| Abd paracentesis w/imaging (49083) |
$2,520 |
$3,600 |
2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,272.60 |
$1,818 |
1.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$4,060 |
$5,800 |
0.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,500 |
$5,000 |
1.0× |
| Amniocentesis diagnostic (59000) |
$770 |
$1,100 |
0.8× |
| Amputation Finger/Thumb (26951) |
$3,850 |
$5,500 |
1.1× |
| Amputation Foot Midtarsal (28800) |
$4,900 |
$7,000 |
1.4× |
| Amputation foot transmetarsal (28805) |
$3,360 |
$4,800 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$4,060 |
$5,800 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,850 |
$5,500 |
1.1× |
| Amputation, leg, through tibia and fibula; (27880) |
$9,380 |
$13,400 |
1.2× |
| Anoscopy diagnostic (46600) |
$354.55 |
$506.50 |
2.5× |
| Anoscopy w/control bleeding (46614) |
$1,890 |
$2,700 |
1.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,107.70 |
$3,011 |
2.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,441.20 |
$4,916 |
1.2× |
| Anterior tibial tubercleplasty (27418) |
$6,979 |
$9,970 |
0.9× |
| Appendectomy (44950) |
$8,483.30 |
$12,119 |
1.2× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$6,230 |
$8,900 |
3.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$343.70 |
$491 |
2.0× |
| Appl Multlay Comprs Arm/Hand (29584) |
$196 |
$280 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$245 |
$350 |
3.9× |
| Application finger splint static (29130) |
$217 |
$310 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$287 |
$410 |
1.7× |
| Application of rigid total contact leg cast (29445) |
$469 |
$670 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$280 |
$400 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$294 |
$420 |
2.1× |
| Application uniplane external fixation system (20690) |
$5,644.80 |
$8,064 |
0.7× |
| Application, cast; figure-of-eight Facility (29049) |
$168 |
$240 |
0.6× |
| Apply long leg splint (29505) |
$336 |
$480 |
2.0× |
| Apply short leg cast (29405) |
$308 |
$440 |
1.0× |
| Apply short leg splint (29515) |
$427 |
$610 |
2.5× |
| Arterial puncture (36600) |
$126 |
$180 |
0.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$9,596.30 |
$13,709 |
2.9× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$8,239.70 |
$11,771 |
0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$6,790 |
$9,700 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$598.50 |
$855 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,330 |
$1,900 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$840 |
$1,200 |
2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$682.50 |
$975 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$672 |
$960 |
2.1× |
| Arthrodesis ankle open (27870) |
$9,170 |
$13,100 |
0.7× |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,900 |
$7,000 |
0.6× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,440 |
$9,200 |
0.8× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$5,320 |
$7,600 |
1.5× |
| Arthrodesis pantalar (28705) |
$10,640 |
$15,200 |
0.6× |
| Arthrodesis triple (28715) |
$8,820 |
$12,600 |
0.7× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$5,180 |
$7,400 |
0.7× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) |
$7,210 |
$10,300 |
0.9× |
| Arthrodesis; subtalar (28725) |
$7,630 |
$10,900 |
0.6× |
| Arthroplasty ankle revision total ankle (27703) |
$10,180.80 |
$14,544 |
0.6× |
Arthroplasty Ankle W/Implant (27702) unusually low: confirm this is the full procedure |
$10,990 |
$15,700 |
0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$10,500 |
$15,000 |
0.6× |
| Arthroplasty interphalangeal joint each (26535) |
$6,090 |
$8,700 |
1.8× |
| Arthroplasty patella w/prosthesis (27438) |
$9,100 |
$13,000 |
0.7× |
| Arthroplasty with prosthetic replacement; trapezium Facility (25445) |
$7,504.88 |
$10,721.25 |
1.0× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$5,390 |
$7,700 |
1.6× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$11,340 |
$16,200 |
0.8× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$6,090 |
$8,700 |
0.8× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$5,460 |
$7,800 |
1.6× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$3,920 |
$5,600 |
1.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,920 |
$5,600 |
1.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,970 |
$7,100 |
1.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,010 |
$4,300 |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$4,760 |
$6,800 |
1.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Facility (29894) |
$3,780 |
$5,400 |
1.1× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$4,270 |
$6,100 |
1.2× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$4,900 |
$7,000 |
1.4× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$5,110 |
$7,300 |
1.5× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$4,060 |
$5,800 |
0.5× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$6,160 |
$8,800 |
1.8× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$5,898.90 |
$8,427 |
1.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,200 |
$6,000 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$4,970 |
$7,100 |
1.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,340 |
$6,200 |
1.3× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$3,780 |
$5,400 |
0.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$6,720 |
$9,600 |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,270 |
$6,100 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,830 |
$6,900 |
0.6× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$4,340 |
$6,200 |
1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,670 |
$8,100 |
0.7× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$5,810 |
$8,300 |
1.7× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$4,089.23 |
$5,841.75 |
1.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,920 |
$5,600 |
1.1× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$3,220 |
$4,600 |
1.9× |
| Arthrotomy w/synovectomy ankle (27625) |
$3,500 |
$5,000 |
1.0× |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
$2,800 |
$4,000 |
0.8× |
| Arthrotomy with biopsy; metatarsophalangeal joint Facility (28052) |
$4,060 |
$5,800 |
1.2× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,290 |
$4,700 |
1.0× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$5,110 |
$7,300 |
1.5× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$4,970 |
$7,100 |
1.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$3,360 |
$4,800 |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$6,860 |
$9,800 |
2.0× |
| Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) |
$4,760 |
$6,800 |
0.6× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$7,840 |
$11,200 |
1.0× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Facility (27626) |
$4,200 |
$6,000 |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Facility (27335) |
$7,630 |
$10,900 |
1.0× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$5,740 |
$8,200 |
1.7× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$1,761.55 |
$2,516.50 |
0.5× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$6,518.40 |
$9,312 |
1.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,640 |
$15,200 |
1.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,320 |
$7,600 |
1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$4,340 |
$6,200 |
1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$3,220 |
$4,600 |
1.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,327.80 |
$4,754 |
2.0× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$3,850 |
$5,500 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,470 |
$2,100 |
2.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$345.97 |
$494.24 |
1.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$917.70 |
$1,311 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,905 |
$4,150 |
1.3× |
| Aspiration bladder needle (51100) |
$259 |
$370 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$285.95 |
$408.50 |
1.4× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$4,829.30 |
$6,899 |
0.7× |
Biliary endoscopy percut,dil strict (47555) unusually low: confirm this is the full procedure |
$3,134.60 |
$4,478 |
0.5× |
Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,585.70 |
$6,551 |
0.4× |
| Biopsy bone open deep (20245) |
$5,004.30 |
$7,149 |
1.6× |
| Biopsy bone open superficial (20240) |
$3,430 |
$4,900 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,400 |
$2,000 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$700 |
$1,000 |
0.4× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$2,660 |
$3,800 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$770 |
$1,100 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$3,570 |
$5,100 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,583.60 |
$6,548 |
1.1× |
| Biopsy pleura percutaneous needle (32400) |
$560 |
$800 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$2,870 |
$4,100 |
1.6× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,470 |
$2,100 |
0.8× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$2,450 |
$3,500 |
1.4× |
| Biopsy/removal lymph nodes (38525) |
$4,340 |
$6,200 |
1.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,654.10 |
$2,363 |
2.2× |
| Bladder Irrigation Simple (51700) |
$406 |
$580 |
1.5× |
| Blepharotomy drain absc eyelid (67700) |
$700 |
$1,000 |
2.1× |
| Blood patch (62273) |
$1,260 |
$1,800 |
1.7× |
| Blood transfusion service (36430) |
$980 |
$1,400 |
2.1× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$4,130 |
$5,900 |
0.5× |
| Bone marrow aspiration only (38220) |
$525 |
$750 |
0.3× |
| Bone Marrow Biopsy (38221) |
$567 |
$810 |
0.3× |
Breast augmentation with implant (19325) unusually low: confirm this is the full procedure |
$3,290 |
$4,700 |
0.4× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,190 |
$1,700 |
0.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,260 |
$1,800 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,330 |
$1,900 |
0.7× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,137.40 |
$4,482 |
0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,777.60 |
$3,968 |
1.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,050 |
$1,500 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,190 |
$1,700 |
2.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,080 |
$4,400 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$980 |
$1,400 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,730 |
$3,900 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$3,500 |
$5,000 |
2.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,540 |
$2,200 |
0.9× |
| Capsular contracture release (23020) |
$5,390 |
$7,700 |
1.6× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,520 |
$3,600 |
0.7× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$8,890 |
$12,700 |
1.2× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) |
$7,840 |
$11,200 |
1.0× |
| Capsulotomy wrist (25085) |
$3,990 |
$5,700 |
1.2× |
| Carpectomy All Bones Proximal Row (25215) |
$5,191.20 |
$7,416 |
1.5× |
| Casting/strapping procedure (29799) |
$224 |
$320 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$161 |
$230 |
0.7× |
| Cessj Therapy Cath Removal (37214) |
$4,445 |
$6,350 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,750 |
$2,500 |
2.4× |
| Change of cystostomy tube simple (51705) |
$980 |
$1,400 |
3.7× |
| Chemical cautery tissue (17250) |
$161 |
$230 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,500 |
$5,000 |
0.9× |
| Circum 28 days or older (54161) |
$4,690 |
$6,700 |
2.1× |
| Circumcision (54150) |
$4,207.35 |
$6,010.50 |
1.9× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$980 |
$1,400 |
3.0× |
| Claviculectomy partial (23120) |
$3,780 |
$5,400 |
1.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$427 |
$610 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$392 |
$560 |
1.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$476 |
$680 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$483 |
$690 |
1.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,360 |
$4,800 |
2.1× |
| Closed Rx Radial Shaft Fx (25500) |
$392 |
$560 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$532 |
$760 |
2.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$483 |
$690 |
1.9× |
| Closed Treat Vert Body Fract (22310) |
$1,120 |
$1,600 |
4.3× |
| Closed treat wrist dislocation (25660) |
$726.60 |
$1,038 |
2.8× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,975 |
$4,250 |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$399 |
$570 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$672 |
$960 |
2.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,730 |
$3,900 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$399 |
$570 |
1.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$483 |
$690 |
1.9× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$840 |
$1,200 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$231 |
$330 |
0.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$238 |
$340 |
0.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,220 |
$4,600 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$469 |
$670 |
1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$770 |
$1,100 |
3.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$434 |
$620 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$644 |
$920 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$840 |
$1,200 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$448 |
$640 |
1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$840 |
$1,200 |
0.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$532 |
$760 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$476 |
$680 |
1.8× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,730 |
$3,900 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$441 |
$630 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,800 |
$4,000 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,310 |
$3,300 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$504 |
$720 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$658 |
$940 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$378 |
$540 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$644 |
$920 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,150 |
$4,500 |
1.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$371 |
$530 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$840 |
$1,200 |
3.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$840 |
$1,200 |
3.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,050 |
$1,500 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$504 |
$720 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,260 |
$1,800 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$399 |
$570 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$343 |
$490 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$378 |
$540 |
1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$637 |
$910 |
2.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$462 |
$660 |
1.8× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$413 |
$590 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,890 |
$2,700 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$770 |
$1,100 |
3.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,960 |
$2,800 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$483 |
$690 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$308 |
$440 |
1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$693 |
$990 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$483 |
$690 |
1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$770 |
$1,100 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$448 |
$640 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$462 |
$660 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$364 |
$520 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$448 |
$640 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,960 |
$2,800 |
1.2× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,800 |
$4,000 |
1.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$483 |
$690 |
1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$497 |
$710 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$385 |
$550 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$315 |
$450 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$448 |
$640 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$322 |
$460 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,730 |
$3,900 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$406 |
$580 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$840 |
$1,200 |
3.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$910 |
$1,300 |
0.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$910 |
$1,300 |
0.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,520 |
$3,600 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$378 |
$540 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$3,360 |
$4,800 |
11.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$651 |
$930 |
2.5× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,430 |
$4,900 |
1.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$434 |
$620 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$910 |
$1,300 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$336 |
$480 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,939.88 |
$2,771.25 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$441 |
$630 |
1.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,330 |
$1,900 |
0.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$350 |
$500 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$574 |
$820 |
2.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,660 |
$3,800 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$840 |
$1,200 |
3.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,730 |
$3,900 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$392 |
$560 |
1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,060 |
$5,800 |
2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$609 |
$870 |
2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,050 |
$1,500 |
0.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$672 |
$960 |
0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,190 |
$1,700 |
0.7× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,170 |
$3,100 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$546 |
$780 |
2.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$308 |
$440 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,960 |
$2,800 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$595 |
$850 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$210 |
$300 |
1.5× |
| Colonoscopy flex w/blln dilat (45386) |
$1,365 |
$1,950 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$1,578.50 |
$2,255 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$2,013.20 |
$2,876 |
1.6× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,330.30 |
$3,329 |
1.8× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,470 |
$2,100 |
1.2× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,260 |
$1,800 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,260 |
$1,800 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,260 |
$1,800 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,365 |
$1,950 |
1.4× |
| Colonoscopy w/ablation (45388) |
$2,079 |
$2,970 |
1.6× |
| Colonoscopy w/band ligation (45398) |
$1,929.20 |
$2,756 |
1.5× |
| Colonoscopy w/fb removal (45379) |
$1,472.10 |
$2,103 |
1.2× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,890 |
$2,700 |
1.5× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$6,790 |
$9,700 |
0.9× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,870 |
$4,100 |
0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,870 |
$4,100 |
0.8× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,510 |
$9,300 |
1.2× |
| Construct thumb replacement (26550) |
$1,544.90 |
$2,207 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$455 |
$650 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$476 |
$680 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$441 |
$630 |
3.1× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$2,590 |
$3,700 |
4.6× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$2,450 |
$3,500 |
0.7× |
| Conversion ext bil drg cath (47535) |
$3,640 |
$5,200 |
1.0× |
| Convert nephrostomy catheter (50434) |
$840 |
$1,200 |
0.4× |
| Coracoacromial ligament release, with or without acromioplasty Facility (23415) |
$4,620 |
$6,600 |
0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$910 |
$1,300 |
0.5× |
| Correction hammertoe (28285) |
$3,500 |
$5,000 |
1.0× |
| Correction of bunion (28298) |
$5,191.90 |
$7,417 |
0.7× |
| Correction of bunion (28292) |
$3,990 |
$5,700 |
1.2× |
| Correction of bunion (28299) |
$6,020 |
$8,600 |
0.8× |
| Correction of bunion (28297) |
$8,059.80 |
$11,514 |
0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,758.20 |
$8,226 |
1.7× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$5,390 |
$7,700 |
1.6× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$581 |
$830 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$434 |
$620 |
3.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,150 |
$4,500 |
1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,332.18 |
$4,760.25 |
1.5× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$4,410 |
$6,300 |
1.2× |
| Cysto w/destruction of lesions (52214) |
$3,990 |
$5,700 |
1.1× |
| Cysto w/insert ureteral stent (52332) |
$3,360 |
$4,800 |
0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,301.50 |
$6,145 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,550 |
$6,500 |
1.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,060 |
$5,800 |
1.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,710 |
$5,300 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,410 |
$6,300 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$6,020 |
$8,600 |
1.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$6,440 |
$9,200 |
1.1× |
| Cystoscopy implant stent (52282) |
$4,615.80 |
$6,594 |
1.2× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$4,410 |
$6,300 |
2.0× |
| Cystourethroscopy (52000) |
$2,940 |
$4,200 |
4.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,500 |
$5,000 |
1.6× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$4,480 |
$6,400 |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,031.48 |
$5,759.25 |
1.8× |
| Cystourethroscopy with biopsy (52204) |
$3,990 |
$5,700 |
1.8× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$4,970 |
$7,100 |
0.9× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,920 |
$5,600 |
1.8× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$4,458.30 |
$6,369 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,228.50 |
$1,755 |
2.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,400 |
$2,000 |
0.5× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$5,320 |
$7,600 |
1.5× |
| Dcmprn fasct leg post compartment only (27601) |
$3,065.30 |
$4,379 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,380 |
$3,400 |
3.2× |
| Debride nail 1-5 (11720) |
$161 |
$230 |
2.6× |
| Debride nail 6 or more (11721) |
$161 |
$230 |
2.6× |
| Debride skin musc at fx site (11011) |
$1,750 |
$2,500 |
2.3× |
| Debride tissue/muscle (11043) |
$1,610 |
$2,300 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,163.75 |
$1,662.50 |
2.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,995 |
$2,850 |
1.1× |
| Declot vascular device (36593) |
$665 |
$950 |
1.9× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,760.80 |
$3,944 |
1.6× |
| Decompression of lower leg (27600) |
$3,920 |
$5,600 |
1.1× |
| Decompression Of Tibia Nerve (28035) |
$3,920 |
$5,600 |
1.9× |
| Decompressive fasciotomy hand (26037) |
$2,660 |
$3,800 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$1,368.50 |
$1,955 |
1.4× |
| Dilat female urethra general/cndj spinal anes (53665) |
$2,552.20 |
$3,646 |
1.2× |
| Dilate urethra stricture (53600) |
$980 |
$1,400 |
3.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$910 |
$1,300 |
1.0× |
| Dilation esophagus over guide wire (43453) |
$2,079 |
$2,970 |
1.0× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$3,778.60 |
$5,398 |
1.1× |
| Drain bladder by trocar/cath (51101) |
$147 |
$210 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$469 |
$670 |
0.6× |
| Drain shoulder bursa (23031) |
$3,010 |
$4,300 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$1,260 |
$1,800 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$647.50 |
$925 |
2.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$546 |
$780 |
2.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$2,030 |
$2,900 |
3.6× |
| Drainage external auditory canal abscess (69020) |
$1,120 |
$1,600 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$413 |
$590 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,540 |
$2,200 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$378 |
$540 |
1.8× |
| Drainage Mouth Roof Lesion (42000) |
$315 |
$450 |
1.3× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$455 |
$650 |
0.8× |
| Drainage of gum lesion (41800) |
$588 |
$840 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$2,310 |
$3,300 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$1,680 |
$2,400 |
1.0× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,730 |
$3,900 |
1.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,890 |
$2,700 |
0.6× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,640 |
$5,200 |
1.1× |
| Draw blood off venous device (36591) |
$210 |
$300 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$700 |
$1,000 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$294 |
$420 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$350 |
$500 |
1.7× |
| Dstrj lesion anus simple surg excision (46922) |
$4,205.25 |
$6,007.50 |
1.4× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$2,384.90 |
$3,407 |
2.5× |
| Dx bone marrow bx & aspir (38222) |
$1,540 |
$2,200 |
0.5× |
| Dx duod intub w/asp spec (43756) |
$1,113.70 |
$1,591 |
1.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,450 |
$3,500 |
1.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,507.40 |
$3,582 |
1.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,680 |
$2,400 |
0.8× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,575 |
$2,250 |
0.8× |
| Egd control bleeding any (43255) |
$2,065 |
$2,950 |
1.0× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$3,138.80 |
$4,484 |
0.8× |
| Egd dilate stricture (43245) |
$1,529.50 |
$2,185 |
0.8× |
| Egd endoscopic stent place (43266) |
$3,633.70 |
$5,191 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,170 |
$3,100 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,960 |
$2,800 |
2.0× |
| Egd guide wire insertion (43248) |
$1,400 |
$2,000 |
1.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,330 |
$1,900 |
0.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,023.30 |
$4,319 |
1.5× |
| Egd place gastrostomy tube (43246) |
$2,940 |
$4,200 |
1.5× |
| Egd remove lesion snare (43251) |
$1,435 |
$2,050 |
0.7× |
| Egd tube/cath insertion (43241) |
$1,190 |
$1,700 |
0.6× |
| Endoscopy Upper Small Intestine (44360) |
$2,424.80 |
$3,464 |
1.2× |
| Endovenous laser, 1st vein (36478) |
$6,090 |
$8,700 |
1.8× |
| Enterorrhaphy single perforation (44602) |
$7,490 |
$10,700 |
1.8× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,756.60 |
$3,938 |
1.4× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,695 |
$3,850 |
1.3× |
| Epididymectomy unilateral (54860) |
$4,774.70 |
$6,821 |
1.3× |
| Epidural lysis mult sessions (62263) |
$1,890 |
$2,700 |
2.0× |
| Ercp Duct Stent Placement (43274) |
$4,038.30 |
$5,769 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,214 |
$6,020 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,339.40 |
$3,342 |
0.6× |
| Ercp remove forgn body duct (43275) |
$3,103.10 |
$4,433 |
1.5× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,610 |
$2,300 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,225 |
$1,750 |
1.3× |
| Esophagoscopy control bleed (43227) |
$1,190 |
$1,700 |
0.6× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$3,558.10 |
$5,083 |
1.8× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,508.80 |
$3,584 |
1.2× |
| Esophagoscopy flexible guide wire dilation (43226) |
$3,589.60 |
$5,128 |
1.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,085 |
$1,550 |
1.1× |
| Esophagoscopy Retro Balloon (43213) |
$3,756.90 |
$5,367 |
1.9× |
| Esophagoscopy rig transoral guide wire dilation (43196) |
$4,060.70 |
$5,801 |
2.0× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,850 |
$5,500 |
1.9× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$4,111.10 |
$5,873 |
1.0× |
| Esophagoscopy transoral stent placement (43212) |
$4,329.50 |
$6,185 |
0.7× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$1,225 |
$1,750 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,205 |
$3,150 |
1.1× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,260 |
$1,800 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$231 |
$330 |
1.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,920 |
$5,600 |
2.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,380 |
$3,400 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,330 |
$1,900 |
1.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,680 |
$2,400 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,100 |
$3,000 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,190 |
$1,700 |
1.6× |
| Exc ganglion wrist recurrent (25112) |
$4,060 |
$5,800 |
2.4× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,716.60 |
$6,738 |
1.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,290 |
$4,700 |
1.9× |
| Exc neck tum deep < 5 cm (21556) |
$4,340 |
$6,200 |
1.4× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$6,836.90 |
$9,767 |
3.3× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$4,690 |
$6,700 |
2.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,990 |
$5,700 |
1.9× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,450 |
$3,500 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,382.10 |
$3,403 |
3.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,120 |
$1,600 |
2.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,540 |
$2,200 |
2.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,290 |
$4,700 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,661.70 |
$5,231 |
2.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,030 |
$2,900 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$3,150 |
$4,500 |
1.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,520 |
$3,600 |
1.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,640 |
$5,200 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$5,408.55 |
$7,726.50 |
1.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$4,170.60 |
$5,958 |
2.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,780 |
$5,400 |
1.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,970 |
$7,100 |
1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,480 |
$6,400 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,730 |
$3,900 |
1.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,690 |
$6,700 |
1.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,660 |
$3,800 |
1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,970 |
$7,100 |
1.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,430 |
$4,900 |
2.0× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$4,970 |
$7,100 |
1.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,690 |
$6,700 |
1.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,060 |
$5,800 |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,290 |
$4,700 |
1.9× |
| Exc/fulguration urethral caruncle (53265) |
$4,410 |
$6,300 |
2.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,640 |
$5,200 |
1.0× |
| Exchange nephrostomy cath (50435) |
$840 |
$1,200 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,680 |
$2,400 |
0.8× |
| Excision hydrocele bilateral (55041) |
$5,320 |
$7,600 |
1.4× |
| Excision interdigital morton neuroma single each (28080) |
$3,500 |
$5,000 |
2.1× |
| Excision lesion meniscus/capsule knee (27347) |
$4,270 |
$6,100 |
1.2× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$2,800 |
$4,000 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$349.69 |
$499.55 |
0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,520 |
$3,600 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,010 |
$4,300 |
1.8× |
| Excision of hydrocele unilateral (55040) |
$5,180 |
$7,400 |
1.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,149.70 |
$3,071 |
1.2× |
| Excision of maxillary torus palatinus (21032) |
$3,360 |
$4,800 |
1.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$11,550 |
$16,500 |
1.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,570 |
$5,100 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,590 |
$3,700 |
2.1× |
| Excision of vaginal cyst or tumor (57135) |
$3,290 |
$4,700 |
1.0× |
| Excision olecranon bursa (24105) |
$4,410 |
$6,300 |
1.3× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) |
$3,920 |
$5,600 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$6,510 |
$9,300 |
1.9× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$5,574.80 |
$7,964 |
1.6× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,550 |
$6,500 |
1.5× |
| Excision prepatellar bursa (27340) |
$3,920 |
$5,600 |
1.1× |
| Excision Synovial Cyst Popliteal Space (27345) |
$5,810 |
$8,300 |
1.7× |
| Excision tendon finger flexor/extensor each (26180) |
$3,061.28 |
$4,373.25 |
1.8× |
| Excision tendon palm flexor/extensor single each (26170) |
$2,380 |
$3,400 |
1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,290 |
$4,700 |
1.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,640 |
$5,200 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,323.25 |
$4,747.50 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,570 |
$5,100 |
2.0× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$2,800 |
$4,000 |
1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,500 |
$5,000 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,360 |
$4,800 |
1.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Facility (25073) |
$5,014.28 |
$7,163.25 |
1.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,812.55 |
$5,446.50 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,590 |
$3,700 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$2,170 |
$3,100 |
1.2× |
| Exploration Of Hip Joint (27033) |
$7,770 |
$11,100 |
1.0× |
| Exploration of knee joint (27310) |
$4,620 |
$6,600 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$1,820 |
$2,600 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,785 |
$2,550 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$840 |
$1,200 |
1.5× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,500 |
$5,000 |
1.0× |
| Explore/Treat Knee Joint (27331) |
$5,040 |
$7,200 |
1.5× |
| Eye surgery procedure (66999) |
$1,960 |
$2,800 |
0.8× |
| Fasciectomy Palm Only (26121) |
$4,200 |
$6,000 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,850 |
$5,500 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$4,060 |
$5,800 |
1.2× |
| Fasciotomy, hip or thigh, any type (27025) |
$3,780 |
$5,400 |
1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,270 |
$6,100 |
1.2× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$980 |
$1,400 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$980 |
$1,400 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,330 |
$1,900 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$675.50 |
$965 |
1.6× |
| Fixation contralateral testis separate procedure (54620) |
$3,850 |
$5,500 |
1.0× |
| Fixation of shoulder (23700) |
$2,380 |
$3,400 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$203 |
$290 |
0.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$980 |
$1,400 |
1.3× |
| Fusion of knuckle (26850) |
$4,760 |
$6,800 |
0.6× |
| Fusion of toes (28280) |
$2,833.60 |
$4,048 |
0.8× |
| Fusion/graft of finger joint (26862) |
$5,810 |
$8,300 |
1.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$476 |
$680 |
2.1× |
| Gastrocnemius recession (27687) |
$4,200 |
$6,000 |
1.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$8,820 |
$12,600 |
2.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,654.10 |
$2,363 |
2.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$5,810 |
$8,300 |
0.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$4,340 |
$6,200 |
1.3× |
Hemiarthroplasty hip partial (27125) unusually low: confirm this is the full procedure |
$5,530 |
$7,900 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$3,500 |
$5,000 |
1.0× |
| Hemorrhoidectomy (46255) |
$4,593.40 |
$6,562 |
1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,550 |
$6,500 |
1.6× |
| Hip arthro acetabuloplasty (29915) |
$7,000 |
$10,000 |
0.9× |
| Hip arthro w/labral repair (29916) |
$7,140 |
$10,200 |
0.9× |
| Hysteroscopy biopsy (58558) |
$4,410 |
$6,300 |
1.3× |
| Hysteroscopy div/rescj intrauterine septum (58560) |
$4,617.90 |
$6,597 |
0.9× |
| Hysteroscopy removal leiomyomata (58561) |
$5,600 |
$8,000 |
1.1× |
| Hysteroscopy w endometrial ablation (58563) |
$4,760 |
$6,800 |
0.9× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,743.38 |
$6,776.25 |
1.4× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$2,590 |
$3,700 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$623 |
$890 |
2.5× |
| I&d abscess simple (10060) |
$427 |
$610 |
2.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,310 |
$3,300 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,340 |
$6,200 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,290 |
$4,700 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,990 |
$5,700 |
1.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,920 |
$5,600 |
1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,880 |
$8,400 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$476 |
$680 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$4,970 |
$7,100 |
1.6× |
| I&d submucosal abscess rectum (45005) |
$2,412.90 |
$3,447 |
1.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,240 |
$3,200 |
1.3× |
| I&d vulva/perineal abscess (56405) |
$700 |
$1,000 |
2.2× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,120 |
$1,600 |
0.6× |
| Ileoscopy thru stoma (44380) |
$3,850 |
$5,500 |
4.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,750 |
$2,500 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,660 |
$3,800 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$3,290 |
$4,700 |
1.9× |
| Implant neuroelectrodes (63650) |
$5,320 |
$7,600 |
0.8× |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) unusually low: confirm this is the full procedure |
$8,190 |
$11,700 |
0.4× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$5,810 |
$8,300 |
0.6× |
| Incise external hemorrhoid (46083) |
$567 |
$810 |
2.2× |
| Incise finger tendon sheath (26055) |
$2,380 |
$3,400 |
1.4× |
| Incise wrist/forearm tendon (25290) |
$3,220 |
$4,600 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$840 |
$1,200 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,080 |
$4,400 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$980 |
$1,400 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,710 |
$5,300 |
2.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,400 |
$2,000 |
3.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$406 |
$580 |
1.9× |
| Incision and drainage perianal abscess superficial (46050) |
$2,170 |
$3,100 |
2.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,220 |
$4,600 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$3,150 |
$4,500 |
1.9× |
| Incision of eyelid fold (67715) |
$2,100 |
$3,000 |
0.8× |
| Incision of rectal abscess (46045) |
$3,570 |
$5,100 |
1.2× |
| Incision of rectal abscess (46040) |
$2,590 |
$3,700 |
2.1× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$3,113.25 |
$4,447.50 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$1,050 |
$1,500 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$322 |
$460 |
1.5× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$568.05 |
$811.50 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,430 |
$4,900 |
3.7× |
| Inj tendon sheath/ligament (20550) |
$546 |
$780 |
1.7× |
| Inj therapeutic carpal tunnel (20526) |
$413 |
$590 |
1.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,800 |
$4,000 |
3.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,660 |
$3,800 |
2.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,890 |
$2,700 |
2.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,610 |
$2,300 |
1.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,843.10 |
$2,633 |
2.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,120 |
$1,600 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$700 |
$1,000 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,931.30 |
$2,759 |
2.1× |
| Inject Tendon Origin/Insert (20551) |
$377.30 |
$539 |
1.2× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,960 |
$2,800 |
2.1× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,660 |
$3,800 |
2.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,330 |
$1,900 |
1.8× |
| Injection aa&/strd pudendal nerve (64430) |
$1,400 |
$2,000 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$980 |
$1,400 |
3.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,761.90 |
$2,517 |
1.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,442 |
$2,060 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,330 |
$1,900 |
1.8× |
| Injection for identification of sentinel node (38792) |
$1,470 |
$2,100 |
3.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,050 |
$1,500 |
1.6× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$105 |
$150 |
0.2× |
| Injection sclerosing solution hemorrhoids (46500) |
$2,004.80 |
$2,864 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$770 |
$1,100 |
2.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$332.50 |
$475 |
1.0× |
| Injection(s) spider veins (36468) |
$1,331.40 |
$1,902 |
3.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,960 |
$2,800 |
2.1× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$1,400 |
$2,000 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$5,740 |
$8,200 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$2,590 |
$3,700 |
0.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,020 |
$8,600 |
1.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,670 |
$8,100 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$6,230 |
$8,900 |
1.1× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$15,680 |
$22,400 |
1.4× |
| Ins tun ip cath for dial opn (49421) |
$4,830 |
$6,900 |
1.3× |
| Ins/Rep Subq Defibrillator (33270) |
$31,771.60 |
$45,388 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$392 |
$560 |
2.9× |
| Insert cath pleura w/ image (32557) |
$1,260 |
$1,800 |
0.8× |
| Insert cath pleura w/o image (32556) |
$1,330 |
$1,900 |
0.7× |
| Insert Drug Implant Device (11981) |
$2,170 |
$3,100 |
15.5× |
| Insert gastrostomy tube percutaneous (49440) |
$4,830 |
$6,900 |
2.4× |
| Insert heart pm atrial (33206) |
$15,680 |
$22,400 |
1.4× |
| Insert heart pm ventricular (33207) |
$15,680 |
$22,400 |
1.4× |
| Insert hepatic shunt (tips) (37182) |
$16,870 |
$24,100 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,750 |
$2,500 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$980 |
$1,400 |
0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,120 |
$1,600 |
0.7× |
| Insert pulse gen dual leads (33213) |
$15,680 |
$22,400 |
1.4× |
| Insert pulse gen mult leads (33221) |
$14,420 |
$20,600 |
0.7× |
| Insert pulse gen sngl lead (33212) |
$12,950 |
$18,500 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$92.75 |
$132.50 |
0.7× |
| Insert tunneled cv cath (36561) |
$5,110 |
$7,300 |
1.5× |
| Insert Tunneled Cv Cath With Pump (36563) |
$4,200 |
$6,000 |
0.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,010 |
$4,300 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$112 |
$160 |
0.8× |
Insert/ replace infusn pump,programmable (62362) unusually low: confirm this is the full procedure |
$9,100 |
$13,000 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,200 |
$6,000 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,050 |
$1,500 |
1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,596.30 |
$13,709 |
1.1× |
Insertion/rplcmt peripheral/gastric npgr (64590) unusually low: confirm this is the full procedure |
$6,350.40 |
$9,072 |
0.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$15,680 |
$22,400 |
1.8× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$15,680 |
$22,400 |
1.8× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$15,680 |
$22,400 |
1.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,890 |
$2,700 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,760 |
$6,800 |
1.4× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$9,590 |
$13,700 |
2.9× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$4,550 |
$6,500 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,730 |
$3,900 |
0.8× |
| Insj/rplcmt defib w/lead(s) (33249) |
$31,336.90 |
$44,767 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,960 |
$12,800 |
1.0× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$8,050 |
$11,500 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,085.90 |
$5,837 |
1.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,680 |
$2,400 |
3.0× |
| Intro cath dialysis circuit (36901) |
$3,010 |
$4,300 |
1.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,250 |
$17,500 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$7,910 |
$11,300 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$560 |
$800 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$616 |
$880 |
2.3× |
| Knee Arthroscopy/Surgery (29874) |
$4,760 |
$6,800 |
1.4× |
| Knee Arthroscopy/Surgery (29879) |
$3,710 |
$5,300 |
1.1× |
| Lap impl electrode antrum (43647) |
$7,018.90 |
$10,027 |
0.6× |
| Lap ing hernia repair init (49650) |
$8,400 |
$12,000 |
1.3× |
| Lap paraesoph her rpr w/mesh (43282) |
$17,604.83 |
$25,149.75 |
1.6× |
| Lap paraesophag hern repair (43281) |
$15,858.15 |
$22,654.50 |
1.4× |
| Laparoscopic surgical splenectomy (38120) |
$12,810 |
$18,300 |
1.1× |
| Laparoscopy appendectomy (44970) |
$6,370 |
$9,100 |
1.0× |
| Laparoscopy biopsy (49321) |
$6,930 |
$9,900 |
1.1× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$13,790 |
$19,700 |
1.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,320 |
$17,600 |
1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,630 |
$10,900 |
1.2× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$9,520 |
$13,600 |
1.5× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Facility (47370) |
$9,520 |
$13,600 |
0.8× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,670 |
$18,100 |
1.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,350 |
$10,500 |
1.2× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$9,870 |
$14,100 |
1.5× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$16,590 |
$23,700 |
1.5× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$11,550 |
$16,500 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$16,924.60 |
$24,178 |
1.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,770 |
$11,100 |
1.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$11,463.29 |
$16,376.12 |
1.8× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
$5,040 |
$7,200 |
0.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,440 |
$9,200 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,140 |
$10,200 |
1.1× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$11,130 |
$15,900 |
1.0× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$8,708 |
$12,440 |
1.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,090 |
$8,700 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$371 |
$530 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$539 |
$770 |
2.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,710 |
$5,300 |
2.0× |
| Late closure of wound (13160) |
$4,410 |
$6,300 |
1.2× |
| Lateral retinacular release open (27425) |
$4,760 |
$6,800 |
1.4× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$3,339.53 |
$4,770.75 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$5,320 |
$7,600 |
1.6× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$7,280 |
$10,400 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$8,680 |
$12,400 |
0.6× |
| Ligation arteries; ethmoidal Facility (30915) |
$2,450 |
$3,500 |
0.7× |
| Ligation of hemorrhoid(s) (46221) |
$1,120 |
$1,600 |
1.1× |
| Ligation or biopsy temporal artery (37609) |
$4,060 |
$5,800 |
2.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,300 |
$9,000 |
1.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,990 |
$5,700 |
1.1× |
| Liver Biopsy (47000) |
$1,820 |
$2,600 |
1.0× |
| Manipulation hip joint general anesthesia (27275) |
$3,010 |
$4,300 |
1.8× |
| Manipulation knee joint under general anesthesia (27570) |
$2,520 |
$3,600 |
1.5× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$7,210 |
$10,300 |
2.1× |
| Mast mod rad (19307) |
$9,448.95 |
$13,498.50 |
1.3× |
| Mastectomy for gynecomastia (19300) |
$5,213.60 |
$7,448 |
1.3× |
| Mastectomy partial (19301) |
$5,014.28 |
$7,163.25 |
1.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,680 |
$2,400 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,290 |
$4,700 |
1.0× |
| Muscle-skin graft trunk (15734) |
$4,970 |
$7,100 |
1.3× |
| Myelography Lumbar Injection (62305) |
$1,190 |
$1,700 |
1.4× |
| Myelography Lumbar Injection (62304) |
$1,610 |
$2,300 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,120 |
$1,600 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,120 |
$1,600 |
1.4× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$3,939.08 |
$5,627.25 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,050 |
$1,500 |
1.4× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$3,780 |
$5,400 |
0.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$2,590 |
$3,700 |
0.7× |
Nasal/sinus ndsc total with sphenoidotomy (31257) unusually low: confirm this is the full procedure |
$3,220 |
$4,600 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$444.50 |
$635 |
0.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,074 |
$5,820 |
2.4× |
| Needle biopsy of pancreas (48102) |
$2,100 |
$3,000 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$98 |
$140 |
3.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$182 |
$260 |
6.0× |
| Nerve repair w/allograft (64910) |
$5,006.40 |
$7,152 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$3,861.90 |
$5,517 |
1.9× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,290 |
$4,700 |
1.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$6,510 |
$9,300 |
3.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,760 |
$6,800 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$910 |
$1,300 |
2.2× |
| Njx aa&/strd sciatic nerve (64445) |
$1,610 |
$2,300 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,610 |
$2,300 |
1.7× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$770 |
$1,100 |
2.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$588 |
$840 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,640 |
$5,200 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,480 |
$6,400 |
4.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,330 |
$1,900 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$980 |
$1,400 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,330 |
$1,900 |
1.8× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,537.50 |
$3,625 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,685.20 |
$3,836 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$840 |
$1,200 |
1.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$840 |
$1,200 |
1.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$105 |
$150 |
0.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$3,920 |
$5,600 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$910 |
$1,300 |
1.0× |
| Occipital Nerve Block (64405) |
$549.50 |
$785 |
1.7× |
| Omntc epiploectomy rescj omentum spx (49255) |
$8,779.40 |
$12,542 |
1.3× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,854.68 |
$6,935.25 |
1.2× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$5,336.80 |
$7,624 |
0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,840 |
$11,200 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$8,190 |
$11,700 |
1.1× |
| Open treatment fracture distal tibia only (27827) |
$9,030 |
$12,900 |
0.7× |
| Open treatment greater trochanteric fracture (27248) |
$6,510 |
$9,300 |
0.9× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,440 |
$9,200 |
0.8× |
| Open treatment metatarsal fracture each (28485) |
$6,090 |
$8,700 |
0.8× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$16,520 |
$23,600 |
2.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$7,420 |
$10,600 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,820 |
$12,600 |
1.2× |
| Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) |
$4,522.88 |
$6,461.25 |
0.6× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$7,910 |
$11,300 |
0.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$8,540 |
$12,200 |
1.1× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
$7,630 |
$10,900 |
0.6× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$9,800 |
$14,000 |
0.7× |
Open treatment of lunate dislocation Facility (25695) unusually low: confirm this is the full procedure |
$2,449.30 |
$3,499 |
0.3× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Facility (27566) |
$7,420 |
$10,600 |
1.0× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$9,976.40 |
$14,252 |
0.5× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$8,480.33 |
$12,114.75 |
1.1× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$8,680 |
$12,400 |
1.1× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$12,180 |
$17,400 |
0.9× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Facility (28555) unusually low: confirm this is the full procedure |
$3,710 |
$5,300 |
0.5× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$9,240 |
$13,200 |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$7,484.40 |
$10,692 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$6,720 |
$9,600 |
0.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$9,870 |
$14,100 |
0.7× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$5,516.70 |
$7,881 |
0.7× |
| Open tx acute shoulder dislocation (23660) |
$6,160 |
$8,800 |
0.8× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$5,390 |
$7,700 |
1.6× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$4,410 |
$6,300 |
1.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$6,230 |
$8,900 |
0.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,950 |
$8,500 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,480 |
$6,400 |
1.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$3,990 |
$5,700 |
0.5× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$4,550 |
$6,500 |
1.3× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$10,290 |
$14,700 |
0.8× |
| Open tx interphalangeal joint dislocation (26785) |
$4,200 |
$6,000 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$6,160 |
$8,800 |
1.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,670 |
$8,100 |
1.6× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$5,110 |
$7,300 |
0.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,770 |
$11,100 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,910 |
$11,300 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$10,990 |
$15,700 |
0.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,690 |
$16,700 |
1.0× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,397.15 |
$3,424.50 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,440 |
$9,200 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,840 |
$11,200 |
1.0× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$7,140 |
$10,200 |
0.9× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,670 |
$8,100 |
0.7× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$11,900 |
$17,000 |
0.9× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$9,870 |
$14,100 |
1.3× |
| Orchiectomy partial (54522) |
$5,821.20 |
$8,316 |
1.6× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,160 |
$8,800 |
1.6× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$3,920 |
$5,600 |
1.1× |
| Ostectomy calcaneus (28118) |
$3,850 |
$5,500 |
1.1× |
| Ostectomy complete 1st metatarsal head (28111) |
$3,430 |
$4,900 |
1.0× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,613.40 |
$5,162 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,780 |
$5,400 |
1.1× |
| Osteochondral allograft, knee, open (27415) |
$9,590 |
$13,700 |
0.7× |
| Osteochondral knee autograft (27416) |
$6,090 |
$8,700 |
0.8× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$6,359.50 |
$9,085 |
0.8× |
Osteot shrt corrj prox phalanx 1st toe (28310) unusually low: confirm this is the full procedure |
$3,010 |
$4,300 |
0.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$4,480 |
$6,400 |
0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,780 |
$5,400 |
1.1× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$5,460 |
$7,800 |
0.7× |
| Osteotomy radius distal third (25350) |
$5,810 |
$8,300 |
0.8× |
Osteotomy talus (28302) unusually low: confirm this is the full procedure |
$3,430 |
$4,900 |
0.4× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) unusually low: confirm this is the full procedure |
$3,570 |
$5,100 |
0.5× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$4,975.43 |
$7,107.75 |
0.6× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) unusually low: confirm this is the full procedure |
$3,570 |
$5,100 |
0.5× |
| P-mastectomy w/ln removal (19302) |
$7,210 |
$10,300 |
1.0× |
| Palatopharyngoplasty (42145) |
$4,620 |
$6,600 |
0.7× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$4,690 |
$6,700 |
1.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Facility (24140) |
$4,200 |
$6,000 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$3,920 |
$5,600 |
1.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,430 |
$4,900 |
1.0× |
| Partial excision bone tibia (27640) |
$4,200 |
$6,000 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$4,690 |
$6,700 |
2.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,290 |
$4,700 |
1.0× |
| Patellectomy or hemipatellectomy (27350) |
$5,880 |
$8,400 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,163.30 |
$4,519 |
0.9× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$13,930 |
$19,900 |
2.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,260 |
$1,800 |
1.7× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,000 |
$10,000 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,830 |
$6,900 |
1.4× |
| Percutaneous diskectomy (62287) |
$7,140 |
$10,200 |
3.5× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$6,650 |
$9,500 |
0.9× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$3,850 |
$5,500 |
1.1× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,290 |
$4,700 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$5,250 |
$7,500 |
1.5× |
| Perirectal inj sclerosing solution prolapse (45520) |
$5,917.10 |
$8,453 |
6.0× |
| Perq av fistula creation uxtr sep access sites (36837) |
$20,332.73 |
$29,046.75 |
1.1× |
| Perq av fistula creation uxtr single access (36836) |
$14,858.55 |
$21,226.50 |
0.8× |
| Perq dev breast 1st strtctc (19283) |
$1,820 |
$2,600 |
2.4× |
| Perq dev breast 1st us imag (19285) |
$1,400 |
$2,000 |
1.9× |
| Perq device breast 1st imag (19281) |
$1,820 |
$2,600 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$574 |
$820 |
2.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,260 |
$1,800 |
1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,340 |
$6,200 |
1.3× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,060 |
$25,800 |
0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,390 |
$17,700 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,630 |
$10,900 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,638.60 |
$15,198 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$13,829.90 |
$19,757 |
1.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,690 |
$6,700 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$4,690 |
$6,700 |
1.4× |
| Phleb veins - extrem 20+ (37766) |
$5,040 |
$7,200 |
1.5× |
| Picc line placement (36569) |
$1,260 |
$1,800 |
0.8× |
| Pin hand dislocation (26676) |
$4,645.90 |
$6,637 |
1.3× |
| Place Cath Subclavian Art (36225) |
$6,300 |
$9,000 |
1.9× |
| Place Cath Thoracic Aorta (36221) |
$5,670 |
$8,100 |
1.7× |
| Place Cath Vertebral Art (36226) |
$8,050 |
$11,500 |
1.4× |
| Place duod/jej tube perc (49441) |
$3,360 |
$4,800 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$329 |
$470 |
0.7× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$3,640 |
$5,200 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,860 |
$9,800 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,394.90 |
$7,707 |
0.8× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$6,860 |
$9,800 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,520 |
$3,600 |
1.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,520 |
$3,600 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,710 |
$5,300 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,710 |
$5,300 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,710 |
$5,300 |
1.0× |
Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$7,210 |
$10,300 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$2,247.53 |
$3,210.75 |
2.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,836 |
$5,480 |
1.3× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,365 |
$1,950 |
1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,400 |
$2,000 |
1.9× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$5,483.80 |
$7,834 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,640 |
$5,200 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,640 |
$5,200 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$4,340 |
$6,200 |
1.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$4,060 |
$5,800 |
1.2× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$6,650 |
$9,500 |
0.9× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$5,250 |
$7,500 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$294 |
$420 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,260 |
$1,800 |
1.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$644 |
$920 |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,990 |
$5,700 |
1.2× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$7,161.70 |
$10,231 |
2.3× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
$2,730 |
$3,900 |
0.8× |
| Radical styloidectomy separate procedure (25230) |
$3,500 |
$5,000 |
1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,150 |
$4,500 |
0.9× |
| Rcnstj Dislocating Patella (27420) |
$6,650 |
$9,500 |
0.9× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,172.30 |
$7,389 |
0.7× |
| Realignment extensor tendon hand each tendon (26437) |
$3,710 |
$5,300 |
1.1× |
| Reconstruct Shoulder Joint (23470) |
$10,990 |
$15,700 |
0.8× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$8,260 |
$11,800 |
1.1× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$10,535 |
$15,050 |
1.4× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$7,070 |
$10,100 |
0.9× |
| Release finger contracture (26525) |
$3,014.03 |
$4,305.75 |
1.8× |
| Relocation of skin pocket for pacemaker (33222) |
$4,900 |
$7,000 |
2.3× |
| Rem Endovas Vena Cava Filter (37193) |
$5,110 |
$7,300 |
1.5× |
| Removal biliary drg cath (47537) |
$770 |
$1,100 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$4,130 |
$5,900 |
2.4× |
| Removal foreign body foot deep (28192) |
$3,920 |
$5,600 |
2.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,330 |
$1,900 |
1.8× |
| Removal foreign body intranasal (30300) |
$252 |
$360 |
1.8× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,100 |
$3,000 |
1.2× |
| Removal foreign body pharynx (42809) |
$371 |
$530 |
0.8× |
| Removal foreign body shoulder subcutaneous (23330) |
$5,329.10 |
$7,613 |
3.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$67.90 |
$97 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$203 |
$290 |
3.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,290 |
$4,700 |
1.0× |
| Removal implant deep (20680) |
$4,200 |
$6,000 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,500 |
$5,000 |
2.0× |
| Removal of adenoids (42830) |
$5,530 |
$7,900 |
1.6× |
| Removal of bone for graft (20902) |
$4,270 |
$6,100 |
0.6× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,960 |
$2,800 |
1.9× |
| Removal of embedded foreign body, eyelid (67938) |
$700 |
$1,000 |
2.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,030 |
$2,900 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$518 |
$740 |
1.1× |
| Removal of iud (58301) |
$343 |
$490 |
1.1× |
| Removal of nail bed (11750) |
$1,750 |
$2,500 |
4.1× |
| Removal Of Tendon Lesion (27630) |
$3,570 |
$5,100 |
1.0× |
| Removal of testis (54520) |
$5,530 |
$7,900 |
1.5× |
| Removal of tonsils (42826) |
$3,570 |
$5,100 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,570 |
$5,100 |
1.1× |
| Removal of urethra (53210) |
$3,719.80 |
$5,314 |
1.0× |
| Removal of wrist bone (25210) |
$3,430 |
$4,900 |
1.0× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$4,900 |
$7,000 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$469 |
$670 |
2.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,823.80 |
$4,034 |
1.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$224 |
$320 |
0.8× |
| Remove anal fist subq (46270) |
$4,181.10 |
$5,973 |
1.4× |
| Remove drug implant device (11982) |
$1,330 |
$1,900 |
2.8× |
| Remove elbow lesion (24120) |
$3,570 |
$5,100 |
1.0× |
| Remove ext hem groups 2+ (46250) |
$3,150 |
$4,500 |
1.1× |
| Remove foreign body from eye (65235) |
$2,590 |
$3,700 |
1.1× |
| Remove intrvas foreign body (37197) |
$5,355 |
$7,650 |
1.6× |
| Remove Pilonidal Cyst Exten (11771) |
$5,630.10 |
$8,043 |
1.8× |
| Remove Prostate Regrowth (52630) |
$5,880 |
$8,400 |
1.0× |
| Remove spine eltrd perq aray (63661) |
$3,220 |
$4,600 |
1.6× |
| Remove Tendon Sheath Lesion (26160) |
$2,800 |
$4,000 |
1.6× |
| Remove vagina gland lesion (56740) |
$4,970 |
$7,100 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$231 |
$330 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$483 |
$690 |
3.4× |
| Remv&replc pm gen dual lead (33228) |
$12,927.60 |
$18,468 |
1.2× |
| Remv&replc pm gen mult leads (33229) |
$16,164.40 |
$23,092 |
0.8× |
| Renal Biopsy Percutaneous (50200) |
$1,680 |
$2,400 |
1.0× |
| Repair achilles tendon (27650) |
$7,000 |
$10,000 |
0.9× |
| Repair blood vessel direct hand finger (35207) |
$3,360 |
$4,800 |
1.0× |
| Repair blood vessel direct neck (35201) |
$3,710 |
$5,300 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,360 |
$4,800 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$770 |
$1,100 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$693 |
$990 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$651 |
$930 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,540 |
$2,200 |
3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$602 |
$860 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$840 |
$1,200 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,260 |
$1,800 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,190 |
$1,700 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,800 |
$4,000 |
1.6× |
| Repair Eyelid Wound (67935) |
$2,870 |
$4,100 |
1.1× |
| Repair Fibula Nonunion (27726) |
$6,440 |
$9,200 |
0.8× |
| Repair Forearm Tendon Sheath (25275) |
$5,927.25 |
$8,467.50 |
1.7× |
| Repair forearm tendon/muscle (25260) |
$4,284 |
$6,120 |
1.2× |
| Repair hand joint with graft (26542) |
$5,281.50 |
$7,545 |
1.5× |
| Repair hand tendon (26410) |
$3,430 |
$4,900 |
2.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,510 |
$9,300 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$469 |
$670 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$602 |
$860 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$770 |
$1,100 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$399 |
$570 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$770 |
$1,100 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$700 |
$1,000 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$469 |
$670 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$423.35 |
$604.78 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$910 |
$1,300 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$840 |
$1,200 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$588 |
$840 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$770 |
$1,100 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$770 |
$1,100 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$770 |
$1,100 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$770 |
$1,100 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$637 |
$910 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$700 |
$1,000 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,120 |
$1,600 |
0.5× |
| Repair intrinsic muscles hand each muscle (26591) |
$2,277.80 |
$3,254 |
0.7× |
| Repair Mouth Laceration (40831) |
$658 |
$940 |
1.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) likely a partial charge, not the full procedure |
$1,890 |
$2,700 |
0.3× |
| Repair of biceps tendon (24340) |
$5,460 |
$7,800 |
0.7× |
| Repair of foot bones (28320) |
$7,560 |
$10,800 |
0.6× |
| Repair of knee cartilage (27403) |
$7,420 |
$10,600 |
1.0× |
| Repair of leg tendon each (27658) |
$4,550 |
$6,500 |
1.3× |
| Repair of nail bed (11760) |
$980 |
$1,400 |
1.3× |
| Repair of nasal septum (30520) |
$3,010 |
$4,300 |
0.9× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) |
$13,860 |
$19,800 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$9,380 |
$13,400 |
1.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,140 |
$10,200 |
0.9× |
| Repair of shoulder (23420) |
$6,804.53 |
$9,720.75 |
0.9× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$10,424.40 |
$14,892 |
1.4× |
| Repair Profundus Tendon,Primary (26370) |
$5,861.63 |
$8,373.75 |
1.7× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,860 |
$9,800 |
1.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$6,020 |
$8,600 |
1.6× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,180 |
$7,400 |
0.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,080 |
$4,400 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,370 |
$9,100 |
0.8× |
| Repair tongue laceration (41252) |
$770 |
$1,100 |
3.1× |
| Repair Tongue Laceration (41250) |
$364 |
$520 |
0.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$4,760 |
$6,800 |
0.6× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$5,460 |
$7,800 |
0.7× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) |
$7,132.30 |
$10,189 |
0.9× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$4,900 |
$7,000 |
0.6× |
| Repair/graft achilles tendon (27652) |
$7,569.45 |
$10,813.50 |
1.0× |
| Repair/graft finger tendon (26420) |
$5,180 |
$7,400 |
1.5× |
| Repair/revise wrist joint (25320) |
$5,040 |
$7,200 |
0.7× |
| Repeat control of nosebleed (30906) |
$392 |
$560 |
1.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,820 |
$2,600 |
1.9× |
| Replace elbow joint (24363) |
$12,320 |
$17,600 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,334.20 |
$1,906 |
1.4× |
| Replace tunneled cv cath (36578) |
$1,680 |
$2,400 |
0.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,544.90 |
$2,207 |
1.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$6,204.10 |
$8,863 |
1.6× |
| Reposition cv cath w/fluoro (36597) |
$1,610 |
$2,300 |
1.0× |
| Reposition gastric feeding tube thru duodenum (43761) |
$840 |
$1,200 |
3.2× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,500 |
$5,000 |
1.1× |
| Resection of scrotum (55150) |
$6,440 |
$9,200 |
1.7× |
| Resection or transplantation of long tendon of biceps (23440) |
$6,790 |
$9,700 |
0.9× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$5,530 |
$7,900 |
1.5× |
| Revis reconst shoulder joint (23473) |
$11,690 |
$16,700 |
0.9× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$14,000 |
$20,000 |
1.0× |
| Revise knuckle with implant (26531) |
$5,690.30 |
$8,129 |
0.7× |
| Revise Lower Leg Tendon (27691) |
$4,620 |
$6,600 |
0.6× |
| Revise spine eltrd perq aray (63663) |
$6,370 |
$9,100 |
0.9× |
| Revise ulnar nerve at elbow (64718) |
$4,340 |
$6,200 |
2.1× |
| Revise/Implant Finger Joint (26536) |
$6,440 |
$9,200 |
0.8× |
| Revise/Remove Neuroreceiver (63688) |
$4,480 |
$6,400 |
1.2× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$7,490 |
$10,700 |
2.0× |
| Revision of leg vein (37780) |
$4,690 |
$6,700 |
1.4× |
| Revision of tips (37183) |
$10,850 |
$15,500 |
1.8× |
| Revision of toe (28312) |
$3,290 |
$4,700 |
1.0× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$8,260 |
$11,800 |
0.6× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$7,140 |
$10,200 |
0.5× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$8,680 |
$12,400 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,500 |
$5,000 |
0.9× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$8,680 |
$12,400 |
1.4× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$13,930 |
$19,900 |
1.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,240 |
$3,200 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$378 |
$540 |
2.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$371 |
$530 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,360 |
$4,800 |
1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,590 |
$3,700 |
0.8× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$5,320 |
$7,600 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,960 |
$2,800 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,505 |
$2,150 |
2.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$4,200 |
$6,000 |
2.5× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$4,270 |
$6,100 |
1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,360 |
$4,800 |
2.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$7,350 |
$10,500 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,000 |
$10,000 |
2.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,830 |
$6,900 |
1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,370.33 |
$14,814.75 |
1.6× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,890 |
$2,700 |
0.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$10,802.40 |
$15,432 |
1.6× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) unusually low: confirm this is the full procedure |
$2,730 |
$3,900 |
0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,890 |
$2,700 |
0.5× |
Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,890 |
$2,700 |
0.3× |
Rpr aa hrn 1st < 3 ncr/strn (49592) unusually low: confirm this is the full procedure |
$2,730 |
$3,900 |
0.4× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,890 |
$2,700 |
2.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,450 |
$3,500 |
1.5× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$4,970 |
$7,100 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$980 |
$1,400 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,750 |
$2,500 |
3.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,260 |
$1,800 |
2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,820 |
$2,600 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,680 |
$2,400 |
2.5× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,500 |
$5,000 |
1.0× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$5,271 |
$7,530 |
1.5× |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
$7,227.68 |
$10,325.25 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,672.24 |
$6,674.62 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$4,220.74 |
$6,029.62 |
1.2× |
| Sclerotx Fluid Collection (49185) |
$1,896.30 |
$2,709 |
1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,004.50 |
$1,435 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,331.05 |
$1,901.50 |
1.1× |
| Shoulder arthroscopy (29805) |
$5,250 |
$7,500 |
1.5× |
| Shoulder Arthroscopy/Surgery (29819) |
$3,850 |
$5,500 |
1.1× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,130 |
$5,900 |
1.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,344.30 |
$3,349 |
1.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,399.30 |
$1,999 |
1.1× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$2,037.35 |
$2,910.50 |
1.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,873.20 |
$2,676 |
1.9× |
| Sigmoidoscopy w/biopsy (45331) |
$1,085 |
$1,550 |
1.1× |
| Sigmoidoscopy w/fb removal (45332) |
$2,730 |
$3,900 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$469 |
$670 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301 |
$430 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$322 |
$460 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$392 |
$560 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$553 |
$790 |
2.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$497 |
$710 |
2.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$182 |
$260 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$315 |
$450 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$434 |
$620 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$553 |
$790 |
2.6× |
| Skin sub graft face/nk/hf/g (15275) |
$3,570 |
$5,100 |
4.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,570 |
$5,100 |
4.6× |
| Skin sub grft t/arm/lg child (15273) |
$1,050 |
$1,500 |
0.5× |
| Skin Tissue Procedure (17999) |
$2,030 |
$2,900 |
9.6× |
| Skin tissue rearrangement (14040) |
$3,500 |
$5,000 |
1.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,050 |
$1,500 |
0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,840 |
$11,200 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$7,070 |
$10,100 |
2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$8,750 |
$12,500 |
1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,460 |
$7,800 |
1.0× |
| Slitting of prepuce (54001) |
$3,360 |
$4,800 |
1.5× |
| Small Bowel Endoscopy (44373) |
$2,632 |
$3,760 |
1.3× |
| Small bowel endoscopy (44366) |
$1,811.60 |
$2,588 |
0.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,506 |
$3,580 |
1.2× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,365 |
$1,950 |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$2,627.80 |
$3,754 |
1.3× |
Small bowel endoscopy/stent (44370) unusually low: confirm this is the full procedure |
$3,120.60 |
$4,458 |
0.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,077.95 |
$2,968.50 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$6,130.60 |
$8,758 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,520 |
$3,600 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$315 |
$450 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$595 |
$850 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$560 |
$800 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,190.02 |
$5,985.75 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,295 |
$1,850 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$700 |
$1,000 |
0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,710 |
$5,300 |
1.1× |
| Stimulus evoked response (51792) |
$497 |
$710 |
8.0× |
| Strapping ankle (29540) |
$182 |
$260 |
1.1× |
| Strapping elbow or wrist (29260) |
$210 |
$300 |
3.4× |
| Strapping hand/finger (29280) |
$224 |
$320 |
3.6× |
| Strapping knee (29530) |
$182 |
$260 |
1.3× |
| Strapping shoulder (29240) |
$203 |
$290 |
1.4× |
| Strapping thorax (29200) |
$196 |
$280 |
1.1× |
| Strapping toes (29550) |
$217 |
$310 |
3.5× |
| Strapping unna boot (29580) |
$392 |
$560 |
2.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,380 |
$3,400 |
0.7× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$4,130 |
$5,900 |
1.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,780 |
$5,400 |
1.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,500 |
$5,000 |
1.7× |
| Suture infrapatellar tendon primary (27380) |
$6,510 |
$9,300 |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$8,260 |
$11,800 |
1.1× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,730 |
$3,900 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$294 |
$420 |
0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$3,850 |
$5,500 |
1.1× |
| Tenodesis long tendon biceps (23430) |
$5,250 |
$7,500 |
0.7× |
| Tenolysis extensor foot single tendon (28225) |
$2,920.40 |
$4,172 |
0.8× |
| Tenolysis extensor tendon hand/finger each (26445) |
$3,101.70 |
$4,431 |
0.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,120.60 |
$4,458 |
1.8× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,570 |
$5,100 |
1.0× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Facility (26449) |
$3,710 |
$5,300 |
1.1× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Facility (26442) |
$3,007.90 |
$4,297 |
0.9× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$2,730 |
$3,900 |
0.8× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$2,030 |
$2,900 |
1.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$2,730 |
$3,900 |
1.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,100 |
$3,000 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,190 |
$1,700 |
1.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,270 |
$6,100 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$3,605 |
$5,150 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$770 |
$1,100 |
2.2× |
| Thrombolytic Venous Therapy (37212) |
$2,695 |
$3,850 |
0.8× |
| Thyroid biopsy (60100) |
$1,330 |
$1,900 |
1.8× |
| Tibial Arthroscopy/Surgery (29855) |
$5,866 |
$8,380 |
0.8× |
| Tnot elbow lateral/medial debride open (24358) |
$3,920 |
$5,600 |
1.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,830 |
$6,900 |
1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,940 |
$4,200 |
0.8× |
| Total hip arthroplasty (27130) |
$8,400 |
$12,000 |
0.6× |
| Total Knee Arthroplasty (27447) |
$8,820 |
$12,600 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,610 |
$2,300 |
6.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,260 |
$1,800 |
0.8× |
| Tracheotomy tube change (31502) |
$539 |
$770 |
2.2× |
| Transcatheter biopsy (37200) |
$4,025 |
$5,750 |
0.7× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,559.85 |
$5,085.50 |
1.7× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$5,041.58 |
$7,202.25 |
0.7× |
| Transplant hand tendon (26480) |
$3,780 |
$5,400 |
1.1× |
| Transplant palm tendon (26485) |
$3,080 |
$4,400 |
0.9× |
| Transplant/graft hand tendon (26483) |
$2,940 |
$4,200 |
0.9× |
| Transur electr resection of prostate (52601) |
$7,560 |
$10,800 |
1.3× |
| Transurethral resection bladder neck (52500) |
$5,088.83 |
$7,269.75 |
1.4× |
| Treat Big Toe Fracture (28505) |
$4,340 |
$6,200 |
1.3× |
| Treat clavicle dislocation (23540) |
$322 |
$460 |
1.2× |
| Treat clavicle fracture (23505) |
$910 |
$1,300 |
0.5× |
| Treat Elbow Fracture (24635) |
$9,450 |
$13,500 |
1.2× |
| Treat fracture radius/ulna (25575) |
$7,630 |
$10,900 |
1.0× |
| Treat humerus fracture (24500) |
$511 |
$730 |
2.0× |
| Treat humerus fracture (23600) |
$441 |
$630 |
1.7× |
| Treat knee fracture (27532) |
$3,011.40 |
$4,302 |
0.9× |
| Treat Knee Fracture (27535) |
$4,439.93 |
$6,342.75 |
0.6× |
| Treat Kneecap Fracture (27524) |
$7,630 |
$10,900 |
1.0× |
| Treat Lower Leg Fracture (27828) |
$10,570 |
$15,100 |
0.8× |
| Treat Metatarsal Fracture (28475) |
$1,330 |
$1,900 |
5.1× |
| Treat scapula fracture (23585) |
$9,100 |
$13,000 |
1.2× |
| Treat shoulder blade fx (23575) |
$840 |
$1,200 |
0.5× |
| Treat Thigh Fracture (27246) |
$469 |
$670 |
1.8× |
| Treat Thigh Fracture (27245) |
$7,070 |
$10,100 |
0.9× |
| Treat Thumb Dislocation (26641) |
$469 |
$670 |
1.8× |
| Treat thumb fracture (26665) |
$7,525 |
$10,750 |
2.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$644 |
$920 |
0.4× |
| Treat wrist bone fracture (25622) |
$413 |
$590 |
1.6× |
| Treat Wrist Bone Fracture (25630) |
$308 |
$440 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$6,580 |
$9,400 |
3.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$644 |
$920 |
2.5× |
| Treatment of fibula fracture (27784) |
$6,860 |
$9,800 |
0.9× |
| Treatment of foot infection (28003) |
$3,360 |
$4,800 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$2,730 |
$3,900 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$343 |
$490 |
1.3× |
| Trim skin lesion (11055) |
$182 |
$260 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$203 |
$290 |
1.0× |
| Trim skin lesions over 4 (11057) |
$140 |
$200 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$65.80 |
$94 |
1.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,420 |
$10,600 |
1.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,070 |
$10,100 |
1.2× |
| Trurl drainage prostatic abscess (52700) |
$4,550 |
$6,500 |
1.2× |
| Trurl rescj postop bladder neck contracture (52640) |
$4,760 |
$6,800 |
1.3× |
| Tubal ligation (58600) |
$3,500 |
$5,000 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$1,050 |
$1,500 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,080 |
$4,400 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,750 |
$2,500 |
2.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$455 |
$650 |
1.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$8,190 |
$11,700 |
0.6× |
| Tympanostomy general anesthesia (69436) |
$2,800 |
$4,000 |
1.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,440 |
$9,200 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$9,870 |
$14,100 |
1.5× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$8,109.50 |
$11,585 |
1.3× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$6,645.80 |
$9,494 |
1.0× |
| Unlisted laparoscopy procedure, spleen (38129) |
$6,536.60 |
$9,338 |
1.0× |
| Unlisted procedure anus (46999) |
$2,450 |
$3,500 |
2.5× |
| Unlisted procedure arthroscopy (29999) |
$3,640 |
$5,200 |
14.0× |
| Unlisted procedure dentoalveolar structures (41899) |
$2,177 |
$3,110 |
8.7× |
| Unlisted Procedure Esophagus (43499) |
$2,890.30 |
$4,129 |
3.0× |
| Unlisted procedure femur or knee (27599) |
$4,550 |
$6,500 |
17.5× |
| Unlisted procedure humerus/elbow (24999) |
$4,060 |
$5,800 |
15.6× |
| Unlisted Procedure Male Genital System (55899) |
$2,240 |
$3,200 |
8.5× |
| Unlisted Procedure Muscskeletal System General (20999) |
$3,150 |
$4,500 |
12.1× |
| Unlisted procedure nervous system (64999) |
$2,520 |
$3,600 |
7.8× |
| Unlisted procedure pelvis/hip joint (27299) |
$6,790 |
$9,700 |
26.1× |
| Unlisted procedure rectum (45999) |
$2,520 |
$3,600 |
2.6× |
| Unlisted procedure shoulder (23929) |
$3,780 |
$5,400 |
14.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,450 |
$3,500 |
3.7× |
| Unlisted procedure, leg or ankle (27899) |
$3,080 |
$4,400 |
11.8× |
| Unlisted procedure, stomach (43999) |
$1,890 |
$2,700 |
2.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,890 |
$2,700 |
8.9× |
| Upgrade of pacemaker system (33214) |
$16,870 |
$24,100 |
1.5× |
| Us urine capacity measure (51798) |
$112 |
$160 |
1.8× |
| Vaginal delivery only (59409) |
$2,730 |
$3,900 |
0.8× |
| Vasc embolize/occlude artery (37242) |
$11,620 |
$16,600 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,480 |
$16,400 |
0.9× |
| Vasc embolize/occlude organ (37243) |
$11,620 |
$16,600 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$10,990 |
$15,700 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,800 |
$4,000 |
1.3× |
| Venipuncture (36415) |
$25.90 |
$37 |
2.8× |
| Venipuncture cutdown under age 1 yr (36420) |
$980 |
$1,400 |
7.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$910 |
$1,300 |
1.9× |
| Wedge excision skin nail fold (11765) |
$567 |
$810 |
1.3× |
| Wrist arthroscopy (29840) |
$6,510 |
$9,300 |
1.9× |