151.04 |
$4,501.48 |
0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,218.10 |
$8,883 |
1.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,125.55 |
$7,322.22 |
0.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$8,684.45 |
$12,406.35 |
2.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$14,786.77 |
$21,123.96 |
1.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$9,180.74 |
$13,115.34 |
2.6× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$11,111.02 |
$15,872.89 |
3.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,670.25 |
$12,386.07 |
1.1× |
| Open tx ulnar fx proximal end (24685) |
$8,043.48 |
$11,490.68 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$27,912.50 |
$39,875 |
2.2× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$29,029 |
$41,470 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,450.13 |
$13,500.18 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$12,245.03 |
$17,492.90 |
1.5× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$9,179.69 |
$13,113.84 |
1.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$8,978.70 |
$12,826.71 |
0.6× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$12,480.74 |
$17,829.63 |
1.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,155.48 |
$11,650.68 |
2.1× |
| Ostectomy calcaneus (28118) |
$6,861.46 |
$9,802.09 |
1.9× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,070.52 |
$4,386.45 |
0.9× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,655 |
$8,078.58 |
1.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,774.35 |
$3,963.36 |
0.8× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,048.55 |
$10,069.35 |
0.9× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$5,561.51 |
$7,945.02 |
0.7× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$5,025.40 |
$7,179.14 |
0.6× |
| Palatopharyngoplasty (42145) |
$5,137.65 |
$7,339.50 |
0.8× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$5,125.12 |
$7,321.60 |
1.4× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$3,449.82 |
$4,928.31 |
1.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$2,437.86 |
$3,482.66 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$5,071.46 |
$7,244.94 |
1.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$4,277.69 |
$6,110.98 |
2.4× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
likely a partial charge, not the full procedure |
$1,463.58 |
$2,090.83 |
0.2× |
| Partial hymenectomy or revision (56700) |
$8,099.35 |
$11,570.50 |
2.3× |
| Partial removal of thyroid (60220) |
$16,151.15 |
$23,073.08 |
2.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,529.14 |
$7,898.76 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,606.18 |
$3,723.12 |
0.7× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$3,155.52 |
$4,507.88 |
2.1× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$12,824.78 |
$18,321.12 |
1.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$29,029 |
$41,470 |
2.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,460.97 |
$4,944.24 |
4.5× |
| Percut Mech Thrombectomy, Venous (37187) |
$10,043.06 |
$14,347.24 |
0.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$9,284.81 |
$13,264.02 |
2.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$8,439.92 |
$12,057.03 |
2.4× |
| Pericardiocentesis W/Imaging (33016) |
$5,474.04 |
$7,820.06 |
3.2× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$6,527.82 |
$9,325.46 |
1.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$53,212.73 |
$76,018.18 |
2.6× |
| Perq dev breast 1st mr guide (19287) |
$1,637.12 |
$2,338.74 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,637.12 |
$2,338.74 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$2,673.05 |
$3,818.64 |
3.4× |
| Perq device breast 1st imag (19281) |
$2,246.17 |
$3,208.82 |
1.2× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$13,302.24 |
$19,003.20 |
2.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,031.84 |
$1,474.06 |
3.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$3,153.15 |
$4,504.50 |
4.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$44,364.29 |
$63,377.56 |
2.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,481.18 |
$20,687.40 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$14,369.26 |
$20,527.52 |
2.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,330.20 |
$26,186 |
2.3× |
| Perq Vertebral Augmentation (22513) |
$18,330.20 |
$26,186 |
2.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$11,407.10 |
$16,295.85 |
3.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$10,262.78 |
$14,661.12 |
2.9× |
| Picc line placement (36569) |
$3,539.58 |
$5,056.54 |
2.1× |
| Place duod/jej tube perc (49441) |
$3,404.90 |
$4,864.15 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$425.37 |
$607.67 |
0.9× |
| Placement of seton (46020) |
$3,569.37 |
$5,099.10 |
1.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,385.10 |
$13,407.30 |
1.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$10,242.77 |
$14,632.52 |
1.5× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$10,044.68 |
$14,349.54 |
1.5× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$2,566.37 |
$3,666.24 |
1.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,531.31 |
$6,473.30 |
2.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,537.32 |
$5,053.32 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,532 |
$7,902.85 |
1.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$7,141.34 |
$10,201.92 |
1.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,347.59 |
$7,639.42 |
1.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$2,901.86 |
$4,145.52 |
0.5× |
| Prim art mech thrombectomy (37184) |
$25,559.86 |
$36,514.08 |
1.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$3,619.85 |
$5,171.21 |
3.6× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) |
$4,250.04 |
$6,071.49 |
0.5× |
| Prostate Saturation Sampling (55706) |
$6,247.19 |
$8,924.56 |
1.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$619.24 |
$884.63 |
0.8× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure |
$3,350.47 |
$4,786.38 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,961.81 |
$7,088.30 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,930.25 |
$9,900.36 |
1.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$10,802.74 |
$15,432.48 |
3.0× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$6,872.55 |
$9,817.92 |
1.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$8,124.72 |
$11,606.74 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$5,742.06 |
$8,202.94 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$1,751.51 |
$2,502.15 |
3.9× |
| Puncture Aspiration Cyst Breast (19000) |
$3,153.15 |
$4,504.50 |
4.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$566.10 |
$808.71 |
1.3× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$6,671.76 |
$9,531.08 |
1.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Facility (26117) |
$4,521.97 |
$6,459.95 |
1.4× |
| Radical styloidectomy separate procedure (25230) |
$6,403.35 |
$9,147.64 |
1.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$5,811.83 |
$8,302.62 |
2.7× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,170.69 |
$4,529.56 |
0.9× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$2,196.30 |
$3,137.57 |
2.2× |
| Realignment extensor tendon hand each tendon (26437) |
$7,481.96 |
$10,688.52 |
2.1× |
| Reconstruct extra finger (26587) |
$5,401.36 |
$7,716.23 |
1.5× |
| Reconstruct Finger Joint (26548) |
$9,667.43 |
$13,810.62 |
2.7× |
| Reconstruct ulna/radioulnar (25337) |
$6,799.86 |
$9,714.08 |
0.9× |
| Reduce testis torsion (54600) |
$5,637.89 |
$8,054.13 |
1.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$11,186.28 |
$15,980.40 |
1.4× |
| Release wrist/forearm tendon (25295) |
$5,316.27 |
$7,594.67 |
1.5× |
| Relocation of skin pocket for pacemaker (33222) |
$3,967.88 |
$5,668.40 |
1.8× |
| Rem Endovas Vena Cava Filter (37193) |
$7,002.07 |
$10,002.96 |
2.0× |
| Removal biliary drg cath (47537) |
$1,134 |
$1,620 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$4,037.58 |
$5,767.96 |
5.2× |
| Removal foreign body intranasal (30300) |
$487.96 |
$697.09 |
3.3× |
| Removal foreign body pharynx (42809) |
$387.93 |
$554.19 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$6,019.15 |
$8,598.78 |
1.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$4,691.77 |
$6,702.53 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$364.99 |
$521.42 |
5.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$2,082.40 |
$2,974.85 |
32.2× |
| Removal implant deep (20680) |
$4,691.77 |
$6,702.53 |
1.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$2,109.02 |
$3,012.89 |
2.7× |
| Removal Intact Mammary Implant (19328) |
$2,701.06 |
$3,858.66 |
0.6× |
| Removal of adenoids (42831) |
$2,241.42 |
$3,202.03 |
0.6× |
| Removal of adenoids (42830) |
$2,048.94 |
$2,927.06 |
0.6× |
| Removal of anal fissure (46200) |
$5,820.46 |
$8,314.94 |
1.9× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$5,182.40 |
$7,403.44 |
0.7× |
| Removal of arm foreign body (24200) |
$2,553.64 |
$3,648.06 |
1.4× |
| Removal of breast capsule (19371) |
$12,589.43 |
$17,984.90 |
2.9× |
| Removal of cervix (57530) |
$16,610.46 |
$23,729.23 |
3.0× |
| Removal of embedded foreign body, eyelid (67938) |
$1,045.81 |
$1,494.01 |
3.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$4,581.62 |
$6,545.16 |
3.5× |
| Removal of finger lesion (26210) |
$3,663.98 |
$5,234.26 |
2.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,278.25 |
$1,826.07 |
2.6× |
| Removal of heel spur (28119) |
$7,821.76 |
$11,173.95 |
2.2× |
| Removal of implant material (19330) |
$3,926.38 |
$5,609.12 |
0.9× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,077.13 |
$2,967.32 |
3.0× |
| Removal of intranasal lesion (30118) |
$6,078.81 |
$8,684.02 |
1.7× |
| Removal of iud (58301) |
$811.92 |
$1,159.88 |
2.4× |
| Removal of kidney stone (50081) |
$7,682.02 |
$10,974.32 |
0.7× |
| Removal of kidney stone (50080) |
$6,409.84 |
$9,156.91 |
0.6× |
| Removal of nail bed (11750) |
$1,344.84 |
$1,921.20 |
3.0× |
| Removal of posterior segmental instrumentation Facility (22852) |
$9,155.52 |
$13,079.31 |
1.2× |
| Removal of sesamoid bone (28315) |
$1,898.55 |
$2,712.22 |
0.5× |
| Removal of tonsils (42825) |
$4,380.68 |
$6,258.12 |
0.7× |
| Removal of tonsils (42826) |
$3,660.14 |
$5,228.76 |
1.0× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
$5,836.31 |
$8,337.59 |
0.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,496.40 |
$7,852 |
1.6× |
| Removal of wrist bone (25210) |
$4,105.13 |
$5,864.48 |
1.1× |
| Removal ppm generator only (33233) |
$18,975.60 |
$27,108 |
2.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$2,523.41 |
$3,604.87 |
11.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,170.98 |
$3,101.40 |
2.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$724.39 |
$1,034.84 |
2.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$1,355.47 |
$1,936.38 |
4.4× |
| Remove anal fist subq (46270) |
$2,825.42 |
$4,036.31 |
0.9× |
| Remove cerclage suture (59871) |
$8,689.36 |
$12,413.37 |
2.4× |
| Remove drug implant device (11982) |
$2,074.82 |
$2,964.02 |
4.2× |
| Remove ext hem groups 2+ (46250) |
$4,691.77 |
$6,702.53 |
1.5× |
| Remove foreign body from eye (65235) |
$6,141.02 |
$8,772.89 |
2.4× |
| Remove intrvas foreign body (37197) |
$7,899.42 |
$11,284.90 |
2.3× |
| Remove Pilonidal Cyst Exten (11771) |
$5,543.28 |
$7,918.97 |
1.7× |
| Remove Prostate Regrowth (52630) |
$6,583.95 |
$9,405.64 |
1.1× |
| Remove pulse generator (33241) |
$22,401.04 |
$32,001.48 |
5.5× |
| Remove renal tube w/fluoro (50389) |
$1,718.39 |
$2,454.84 |
2.2× |
| Remove spine eltrd perq aray (63661) |
$7,198.04 |
$10,282.92 |
3.4× |
| Remove spine eltrd plate (63662) |
$8,806.32 |
$12,580.45 |
2.3× |
| Remove Tendon Sheath Lesion (26160) |
$2,525.81 |
$3,608.30 |
1.4× |
| Remove thyroid duct lesion (60280) |
$9,895.38 |
$14,136.26 |
1.5× |
| Remove&replace pm gen singl (33227) |
$21,733.51 |
$31,047.87 |
2.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,433.86 |
$4,905.50 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$202.74 |
$289.63 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$264.99 |
$378.56 |
1.8× |
| Remv&replc cvd gen dual lead (33263) |
$52,227.80 |
$74,611.14 |
2.1× |
| Remv&replc cvd gen mult lead (33264) |
$79,372.06 |
$113,388.66 |
2.3× |
| Remv&replc cvd gen sing lead (33262) |
$91,639.59 |
$130,913.70 |
3.8× |
| Remv&replc pm gen dual lead (33228) |
$29,522.67 |
$42,175.24 |
2.6× |
| Remv&replc pm gen mult leads (33229) |
$51,372.47 |
$73,389.24 |
2.4× |
| Renal Biopsy Percutaneous (50200) |
$1,979.13 |
$2,827.32 |
1.1× |
| Repair achilles tendon (27650) |
$9,221.87 |
$13,174.10 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,395.07 |
$1,992.95 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,425.24 |
$2,036.06 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$625.05 |
$892.92 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,374.45 |
$1,963.50 |
3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,298.34 |
$1,854.76 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,078.18 |
$4,397.40 |
6.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,994.02 |
$2,848.60 |
2.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,925.64 |
$5,608.05 |
2.2× |
| Repair hand tendon (26410) |
$4,160.25 |
$5,943.21 |
2.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$8,498.11 |
$12,140.16 |
2.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,775.72 |
$11,108.18 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$713.94 |
$1,019.92 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$802.46 |
$1,146.38 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$703.40 |
$1,004.85 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,146.55 |
$1,637.93 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,316.75 |
$1,881.08 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$708.67 |
$1,012.38 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,674.97 |
$2,392.82 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$573.40 |
$819.14 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,528.20 |
$2,183.14 |
3.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$991.42 |
$1,416.32 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,580.62 |
$2,258.03 |
3.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,316.85 |
$1,881.22 |
3.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,569.84 |
$2,242.63 |
3.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,309.04 |
$1,870.05 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,419 |
$2,027.13 |
3.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,938.11 |
$8,483.02 |
2.6× |
| Repair Mouth Laceration (40831) |
$2,097.82 |
$2,996.89 |
3.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$18,310.96 |
$26,158.51 |
2.6× |
| Repair of biceps tendon (24340) |
$5,902.70 |
$8,432.42 |
0.7× |
| Repair of hydrocele (55060) |
$4,788.82 |
$6,841.17 |
1.2× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$6,240.50 |
$8,915 |
2.5× |
| Repair of leg tendon each (27664) |
$5,811.16 |
$8,301.66 |
0.7× |
| Repair of leg tendon each (27658) |
$7,915.02 |
$11,307.17 |
2.2× |
| Repair of nail bed (11760) |
$577.45 |
$824.92 |
0.7× |
| Repair of nasal septum (30520) |
$2,175.94 |
$3,108.48 |
0.6× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$10,392.98 |
$14,847.12 |
1.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$6,531.24 |
$9,330.34 |
0.8× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$6,173.24 |
$8,818.92 |
0.8× |
| Repair of tibia (27720) |
$9,450.13 |
$13,500.18 |
1.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$8,492.23 |
$12,131.76 |
2.2× |
| Repair rotator cuff acute (23410) |
$6,778.20 |
$9,683.14 |
0.9× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$3,762.11 |
$5,374.44 |
0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$4,564.36 |
$6,520.52 |
0.6× |
| Repair tongue laceration (41252) |
$2,082.32 |
$2,974.74 |
8.0× |
| Repair Tongue Laceration (41250) |
$577.25 |
$824.64 |
1.2× |
| Repair tympanic membrane (69610) |
$5,754.74 |
$8,221.06 |
3.4× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$14,164.42 |
$20,234.88 |
1.8× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) |
$8,542.63 |
$12,203.75 |
1.1× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696)
likely a partial charge, not the full procedure |
$1,891.66 |
$2,702.38 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,769.60 |
$2,528 |
0.2× |
| Repair/graft finger tendon (26420) |
$7,987.10 |
$11,410.14 |
2.2× |
| Repair/graft wrist bone (25440) |
$5,042.94 |
$7,204.20 |
0.6× |
| Repeat control of nosebleed (30906) |
$704.53 |
$1,006.47 |
2.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,414.70 |
$2,021 |
1.4× |
| Replace elbow joint (24363) |
$13,356.25 |
$19,080.36 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,517.50 |
$2,167.86 |
1.5× |
| Replace tunneled cv cath (36578) |
$6,795.25 |
$9,707.50 |
2.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,139.16 |
$3,055.94 |
2.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$7,132 |
$10,188.58 |
1.7× |
| Reposition cv cath w/fluoro (36597) |
$3,551.42 |
$5,073.46 |
2.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$2,161.60 |
$3,088 |
7.9× |
| Resection of scrotum (55150) |
$5,650.83 |
$8,072.62 |
1.5× |
| Revis reconst shoulder joint (23473) |
$18,472.91 |
$26,389.87 |
1.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$13,527.21 |
$19,324.59 |
1.0× |
| Revise knuckle with implant (26531) |
$6,307.72 |
$9,011.03 |
0.8× |
| Revise Lower Leg Tendon (27691) |
$4,875.72 |
$6,965.32 |
0.6× |
| Revise spine eltrd perq aray (63663) |
$4,052.26 |
$5,788.94 |
0.6× |
| Revise Spine Eltrd Plate (63664) |
$15,878.22 |
$22,683.17 |
1.3× |
| Revise ulnar nerve at elbow (64718) |
$3,963.59 |
$5,662.27 |
1.9× |
| Revise/Remove Neuroreceiver (63688) |
$5,215.72 |
$7,451.04 |
1.4× |
| Revision of lower leg tendon (27685) |
$6,506.25 |
$9,294.64 |
1.8× |
| Revision of tips (37183) |
$13,793 |
$19,704.28 |
2.2× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$17,712.10 |
$25,302.99 |
0.9× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$11,397.55 |
$16,282.21 |
1.9× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,556.27 |
$3,651.81 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,181.52 |
$3,116.46 |
2.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$546.33 |
$780.47 |
3.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$789.33 |
$1,127.62 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,307.12 |
$7,581.60 |
1.7× |
| Rmvl of subq defibrillator (33272) |
$7,132 |
$10,188.58 |
1.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$9,961.40 |
$14,230.57 |
2.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$5,790.09 |
$8,271.55 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,500.41 |
$5,000.58 |
2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,139.80 |
$3,056.86 |
3.1× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$6,216.09 |
$8,880.13 |
1.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,542.90 |
$3,632.72 |
1.5× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$6,483.40 |
$9,262 |
1.9× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$6,795.25 |
$9,707.50 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,352.10 |
$10,503 |
2.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$12,866.31 |
$18,380.44 |
3.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$14,100.21 |
$20,143.15 |
2.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,359.44 |
$9,084.92 |
1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$13,938.18 |
$19,911.69 |
2.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$20,740.24 |
$29,628.91 |
2.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,022.69 |
$8,603.84 |
0.9× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,926.77 |
$2,752.53 |
2.5× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$6,976.83 |
$9,966.90 |
1.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,436.62 |
$3,480.89 |
4.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,546.11 |
$2,208.72 |
2.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,226.31 |
$3,180.44 |
1.3× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$3,263.92 |
$4,662.74 |
0.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,920.16 |
$4,171.66 |
0.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$4,261.79 |
$6,088.27 |
1.2× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$4,788.66 |
$6,840.95 |
1.4× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$4,934.41 |
$7,049.16 |
1.4× |
| Sclerotx Fluid Collection (49185) |
$2,322.66 |
$3,318.08 |
1.3× |
| Sever cranial nerve (64771) |
$2,521.47 |
$3,602.10 |
1.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,395.59 |
$1,993.70 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,206.61 |
$1,723.73 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$355.82 |
$508.32 |
0.8× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,361.31 |
$1,944.73 |
0.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,420.01 |
$2,028.58 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$4,485.72 |
$6,408.17 |
3.4× |
| Sigmoidoscopy w/biopsy (45331) |
$1,888.42 |
$2,697.74 |
1.9× |
| Sigmoidoscopy w/fb removal (45332) |
$6,867.85 |
$9,811.21 |
5.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$669.53 |
$956.47 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$258.68 |
$369.55 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$447.18 |
$638.83 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$779.93 |
$1,114.19 |
3.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$806.08 |
$1,151.54 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.79 |
$446.84 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$478.46 |
$683.52 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$151.49 |
$216.42 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$3,281.27 |
$4,687.53 |
4.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,528.70 |
$2,183.86 |
1.9× |
| Skin Tissue Procedure (17999) |
$10,344.22 |
$14,777.45 |
47.0× |
| Skin tissue rearrangement (14040) |
$3,651.55 |
$5,216.50 |
1.6× |
| Skn sub grft f/n/hf/g child (15277) |
$2,498.80 |
$3,569.72 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$14,309.67 |
$20,442.39 |
2.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$10,866.24 |
$15,523.20 |
3.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$12,577.99 |
$17,968.56 |
2.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,409.62 |
$7,728.04 |
1.0× |
| Slitting of prepuce (54001) |
$5,499.42 |
$7,856.32 |
2.4× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$3,619.85 |
$5,171.21 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$622.70 |
$889.57 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$225.02 |
$321.45 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$760.46 |
$1,086.37 |
1.7× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,833.69 |
$6,905.27 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$2,414.55 |
$3,449.35 |
3.1× |
| Spinal Puncture Therapeutic (62272) |
$1,145.06 |
$1,635.79 |
1.5× |
| Spine Surgery Procedure Unlisted (22899) |
$18,272.58 |
$26,103.69 |
67.6× |
| Strapping ankle (29540) |
$415.53 |
$593.62 |
2.3× |
| Strapping hand/finger (29280) |
$175.20 |
$250.28 |
2.7× |
| Strapping knee (29530) |
$170.09 |
$242.99 |
1.2× |
| Strapping shoulder (29240) |
$192.72 |
$275.31 |
1.3× |
| Strapping toes (29550) |
$170.09 |
$242.99 |
2.6× |
| Strapping unna boot (29580) |
$771.50 |
$1,102.14 |
4.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,844.64 |
$2,635.20 |
0.5× |
| Suction Assisted Lipectomy Trunk (15877) |
$12,028.17 |
$17,183.10 |
3.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,328.98 |
$7,612.82 |
0.8× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$4,294.47 |
$6,134.95 |
0.7× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$2,985.49 |
$4,264.98 |
0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$4,066.41 |
$5,809.16 |
1.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Facility (46285) |
$4,691.77 |
$6,702.53 |
1.5× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$7,158.19 |
$10,225.98 |
0.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,130.88 |
$3,044.12 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$539.27 |
$770.39 |
1.2× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$107,729.22 |
$153,898.88 |
3.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$66,901.31 |
$95,573.30 |
3.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$10,253.04 |
$14,647.20 |
3.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$2,862.02 |
$4,088.60 |
0.8× |
| Tenodesis long tendon biceps (23430) |
$4,565.11 |
$6,521.58 |
0.6× |
| Tenolysis extensor tendon hand/finger each (26445) |
$3,409.22 |
$4,870.30 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$4,908.25 |
$7,011.78 |
2.8× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$1,804.22 |
$2,577.46 |
0.5× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$1,762.13 |
$2,517.33 |
0.5× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$2,356.02 |
$3,365.74 |
0.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$742.58 |
$1,060.83 |
0.4× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,937.90 |
$5,625.57 |
2.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$11,266.05 |
$16,094.35 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,689.21 |
$2,413.15 |
2.5× |
| Throat Surgery Procedure (42999) |
$723.62 |
$1,033.74 |
2.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$6,795.25 |
$9,707.50 |
2.0× |
| Thrombolytic Art Therapy (37211) |
$7,511.54 |
$10,730.78 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$1,388.44 |
$1,983.48 |
3.8× |
| Thrombolytic Venous Therapy (37212) |
$2,700.22 |
$3,857.45 |
0.8× |
| Thyroid biopsy (60100) |
$1,524.86 |
$2,178.37 |
2.0× |
| Thyroidectomy, total or complete (60240) |
$13,895.03 |
$19,850.04 |
2.1× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$14,804.21 |
$21,148.88 |
2.3× |
| Tnot elbow lateral/medial debride open (24358) |
$9,165.74 |
$13,093.92 |
2.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,864.58 |
$9,806.54 |
1.9× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$10,071.52 |
$14,387.88 |
0.5× |
| Total hip arthroplasty (27130) |
$14,703.19 |
$21,004.56 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,827.68 |
$19,753.83 |
1.0× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$5,896 |
$8,422.86 |
1.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,493.54 |
$2,133.63 |
5.8× |
| Transcatheter biopsy (37200) |
$7,107.10 |
$10,153 |
1.2× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,586.26 |
$5,123.23 |
1.7× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$4,340.85 |
$6,201.21 |
0.5× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,132.74 |
$7,332.48 |
0.9× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$8,936.54 |
$12,766.48 |
1.5× |
| Transplant hand tendon (26480) |
$8,660.61 |
$12,372.30 |
2.4× |
| Transur electr resection of prostate (52601) |
$7,145.21 |
$10,207.44 |
1.2× |
| Transurethral resection bladder neck (52500) |
$2,157.23 |
$3,081.76 |
0.6× |
| Treat humerus fracture (24500) |
$756.55 |
$1,080.78 |
2.8× |
| Treat humerus fracture (23600) |
$687.96 |
$982.80 |
2.5× |
| Treat knee fracture (27532) |
$4,257.57 |
$6,082.24 |
1.2× |
| Treat Knee Fracture (27535) |
$16,222.23 |
$23,174.61 |
2.0× |
| Treat Knee Fracture (27540) |
$9,046.04 |
$12,922.92 |
1.1× |
| Treat Kneecap Fracture (27524) |
$10,258.29 |
$14,654.70 |
1.3× |
| Treat Lower Leg Fracture (27828) |
$11,133.80 |
$15,905.43 |
0.8× |
| Treat Metatarsal Fracture (28475) |
$322.30 |
$460.43 |
1.2× |
| Treat Thumb Dislocation (26641) |
$734.09 |
$1,048.70 |
2.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,981.44 |
$2,830.63 |
1.1× |
| Treat Vaginal Bleeding (57180) |
$424.49 |
$606.41 |
1.9× |
| Treat wrist bone fracture (25622) |
$794.71 |
$1,135.30 |
2.9× |
| Treatment closed elbow dislocation req anes (24605) |
$3,555.55 |
$5,079.36 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,044.44 |
$1,492.05 |
3.9× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,184.26 |
$5,977.52 |
1.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$5,259.44 |
$7,513.49 |
1.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$781.42 |
$1,116.31 |
2.9× |
| Trim skin lesion (11055) |
$584.82 |
$835.45 |
2.7× |
| Trim skin lesions 2 to 4 (11056) |
$423.50 |
$605 |
1.9× |
| Trim skin lesions over 4 (11057) |
$570.82 |
$815.46 |
2.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$137.90 |
$197 |
2.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$14,369.26 |
$20,527.52 |
2.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,296.36 |
$8,994.80 |
1.0× |
| Trurl rescj postop bladder neck contracture (52640) |
$7,631.76 |
$10,902.51 |
2.0× |
| Tube thoracostomy includes water seal (32551) |
$1,489.60 |
$2,128 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$7,524.58 |
$10,749.40 |
2.1× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,723.51 |
$3,890.73 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,409.02 |
$2,012.89 |
1.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$713.94 |
$1,019.92 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$4,275.47 |
$6,107.81 |
2.4× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$9,233.27 |
$13,190.38 |
0.7× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$8,323.86 |
$11,891.22 |
1.3× |
| Tympanostomy (69433) |
$5,174.72 |
$7,392.46 |
8.8× |
| Tympanostomy general anesthesia (69436) |
$2,531.40 |
$3,616.29 |
1.5× |
| Unlisted Cardiac Surgery (33999) |
$2,209.25 |
$3,156.07 |
3.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$4,655.67 |
$6,650.96 |
21.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$9,724.04 |
$13,891.48 |
1.5× |
Unlisted laparoscopy procedure, bladder (51999)
unusually low: confirm this is the full procedure |
$2,463.55 |
$3,519.36 |
0.4× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$10,699.21 |
$15,284.59 |
1.6× |
Unlisted laparoscopy procedure, oviduct, ovary (58679)
unusually low: confirm this is the full procedure |
$2,643.66 |
$3,776.65 |
0.4× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$8,237.88 |
$11,768.40 |
1.2× |
| Unlisted procedure anus (46999) |
$5,495.97 |
$7,851.39 |
5.4× |
| Unlisted procedure arthroscopy (29999) |
$4,418.97 |
$6,312.82 |
16.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$3,402.17 |
$4,860.24 |
13.1× |
| Unlisted Procedure Esophagus (43499) |
$2,757.46 |
$3,939.22 |
2.8× |
| Unlisted Procedure External Ear (69399) |
$400.62 |
$572.31 |
1.5× |
| Unlisted procedure femur or knee (27599) |
$12,548.09 |
$17,925.84 |
46.4× |
| Unlisted procedure humerus/elbow (24999) |
$781.42 |
$1,116.31 |
2.9× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,811.43 |
$2,587.76 |
2.6× |
| Unlisted procedure nervous system (64999) |
$1,448.72 |
$2,069.60 |
4.3× |
| Unlisted procedure rectum (45999) |
$2,727.60 |
$3,896.57 |
2.7× |
| Unlisted procedure shoulder (23929) |
$1,878.08 |
$2,682.97 |
6.9× |
| Unlisted Procedure Small Intestine (44799) |
$5,472.25 |
$7,817.50 |
5.5× |
| Unlisted Procedure Trachea Bronchi (31899) |
$502.70 |
$718.14 |
2.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,845.96 |
$5,494.23 |
5.6× |
| Unlisted procedure, hands or fingers (26989) |
$2,760.25 |
$3,943.21 |
10.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$415.90 |
$594.14 |
1.9× |
| Urology Surgery Procedure (53899) |
$1,550.40 |
$2,214.86 |
5.7× |
| Us urine capacity measure (51798) |
$299.88 |
$428.40 |
4.6× |
| Uvulectomy excision of uvula (42140) |
$1,856.46 |
$2,652.08 |
0.5× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Facility (58291) |
$13,262.94 |
$18,947.06 |
2.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$9,053.49 |
$12,933.56 |
1.7× |
| Vasc embolize/occlude artery (37242) |
$29,029 |
$41,470 |
1.4× |
| Vasc Embolize/Occlude Bleed (37244) |
$46,293.30 |
$66,133.29 |
3.7× |
| Vasc embolize/occlude organ (37243) |
$46,293.30 |
$66,133.29 |
3.7× |
| Vasc embolize/occlude venous (37241) |
$30,145.50 |
$43,065 |
2.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,247.19 |
$8,924.56 |
2.7× |
| Venipuncture (36415) |
$19.70 |
$28.14 |
2.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$2,815.44 |
$4,022.06 |
0.8× |
| Vulvectomy Simple Partial (56620) |
$5,846.34 |
$8,351.90 |
1.6× |
| Wedge excision skin nail fold (11765) |
$542.10 |
$774.43 |
1.2× |
| Windowing of cast (29730) |
$395.40 |
$564.85 |
2.2× |
| Wound Prep F/N/Hf/G (15004) |
$1,680.38 |
$2,400.54 |
3.8× |