| 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× |
| Acromiopl/Acromionect Partial (23130) |
$3,500 |
$5,000 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,500 |
$5,000 |
1.6× |
| Amniocentesis diagnostic (59000) |
$770 |
$1,100 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (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 Control Bleeding (46614) range across 3 matching MRF lines |
$420–$1,890 |
$600–$2,700 |
varies |
Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$105–$604.10 |
$150–$863 |
varies |
| 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 Sys Uparm Lwarm Hand&Fing (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 Long Leg Splint (29505) |
$336 |
$480 |
2.0× |
| 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 short leg splint calf foot (29515) |
$427 |
$610 |
2.5× |
| 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 Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$302.40–$385 |
$432–$550 |
varies |
| Apply Short Leg Cast (29405) |
$308 |
$440 |
1.0× |
Arterial puncture (36600) range across 3 matching MRF lines |
$126–$147 |
$180–$210 |
varies |
| 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) range across 2 matching MRF lines |
$553–$644 |
$790–$920 |
varies |
| 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) range across 2 matching MRF lines |
$595–$770 |
$850–$1,100 |
varies |
| 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 Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$5,810 |
$8,300 |
1.7× |
| Arthrodesis Pantalar (28705) |
$10,640 |
$15,200 |
0.6× |
| Arthrodesis subtalar (28725) |
$7,630 |
$10,900 |
0.6× |
| Arthrodesis triple (28715) |
$8,820 |
$12,600 |
0.7× |
| 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 Glenohumrl Jt Hemiarthroplasty (23470) |
$10,990 |
$15,700 |
0.8× |
| Arthroplasty interphalangeal joint each (26535) |
$6,090 |
$8,700 |
1.8× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$5,390 |
$7,700 |
1.6× |
| Arthroplasty Patella W/Prosthesis (27438) |
$9,100 |
$13,000 |
0.7× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,760 |
$6,800 |
1.4× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$3,780 |
$5,400 |
1.1× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$4,900 |
$7,000 |
1.4× |
| 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 shoulder surgical capsulorrhaphy (29806) |
$6,720 |
$9,600 |
0.9× |
| 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; with lateral release (29873) |
$4,200 |
$6,000 |
1.2× |
| 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; debridement, extensive (29823) |
$4,270 |
$6,100 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,130 |
$5,900 |
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 removal of loose body or foreign body (29819) |
$3,850 |
$5,500 |
1.1× |
| 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× |
| 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/Meniscus Repair Knee (27403) |
$7,420 |
$10,600 |
1.0× |
| 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 wrist joint with synovectomy (25105) |
$3,290 |
$4,700 |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$6,860 |
$9,800 |
2.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$7,840 |
$11,200 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$8,400 |
$12,000 |
0.6× |
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 2 matching MRF lines |
$1,703.10–$1,820 |
$2,433–$2,600 |
varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$11,340 |
$16,200 |
0.8× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$5,690.30 |
$8,129 |
0.7× |
| 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 Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$4,270 |
$6,100 |
1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,710 |
$5,300 |
1.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,320 |
$7,600 |
1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,970 |
$7,100 |
1.4× |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
$5,110 |
$7,300 |
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 expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,500 |
$5,000 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$3,327.80 |
$4,754 |
2.0× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$7,630 |
$10,900 |
1.0× |
| 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) range across 3 matching MRF lines |
$1,120–$1,470 |
$1,600–$2,100 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$1,190 |
$1,700 |
1.8× |
| 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) range across 2 matching MRF lines |
$2,730–$3,080 |
$3,900–$4,400 |
varies |
| Aspiration Bladder Needle (51100) |
$259 |
$370 |
1.0× |
| Aspiration bladder trocar/intracatheter (51101) |
$147 |
$210 |
0.2× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$53.90–$518 |
$77–$740 |
varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$4,829.30 |
$6,899 |
0.7× |
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× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$3,134.60 |
$4,478 |
0.5× |
| Biopsy Abdominal Mass (49180) |
$980 |
$1,400 |
0.6× |
| 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 muscle percutaneous needle (20206) |
$770 |
$1,100 |
0.4× |
| Biopsy of breast; open, incisional (19101) |
$3,570 |
$5,100 |
0.9× |
| Biopsy of foot joint lining (28052) |
$4,060 |
$5,800 |
1.2× |
Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$910–$1,820 |
$1,300–$2,600 |
varies |
| Biopsy Pleura Percutaneous Needle (32400) |
$560 |
$800 |
0.3× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$2,660 |
$3,800 |
0.9× |
| 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× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,654.10 |
$2,363 |
2.2× |
| Bladder Irrigation (51700) |
$406 |
$580 |
1.5× |
| Bladder Scan (51798) |
$112 |
$160 |
1.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$700 |
$1,000 |
2.1× |
Blood Transfusion Service (36430) range across 15 matching MRF lines |
$140–$1,750 |
$200–$2,500 |
varies |
| Bone Graft Any Donor Area Major/Large (20902) |
$4,270 |
$6,100 |
0.6× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$4,130 |
$5,900 |
0.5× |
| Bone Marrow Biopsy (38221) |
$567 |
$810 |
0.3× |
| Bone Marrow; Aspiration Only (38220) |
$525 |
$750 |
0.3× |
Breast augmentation with implant (19325) unusually low: confirm this is the full procedure |
$3,290 |
$4,700 |
0.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,260 |
$1,800 |
0.7× |
| Bronchoscopy Clear Airways (31645) |
$1,050 |
$1,500 |
0.6× |
| Bronchoscopy Reclear Airway (31646) |
$1,190 |
$1,700 |
2.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,190 |
$1,700 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,777.60 |
$3,968 |
1.5× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,137.40 |
$4,482 |
0.8× |
| 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 open deep axillary node (38525) |
$4,340 |
$6,200 |
1.1× |
| Bx/exc lymph node open superficial (38500) |
$4,583.60 |
$6,548 |
1.1× |
| Canthotomy Separate Procedure (67715) |
$2,100 |
$3,000 |
0.8× |
| Capsular contracture release (23020) |
$5,390 |
$7,700 |
1.6× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$3,014.03 |
$4,305.75 |
1.8× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$2,520 |
$3,600 |
0.7× |
| Capsulotomy wrist (25085) |
$3,990 |
$5,700 |
1.2× |
| Carpal Tunnel Surgery (64721) |
$3,290 |
$4,700 |
1.6× |
| Carpectomy All Bones Proximal Row (25215) |
$5,191.20 |
$7,416 |
1.5× |
| Catheter aspiration nasotracheal spx (31720) |
$161 |
$230 |
0.7× |
Cessj Therapy Cath Removal (37214) range across 2 matching MRF lines |
$3,920–$4,970 |
$5,600–$7,100 |
varies |
| Change Cystostomy Tube Complicated (51710) |
$1,750 |
$2,500 |
2.4× |
| Change Cystostomy Tube Simple (51705) |
$980 |
$1,400 |
3.7× |
| Change of Windpipe Airway (31502) |
$539 |
$770 |
2.2× |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$105–$217 |
$150–$310 |
varies |
Chest tube placement (32551) range across 2 matching MRF lines |
$910–$1,190 |
$1,300–$1,700 |
varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,500 |
$5,000 |
0.9× |
| Circumcision 28 days or older (54161) |
$4,690 |
$6,700 |
2.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$4,207.35 |
$6,010.50 |
1.9× |
| Cl Tx Scapular Fx; W Manip (23575) |
$840 |
$1,200 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,960 |
$2,800 |
1.2× |
| Claviculectomy partial (23120) |
$3,780 |
$5,400 |
1.1× |
| Clear outer ear canal (69200) |
$231 |
$330 |
1.6× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,850 |
$5,500 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$1,120 |
$1,600 |
4.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$672 |
$960 |
2.6× |
| 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 Calcaneal Fracture W/O Manipulation (28400) |
$399 |
$570 |
1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$840 |
$1,200 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$413 |
$590 |
1.6× |
| 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 mandibular fracture w/manipulation (21451) |
$3,360 |
$4,800 |
2.1× |
| 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 Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,310 |
$3,300 |
1.4× |
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$2,590–$3,360 |
$3,700–$4,800 |
varies |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$504 |
$720 |
1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$399 |
$570 |
1.5× |
| 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 Shaft Fracture W/O Manipulation (25500) |
$392 |
$560 |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,150 |
$4,500 |
1.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$483 |
$690 |
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 talus fracture w/o manipulation (28430) |
$231 |
$330 |
0.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$238 |
$340 |
0.9× |
| 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 Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$378 |
$540 |
1.5× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$658 |
$940 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$637 |
$910 |
2.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$322 |
$460 |
1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$910 |
$1,300 |
0.5× |
| 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× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$840 |
$1,200 |
0.5× |
| 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 Carpal Bone Fx W/O Manj Each Bone (25630) |
$308 |
$440 |
1.2× |
| 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 manj (27824) |
$406 |
$580 |
1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$392 |
$560 |
1.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$469 |
$670 |
1.8× |
| 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 Epicondylar Fx Medial/Lat W/Manj (24565) |
$476 |
$680 |
0.3× |
| 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 Medial Ankle Fx (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 Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,330 |
$1,900 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$574 |
$820 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$427 |
$610 |
1.6× |
| 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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$726.60 |
$1,038 |
2.8× |
| 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/Transcndylr Humeral Fx W/WO Manj (24530) |
$483 |
$690 |
1.9× |
| 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 fx proximal w/o manipulation (27530) |
$483 |
$690 |
1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$532 |
$760 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,220 |
$4,600 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$595 |
$850 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$210 |
$300 |
1.5× |
| Collection of venous blood by venipuncture (36415) |
$25.90 |
$37 |
2.8× |
| Colonoscopy Flexible With Decompression (45393) |
$2,330.30 |
$3,329 |
1.8× |
Colonoscopy Stoma Control Bleeding (44391) range across 2 matching MRF lines |
$980–$1,960 |
$1,400–$2,800 |
varies |
Colonoscopy stoma w/balloon dilation (44405) range across 2 matching MRF lines |
$1,120–$1,400 |
$1,600–$2,000 |
varies |
Colonoscopy Stoma W/Submucosal Injection (44404) range across 2 matching MRF lines |
$1,120–$1,400 |
$1,600–$2,000 |
varies |
Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$770–$1,750 |
$1,100–$2,500 |
varies |
Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$980–$1,750 |
$1,400–$2,500 |
varies |
Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,778–$2,380 |
$2,540–$3,400 |
varies |
| Colonoscopy W/Band Ligation (45398) |
$1,929.20 |
$2,756 |
1.5× |
Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$980–$1,964.20 |
$1,400–$2,806 |
varies |
Colonoscopy w/submucosal inj (45381) range across 3 matching MRF lines |
$980–$2,660 |
$1,400–$3,800 |
varies |
| Colpopexy vaginal intraperitoneal approach (57283) |
$6,790 |
$9,700 |
0.9× |
| Colporrhaphy (57200) |
$2,870 |
$4,100 |
0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,870 |
$4,100 |
0.8× |
Colsc Flexible W/Control Bleeding Any Method (45382) range across 3 matching MRF lines |
$770–$1,890 |
$1,100–$2,700 |
varies |
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines |
$840–$1,890 |
$1,200–$2,700 |
varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,013.20 |
$2,876 |
1.6× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,510 |
$9,300 |
1.2× |
| Complex drainage wound (10180) |
$3,220 |
$4,600 |
1.1× |
| Construct thumb replacement (26550) |
$1,544.90 |
$2,207 |
0.4× |
| 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× |
| Conversion ext bil drg cath (47535) |
$3,640 |
$5,200 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$840 |
$1,200 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$910 |
$1,300 |
0.5× |
| Correction hammertoe (28285) |
$3,500 |
$5,000 |
1.0× |
| 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× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$8,059.80 |
$11,514 |
0.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$5,191.90 |
$7,417 |
0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,990 |
$5,700 |
1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$6,020 |
$8,600 |
0.8× |
| 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× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$392 |
$560 |
1.6× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$2,450 |
$3,500 |
0.7× |
| Curette/treat cornea (65435) |
$1,960 |
$2,800 |
1.9× |
| 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/complex removal stone & stent (52315) |
$4,458.30 |
$6,369 |
2.0× |
| 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 lesions small (52224) |
$4,410 |
$6,300 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,550 |
$6,500 |
1.2× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$6,440 |
$9,200 |
1.1× |
| 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× |
| Cystoscopy implant stent (52282) |
$4,615.80 |
$6,594 |
1.2× |
| 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/Dest &/Rmvl Tumor Large (52240) |
$4,970 |
$7,100 |
0.9× |
| 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 direct vision internal urethrotomy (52276) |
$4,410 |
$6,300 |
2.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$3,920 |
$5,600 |
1.8× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$1,190–$1,267 |
$1,700–$1,810 |
varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,400 |
$2,000 |
0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,380 |
$3,400 |
3.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,750 |
$2,500 |
2.3× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,920 |
$5,600 |
1.1× |
| 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× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$7,140 |
$10,200 |
3.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,610 |
$2,300 |
2.1× |
| Debride nail 1-5 (11720) |
$161 |
$230 |
2.6× |
| Debride nail 6 or more (11721) |
$161 |
$230 |
2.6× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,890–$2,100 |
$2,700–$3,000 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$1,050–$1,277.50 |
$1,500–$1,825 |
varies |
| 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 tibia nerve (28035) |
$3,920 |
$5,600 |
1.9× |
| Decompressive fasciotomy hand (26037) |
$2,660 |
$3,800 |
0.8× |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$427–$2,310 |
$610–$3,300 |
varies |
| Dilat female urethra general/cndj spinal anes (53665) |
$2,552.20 |
$3,646 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$910 |
$1,300 |
1.0× |
| Dilate Urethra Stricture (53600) |
$980 |
$1,400 |
3.7× |
| Dilation Esophagus Guide Wire (43453) |
$2,079 |
$2,970 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$700 |
$1,000 |
0.9× |
| Drain Hand Tendon Sheath (26020) |
$3,640 |
$5,200 |
1.1× |
| 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) range across 2 matching MRF lines |
$623–$672 |
$890–$960 |
varies |
| 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 Mouth Roof Lesion (42000) |
$315 |
$450 |
1.3× |
| Drainage of finger abscess simple (26010) |
$378 |
$540 |
1.8× |
| Drainage of gum lesion (41800) |
$588 |
$840 |
4.2× |
Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$2,170–$2,520 |
$3,100–$3,600 |
varies |
| Drainage of nose lesion (30000) |
$546 |
$780 |
2.2× |
| Drainage of rectal abscess (45005) |
$2,412.90 |
$3,447 |
1.9× |
| Drainage of salivary gland (42320) |
$455 |
$650 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,680 |
$2,400 |
1.0× |
| Drainage of scrotum (54700) |
$3,990 |
$5,700 |
1.8× |
| 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× |
| Draw Blood Off Venous Device (36591) |
$210 |
$300 |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$469 |
$670 |
0.6× |
| 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 Bronchoscope/Lavage (31624) |
$3,080 |
$4,400 |
1.6× |
| Dx Bronchoscope/Wash (31622) |
$1,330 |
$1,900 |
0.7× |
| 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 Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,120–$2,240 |
$1,600–$3,200 |
varies |
Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$840–$3,500 |
$1,200–$5,000 |
varies |
Egd control bleeding any (43255) range across 2 matching MRF lines |
$770–$3,360 |
$1,100–$4,800 |
varies |
Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$679–$2,380 |
$970–$3,400 |
varies |
| Egd Endoscopic Stent Place (43266) |
$3,633.70 |
$5,191 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$1,960 |
$2,800 |
2.0× |
Egd guide wire insertion (43248) range across 2 matching MRF lines |
$630–$2,170 |
$900–$3,100 |
varies |
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) range across 2 matching MRF lines |
$840–$1,820 |
$1,200–$2,600 |
varies |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,023.30 |
$4,319 |
1.5× |
| Egd lesion ablation (43270) |
$2,507.40 |
$3,582 |
1.2× |
Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$840–$2,940 |
$1,200–$4,200 |
varies |
Egd remove lesion snare (43251) range across 2 matching MRF lines |
$840–$2,030 |
$1,200–$2,900 |
varies |
Egd Tube/Cath Insertion (43241) range across 2 matching MRF lines |
$770–$1,610 |
$1,100–$2,300 |
varies |
Egd Varices Ligation (43244) range across 2 matching MRF lines |
$980–$2,170 |
$1,400–$3,100 |
varies |
| Egd W/Thrml Txmnt Gerd (43257) |
$3,138.80 |
$4,484 |
0.8× |
| Endoscopy Upper Small Intestine (44360) |
$2,424.80 |
$3,464 |
1.2× |
Endoscopy upper small intestine w/biopsy (44361) range across 2 matching MRF lines |
$980–$1,750 |
$1,400–$2,500 |
varies |
| Endoven abltj incmptnt vein xtr 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/bx single/multiple (44377) |
$2,627.80 |
$3,754 |
1.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,756.60 |
$3,938 |
1.4× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$2,632 |
$3,760 |
1.3× |
Enteroscopy > 2nd prtn ileum control bleeding (44378) range across 2 matching MRF lines |
$980–$3,175.90 |
$1,400–$4,537 |
varies |
Enteroscopy > 2nd prtn tndsc stent plmt (44370) unusually low: confirm this is the full procedure |
$3,120.60 |
$4,458 |
0.5× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,520 |
$3,600 |
1.2× |
| 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 Blood Patch (62273) |
$1,260 |
$1,800 |
1.7× |
| 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 (43260) |
$4,214 |
$6,020 |
1.0× |
Ercp remove calculi/debris biliary/pancreas duct (43264) range across 2 matching MRF lines |
$1,610–$3,068.80 |
$2,300–$4,384 |
varies |
| Ercp remove forgn body duct (43275) |
$3,103.10 |
$4,433 |
1.5× |
| Ercp,Sphincterotomy (43262) |
$1,610 |
$2,300 |
0.4× |
Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$840–$1,610 |
$1,200–$2,300 |
varies |
| Esophagosc Dilate Balloon 30 (43214) |
$3,558.10 |
$5,083 |
1.8× |
| Esophagoscop Stent Placement (43212) |
$4,329.50 |
$6,185 |
0.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,508.80 |
$3,584 |
1.2× |
Esophagoscopy Flex Transoral Injection Varices (43204) range across 2 matching MRF lines |
$840–$1,610 |
$1,200–$2,300 |
varies |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$3,589.60 |
$5,128 |
1.8× |
Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$700–$1,470 |
$1,000–$2,100 |
varies |
Esophagoscopy Flexible W/Bleeding Control (43227) range across 2 matching MRF lines |
$770–$1,610 |
$1,100–$2,300 |
varies |
| Esophagoscopy Retro Balloon (43213) |
$3,756.90 |
$5,367 |
1.9× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,850 |
$5,500 |
1.9× |
| Esophagoscopy Rigid Balloon (43195) |
$4,111.10 |
$5,873 |
1.0× |
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$840–$3,570 |
$1,200–$5,100 |
varies |
| Esophagoscp Guide Wire Dilat (43196) |
$4,060.70 |
$5,801 |
2.0× |
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) range across 2 matching MRF lines |
$770–$1,750 |
$1,100–$2,500 |
varies |
| 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 2.1-3.0cm (11423) |
$2,100 |
$3,000 |
1.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$5,408.55 |
$7,726.50 |
1.8× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,360 |
$4,800 |
1.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$5,014.28 |
$7,163.25 |
1.6× |
| Exc ganglion wrist recurrent (25112) |
$4,060 |
$5,800 |
2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,680 |
$2,400 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,382.10 |
$3,403 |
3.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,149.70 |
$3,071 |
1.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,520 |
$3,600 |
1.4× |
| Exc hand tum deep < 1.5 cm (26116) |
$3,150 |
$4,500 |
1.8× |
| 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 neurofibroma/neurolemmoma major prph nrv (64790) |
$6,836.90 |
$9,767 |
3.3× |
| 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 Shoulder Tum Deep 5 Cm/> (23073) |
$4,970 |
$7,100 |
1.6× |
| 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 tendon shth lesion leg/ankle (27630) |
$3,570 |
$5,100 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,590 |
$3,700 |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,120 |
$1,600 |
2.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,190 |
$1,700 |
1.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,030 |
$2,900 |
1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,640 |
$5,200 |
1.2× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$4,170.60 |
$5,958 |
2.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$4,340 |
$6,200 |
1.4× |
| 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 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 Catheter Prq W/Img Gid Rs&I (50435) |
$840 |
$1,200 |
0.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,680 |
$2,400 |
0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$349.69 |
$499.55 |
0.5× |
| 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 Maxillary Torus Palatinus (21032) |
$3,360 |
$4,800 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,520 |
$3,600 |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$4,970 |
$7,100 |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,010 |
$4,300 |
1.8× |
| Excision of hydrocele; bilateral (55041) |
$5,320 |
$7,600 |
1.4× |
| Excision of hydrocele; unilateral (55040) |
$5,180 |
$7,400 |
1.4× |
| 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 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 femur; (27355) |
$6,510 |
$9,300 |
1.9× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$4,550 |
$6,500 |
1.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$5,630.10 |
$8,043 |
1.8× |
| 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, interdigital (morton) neuroma, single, each (28080) |
$3,500 |
$5,000 |
2.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,500 |
$5,000 |
1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,812.55 |
$5,446.50 |
1.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,800 |
$4,000 |
1.6× |
| 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) range across 2 matching MRF lines |
$1,330–$2,240 |
$1,900–$3,200 |
varies |
| Exploration Penetrating Wound Spx Neck (20100) |
$840 |
$1,200 |
1.5× |
| Exploratory elbow surgery (24000) |
$3,360 |
$4,800 |
1.0× |
| Explore treat shoulder joint (23107) |
$4,760 |
$6,800 |
0.6× |
| Explore/Treat Knee Joint (27331) |
$5,040 |
$7,200 |
1.5× |
| Eye Surg Ant Sgmt Proc Unlisted (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 bx w/CT gdn 1st lesion (10009) |
$980 |
$1,400 |
1.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$980 |
$1,400 |
1.3× |
Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$658–$693 |
$940–$990 |
varies |
| Fixation contralateral testis separate procedure (54620) |
$3,850 |
$5,500 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$203 |
$290 |
0.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$980 |
$1,400 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,330 |
$1,900 |
1.8× |
| Fuse hand bones with graft (25825) |
$7,210 |
$10,300 |
0.9× |
| Fusion Finger Joint (26860) |
$5,320 |
$7,600 |
1.5× |
| Fusion of knuckle (26850) |
$4,760 |
$6,800 |
0.6× |
| 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× |
Hemiarthroplasty hip partial (27125) unusually low: confirm this is the full procedure |
$5,530 |
$7,900 |
0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,593.40 |
$6,562 |
1.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,150 |
$4,500 |
1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,550 |
$6,500 |
1.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,120 |
$1,600 |
1.1× |
| 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 Endometrial Ablation (58563) |
$4,760 |
$6,800 |
0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,743.38 |
$6,776.25 |
1.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,600 |
$8,000 |
1.1× |
| 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 Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,920 |
$5,600 |
1.1× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$3,570 |
$5,100 |
1.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,880 |
$8,400 |
1.7× |
| I&d perianal abscess superficial (46050) |
$2,170 |
$3,100 |
2.2× |
| I&d pilonidal cyst complicated (10081) |
$980 |
$1,400 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$476 |
$680 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$4,970 |
$7,100 |
1.6× |
Ileoscopy Stoma W/Balloon Dilation (44381) range across 2 matching MRF lines |
$770–$1,470 |
$1,100–$2,100 |
varies |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (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 Cath Fluid Trns/Vgnl (49407) |
$3,290 |
$4,700 |
1.9× |
| Implant neuroelectrodes (63650) |
$5,320 |
$7,600 |
0.8× |
| Implant Neuroelectrodes (64561) |
$5,483.80 |
$7,834 |
0.8× |
Implant Periph/Gastric Neurostim/Receiver (64590) unusually low: confirm this is the full procedure |
$6,350.40 |
$9,072 |
0.3× |
Implant Spine Infusion Pump (62362) unusually low: confirm this is the full procedure |
$9,100 |
$13,000 |
0.5× |
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 & 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 of vulva or perineal abscess (56405) |
$700 |
$1,000 |
2.2× |
| Incision extensor tendon sheath wrist (25000) |
$3,150 |
$4,500 |
1.9× |
| Incision of Foot Tendon (28234) |
$2,030 |
$2,900 |
1.2× |
Incision of rectal abscess (46040) range across 2 matching MRF lines |
$2,450–$2,730 |
$3,500–$3,900 |
varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,240 |
$3,200 |
1.3× |
| 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 Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$3,430 |
$4,900 |
3.7× |
| Inj W/Fluor Eval Cv Device (36598) |
$455 |
$650 |
2.0× |
| 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× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$546 |
$780 |
1.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,610 |
$2,300 |
1.7× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,960 |
$2,800 |
2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,120 |
$1,600 |
1.2× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$2,660 |
$3,800 |
2.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,610 |
$2,300 |
2.2× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,960 |
$2,800 |
2.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,761.90 |
$2,517 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,330 |
$1,900 |
1.8× |
| Injection enzyme palmar fascial cord (20527) |
$568.05 |
$811.50 |
1.8× |
| Injection for identification of sentinel node (38792) |
$1,470 |
$2,100 |
3.5× |
| Injection Into Brain Canal (61055) |
$980 |
$1,400 |
3.0× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$2,004.80 |
$2,864 |
2.0× |
| Injection single tendon origin/insertion (20551) |
$377.30 |
$539 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$770 |
$1,100 |
2.4× |
Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$112–$553 |
$160–$790 |
varies |
| Injection therapeutic carpal tunnel (20526) |
$413 |
$590 |
1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,800 |
$4,000 |
3.0× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$154–$2,730 |
$220–$3,900 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,330 |
$1,900 |
1.8× |
| 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/Rep Subq Defibrillator (33270) |
$31,771.60 |
$45,388 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$15,680 |
$22,400 |
1.8× |
| 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) range across 3 matching MRF lines |
$2,324–$5,040 |
$3,320–$7,200 |
varies |
| 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) range across 2 matching MRF lines |
$1,470–$2,030 |
$2,100–$2,900 |
varies |
| Insert Pacing Lead & Connect (33224) |
$15,680 |
$22,400 |
1.4× |
| 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) range across 2 matching MRF lines |
$59.50–$126 |
$85–$180 |
varies |
| Insert tunneled cv cath (36561) |
$5,110 |
$7,300 |
1.5× |
| Insert tunneled cv cath (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× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,200 |
$6,000 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,890 |
$2,700 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,596.30 |
$13,709 |
1.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,830 |
$6,900 |
1.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$15,680 |
$22,400 |
1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$980 |
$1,400 |
0.3× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,050 |
$1,500 |
1.6× |
| 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 prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,260 |
$1,800 |
0.8× |
| 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 Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$8,050 |
$11,500 |
0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,960 |
$12,800 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$15,680 |
$22,400 |
1.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,085.90 |
$5,837 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$469 |
$670 |
1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$399 |
$570 |
0.9× |
| 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/drainage (29871) |
$5,898.90 |
$8,427 |
1.7× |
| Knee Arthroscopy/Surgery (29874) |
$4,760 |
$6,800 |
1.4× |
| Lap impl electrode antrum (43647) |
$7,018.90 |
$10,027 |
0.6× |
| 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× |
| Laparo ablate liver tumor rf (47370) |
$9,520 |
$13,600 |
0.8× |
| Laparo-vag hyst incl t/o (58552) |
$11,550 |
$16,500 |
1.0× |
| Laparoscopic myomectomy (58545) |
$9,870 |
$14,100 |
1.5× |
| Laparoscopy aspiration (49322) |
$6,090 |
$8,700 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$7,350 |
$10,500 |
1.2× |
| Laparoscopy fulguration oviducts (58670) |
$5,040 |
$7,200 |
0.8× |
| Laparoscopy gastrostomy (43653) |
$8,708 |
$12,440 |
1.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$8,400 |
$12,000 |
1.3× |
| 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, appendectomy (44970) |
$6,370 |
$9,100 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,670 |
$18,100 |
1.1× |
| Laparoscopy, surgical, splenectomy (38120) |
$12,810 |
$18,300 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,770 |
$11,100 |
1.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$11,463.20–$11,463.38 |
$16,376–$16,376.25 |
varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,930 |
$9,900 |
1.1× |
| 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 Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$16,924.60 |
$24,178 |
1.5× |
| 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 Knee Extra-Articular (27427) |
$7,280 |
$10,400 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$8,680 |
$12,400 |
0.6× |
| Ligation nasal sinus artery (30915) |
$2,450 |
$3,500 |
0.7× |
| 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× |
| Lsh w/t/o uterus above 250 g (58544) |
$16,590 |
$23,700 |
1.5× |
| Manipulation Ankle Under General Anesthesia (27860) |
$7,210 |
$10,300 |
2.1× |
| 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× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,380 |
$3,400 |
1.4× |
| 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× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,210 |
$10,300 |
1.0× |
| 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 Celiac Pelus (64530) |
$1,843.10 |
$2,633 |
2.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,050 |
$1,500 |
1.4× |
| N block inj intercost sng (64420) |
$700 |
$1,000 |
0.9× |
| N Block Inj Paracervical (64435) |
$1,400 |
$2,000 |
1.9× |
| N Block Inj Pudendal (64430) |
$1,400 |
$2,000 |
1.5× |
N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,820–$3,920 |
$2,600–$5,600 |
varies |
Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$427–$462 |
$610–$660 |
varies |
| 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× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$3,780 |
$5,400 |
0.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,074 |
$5,820 |
2.4× |
| Needle Biopsy Lymph Nodes (38505) |
$1,540 |
$2,200 |
0.9× |
| Needle Biopsy 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/conduit each nerve (64910) |
$5,006.40 |
$7,152 |
0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$4,340 |
$6,200 |
2.1× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,760 |
$6,800 |
2.3× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$6,510 |
$9,300 |
3.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$910 |
$1,300 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,610 |
$2,300 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$980 |
$1,400 |
3.0× |
| 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 Sclrsnt 1 Vein (36465) |
$2,685.20 |
$3,836 |
1.2× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,537.50 |
$3,625 |
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 1 Incmptnt Vein (36470) |
$105 |
$150 |
0.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$105 |
$150 |
0.2× |
| Njx Sclrsnt Spider Veins (36468) |
$1,331.40 |
$1,902 |
3.1× |
| 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) range across 2 matching MRF lines |
$546–$553 |
$780–$790 |
varies |
| 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 Nea Sacral Nerve (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 & Fibula (27828) |
$10,570 |
$15,100 |
0.8× |
| 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 Lunate Dislocation (25695) unusually low: confirm this is the full procedure |
$2,449.30 |
$3,499 |
0.3× |
| 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 (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 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 Ulnar Shaft Fracture (25545) |
$7,484.40 |
$10,692 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$6,720 |
$9,600 |
0.9× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$6,860 |
$9,800 |
0.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$9,870 |
$14,100 |
0.7× |
| Open Treatment Radial Shaft Fracture (25515) |
$8,480.33 |
$12,114.75 |
1.1× |
Open Treatment Tarsal Bone Dislocation (28555) unusually low: confirm this is the full procedure |
$3,710 |
$5,300 |
0.5× |
| 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 Radioulnar Dislc Acute/Chronic (25676) |
$4,522.88 |
$6,461.25 |
0.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$3,990 |
$5,700 |
0.5× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$7,910 |
$11,300 |
0.6× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$9,800 |
$14,000 |
0.7× |
| 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 Tibial Fracture Proximal Unicondylar (27535) |
$4,439.93 |
$6,342.75 |
0.6× |
| 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 1St (37236) |
$11,690 |
$16,700 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$10,990 |
$15,700 |
0.9× |
| 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 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 excision; fifth metatarsal head (28113) |
$3,613.40 |
$5,162 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,430 |
$4,900 |
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/Ulna Shortening (25390) |
$6,359.50 |
$9,085 |
0.8× |
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) unusually low: confirm this is the full procedure |
$3,570 |
$5,100 |
0.5× |
| 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× |
| Palatopharyngoplasty (42145) |
$4,620 |
$6,600 |
0.7× |
| Part exc bone femur prox tibia (27360) |
$4,690 |
$6,700 |
1.4× |
| Partial Excision Bone Humerus (24140) |
$4,200 |
$6,000 |
1.2× |
| Partial excision bone olecranon process (24147) |
$3,920 |
$5,600 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$4,690 |
$6,700 |
2.8× |
| Partial removal of tibia (27640) |
$4,200 |
$6,000 |
1.2× |
| Partial removal of toe (28160) |
$3,500 |
$5,000 |
1.0× |
| 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× |
| Penile Injection (54235) |
$770 |
$1,100 |
2.9× |
| Perc Rf Ablate Renal Tumor (50592) |
$13,930 |
$19,900 |
2.2× |
| Percut Ablate Liver Rf (47382) |
$4,060 |
$5,800 |
0.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,260 |
$1,800 |
1.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,830 |
$6,900 |
1.4× |
| 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 Cervicothoracic Inject (22510) |
$4,690 |
$6,700 |
1.4× |
| 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 Lumbosacral Injection (22511) |
$4,690 |
$6,700 |
1.4× |
| 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 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× |
| Phleb Veins - Extrem 20+ (37766) |
$5,040 |
$7,200 |
1.5× |
| 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 Catheter (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 Control Bleeding (45317) range across 2 matching MRF lines |
$770–$1,960 |
$1,100–$2,800 |
varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,836 |
$5,480 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,400 |
$2,000 |
1.9× |
| 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 femoral fx prox end neck (27235) |
$6,650 |
$9,500 |
0.9× |
| Prq skel fixj metar fx w/manj (28476) |
$4,340 |
$6,200 |
1.3× |
| 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× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,430 |
$4,900 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$1,050 |
$1,500 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$294 |
$420 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$644 |
$920 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$1,260 |
$1,800 |
1.7× |
| 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 Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$5,281.50 |
$7,545 |
1.5× |
| 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× |
| Realignment of knee (27457) |
$4,975.43 |
$7,107.75 |
0.6× |
| Reconstruct wrist joint (25445) |
$7,504.88 |
$10,721.25 |
1.0× |
| 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) range across 2 matching MRF lines |
$10,010–$11,060 |
$14,300–$15,800 |
varies |
| Redo Endovas Vena Cava Filtr (37192) |
$3,500 |
$5,000 |
1.1× |
| Release of shoulder ligament (23415) |
$4,620 |
$6,600 |
0.6× |
| Relocation Pocket Pacemaker (33222) |
$4,900 |
$7,000 |
2.3× |
| Rem Endovas Vena Cava Filter (37193) |
$5,110 |
$7,300 |
1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$770 |
$1,100 |
0.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$700 |
$1,000 |
2.1× |
| 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 Muscle/Tendon Sheath Simple (20520) |
$2,100 |
$3,000 |
1.2× |
| 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 foreign body from pharynx (42809) |
$371 |
$530 |
0.8× |
| Removal of humerus lesion (23150) |
$5,574.80 |
$7,964 |
1.6× |
| Removal of nail bed (11750) |
$1,750 |
$2,500 |
4.1× |
| 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 bivalving full arm or full leg cast (29705) |
$224 |
$320 |
0.8× |
| 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× |
| Remove & graft wrist lesion (25135) |
$3,920 |
$5,600 |
0.5× |
| Remove Ankle Joint Lining (27626) |
$4,200 |
$6,000 |
1.2× |
| Remove drug implant device (11982) |
$1,330 |
$1,900 |
2.8× |
| Remove elbow lesion (24120) |
$3,570 |
$5,100 |
1.0× |
| Remove foreign body from eye (65235) |
$2,590 |
$3,700 |
1.1× |
| Remove foreign body from eye (65205) |
$483 |
$690 |
3.4× |
| Remove Intrauterine Device (58301) |
$343 |
$490 |
1.1× |
Remove intrvas foreign body (37197) range across 2 matching MRF lines |
$4,410–$6,300 |
$6,300–$9,000 |
varies |
| Remove knee joint lining (27334) |
$5,740 |
$8,200 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$252 |
$360 |
1.8× |
| Remove prostate regrowth (52630) |
$5,880 |
$8,400 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$5,329.10 |
$7,613 |
3.1× |
| Remove Skin Nerve Lesion (64774) |
$4,690 |
$6,700 |
2.3× |
| Remove Tendon Sheath Lesion (26160) |
$2,800 |
$4,000 |
1.6× |
| Remove wrist joint cartilage (25107) |
$4,970 |
$7,100 |
1.4× |
| 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 Perq (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 Collat Ankle Ligmnt,Secondary (27698) |
$4,900 |
$7,000 |
0.6× |
| 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 Elbow Perc (24357) |
$2,730 |
$3,900 |
0.8× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$5,180 |
$7,400 |
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 Finger/Hand Tendon (26350) |
$5,271 |
$7,530 |
1.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,550 |
$6,500 |
1.3× |
| Repair Foot Dislocation (28615) |
$5,516.70 |
$7,881 |
0.7× |
| Repair Forearm Tendon Sheath (25275) |
$5,927.25 |
$8,467.50 |
1.7× |
| Repair Hallux Rigidus (28289) |
$4,340 |
$6,200 |
1.3× |
| Repair Hand Tendon (26410) |
$3,430 |
$4,900 |
2.0× |
| Repair humerus with graft (24435) |
$13,860 |
$19,800 |
1.0× |
| 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 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 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 Nonunion/Malunion Tarsal Bones (28320) |
$7,560 |
$10,800 |
0.6× |
| Repair of biceps tendon (24340) |
$5,460 |
$7,800 |
0.7× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,440 |
$9,200 |
0.8× |
| Repair of nail bed (11760) |
$980 |
$1,400 |
1.3× |
| 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 Ruptured Tendon (24342) |
$7,070 |
$10,100 |
0.9× |
| Repair of shoulder (23420) |
$6,804.53 |
$9,720.75 |
0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,860 |
$9,800 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,180 |
$7,400 |
0.7× |
| Repair shoulder capsule (23462) |
$8,890 |
$12,700 |
1.2× |
| Repair shoulder capsule (23466) |
$7,840 |
$11,200 |
1.0× |
| 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/graft achilles tendon (27652) |
$7,569.45 |
$10,813.50 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$5,040 |
$7,200 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,820 |
$2,600 |
1.9× |
| Replace elbow joint (24363) |
$12,320 |
$17,600 |
0.7× |
| Replace G-J Tube Perc (49452) |
$1,544.90 |
$2,207 |
1.6× |
| Replace g/c tube perc (49450) |
$1,334.20 |
$1,906 |
1.4× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$6,204.10 |
$8,863 |
1.6× |
| Reposition Gastrostomy Tube (43761) |
$840 |
$1,200 |
3.2× |
| Reposition Venous Catheter (36597) |
$1,610 |
$2,300 |
1.0× |
| Repr torn cruciate knee ligam (27407) |
$7,132.30 |
$10,189 |
0.9× |
| Rerepair ing hernia reduce (49520) |
$6,020 |
$8,600 |
1.6× |
| Resection of scrotum (55150) |
$6,440 |
$9,200 |
1.7× |
| Resection/transplantation long tendon 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 lower leg tendon (27690) |
$5,041.58 |
$7,202.25 |
0.7× |
| Revise ulnar nerve at wrist (64719) |
$3,861.90 |
$5,517 |
1.9× |
| Revise/Implant Finger Joint (26536) |
$6,440 |
$9,200 |
0.8× |
Revision of big toe (28310) unusually low: confirm this is the full procedure |
$3,010 |
$4,300 |
0.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$7,490 |
$10,700 |
2.0× |
| Revision of foot fascia (28250) |
$3,778.60 |
$5,398 |
1.1× |
| Revision of leg vein (37780) |
$4,690 |
$6,700 |
1.4× |
| Revision of toe (28312) |
$3,290 |
$4,700 |
1.0× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$8,680 |
$12,400 |
0.6× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,370 |
$9,100 |
0.9× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$7,140 |
$10,200 |
0.5× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$8,260 |
$11,800 |
0.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$10,850 |
$15,500 |
1.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,480 |
$6,400 |
1.2× |
| 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/o slit lamp (65220) |
$518 |
$740 |
1.1× |
| 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 fecal impaction/fb spx under anes (45915) |
$2,030 |
$2,900 |
1.6× |
| 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 spinal nstim eltrd prq array incl fluor (63661) |
$3,220 |
$4,600 |
1.6× |
| 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) range across 2 matching MRF lines |
$1,470–$1,540 |
$2,100–$2,200 |
varies |
| Rmvl/revj sling stress incontinence (57287) |
$4,900 |
$7,000 |
1.4× |
| Rplc Gtube No Revj Trc (43762) |
$574 |
$820 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,680 |
$2,400 |
0.5× |
| 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 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,890 |
$2,700 |
0.3× |
| 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 F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$497 |
$710 |
2.3× |
| 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 Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$4,284 |
$6,120 |
1.2× |
| 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/Fr Graft Ea Tendon (26352) |
$10,424.40 |
$14,892 |
1.4× |
| 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) range across 2 matching MRF lines |
$4,344.90–$4,999.58 |
$6,207–$7,142.25 |
varies |
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) range across 2 matching MRF lines |
$4,207.88–$4,233.60 |
$6,011.25–$6,048 |
varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$5,861.63 |
$8,373.75 |
1.7× |
| Sclerotx Fluid Collection (49185) |
$1,896.30 |
$2,709 |
1.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,010 |
$4,300 |
0.9× |
Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$679–$1,330 |
$970–$1,900 |
varies |
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$770–$1,892.10 |
$1,100–$2,703 |
varies |
| Shoulder arthroscopy diagnostic (29805) |
$5,250 |
$7,500 |
1.5× |
| Shoulder Arthroscopy/Surgery (29825) |
$4,130 |
$5,900 |
1.2× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,873.20 |
$2,676 |
1.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,344.30 |
$3,349 |
1.9× |
Sigmoidoscopy flx tndsc balo dilat (45340) range across 2 matching MRF lines |
$1,960–$2,114.70 |
$2,800–$3,021 |
varies |
| Sigmoidoscopy w/fb removal (45332) |
$2,730 |
$3,900 |
2.2× |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$420–$1,750 |
$600–$2,500 |
varies |
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines |
$770–$2,028.60 |
$1,100–$2,898 |
varies |
| 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 >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× |
| 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 (44366) range across 2 matching MRF lines |
$980–$2,643.20 |
$1,400–$3,776 |
varies |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,506 |
$3,580 |
1.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$6,130.60 |
$8,758 |
1.0× |
| 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) range across 2 matching MRF lines |
$3,990–$4,390.05 |
$5,700–$6,271.50 |
varies |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,120–$1,470 |
$1,600–$2,100 |
varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,710 |
$5,300 |
1.1× |
| 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) range across 4 matching MRF lines |
$392–$427 |
$560–$610 |
varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,380 |
$3,400 |
0.7× |
| Surg tx anal fistula subq (46270) |
$4,181.10 |
$5,973 |
1.4× |
| 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× |
| Syndactylization toes (28280) |
$2,833.60 |
$4,048 |
0.8× |
| 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 cplx xtnsr tendon finger w/forearm ea (26449) |
$3,710 |
$5,300 |
1.1× |
| Tenolysis extensor foot single tendon (28225) |
$2,920.40 |
$4,172 |
0.8× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$3,007.90 |
$4,297 |
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, extensor tendon, hand or finger, each tendon (26445) |
$3,101.70 |
$4,431 |
0.9× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$2,730 |
$3,900 |
1.6× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,060 |
$25,800 |
0.9× |
Thromblytic art/ven therapy (37213) range across 2 matching MRF lines |
$3,570–$4,970 |
$5,100–$7,100 |
varies |
Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$2,240–$4,970 |
$3,200–$7,100 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$770 |
$1,100 |
2.2× |
Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$2,240–$3,150 |
$3,200–$4,500 |
varies |
| Thumb fusion with graft (26842) |
$5,180 |
$7,400 |
0.7× |
| 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× |
Tooth extraction (41899) range across 4 matching MRF lines |
$70–$4,060 |
$100–$5,800 |
varies |
| 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× |
Transcatheter biopsy (37200) range across 2 matching MRF lines |
$3,290–$4,760 |
$4,700–$6,800 |
varies |
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 2 matching MRF lines |
$3,500–$3,619.70 |
$5,000–$5,171 |
varies |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$3,080 |
$4,400 |
0.9× |
| Transplant hand tendon (26480) |
$3,780 |
$5,400 |
1.1× |
| 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 Dental Ridge Fracture (21440) |
$3,430 |
$4,900 |
1.0× |
| Treat dislocation/fracture (23670) |
$8,680 |
$12,400 |
1.1× |
| Treat dislocation/fracture (23680) |
$12,180 |
$17,400 |
0.9× |
| Treat Elbow Fracture (24635) |
$9,450 |
$13,500 |
1.2× |
| Treat Finger Fracture Each (26727) |
$4,060 |
$5,800 |
1.2× |
| Treat fracture radius/ulna (25575) |
$7,630 |
$10,900 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,140 |
$10,200 |
0.9× |
| Treat humerus fracture (24500) |
$511 |
$730 |
2.0× |
| Treat Humerus Fracture (24505) |
$910 |
$1,300 |
0.5× |
| Treat humerus fracture (23616) |
$9,976.40 |
$14,252 |
0.5× |
| Treat humerus fracture (23600) |
$441 |
$630 |
1.7× |
| Treat knee fracture (27532) |
$3,011.40 |
$4,302 |
0.9× |
| Treat kneecap dislocation (27566) |
$7,420 |
$10,600 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,630 |
$10,900 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$441 |
$630 |
1.7× |
| Treat metacarpal fracture (26607) |
$2,730 |
$3,900 |
0.8× |
| Treat Metatarsal Fracture (28475) |
$1,330 |
$1,900 |
5.1× |
| Treat scapula fracture (23585) |
$9,100 |
$13,000 |
1.2× |
| Treat Thumb Dislocation (26641) |
$469 |
$670 |
1.8× |
| Treat Thumb Fracture (26645) |
$644 |
$920 |
0.4× |
| Treat thumb fracture (26665) |
$7,525 |
$10,750 |
2.2× |
| Treat toe dislocation (28630) |
$350 |
$500 |
1.3× |
| 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 ankle fracture (27823) |
$9,240 |
$13,200 |
1.2× |
| Treatment of foot infection (28003) |
$3,360 |
$4,800 |
1.0× |
| 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 Nondystrophic Nails Any Number (11719) |
$65.80 |
$94 |
1.1× |
| Trluml Balo Angiop 1St Art (37246) |
$7,420 |
$10,600 |
1.2× |
| Trluml Balo Angiop 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× |
| Tx Gastro Intub W/Asp (43753) |
$476 |
$680 |
2.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,080 |
$4,400 |
0.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$7,070 |
$10,100 |
0.9× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$2,730 |
$3,900 |
0.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,100 |
$3,000 |
1.2× |
| 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 Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$343 |
$490 |
1.3× |
| 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 Casting/Strapping (29799) |
$224 |
$320 |
1.3× |
| 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 Leg/Ankle (27899) |
$3,080 |
$4,400 |
11.8× |
| 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 stomach (43999) |
$1,890 |
$2,700 |
2.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,450 |
$3,500 |
3.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$1,890 |
$2,700 |
8.9× |
| Upgrade of pacemaker system (33214) |
$16,870 |
$24,100 |
1.5× |
| Urinary Reflex Study (51792) |
$497 |
$710 |
8.0× |
| 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× |
| Vein Access Cutdown < 1 Yr (36420) |
$980 |
$1,400 |
7.0× |
| Venous Cutdown >1 Y/O (36425) |
$910 |
$1,300 |
1.9× |
| Venous Mech Thrombectomy (37187) |
$7,000 |
$10,000 |
0.6× |
| Wedge excision skin nail fold (11765) |
$567 |
$810 |
1.3× |
| Wrist arthroscopy (29840) |
$6,510 |
$9,300 |
1.9× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$4,089.23 |
$5,841.75 |
1.2× |
| Xfer Single Deep Low Leg Tendon (27691) |
$4,620 |
$6,600 |
0.6× |