| Abd paracentesis w/imaging (49083) |
$1,221.68 |
$3,054.21 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,213.05 |
$3,032.64 |
1.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,604.36 |
$9,010.89 |
1.1× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$337.03 |
$842.57 |
1.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$16,547.77 |
$41,369.42 |
3.4× |
| Application Finger Splint Dynamic (29131) |
$53.80 |
$134.51 |
0.9× |
| Application finger splint static (29130) |
$105.52 |
$263.81 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$286.68 |
$716.69 |
1.8× |
| Application Long Leg Splint (29505) |
$291.44 |
$728.59 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$143.05 |
$357.62 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$285.12 |
$712.79 |
2.2× |
| Application short leg splint calf foot (29515) |
$285.12 |
$712.79 |
1.8× |
| Arterial puncture (36600) |
$29.06 |
$72.64 |
0.2× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$16,641.72 |
$41,604.31 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$824.17 |
$2,060.44 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$353.20 |
$883.01 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,136.82 |
$5,342.06 |
7.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$678.73 |
$1,696.82 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$388.88 |
$972.19 |
1.3× |
| Arthrodesis knee any technique (27580) |
$18,755.76 |
$46,889.41 |
1.5× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$28,012 |
$70,030.01 |
1.1× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$23,455.07 |
$58,637.67 |
1.4× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
$18,232.32 |
$45,580.81 |
1.1× |
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure |
$6,128.45 |
$15,321.12 |
0.4× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$21,601.28 |
$54,003.20 |
0.8× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$15,521.39 |
$38,803.47 |
0.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$14,740.21 |
$36,850.54 |
0.9× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure |
$134.64 |
$336.60 |
0.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$11,182.58 |
$27,956.46 |
3.5× |
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure |
$1,208.06 |
$3,020.16 |
0.1× |
| Arthroplasty Radial Head W/Implant (24366) |
$23,017.43 |
$57,543.58 |
1.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$9,001.77 |
$22,504.42 |
2.8× |
| Arthroscopy knee synovectomy limited spx (29875) |
$9,030.78 |
$22,576.95 |
2.8× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,399.60 |
$10,999 |
1.4× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$13,440.29 |
$33,600.73 |
1.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,824.34 |
$12,060.86 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$14,400.42 |
$36,001.05 |
4.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$11,358.78 |
$28,396.95 |
1.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,328.24 |
$10,820.60 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,942.08 |
$12,355.21 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$11,464.78 |
$28,661.94 |
1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$22,368.41 |
$55,921.03 |
3.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$25,939.35 |
$64,848.37 |
2.1× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$9,209.38 |
$23,023.45 |
0.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$5,870.11 |
$14,675.27 |
0.8× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$13,305.20 |
$33,262.99 |
4.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$9,651.96 |
$24,129.91 |
3.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$10,216.83 |
$25,542.07 |
3.2× |
| Aspirate pleura w/ imaging (32555) |
$1,184.16 |
$2,960.39 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$8,101.41 |
$20,253.52 |
4.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$456.21 |
$1,140.52 |
2.3× |
| Biopsy Abdominal Mass (49180) |
$1,344.92 |
$3,362.31 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,280.57 |
$5,701.43 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,304.64 |
$3,261.59 |
0.8× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,109.15 |
$2,772.88 |
0.7× |
| Biopsy of penis (54100) |
$5,141.99 |
$12,854.98 |
3.2× |
| Biopsy Salivary Gland Needle (42400) |
$332.06 |
$830.15 |
0.5× |
| Biopsy soft tissue neck/thorax (21550) |
$1,620.24 |
$4,050.60 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$9,914.38 |
$24,785.95 |
2.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$9,462.98 |
$23,657.46 |
13.9× |
| Bladder Irrigation (51700) |
$877.07 |
$2,192.67 |
3.6× |
| Blood Transfusion Service (36430) |
$591.48 |
$1,478.69 |
1.4× |
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure |
$891.62 |
$2,229.06 |
0.1× |
| Bone Marrow Biopsy (38221) |
$2,632.98 |
$6,582.45 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,480.34 |
$6,200.86 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,999.13 |
$4,997.83 |
1.2× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$6,606.01 |
$16,515.03 |
1.9× |
| Bx/exc lymph node open deep axillary node (38525) |
$9,110.29 |
$22,775.72 |
2.4× |
| Carpal Tunnel Surgery (64721) |
$4,528.19 |
$11,320.48 |
2.4× |
| Cataract surg w/iol 1 stage (66983) |
$6,021.40 |
$15,053.51 |
2.7× |
| Cataract surgery complex (66982) |
$7,329.22 |
$18,323.05 |
3.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$8,715.45 |
$21,788.62 |
2.8× |
| Change Cystostomy Tube Simple (51705) |
$285.12 |
$712.79 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$194.28 |
$485.70 |
0.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$353.20 |
$883.01 |
0.5× |
| Chemodenerv Musc Migraine (64615) |
$388.56 |
$971.39 |
1.3× |
| Chemodenerv musc neck dyston (64616) |
$353.20 |
$883.01 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$388.56 |
$971.39 |
0.6× |
| Chest tube placement (32551) |
$1,279.03 |
$3,197.58 |
0.8× |
| Circumcision 28 days or older (54161) |
$10,915.83 |
$27,289.59 |
5.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,285.21 |
$5,713.03 |
1.1× |
| Clear outer ear canal (69200) |
$285.12 |
$712.79 |
2.2× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$7,277.91 |
$18,194.78 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,925.54 |
$4,813.84 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,561.49 |
$6,403.73 |
1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$6,749.84 |
$16,874.60 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$316.59 |
$791.48 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$285.12 |
$712.79 |
0.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$13,697.12 |
$34,242.80 |
56.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,063.04 |
$5,157.60 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$457.96 |
$1,144.90 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$59.16 |
$147.90 |
0.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$457.96 |
$1,144.90 |
1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$167.36 |
$418.40 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$99.76 |
$249.41 |
0.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,021.44 |
$5,053.60 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$324.24 |
$810.59 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,017.28 |
$5,043.20 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$329.94 |
$824.84 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$457.96 |
$1,144.90 |
1.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$878.43 |
$2,196.08 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$259.20 |
$647.99 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,854.31 |
$4,635.78 |
7.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$457.96 |
$1,144.90 |
1.9× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,539.41 |
$3,848.53 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$55.67 |
$139.17 |
0.4× |
| Collection of venous blood by venipuncture (36415) |
$25.82 |
$64.54 |
2.8× |
| Colonoscopy w/submucosal inj (45381) |
$4,956.27 |
$12,390.68 |
4.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$8,730.02 |
$21,825.06 |
2.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,559.95 |
$16,399.88 |
2.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,994.02 |
$4,985.05 |
1.7× |
| Complex drainage wound (10180) |
$7,970.55 |
$19,926.38 |
2.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$8,254.32 |
$20,635.81 |
2.6× |
| Conization of cervix (57520) |
$6,295.01 |
$15,737.53 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,501.88 |
$3,754.71 |
11.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$469.76 |
$1,174.40 |
3.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,165.69 |
$2,914.23 |
0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$15,037.04 |
$37,592.59 |
1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,065.78 |
$17,664.44 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$17,573.74 |
$43,934.34 |
2.5× |
| Create Eardrum Opening (69433) |
$2,575.86 |
$6,439.66 |
4.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$3,756.79 |
$9,391.97 |
28.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$1,669.89 |
$4,174.72 |
7.2× |
| Curettage postpartum (59160) |
$8,321.08 |
$20,802.70 |
2.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$8,114.20 |
$20,285.50 |
4.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$7,430.67 |
$18,576.68 |
3.6× |
| Cysto w/insert ureteral stent (52332) |
$8,106.44 |
$20,266.10 |
2.4× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$5,535.58 |
$13,838.94 |
1.6× |
| Cysto w/removal of lesions small (52224) |
$6,219.17 |
$15,547.92 |
1.8× |
| Cysto w/removal of tumors small (52234) |
$5,700.20 |
$14,250.50 |
1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$8,276.12 |
$20,690.31 |
4.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$8,510.81 |
$21,277.03 |
1.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$7,321.91 |
$18,304.77 |
2.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,198.57 |
$12,996.42 |
1.5× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$8,114.51 |
$20,286.27 |
2.4× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$4,308.17 |
$10,770.44 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$9,726.92 |
$24,317.30 |
1.9× |
| Cystouretero w/renal strict (52346) |
$5,681.49 |
$14,203.73 |
1.1× |
| Cystourethroscopy (52000) |
$6,625.32 |
$16,563.29 |
9.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$6,691 |
$16,727.49 |
1.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$7,723.15 |
$19,307.89 |
3.8× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$11,642.81 |
$29,107.03 |
3.4× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$8,571.38 |
$21,428.45 |
1.6× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$6,826.98 |
$17,067.45 |
3.3× |
| Cystourethroscopy with biopsy (52204) |
$7,278.45 |
$18,196.13 |
3.6× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$9,737.79 |
$24,344.48 |
4.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$13,584.08 |
$33,960.21 |
6.7× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$3,636.68 |
$9,091.71 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$7,375.95 |
$18,439.88 |
2.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,760.17 |
$6,900.42 |
4.0× |
| Debride nail 1-5 (11720) |
$4,464.63 |
$11,161.57 |
77.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,464.63 |
$11,161.57 |
2.8× |
| Deep Muscle Biopsy (20205) |
$9,288.54 |
$23,221.35 |
3.3× |
| Destroy cerv/thor facet jnt (64633) |
$1,148.52 |
$2,871.30 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,044.10 |
$2,610.26 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,297.36 |
$5,743.39 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$4,294.86 |
$10,737.16 |
4.7× |
| Dilate Urethra Stricture (53600) |
$5,284.04 |
$13,210.10 |
21.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$8,504.70 |
$21,261.74 |
2.7× |
| Drain/inj small joint/bursa w/us (20604) |
$388.56 |
$971.39 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$650.02 |
$1,625.05 |
0.9× |
| Drainage of finger abscess simple (26010) |
$348.51 |
$871.28 |
1.8× |
| Drainage of gum lesion (41800) |
$469.22 |
$1,173.06 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$8,055 |
$20,137.50 |
5.0× |
| Drainage of scrotal wall abscess (55100) |
$9.36 |
$23.40 |
0.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$13,584.08 |
$33,960.21 |
4.3× |
| Draw Blood Off Venous Device (36591) |
$204.96 |
$512.40 |
1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$491.24 |
$1,228.10 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$267.02 |
$667.55 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$446.44 |
$1,116.09 |
2.3× |
| Dstrj lesion penis simple surg excision (54060) |
$7,328.11 |
$18,320.28 |
3.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,192.78 |
$5,481.96 |
2.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,632.98 |
$6,582.45 |
0.9× |
| Dx gastr intub w/asp specs (43755) |
$11,521.98 |
$28,804.94 |
91.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$352.85 |
$882.12 |
0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$4,596.26 |
$11,490.65 |
2.5× |
| Egd control bleeding any (43255) |
$2,659.48 |
$6,648.71 |
1.4× |
| Egd dilation gastric/duodenal stricture (43245) |
$4,725.07 |
$11,812.68 |
2.5× |
| Egd Flexible Foreign Body Removal (43247) |
$5,293.97 |
$13,234.92 |
6.0× |
| Egd guide wire insertion (43248) |
$4,873.55 |
$12,183.87 |
5.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,223.54 |
$10,558.85 |
2.3× |
| Egd lesion ablation (43270) |
$2,599.76 |
$6,499.41 |
1.4× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$8,125.76 |
$20,314.39 |
0.8× |
| Egd place gastrostomy tube (43246) |
$5,881.59 |
$14,703.97 |
3.1× |
| Egd remove lesion snare (43251) |
$5,318.97 |
$13,297.42 |
2.8× |
| Egd Tube/Cath Insertion (43241) |
$5,943.53 |
$14,858.83 |
3.2× |
| Egd us exam duodenum/jejunum (43259) |
$6,307.28 |
$15,768.20 |
3.4× |
| Egd Varices Ligation (43244) |
$4,596.26 |
$11,490.65 |
2.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$358.88 |
$897.20 |
1.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$394.77 |
$986.92 |
1.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$5,288.23 |
$13,220.57 |
1.1× |
| Endoscopic injection/implant (51715) |
$7,479.28 |
$18,698.21 |
2.2× |
| Endoscopic us exam esoph (43237) |
$5,745.61 |
$14,364.03 |
3.1× |
| Epidural Blood Patch (62273) |
$2,086.52 |
$5,216.30 |
3.0× |
| Ercp duct stent placement (43274) |
$5,545.14 |
$13,862.84 |
0.9× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$6,959.30 |
$17,398.26 |
1.8× |
| Ercp ea duct/ampulla dilate (43277) |
$10,947.02 |
$27,367.56 |
2.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$8,792.31 |
$21,980.77 |
2.3× |
| Ercp remove forgn body duct (43275) |
$6,694.02 |
$16,735.05 |
3.6× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,347.16 |
$18,367.91 |
1.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$4,565.49 |
$11,413.73 |
5.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$5,154.58 |
$12,886.45 |
2.8× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$6,057.90 |
$15,144.76 |
3.2× |
| Evacuation of subungual hematoma (11740) |
$285.12 |
$712.79 |
2.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,490.35 |
$6,225.87 |
3.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,705.28 |
$11,763.19 |
2.9× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$9,005.34 |
$22,513.34 |
5.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$14,240.13 |
$35,600.31 |
20.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$6,839.06 |
$17,097.64 |
4.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$7,542.65 |
$18,856.62 |
4.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$6,829.36 |
$17,073.40 |
9.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$8,532.81 |
$21,332.02 |
5.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$7,350.66 |
$18,376.64 |
2.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$9,830.85 |
$24,577.13 |
6.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,594.73 |
$8,986.82 |
2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$848.29 |
$2,120.73 |
0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$2,490.35 |
$6,225.87 |
6.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$3,112.06 |
$7,780.14 |
4.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,440.86 |
$8,602.15 |
2.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$9,731.85 |
$24,329.63 |
3.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$18,067.36 |
$45,168.39 |
6.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$11,624.98 |
$29,062.46 |
7.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$8,683.88 |
$21,709.69 |
3.1× |
| Exchange Intraocular Lens (66986) |
$9,245.22 |
$23,113.04 |
4.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$55.72 |
$139.30 |
0.0× |
| Excise intraspinal lesion (63267) |
$20,597.26 |
$51,493.15 |
2.9× |
| Excise Wrist Tendon Sheath (25118) |
$3,831.81 |
$9,579.53 |
2.4× |
| Excision Aural Polyp (69540) |
$2,787.25 |
$6,968.13 |
1.8× |
| Excision inferior turbinate partial/complete (30130) |
$5,928.66 |
$14,821.64 |
1.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$8,867.29 |
$22,168.22 |
5.6× |
| Excision of hydrocele; unilateral (55040) |
$12,649.25 |
$31,623.12 |
3.6× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$20,720.82 |
$51,802.06 |
3.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$7,591.61 |
$18,979.03 |
2.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$23,593.94 |
$58,984.85 |
4.1× |
| Excision synovial cyst popliteal space (27345) |
$7,685.41 |
$19,213.53 |
2.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$9,667.19 |
$24,167.97 |
6.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$6,245.98 |
$15,614.96 |
3.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$8,430.21 |
$21,075.52 |
3.0× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$10,708.85 |
$26,772.13 |
3.4× |
| Excision; trochanteric bursa or calcification (27062) |
$17,123.33 |
$42,808.32 |
5.4× |
| Exploration of knee joint (27310) |
$7,910.66 |
$19,776.64 |
2.5× |
| Fasciotomy palmar percutaneous (26040) |
$19,595.85 |
$48,989.62 |
12.5× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$373.60–$407.22 |
$934–$1,018.06 |
varies |
| Fine needle aspiration without imaging guidance (10021) |
$247.84 |
$619.60 |
0.6× |
| Fna bx w/us gdn 1st les (10005) |
$925.40 |
$2,313.51 |
1.3× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,517.63 |
$11,294.09 |
1.4× |
| Fuse hand bones with graft (25825) |
$10,708.85 |
$26,772.13 |
1.5× |
| Fusion Finger Joint (26860) |
$16,448.75 |
$41,121.87 |
5.1× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$9,369.67 |
$23,424.16 |
5.0× |
| Grafting of autologous soft tiss by direct exc (15769) |
$3,550.14 |
$8,875.35 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$11,751.94 |
$29,379.84 |
4.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$8,539.17 |
$21,347.92 |
3.2× |
| Hymenotomy Simple Incision (56442) |
$6,374.44 |
$15,936.09 |
2.0× |
| Hysteroscopy Biopsy (58558) |
$8,289.06 |
$20,722.65 |
2.6× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,043 |
$7,607.51 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$7,103.64 |
$17,759.10 |
1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$7,690.48 |
$19,226.19 |
2.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$11,192.47 |
$27,981.18 |
2.3× |
| I&d abscess simple (10060) |
$464.09 |
$1,160.22 |
2.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$8,851.70 |
$22,129.26 |
3.3× |
| I&d perianal abscess superficial (46050) |
$560.76 |
$1,401.90 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$510.42 |
$1,276.05 |
0.7× |
| Image Cath Fluid Trns/Vgnl (49407) |
$13,131.92 |
$32,829.81 |
8.1× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$2,737.06 |
$6,842.66 |
0.4× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$10,079.06 |
$25,197.66 |
0.5× |
| Implant Spine Infusion Pump (62362) |
$17,285.48 |
$43,213.71 |
1.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$9,930.37 |
$24,825.93 |
1.4× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$11,655.30 |
$29,138.24 |
1.4× |
| Incise external hemorrhoid (46083) |
$714.69 |
$1,786.73 |
2.9× |
| Incise finger tendon sheath (26055) |
$4,189.81 |
$10,474.52 |
2.7× |
| Incise Wrist/Forearm Tendon (25290) |
$13,480.68 |
$33,701.69 |
4.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$459.08 |
$1,147.71 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$9,207.32 |
$23,018.29 |
3.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$868.16 |
$2,170.40 |
2.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$795.17 |
$1,987.92 |
4.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$227.88 |
$569.71 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$9,884.66 |
$24,711.66 |
6.3× |
| Incision of eardrum (69421) |
$5,639.47 |
$14,098.68 |
1.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$4,902.71 |
$12,256.77 |
3.2× |
| Incision of rectal abscess (46040) |
$5,186.09 |
$12,965.22 |
4.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$226.15 |
$565.38 |
1.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,197.18 |
$5,492.96 |
2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,055.05 |
$5,137.62 |
2.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$2,088.21 |
$5,220.52 |
7.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$5,636.97 |
$14,092.43 |
6.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,297.36 |
$5,743.39 |
3.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$7,857.15 |
$19,642.88 |
11.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$371.04 |
$927.60 |
0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$427.84 |
$1,069.60 |
1.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,254.56 |
$5,636.39 |
3.3× |
| Injection for identification of sentinel node (38792) |
$8,722.87 |
$21,807.17 |
22.3× |
| Injection single tendon origin/insertion (20551) |
$388.88 |
$972.19 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$373.32 |
$933.29 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$334.97 |
$837.43 |
1.1× |
| Injection therapeutic carpal tunnel (20526) |
$388.88 |
$972.19 |
1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$4,328.24 |
$10,820.60 |
5.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$7,921.96 |
$19,804.91 |
11.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$463.60 |
$1,159 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$9,420.95 |
$23,552.38 |
3.1× |
| Insert Bladder Cath Complex (51703) |
$618.07 |
$1,545.18 |
4.9× |
| Insert Drug Implant Device (11981) |
$4,100.57 |
$10,251.43 |
31.6× |
| Insert non-tunnel cv cath (36556) |
$3,533.47 |
$8,833.68 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$298.68 |
$746.69 |
2.3× |
| Insert tunneled cv cath (36561) |
$9,268.34 |
$23,170.85 |
3.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,363.70 |
$3,409.25 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,553.44 |
$3,883.60 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$9,332.66 |
$23,331.66 |
1.7× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure |
$6,157.65 |
$15,394.12 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$1,078.78 |
$2,696.96 |
4.7× |
| Lam facetec & foramot lumbar (63047) |
$17,839.63 |
$44,599.08 |
2.5× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge, not the full procedure |
$1,589.40 |
$3,973.50 |
0.2× |
| Laminotomy Single Lumbar (63042) |
$16,445.49 |
$41,113.73 |
2.3× |
| Lap paraesoph her rpr w/mesh (43282) |
$23,117.09 |
$57,792.73 |
2.2× |
| Lap paraesophag hern repair (43281) |
$21,685.99 |
$54,214.97 |
2.1× |
| Laparo-vag hyst incl t/o (58552) |
$19,288.48 |
$48,221.20 |
1.9× |
| Laparoscopy aspiration (49322) |
$36,265.92 |
$90,664.79 |
6.1× |
| Laparoscopy gastrostomy (43653) |
$6,039.84 |
$15,099.61 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$9,647.01 |
$24,117.52 |
1.6× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$21,038.92 |
$52,597.29 |
2.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$28,655.20 |
$71,637.99 |
2.8× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$10,102.37 |
$25,255.92 |
1.7× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$13,313.07 |
$33,282.67 |
2.3× |
| Laparoscopy, surgical, appendectomy (44970) |
$11,610.84 |
$29,027.09 |
2.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$29,199.02 |
$72,997.54 |
2.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,510.12 |
$28,775.29 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,021.46 |
$30,053.66 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,698.54 |
$19,246.35 |
1.3× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$23,030.94 |
$57,577.36 |
2.2× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$17,603 |
$44,007.51 |
3.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$12,668.44 |
$31,671.10 |
1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$9,900.94 |
$24,752.34 |
1.7× |
| Laparoscopy, Tubal Block (58671) |
$7,803.78 |
$19,509.44 |
1.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$11,174.93 |
$27,937.33 |
1.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$16,005.39 |
$40,013.47 |
2.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$24,723 |
$61,807.50 |
6.6× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$15,315.20 |
$38,288.01 |
1.5× |
| Laryngoscopy Indirect W/Biopsy (31510) |
$7,494.06 |
$18,735.16 |
2.1× |
| Laryngoscopy W/Biopsy (31535) |
$8,432.48 |
$21,081.20 |
2.3× |
| Laser vaporization of prostate (52648) |
$12,769.38 |
$31,923.45 |
2.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$3,569.86 |
$8,924.64 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$9,936.72 |
$24,841.80 |
6.2× |
| Ligation, internal jugular vein Facility (37565) |
$5,133.29 |
$12,833.24 |
1.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$94.58 |
$236.45 |
0.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,479.18 |
$16,197.95 |
1.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$11,090.58 |
$27,726.44 |
3.2× |
| Low Back Disk Surgery (63030) |
$19,653.76 |
$49,134.40 |
2.8× |
| Lumbar spine fusion combined (22633) |
$31,176.74 |
$77,941.86 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$5,059.30 |
$12,648.26 |
3.2× |
| Mastectomy partial (19301) |
$15,116.68 |
$37,791.71 |
4.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$8,722.87 |
$21,807.17 |
1.3× |
| N Block Inj Celiac Pelus (64530) |
$2,297.04 |
$5,742.59 |
2.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,254.56 |
$5,636.39 |
3.3× |
| N block inj intercost sng (64420) |
$2,297.36 |
$5,743.39 |
3.3× |
| N Block Inj Plantar Digit (64455) |
$388.88 |
$972.19 |
1.3× |
| N Block Lumbar/Thoracic (64520) |
$2,297.04 |
$5,742.59 |
2.7× |
| Nasal Endoscopy Dx (31231) |
$6,706.42 |
$16,766.06 |
34.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$10,558.66 |
$26,396.66 |
2.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$8,794.96 |
$21,987.41 |
5.1× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$5,922.02 |
$14,805.05 |
0.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$4,534.91 |
$11,337.28 |
2.9× |
Neck spine fusion (22600)
unusually low: confirm this is the full procedure |
$7,886.55 |
$19,716.38 |
0.5× |
| Needle Biopsy Lymph Nodes (38505) |
$2,154.96 |
$5,387.39 |
1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$9,085.04 |
$22,712.61 |
4.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,126.85 |
$5,317.12 |
2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$528.06 |
$1,320.16 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$408.70 |
$1,021.74 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,297.36 |
$5,743.39 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,270.28 |
$5,675.69 |
3.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,297.04 |
$5,742.59 |
3.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,266.56 |
$5,666.39 |
2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,297.04 |
$5,742.59 |
3.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$3,076.47 |
$7,691.17 |
4.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$14,028.64 |
$35,071.59 |
2.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$24,459.26 |
$61,148.14 |
3.5× |
| Occipital Nerve Block (64405) |
$353.20 |
$883.01 |
1.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$7,922.93 |
$19,807.32 |
2.1× |
| Open Repair of Rotator Cuff Acute (23410) |
$12,615.10 |
$31,537.74 |
1.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$11,055.24 |
$27,638.10 |
1.6× |
| Open Treatment Humeral Condylar Fracture (24579) |
$10,665.41 |
$26,663.52 |
0.9× |
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure |
$2,760.17 |
$6,900.42 |
0.4× |
| Open treatment metatarsal fracture each (28485) |
$17,063.71 |
$42,659.28 |
2.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$18,904 |
$47,260.01 |
2.7× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$5,384.22 |
$13,460.55 |
0.8× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,274.01 |
$18,185.03 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$11,267.31 |
$28,168.28 |
0.9× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$10,686.01 |
$26,715.03 |
3.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,735.44 |
$29,338.60 |
1.7× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$146.96 |
$367.40 |
0.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,526.57 |
$18,816.41 |
1.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$20,577.75 |
$51,444.38 |
1.6× |
| Open tx interphalangeal joint dislocation (26785) |
$10,289.21 |
$25,723.03 |
3.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$13,516.31 |
$33,790.78 |
4.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$14,920.63 |
$37,301.58 |
4.7× |
| Open Tx Radial Head/Neck Fracture (24665) |
$12,488.25 |
$31,220.62 |
1.8× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$380.28 |
$950.70 |
0.1× |
| Open tx ulnar fx proximal end (24685) |
$10,408.28 |
$26,020.71 |
1.5× |
| Open/Perq Place Stent 1St (37236) |
$9,420.95 |
$23,552.38 |
0.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$11,748.72 |
$29,371.80 |
1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$10,750.55 |
$26,876.37 |
1.5× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$29,251.04 |
$73,127.61 |
2.3× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$8,189 |
$20,472.49 |
2.3× |
| Osteotomy radius distal third (25350) |
$13,958.30 |
$34,895.76 |
2.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$3,337.73 |
$8,344.34 |
0.7× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$17,753.04 |
$44,382.59 |
3.1× |
| Part remv talus or calcaneus (28120) |
$356.25 |
$890.62 |
0.1× |
| Partial removal of thyroid (60220) |
$22,941.84 |
$57,354.60 |
3.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$11,739.54 |
$29,348.85 |
3.7× |
| Peritoneal Lavage (49084) |
$998.77 |
$2,496.93 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$2,154.96 |
$5,387.39 |
3.1× |
| Perq device breast 1st imag (19281) |
$524.39 |
$1,310.98 |
0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$15,499.05 |
$38,747.63 |
4.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,115.35 |
$27,788.38 |
1.6× |
| Placement of seton (46020) |
$8,091.50 |
$20,228.74 |
3.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,129.92 |
$17,824.81 |
1.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$17,436.94 |
$43,592.36 |
3.6× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure |
$3,003.52 |
$7,508.80 |
0.5× |
| Prq skel fixj femoral fx prox end neck (27235) |
$9,977.38 |
$24,943.44 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$501.69 |
$1,254.22 |
1.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$2,224.08 |
$5,560.19 |
3.2× |
| Radical resection of tumor, femur or knee Facility (27365) |
$9,275.56 |
$23,188.89 |
2.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,088.21 |
$5,220.52 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$70.81 |
$177.03 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$285.12 |
$712.79 |
4.9× |
| Removal Implant Deep (20680) |
$17,550.63 |
$43,876.59 |
6.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$5,490.03 |
$13,725.08 |
3.4× |
| Removal implantable contraceptive capsules (11976) |
$6,584.77 |
$16,461.92 |
9.5× |
| Removal of adenoids (42831) |
$6,960.31 |
$17,400.78 |
2.1× |
| Removal of adenoids (42830) |
$9,008.53 |
$22,521.32 |
2.8× |
| Removal of ankle implant (27704) |
$4,088.14 |
$10,220.36 |
1.3× |
| Removal of nail bed (11750) |
$259.20 |
$647.99 |
0.7× |
| Removal of tonsils (42825) |
$6,816.77 |
$17,041.93 |
1.2× |
| Removal of tonsils (42826) |
$7,674.14 |
$19,185.34 |
2.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$293.27 |
$733.18 |
1.5× |
| Remove drug implant device (11982) |
$7,920.53 |
$19,801.32 |
18.2× |
| Remove elbow lesion (24120) |
$19,363.97 |
$48,409.92 |
6.1× |
| Remove foreign body from eye (65205) |
$306.08 |
$765.19 |
2.4× |
| Remove Intrauterine Device (58301) |
$6,245.98 |
$15,614.96 |
21.0× |
| Remove lung catheter (32552) |
$1,450.93 |
$3,627.33 |
2.4× |
| Remove Nasal Foreign Body (30300) |
$272.16 |
$680.39 |
2.1× |
| Remove prostate regrowth (52630) |
$7,274.72 |
$18,186.81 |
1.4× |
| Remove renal tube w/fluoro (50389) |
$3,076.47 |
$7,691.17 |
4.5× |
| Remove spine eltrd plate (63662) |
$12,534.44 |
$31,336.10 |
3.7× |
| Remove spine lamina 1/2 lmbr (63005) |
$18,657.09 |
$46,642.72 |
2.6× |
| Remove spine lamina 1/2 thrc (63003) |
$14,099.28 |
$35,248.19 |
2.0× |
| Remove Tendon Sheath Lesion (26160) |
$6,215.22 |
$15,538.04 |
4.0× |
| Remove/Insert Drug Implant (11983) |
$6,681.93 |
$16,704.82 |
15.3× |
| Renal Biopsy Perq (50200) |
$23,030.94 |
$57,577.36 |
14.3× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$8,386.73 |
$20,966.83 |
1.6× |
| Reopen fallopian tube (58350) |
$10,102.37 |
$25,255.92 |
2.1× |
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure |
$413.69 |
$1,034.22 |
0.1× |
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure |
$108.08 |
$270.21 |
0.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$3,190.17 |
$7,975.43 |
4.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$3,299.06 |
$8,247.66 |
4.6× |
| Repair Hand Joint (26540) |
$13,375.55 |
$33,438.87 |
4.2× |
| Repair Hand Tendon (26410) |
$17,862.79 |
$44,656.98 |
11.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$7,730.48 |
$19,326.20 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$957.10 |
$2,392.75 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$450.79 |
$1,126.97 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$458.31 |
$1,145.77 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$2,098.52 |
$5,246.31 |
5.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$560.76 |
$1,401.90 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,162.12 |
$2,905.31 |
2.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$3,738.38 |
$9,345.95 |
9.4× |
| Repair of nail bed (11760) |
$764.22 |
$1,910.55 |
1.1× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$13,480.68 |
$33,701.69 |
1.9× |
| Repair of Ruptured Tendon (24342) |
$10,974.80 |
$27,437 |
1.5× |
| Repair/Graft Wrist Bone (25440) |
$14,876.35 |
$37,190.89 |
2.1× |
| Revise/Implant Finger Joint (26536) |
$21,941.89 |
$54,854.72 |
3.1× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$27,541.52 |
$68,853.79 |
4.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$23,108.42 |
$57,771.06 |
1.8× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$13,574.45 |
$33,936.13 |
0.8× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$11,741.55 |
$29,353.89 |
0.9× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$7,372.24 |
$18,430.61 |
2.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,017.03 |
$2,542.57 |
1.1× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$4,901.23 |
$12,253.07 |
3.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$292.04 |
$730.09 |
0.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$7,197.98 |
$17,994.94 |
2.5× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$5,410.20 |
$13,525.51 |
2.4× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,536.33 |
$8,840.83 |
1.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$5,516.23 |
$13,790.58 |
2.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$12,972.85 |
$32,432.13 |
3.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$7,215.05 |
$18,037.63 |
4.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$6,260.70 |
$15,651.76 |
10.2× |
| Rplc Gtube No Revj Trc (43762) |
$488.39 |
$1,220.97 |
2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$9,930.37 |
$24,825.93 |
6.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$1,363.70 |
$3,409.25 |
0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,540.94 |
$26,352.36 |
1.8× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$8,666.39 |
$21,665.98 |
2.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$10,786.84 |
$26,967.10 |
1.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$8,459.27 |
$21,148.18 |
2.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,077.67 |
$20,194.19 |
1.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,971.13 |
$17,427.82 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,018.72 |
$2,546.80 |
5.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$17,360.04 |
$43,400.09 |
5.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$16,930.18 |
$42,325.45 |
5.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$4,667.23 |
$11,668.08 |
5.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$466.97 |
$1,167.42 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$502.04 |
$1,255.10 |
2.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$125.92 |
$314.80 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$457.96 |
$1,144.90 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$458.88 |
$1,147.20 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$553.48 |
$1,383.70 |
2.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,489.67 |
$23,724.18 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$502.04 |
$1,255.10 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$576.20 |
$1,440.50 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$793.83 |
$1,984.57 |
1.2× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$62.13–$67.72 |
$155.33–$169.31 |
varies |
| Surg Implnt Neuroelect,Epidural (63655) |
$11,915.06 |
$29,787.65 |
0.6× |
| Suture infrapatellar tendon primary (27380) |
$9,379.44 |
$23,448.59 |
1.3× |
| Syndactylization toes (28280) |
$10,228.48 |
$25,571.19 |
3.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$6,508.10 |
$16,270.26 |
2.0× |
| Tenodesis long tendon biceps (23430) |
$4,942.08 |
$12,355.21 |
0.7× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$9,546.41 |
$23,866.02 |
3.0× |
| Thrombolytic Therapy Stroke (37195) |
$372.54 |
$931.34 |
1.2× |
| Thyroid biopsy (60100) |
$495.68 |
$1,239.20 |
0.7× |
| Thyroidectomy, total or complete (60240) |
$31,265.97 |
$78,164.93 |
5.3× |
| Tlh uterus over 250 g (58572) |
$11,485.81 |
$28,714.52 |
1.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$5,527.76 |
$13,819.40 |
1.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,719.38 |
$19,298.44 |
2.4× |
| Tooth extraction (41899) |
$9,957.50 |
$24,893.76 |
43.0× |
| Total Knee Arthroplasty (27447) |
$21,469.22 |
$53,673.05 |
1.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$9,789.68 |
$24,474.20 |
1.9× |
| Transur electr resection of prostate (52601) |
$13,658.58 |
$34,146.46 |
2.6× |
| Treat ectopic pregnancy (59151) |
$6,804.67 |
$17,011.67 |
1.2× |
| Treat Finger Fracture Each (26727) |
$12,681.98 |
$31,704.94 |
4.0× |
| Treat fracture radius/ulna (25575) |
$12,156.06 |
$30,390.15 |
1.7× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$124.65 |
$311.62 |
0.0× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$67.18 |
$167.94 |
0.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$416.33 |
$1,040.82 |
1.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$11,933.20 |
$29,833.01 |
4.4× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure |
$388.06 |
$970.15 |
0.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$10,668.94 |
$26,672.34 |
3.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$7,316.90 |
$18,292.26 |
2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$645.50 |
$1,613.74 |
0.9× |
| Tympanostomy general anesthesia (69436) |
$4,801.09 |
$12,002.72 |
3.2× |
| Unlisted laparoscopic procedure liver (47379) |
$8,120.37 |
$20,300.92 |
1.4× |
| Unlisted laparoscopy procedure appendix (44979) |
$11,229.43 |
$28,073.58 |
1.9× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$4,418 |
$11,044.99 |
0.7× |
| Unlisted laparoscopy procedure stomach (43659) |
$11,065.43 |
$27,663.59 |
1.9× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$21,501.02 |
$53,752.55 |
3.6× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$5,826.57 |
$14,566.43 |
1.0× |
| Unlisted procedure breast (19499) |
$2,436.90 |
$6,092.24 |
0.6× |
| Unlisted procedure foot or toes (28899) |
$400.56 |
$1,001.39 |
1.7× |
| Unlisted procedure nervous system (64999) |
$2,192.62 |
$5,481.56 |
7.3× |
| Unlisted Procedure, Urinary System (53899) |
$2,593.25 |
$6,483.13 |
10.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$18,447.60 |
$46,118.99 |
3.8× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$19,110.33 |
$47,775.83 |
3.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$5,837.62 |
$14,594.05 |
2.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,465.58 |
$11,163.95 |
1.4× |
| Vulvectomy simple partial (56620) |
$10,240.67 |
$25,601.67 |
3.2× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$5,019.28 |
$12,548.19 |
0.7× |
| Wound Prep Trk/Arm/Leg (15002) |
$3,550.14 |
$8,875.35 |
4.9× |