| Abd paracentesis w/imaging (49083) |
$1,120.36 |
$2,800.89 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$970.21 |
$2,425.52 |
1.1× |
| Amniocentesis diagnostic (59000) |
$431.26 |
$1,078.16 |
0.5× |
| Amputation metatarsal with toe single (28810) |
$6,472.30 |
$16,180.75 |
2.0× |
| Amputation toe interphalangeal joint (28825) |
$5,854.78 |
$14,636.96 |
1.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$5,081.96 |
$12,704.90 |
1.6× |
| Amputation, foot; transmetatarsal (28805) |
$7,856.46 |
$19,641.15 |
2.5× |
| Ankle arthroscopy/surgery (29892) |
$4,742.24 |
$11,855.61 |
0.7× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$9,758.83 |
$24,397.08 |
3.1× |
| Ankle scope,part synovectomy (29895) |
$3,686.68 |
$9,216.70 |
1.2× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$5,705.77 |
$14,264.42 |
2.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$10,199.22 |
$25,498.04 |
2.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$219.06 |
$547.64 |
1.4× |
| Application finger splint static (29130) |
$153.38 |
$383.46 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$207.58 |
$518.94 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$215.08 |
$537.70 |
1.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$470.50 |
$1,176.25 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$225.82 |
$564.56 |
1.7× |
| Application short leg splint calf foot (29515) |
$225.82 |
$564.56 |
1.4× |
| Arterial puncture (36600) |
$252.41 |
$631.02 |
1.9× |
| Arteriovenous Anastomosis Open Direct (36821) |
$18,749.47 |
$46,873.68 |
6.1× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$13,244.58 |
$33,111.45 |
2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$541.29 |
$1,353.22 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,253.54 |
$3,133.85 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$925.40 |
$2,313.51 |
3.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,104.99 |
$2,762.48 |
3.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,063.49 |
$7,658.72 |
10.2× |
| Arthrodesis ankle open (27870) |
$7,025.18 |
$17,562.94 |
0.6× |
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure |
$3,909.69 |
$9,774.23 |
0.3× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$29,899.30 |
$74,748.24 |
1.7× |
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure |
$10,345.33 |
$25,863.32 |
0.4× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure |
$5,884.42 |
$14,711.04 |
0.2× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$3,699.88 |
$9,249.69 |
0.5× |
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) |
$12,616.17 |
$31,540.42 |
0.7× |
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure |
$6,466.92 |
$16,167.29 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure |
$7,233.96 |
$18,084.90 |
0.4× |
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
likely a partial charge, not the full procedure |
$4,146.72 |
$10,366.81 |
0.2× |
| Arthrodesis; subtalar (28725) |
$7,028.91 |
$17,572.26 |
0.6× |
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure |
$6,648.30 |
$16,620.74 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$8,143.61 |
$20,359.03 |
0.5× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$7,390.50 |
$18,476.26 |
0.6× |
| Arthroplasty, patella; with prosthesis (27438) |
$7,837.24 |
$19,593.09 |
0.6× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$4,287.03 |
$10,717.59 |
0.6× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$7,424.48 |
$18,561.20 |
2.3× |
| Arthroscopy of joint (29999) |
$7,678.98 |
$19,197.46 |
31.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$2,456.76 |
$6,141.90 |
0.8× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$7,369.08 |
$18,422.69 |
2.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$8,165.02 |
$20,412.54 |
2.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$6,748.38 |
$16,870.96 |
2.1× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,734.27 |
$6,835.66 |
0.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,926.13 |
$14,815.33 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,204.95 |
$8,012.36 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,156.71 |
$7,891.77 |
1.0× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,737.08 |
$6,842.70 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$7,639.19 |
$19,097.97 |
3.7× |
| Av Fuse Uppr Arm Basilic (36819) |
$14,362.94 |
$35,907.36 |
2.6× |
| Av fusion/forearm vein (36820) |
$13,838.80 |
$34,597 |
2.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$477.58 |
$1,193.95 |
2.4× |
| Biopsy Bone Open Deep (20245) |
$3,456.32 |
$8,640.81 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,903.46 |
$4,758.64 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,908.74 |
$4,771.86 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$3,298.57 |
$8,246.42 |
3.7× |
| Biopsy muscle percutaneous needle (20206) |
$2,471.46 |
$6,178.64 |
1.5× |
| Biopsy of uterus lining (58100) |
$7,456.26 |
$18,640.64 |
37.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$7,500.65 |
$18,751.62 |
2.0× |
| Biopsy Salivary Gland,Needle (42400) |
$957.80 |
$2,394.49 |
1.4× |
| Biopsy soft tissue neck/thorax (21550) |
$943.29 |
$2,358.23 |
0.6× |
| Biopsy/removal lymph nodes (38525) |
$4,747.57 |
$11,868.94 |
1.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$4,023.28 |
$10,058.20 |
5.9× |
| Bladder Irrigation Simple (51700) |
$107.83 |
$269.58 |
0.4× |
| Bladder Scan (51798) |
$219.28 |
$548.19 |
3.8× |
| Blood patch (62273) |
$2,042.88 |
$5,107.20 |
3.0× |
| Blood transfusion service (36430) |
$1,018.90 |
$2,547.26 |
2.4× |
| Blood/Lymph System Procedure (38999) |
$877.52 |
$2,193.79 |
2.0× |
| Bone graft, any donor area; major or large (20902) |
$4,642.95 |
$11,607.39 |
0.7× |
| Bone Marrow Biopsy (38221) |
$785.98 |
$1,964.96 |
0.5× |
| Bone Marrow Harvest Autolog (38232) |
$3,627.34 |
$9,068.34 |
0.9× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$710.17 |
$1,775.43 |
1.0× |
| Bronch ebus samplng 1/2 node (31652) |
$4,761.29 |
$11,903.22 |
1.3× |
| Bronch ebus samplng 3/> node (31653) |
$7,400.88 |
$18,502.20 |
2.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,508.34 |
$8,770.85 |
2.0× |
| Bronchoscopy dilate/fx repr (31630) |
$4,271.84 |
$10,679.61 |
1.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,772.50 |
$11,931.24 |
1.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,665.49 |
$11,663.72 |
1.3× |
| Bronchoscopy w/tumor excise (31640) |
$4,271.84 |
$10,679.61 |
1.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,000.30 |
$5,000.75 |
1.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,078.12 |
$5,195.29 |
1.3× |
| Bx breast 1st lesion strtctc (19081) |
$3,166.99 |
$7,917.48 |
2.0× |
| Bx breast 1st lesion us imag (19083) |
$4,363.98 |
$10,909.94 |
2.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,852.83 |
$4,632.08 |
1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,955.32 |
$7,388.29 |
0.9× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$7,028.91 |
$17,572.26 |
2.2× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,596.53 |
$3,991.32 |
1.0× |
| Cataract surgery complex (66982) |
$4,627.93 |
$11,569.82 |
2.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$140.04 |
$350.10 |
0.7× |
| Cerv artific diskectomy (22856) |
$10,561.85 |
$26,404.64 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$4,832.90 |
$12,082.26 |
19.8× |
| Chemical Cautery Tissue (17250) |
$507.08 |
$1,267.71 |
2.6× |
| Chest tube placement (32551) |
$481.06 |
$1,202.65 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$123.42 |
$308.54 |
0.9× |
| Chromotubation of oviduct, including materials (58350) |
$4,678.88 |
$11,697.19 |
1.0× |
| Circum 28 days or older (54161) |
$7,727.26 |
$19,318.15 |
3.8× |
| Circumcision (54150) |
$7,507.11 |
$18,767.78 |
3.7× |
| Claviculectomy; partial (23120) |
$5,456.91 |
$13,642.27 |
1.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$234.72 |
$586.79 |
0.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$381.22 |
$953.06 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$220.72 |
$551.79 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$314.30 |
$785.74 |
0.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$359.14 |
$897.86 |
0.2× |
| Closed treatment nasal fracture w/stabilization (21320) |
$6,511.14 |
$16,277.86 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,079.90 |
$5,199.74 |
8.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$392.67 |
$981.67 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$556.29 |
$1,390.72 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$280.14 |
$700.36 |
0.2× |
| Closure of vagina (57120) |
$16,533.95 |
$41,334.88 |
3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,310.59 |
$10,776.48 |
2.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$233.74 |
$584.34 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,187.76 |
$2,969.40 |
4.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$406.55 |
$1,016.37 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$465.58 |
$1,163.96 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$382.39 |
$955.98 |
1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$850.39 |
$2,125.99 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$312.63 |
$781.57 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$237.10 |
$592.76 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$435.98 |
$1,089.95 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$316.23 |
$790.57 |
1.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$7,867.51 |
$19,668.77 |
5.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,406.84 |
$6,017.11 |
10.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$580.32 |
$1,450.79 |
2.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,872.33 |
$7,180.83 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$401.37 |
$1,003.42 |
0.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$14,360.52 |
$35,901.29 |
2.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,479.11 |
$3,697.79 |
1.3× |
| Colonoscopy stoma w/biopsy (44389) |
$1,775.89 |
$4,439.73 |
1.5× |
| Colonoscopy thru stoma (44388) |
$3,539.47 |
$8,848.68 |
3.9× |
| Colonoscopy w/ablation (45388) |
$4,155.04 |
$10,387.61 |
3.6× |
| Colonoscopy w/resection (45390) |
$4,411.95 |
$11,029.88 |
1.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,582.19 |
$3,955.48 |
1.4× |
| Complex Drainage, Wound (10180) |
$12,130.13 |
$30,325.32 |
4.3× |
| Conization of cervix (57522) |
$4,623.90 |
$11,559.76 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$794.23 |
$1,985.57 |
6.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$348.53 |
$871.32 |
2.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$6,475.09 |
$16,187.73 |
12.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$9,003.84 |
$22,509.60 |
2.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,349.70 |
$5,874.25 |
1.5× |
| Correction hammertoe (28285) |
$3,110.76 |
$7,776.90 |
1.0× |
| Correction of bunion (28298) |
$4,371.28 |
$10,928.21 |
0.6× |
| Correction of bunion (28292) |
$3,403.49 |
$8,508.73 |
1.1× |
| Correction of bunion (28299) |
$8,188.47 |
$20,471.17 |
1.2× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,075.10 |
$7,687.76 |
1.0× |
| Create eardrum opening (69436) |
$5,127.08 |
$12,817.70 |
3.4× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$22,314.65 |
$55,786.62 |
4.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$331.33 |
$828.32 |
2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$368.93 |
$922.32 |
1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,027.80 |
$12,569.50 |
2.5× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$5,681.40 |
$14,203.50 |
1.1× |
| Cysto w/destruction of lesions (52214) |
$7,484.69 |
$18,711.72 |
2.2× |
| Cysto w/removal of tumors small (52234) |
$3,549.78 |
$8,874.46 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$7,236.18 |
$18,090.46 |
3.5× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$9,641 |
$24,102.49 |
2.8× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,001.36 |
$12,503.39 |
1.5× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$10,302.07 |
$25,755.18 |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$13,505.78 |
$33,764.44 |
2.6× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$4,507.38 |
$11,268.44 |
0.9× |
| Cystoscopy and treatment (52330) |
$4,114.50 |
$10,286.24 |
1.2× |
| Cystoscopy w/biopsy (52204) |
$7,499.53 |
$18,748.83 |
3.7× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$6,264.72 |
$15,661.81 |
3.1× |
| Cystoscopy,insert ureteral stent (52332) |
$4,114.50 |
$10,286.24 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$7,510.78 |
$18,776.94 |
3.7× |
| Cystourethroscopy (52000) |
$4,976.59 |
$12,441.47 |
7.3× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$5,043.08 |
$12,607.70 |
2.5× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$5,481.68 |
$13,704.20 |
2.7× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$6,699.74 |
$16,749.35 |
1.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$6,328.70 |
$15,821.76 |
1.8× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$6,899.49 |
$17,248.72 |
2.0× |
| Dcmprn fasct leg post compartment only (27601) |
$2,184.54 |
$5,461.35 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$5,199.78 |
$12,999.45 |
7.5× |
| Debride nail 6 or more (11721) |
$5,172.58 |
$12,931.46 |
89.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$512.15 |
$1,280.38 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$757 |
$1,892.50 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$966.28 |
$2,415.70 |
0.6× |
| Declot vascular device (36593) |
$532.03 |
$1,330.07 |
1.6× |
| Decompression of tibia nerve (28035) |
$2,609.49 |
$6,523.72 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$3,577.72 |
$8,944.31 |
1.9× |
| Destroy lumb/sac facet jnt (64635) |
$7,155.44 |
$17,888.61 |
3.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$6,916.42 |
$17,291.04 |
35.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$4,050.91 |
$10,127.27 |
4.7× |
| Destruction Lesions Vulva Simple (56501) |
$7,482.33 |
$18,705.82 |
3.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,556.43 |
$8,891.07 |
1.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$864.33 |
$2,160.83 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$3,151.55 |
$7,878.88 |
3.5× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$4,371.27 |
$10,928.19 |
1.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$6,189.35 |
$15,473.37 |
2.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$4,245.70 |
$10,614.24 |
2.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$288.09 |
$720.22 |
0.4× |
| Drain shoulder lesion (23030) |
$10,244.49 |
$25,611.22 |
3.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,736.55 |
$4,341.37 |
3.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$266.13 |
$665.33 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$308.02 |
$770.05 |
1.6× |
| Drainage of gum lesion (41800) |
$298.25 |
$745.62 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$2,379.38 |
$5,948.45 |
1.5× |
| Draw blood off venous device (36591) |
$123.42 |
$308.54 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$193.53 |
$483.83 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$248.79 |
$621.98 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$289.42 |
$723.54 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$8,983.32 |
$22,458.30 |
3.3× |
| Dx bone marrow bx & aspir (38222) |
$3,394.39 |
$8,485.98 |
1.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$3,418.44 |
$8,546.11 |
1.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,727.62 |
$9,319.06 |
2.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,616.27 |
$9,040.68 |
1.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,668.01 |
$9,170.02 |
2.0× |
| Egd flexible foreign body removal (43247) |
$3,794.69 |
$9,486.74 |
4.3× |
| Egd place gastrostomy tube (43246) |
$3,713.41 |
$9,283.52 |
2.0× |
| Egd remove lesion snare (43251) |
$3,846.82 |
$9,617.05 |
2.1× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,863.81 |
$4,659.53 |
1.0× |
| Egd Varices Ligation (43244) |
$3,727.62 |
$9,319.06 |
2.0× |
| Endoscopic Injection/Implant (51715) |
$6,104.12 |
$15,260.30 |
1.8× |
| Endoscopic Plantar Fasciotomy (29893) |
$5,900.32 |
$14,750.81 |
1.8× |
| Endovenous rf 1st vein (36475) |
$3,982.20 |
$9,955.51 |
1.3× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$22,932.04 |
$57,330.10 |
6.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$5,552.47 |
$13,881.18 |
1.5× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,422.37 |
$6,055.93 |
0.6× |
| Ercp remove forgn body duct (43275) |
$1,932.35 |
$4,830.89 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,526.14 |
$13,815.35 |
0.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,415.74 |
$6,039.35 |
0.6× |
| Escharotomy initial incision (16035) |
$292.49 |
$731.23 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,727.62 |
$9,319.06 |
4.2× |
| Evacuation of subungual hematoma (11740) |
$114.19 |
$285.48 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$6,232.16 |
$15,580.40 |
2.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,973.41 |
$4,933.53 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$6,367.32 |
$15,918.31 |
3.9× |
| Exc back les sc < 3 cm (21930) |
$6,871.72 |
$17,179.30 |
4.3× |
| Exc back tum deep < 5 cm (21932) |
$7,106.31 |
$17,765.77 |
2.5× |
| Exc face les sbq 2 cm/> (21012) |
$7,519.53 |
$18,798.82 |
4.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,067.60 |
$7,668.99 |
4.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$7,263.70 |
$18,159.26 |
4.5× |
| Exc forearm les sc 3 cm/> (25071) |
$4,995.52 |
$12,488.79 |
3.1× |
| Exc forearm les sc < 3 cm (25075) |
$2,778.95 |
$6,947.38 |
1.7× |
| Exc hand les sc < 1.5 cm (26115) |
$6,752.26 |
$16,880.66 |
4.2× |
| Exc neck tum deep < 5 cm (21556) |
$6,741.15 |
$16,852.88 |
2.4× |
| Exc rect tum transanal part (45171) |
$5,169.52 |
$12,923.80 |
1.9× |
| Exc shoulder les sc 3 cm/> (23071) |
$8,592.46 |
$21,481.15 |
5.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$6,120.11 |
$15,300.27 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$6,126.51 |
$15,316.28 |
8.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$6,140.39 |
$15,350.98 |
15.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$5,979.22 |
$14,948.04 |
8.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$5,338.12 |
$13,345.31 |
7.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$7,467.38 |
$18,668.44 |
4.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$7,280.78 |
$18,201.96 |
2.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$16,642.61 |
$41,606.52 |
5.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$7,315.54 |
$18,288.85 |
4.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$7,365.79 |
$18,414.48 |
4.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$6,251.33 |
$15,628.32 |
2.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$5,928.84 |
$14,822.11 |
2.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$6,749.03 |
$16,872.59 |
5.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$3,381.89 |
$8,454.72 |
4.9× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$7,992.93 |
$19,982.32 |
2.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$5,679.92 |
$14,199.81 |
3.5× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,803.15 |
$7,007.88 |
1.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,896.98 |
$12,242.44 |
1.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$6,846.27 |
$17,115.68 |
2.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$5,037.58 |
$12,593.94 |
3.1× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$7,793.38 |
$19,483.45 |
2.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$7,644.21 |
$19,110.52 |
2.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$6,205.89 |
$15,514.72 |
2.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$7,385.10 |
$18,462.74 |
4.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,388.28 |
$5,970.70 |
0.8× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$6,639.15 |
$16,597.87 |
4.2× |
| Excise parotid gland/lesion (42410) |
$11,737.45 |
$29,343.63 |
2.0× |
| Excise/repair mouth lesion (40812) |
$4,198.25 |
$10,495.62 |
2.8× |
| Excision Breast Lesion (19125) |
$7,583.79 |
$18,959.48 |
2.0× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$7,713.16 |
$19,282.90 |
2.7× |
| Excision hydrocele bilateral (55041) |
$12,737.32 |
$31,843.29 |
3.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,187.46 |
$5,468.66 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$6,006.12 |
$15,015.30 |
8.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$6,083.59 |
$15,208.97 |
15.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$7,379.26 |
$18,448.14 |
10.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$5,584.65 |
$13,961.63 |
8.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$6,097.57 |
$15,243.92 |
8.8× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$5,318.02 |
$13,295.05 |
3.4× |
| Excision of hydrocele; unilateral (55040) |
$10,025.94 |
$25,064.84 |
2.9× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$7,484.06 |
$18,710.15 |
2.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$5,785.40 |
$14,463.50 |
3.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,276.74 |
$5,691.84 |
1.4× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$6,608.38 |
$16,520.95 |
4.2× |
| Excision of nail fold toe (11765) |
$248.42 |
$621.05 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$9,892.18 |
$24,730.46 |
3.5× |
| Excision of single external papilla or tag, anus (46220) |
$3,810.74 |
$9,526.85 |
3.3× |
| Excision of submandibular (submaxillary) gland (42440) |
$14,136.78 |
$35,341.94 |
2.4× |
| Excision of tongue lesion (41112) |
$3,945.32 |
$9,863.30 |
1.2× |
| Excision of Umbilicus (49250) |
$7,852.98 |
$19,632.45 |
2.2× |
| Excision of vaginal septum (57130) |
$4,749.63 |
$11,874.07 |
1.5× |
| Excision olecranon bursa (24105) |
$5,628.77 |
$14,071.93 |
1.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,686.68 |
$9,216.70 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$9,095.01 |
$22,737.52 |
3.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$7,749.99 |
$19,374.98 |
4.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$4,421.78 |
$11,054.44 |
2.7× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$5,079.60 |
$12,698.99 |
3.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$7,512.45 |
$18,781.12 |
4.7× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$4,939.88 |
$12,349.69 |
1.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,586.15 |
$6,465.37 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$12,568.10 |
$31,420.26 |
4.4× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$6,264.84 |
$15,662.11 |
2.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$4,954.25 |
$12,385.62 |
1.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$14,821.22 |
$37,053.06 |
9.4× |
| Explo/Drain Breast Abscess (19020) |
$513.60 |
$1,284.01 |
0.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$6,288.76 |
$15,721.91 |
11.9× |
| Explore parathyroid glands (60500) |
$10,678.39 |
$26,695.98 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$7,855.85 |
$19,639.63 |
5.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,256.66 |
$10,641.66 |
1.3× |
| Fetal non-stress test (59025) |
$495.53 |
$603.24 |
2.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$925.40 |
$2,313.51 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,008.69 |
$2,521.73 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$343.36 |
$858.40 |
0.9× |
| Fixation of knee joint (27570) |
$5,094.86 |
$12,737.14 |
3.2× |
| Fixation of shoulder (23700) |
$4,686.56 |
$11,716.39 |
3.0× |
| Fluoro exam of g/colon tube (49465) |
$873.96 |
$2,184.91 |
3.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,342.93 |
$10,857.32 |
1.3× |
Fusion of foot bones (28715)
unusually low: confirm this is the full procedure |
$5,480.28 |
$13,700.71 |
0.4× |
Fusion of foot bones (28730)
likely a partial charge, not the full procedure |
$3,153.66 |
$7,884.15 |
0.3× |
| Fusion of foot bones (28740) |
$3,692.28 |
$9,230.69 |
0.5× |
| Fusion of toes (28280) |
$1,659.92 |
$4,149.81 |
0.5× |
| Gastrocnemius Recession (27687) |
$3,914.35 |
$9,785.88 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$2,337.90 |
$5,844.76 |
3.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$9,057.18 |
$22,642.96 |
1.3× |
| Hemorrhoidectomy (46255) |
$6,489.04 |
$16,222.61 |
2.4× |
| Hysteroscopy ablation (58563) |
$6,579.93 |
$16,449.82 |
1.3× |
| Hysteroscopy biopsy (58558) |
$7,688.10 |
$19,220.24 |
2.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$9,386.39 |
$23,465.97 |
1.9× |
| I&D Abscess Peritonsillar (42700) |
$287.31 |
$718.28 |
1.2× |
| I&d abscess simple (10060) |
$295.89 |
$739.72 |
1.5× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$630.96 |
$1,577.40 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$397.37 |
$993.43 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$5,530.97 |
$13,827.43 |
3.4× |
| Implant neuroelectrodes (63650) |
$20,194.29 |
$50,485.73 |
3.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$13,293.77 |
$33,234.43 |
1.6× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$13,293.77 |
$33,234.43 |
0.8× |
| Incise finger tendon sheath (26055) |
$6,135.65 |
$15,339.13 |
3.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$286.74 |
$716.85 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$341.12 |
$852.79 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$599.31 |
$1,498.29 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$366.86 |
$917.14 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$331.45 |
$828.62 |
1.1× |
| Incision extensor tendon sheath wrist (25000) |
$3,167.84 |
$7,919.61 |
2.0× |
| Incision labial frenum frenotomy (40806) |
$2,322.90 |
$5,807.24 |
4.4× |
| Incision of eardrum (69421) |
$4,248.08 |
$10,620.20 |
1.3× |
Incision of heel bone (28300)
unusually low: confirm this is the full procedure |
$3,357.57 |
$8,393.94 |
0.5× |
| Incision of lingual frenum (41010) |
$4,281.09 |
$10,702.72 |
2.8× |
| Incision of metatarsal (28308) |
$2,806.57 |
$7,016.42 |
0.9× |
| Incision of rectal abscess (46045) |
$3,103.77 |
$7,759.42 |
1.1× |
| Incision of rectal abscess (46040) |
$10,027.66 |
$25,069.14 |
8.6× |
| Incision thrombosed hemorrhoid external (46083) |
$315.52 |
$788.79 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$61.26 |
$153.15 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$604.52 |
$1,511.30 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,392.08 |
$3,480.21 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,073.82 |
$2,684.56 |
1.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,221.80 |
$3,054.51 |
1.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$2,313.71 |
$5,784.28 |
3.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$852.98 |
$2,132.44 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$852.98 |
$2,132.44 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$884.16 |
$2,210.41 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$1,165.05 |
$2,912.62 |
1.3× |
| Inject Rx Celiac Plexus Nerve (64680) |
$3,193.63 |
$7,984.07 |
3.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$950.76 |
$2,376.91 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$976.20 |
$2,440.51 |
1.4× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$4,403.94 |
$11,009.85 |
5.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$734.45 |
$1,836.13 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$430.29 |
$1,075.72 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$1,170.47 |
$2,926.17 |
1.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$835.35 |
$2,088.37 |
1.0× |
| Injection for identification of sentinel node (38792) |
$4,747.57 |
$11,868.94 |
12.2× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$26,483.10 |
$66,207.76 |
43.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$448.26 |
$1,120.64 |
1.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$483.28 |
$1,208.20 |
1.6× |
| Ins cath ren art 1st bilat (36252) |
$6,289.19 |
$15,722.98 |
2.0× |
| Ins cath ren art 1st unilat (36251) |
$12,838.25 |
$32,095.62 |
4.2× |
| Ins endovas vena cava filtr (37191) |
$26,342.51 |
$65,856.28 |
4.8× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$40,233.88 |
$100,584.71 |
3.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$43,509.93 |
$108,774.82 |
4.3× |
| Insert 1 electrode pm-defib (33216) |
$22,932.04 |
$57,330.10 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$210.57 |
$526.42 |
1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$289.74 |
$724.34 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$4,824.68 |
$12,061.70 |
1.6× |
| Insert picc cath (36569) |
$1,579.24 |
$3,948.09 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$116.74 |
$291.85 |
0.9× |
| Insert tun ip cath perc (49418) |
$8.53 |
$21.32 |
0.0× |
| Insert tunneled cv cath (36561) |
$8,445.28 |
$21,113.19 |
2.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$77.46 |
$193.66 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,039.60 |
$5,099.01 |
0.6× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$5,941.56 |
$14,853.91 |
1.7× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$4,985.58 |
$12,463.96 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$16,511.14 |
$41,277.86 |
10.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$32,962.82 |
$82,407.06 |
4.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,323.34 |
$13,308.36 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$13,309.83 |
$33,274.58 |
1.6× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$7,741.15 |
$19,352.87 |
0.3× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$5,182.60 |
$12,956.49 |
3.4× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$23,607.28 |
$59,018.21 |
4.2× |
| Intubation endotracheal emergency procedure (31500) |
$692.61 |
$1,731.53 |
3.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$912.80 |
$2,281.99 |
3.7× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$6,826.77 |
$17,066.93 |
1.0× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
unusually low: confirm this is the full procedure |
$6,538.06 |
$16,345.15 |
0.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$14,602.30 |
$36,505.75 |
2.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$4,301.12 |
$10,752.79 |
0.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$15,517.08 |
$38,792.69 |
2.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$13,000.77 |
$32,501.93 |
1.8× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$8,144.92 |
$20,362.29 |
1.1× |
| Lap ing hernia repair init (49650) |
$21,338.09 |
$53,345.23 |
3.6× |
| Lap insert tunnel ip cath (49324) |
$9,058.38 |
$22,645.95 |
1.5× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$17,170.84 |
$42,927.10 |
1.7× |
| Laparoscopy appendectomy (44970) |
$10,468.60 |
$26,171.50 |
1.8× |
| Laparoscopy biopsy (49321) |
$3,407.32 |
$8,518.31 |
0.6× |
| Laparoscopy Remove Adnexa (58661) |
$11,678.13 |
$29,195.32 |
2.0× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$15,662.89 |
$39,157.22 |
1.5× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$12,113.71 |
$30,284.28 |
2.1× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$7,946.07 |
$19,865.17 |
1.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$12,781.63 |
$31,954.07 |
1.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$10,827.65 |
$27,069.13 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$13,053.30 |
$32,633.25 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,830.12 |
$22,075.30 |
1.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$9,352.34 |
$23,380.84 |
1.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,826.74 |
$22,066.86 |
1.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$10,057.92 |
$25,144.81 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,327.22 |
$13,318.06 |
0.9× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$21,087.69 |
$52,719.22 |
2.0× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$17,691.89 |
$44,229.73 |
3.0× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$6,315.92 |
$15,789.81 |
1.1× |
| Laryngoscopy w/bx op scope (31536) |
$6,517.15 |
$16,292.88 |
1.8× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$3,002.01 |
$7,505.03 |
1.7× |
| Laryngoscopy with biopsy (31576) |
$6,147.99 |
$15,369.98 |
3.5× |
| Laser surgery, anal lesion(s) (46917) |
$3,340.82 |
$8,352.06 |
1.2× |
| Late closure of wound (13160) |
$6,087.68 |
$15,219.20 |
1.8× |
| Lateral retinacular release open (27425) |
$7,078.45 |
$17,696.12 |
2.2× |
| Ligation or biopsy temporal artery (37609) |
$5,934.36 |
$14,835.89 |
3.7× |
| Lip Surgery Procedure (40799) |
$467.59 |
$1,168.98 |
2.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$9,034.70 |
$22,586.74 |
2.6× |
| Lithotripsy (50590) |
$17,437.96 |
$43,594.91 |
5.1× |
| Liver Biopsy (47000) |
$2,367.20 |
$5,917.99 |
1.5× |
| Marsup Bartholin Gland Cyst (56440) |
$5,738.60 |
$14,346.49 |
1.8× |
| Mastectomy partial (19301) |
$11,093.03 |
$27,732.57 |
2.9× |
| Mastectomy simple complete (19303) |
$14,428.17 |
$36,070.42 |
2.2× |
| Musculoskeletal surgery (20999) |
$5,907.32 |
$14,768.31 |
24.5× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$9,141.61 |
$22,854.02 |
2.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$5,010.60 |
$12,526.50 |
25.7× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$6,317.66 |
$15,794.14 |
0.9× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$3,590.09 |
$8,975.22 |
0.5× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$5,712.85 |
$14,282.13 |
3.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$4,125.61 |
$10,314.04 |
0.6× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$4,383.57 |
$10,958.93 |
0.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$5,013.92 |
$12,534.80 |
2.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,095.76 |
$12,739.41 |
0.9× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$6,317.66 |
$15,794.14 |
0.9× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$3,590.09 |
$8,975.22 |
0.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$5,342.62 |
$13,356.54 |
3.4× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,540.28 |
$6,350.70 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,276.02 |
$3,190.04 |
3.1× |
| Nipple exploration (19110) |
$7,308.48 |
$18,271.20 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,817.57 |
$9,543.93 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$653.99 |
$1,634.98 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,813.56 |
$4,533.90 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$710.17 |
$1,775.43 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$710.17 |
$1,775.43 |
1.0× |
Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582)
unusually low: confirm this is the full procedure |
$14,978.59 |
$37,446.47 |
0.5× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$11,716.92 |
$29,292.29 |
1.7× |
| Open thrombect av fistula (36831) |
$12,627.46 |
$31,568.64 |
2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,879.81 |
$34,699.52 |
2.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$3,746.06 |
$9,365.14 |
0.5× |
| Open treatment metatarsal fracture each (28485) |
$5,572.87 |
$13,932.17 |
0.8× |
| Open treatment of acute shoulder dislocation (23660) |
$13,565.55 |
$33,913.88 |
1.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,117.63 |
$15,294.08 |
0.9× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$5,543.97 |
$13,859.92 |
0.8× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$7,407.80 |
$18,519.49 |
1.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$6,505.77 |
$16,264.43 |
0.9× |
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure |
$2,759.39 |
$6,898.48 |
0.4× |
| Open Treatment Radial Shaft Fracture (25515) |
$6,692.44 |
$16,731.11 |
0.9× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$18,420.29 |
$46,050.72 |
2.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$10,069.96 |
$25,174.90 |
3.2× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$2,347.95 |
$5,869.87 |
0.7× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$10,754.18 |
$26,885.46 |
1.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$4,642.95 |
$11,607.39 |
0.7× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$10,582.73 |
$26,456.82 |
0.8× |
| Open/Perq Place Stent Same (37238) |
$7,518.40 |
$18,796.01 |
0.7× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$17,498.06 |
$43,745.16 |
1.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$2,335.31 |
$5,838.28 |
0.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$1,318.36 |
$3,295.90 |
0.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$3,848.67 |
$9,621.66 |
0.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$4,742.24 |
$11,855.61 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$6,922.85 |
$17,307.13 |
2.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$6,089.62 |
$15,224.06 |
1.9× |
| Partial Removal Foot Fascia (28060) |
$3,183.03 |
$7,957.57 |
1.0× |
| Partial removal of thyroid (60220) |
$14,262.88 |
$35,657.20 |
2.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,538.03 |
$6,345.07 |
0.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,560.26 |
$3,900.64 |
2.3× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$5,356 |
$13,390.01 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$7,269.71 |
$18,174.27 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$336.34 |
$840.86 |
0.5× |
| Perq device breast 1st imag (19281) |
$336.34 |
$840.86 |
0.2× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$3,885.22 |
$9,713.04 |
2.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$6,858.60 |
$17,146.50 |
3.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$335.91 |
$839.77 |
1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$32,431.74 |
$81,079.35 |
2.9× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,092.84 |
$22,732.09 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,002.67 |
$22,506.68 |
1.3× |
| Pin finger fracture each (26756) |
$6,256.39 |
$15,640.98 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$411.95 |
$1,029.87 |
0.9× |
| Placement of seton (46020) |
$3,103.77 |
$7,759.42 |
1.1× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$4,615.34 |
$11,538.35 |
3.4× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$6,704.04 |
$16,760.10 |
1.1× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$8,896.45 |
$22,241.14 |
1.5× |
| Preputial Stretching (54450) |
$889.56 |
$2,223.89 |
3.6× |
| Prim art mech thrombectomy (37184) |
$47,302.42 |
$118,256.05 |
2.6× |
| Prostatectomy (turp) (52601) |
$14,155.36 |
$35,388.40 |
2.7× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$23,051.24 |
$57,628.11 |
3.7× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$1,798.97 |
$4,497.42 |
0.6× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$6,333.70 |
$15,834.26 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$308.82 |
$772.04 |
0.4× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$4,077.37 |
$10,193.43 |
0.6× |
| Reconstruc toe deform,soft tissue (28313) |
$4,763.59 |
$11,908.97 |
1.5× |
| Reconstruct head of radius (24365) |
$16,735.42 |
$41,838.54 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$10,875.18 |
$27,187.95 |
1.5× |
| Removal fb intranasal (30300) |
$284.57 |
$711.42 |
2.2× |
| Removal foreign body foot subcutaneous (28190) |
$672.24 |
$1,680.59 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$183.45 |
$458.62 |
3.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$200.47 |
$501.18 |
3.5× |
| Removal Implant Deep (20680) |
$8,925.56 |
$22,313.90 |
3.1× |
| Removal of adenoids (42831) |
$2,574.41 |
$6,436.03 |
0.8× |
| Removal of adenoids (42830) |
$6,333.70 |
$15,834.26 |
2.0× |
| Removal of anal fissure (46200) |
$6,154.01 |
$15,385.03 |
2.3× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$6,513.05 |
$16,282.62 |
4.1× |
| Removal of heel bone (28118) |
$2,771.06 |
$6,927.64 |
0.9× |
| Removal of heel spur (28119) |
$3,422.42 |
$8,556.04 |
1.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$3,325.30 |
$8,313.24 |
5.4× |
| Removal of intrauterine device (iud) (58301) |
$85.85 |
$214.63 |
0.3× |
| Removal of nail bed (11750) |
$253.66 |
$634.15 |
0.6× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$4,186.32 |
$10,465.80 |
2.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$199.28 |
$498.20 |
0.1× |
| Removal of testis (54520) |
$9,314.11 |
$23,285.28 |
2.7× |
| Removal of tonsils (42826) |
$6,625.42 |
$16,563.56 |
2.0× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$5,600.50 |
$14,001.25 |
1.8× |
| Removal subq cardiac rhythm monitor (33286) |
$2,640.08 |
$6,600.21 |
3.8× |
| Remove anal fist subq (46270) |
$7,005.72 |
$17,514.30 |
2.6× |
| Remove bladder stone (52318) |
$6,043.37 |
$15,108.43 |
1.8× |
| Remove drug implant device (11982) |
$2,869.32 |
$7,173.30 |
6.6× |
| Remove in/ex hem groups 2+ (46260) |
$8,107.16 |
$20,267.91 |
3.0× |
| Remove Pilonidal Cyst Exten (11771) |
$8,620.65 |
$21,551.62 |
3.0× |
| Remove prostate regrowth (52630) |
$7,123.91 |
$17,809.78 |
1.4× |
| Remove spinal canal catheter (62355) |
$4,940.11 |
$12,350.27 |
2.6× |
| Remove spine infusion device (62365) |
$4,940.11 |
$12,350.27 |
1.5× |
| Remove wrist tendon lesion (25111) |
$6,078.12 |
$15,195.31 |
3.9× |
| Remove&replace pm gen singl (33227) |
$33,071.38 |
$82,678.44 |
4.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,791.06 |
$11,977.65 |
3.0× |
| Remv Ext Canal Foreign Body (69200) |
$148.27 |
$370.67 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$174.91 |
$437.27 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$37,745.64 |
$94,364.09 |
1.7× |
| Remv&replc pm gen dual lead (33228) |
$40,040.04 |
$100,100.11 |
3.9× |
| Remv&replc pm gen mult leads (33229) |
$14,464.44 |
$36,161.09 |
0.8× |
| Renal biopsy (50200) |
$2,367.43 |
$5,918.57 |
1.5× |
| Repair achilles tendon (27650) |
$6,199.78 |
$15,499.45 |
0.9× |
| Repair blood vessel lesion (35190) |
$8,660.86 |
$21,652.14 |
1.6× |
| Repair collat ankle ligmnt,secondary (27698) |
$4,339.76 |
$10,849.39 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$5,072.40 |
$12,680.99 |
12.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$5,026.12 |
$12,565.31 |
12.7× |
| Repair elbow deb/attch open (24359) |
$8,445.08 |
$21,112.71 |
2.6× |
| Repair elbow perc (24357) |
$3,922.07 |
$9,805.17 |
1.2× |
| Repair finger tendon (26432) |
$4,871.78 |
$12,179.46 |
3.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,003.59 |
$25,008.97 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$540.61 |
$1,351.52 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$620.76 |
$1,551.91 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$318.71 |
$796.77 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$5,210.76 |
$13,026.89 |
7.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$3,682.48 |
$9,206.21 |
9.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$428.29 |
$1,070.73 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$368.09 |
$920.23 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$306.50 |
$766.26 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$6,736.74 |
$16,841.86 |
17.0× |
| Repair lower leg tendons (27676) |
$3,781.78 |
$9,454.44 |
0.5× |
| Repair of ankle ligament (27695) |
$3,692.28 |
$9,230.69 |
0.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$18,554.67 |
$46,386.68 |
2.9× |
| Repair of biceps tendon (24340) |
$7,315.65 |
$18,289.14 |
1.0× |
| Repair Of Foot Tendon (28208) |
$4,502.87 |
$11,257.17 |
1.4× |
| Repair of nail bed (11760) |
$314.18 |
$785.44 |
0.4× |
| Repair of nasal septum (30520) |
$5,515.81 |
$13,789.52 |
1.7× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
$3,812.42 |
$9,531.06 |
0.7× |
| Repair of ureter lesion (51535) |
$13,053.30 |
$32,633.25 |
3.8× |
| Repair of vagina (57260) |
$10,522.24 |
$26,305.59 |
2.2× |
| Repair rectum & vagina (57250) |
$15,312.27 |
$38,280.68 |
3.1× |
| Repair rotator cuff acute (23410) |
$5,085.60 |
$12,714 |
0.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$5,067.35 |
$12,668.38 |
0.7× |
| Repair tympanic membrane (69610) |
$4,435.06 |
$11,087.64 |
2.9× |
| Repair vagina/perineum (57210) |
$5,720.32 |
$14,300.80 |
1.8× |
| Repair webbed toe(s) (28345) |
$6,169.75 |
$15,424.38 |
3.9× |
| Repair wrist joints (25447) |
$7,487.92 |
$18,719.80 |
2.3× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,816.54 |
$7,041.34 |
0.9× |
| Rerepair ing hernia blocked (49521) |
$15,776.26 |
$39,440.66 |
2.5× |
| Rerepair ing hernia reduce (49520) |
$13,585.75 |
$33,964.37 |
3.9× |
| Resect Inferior Turbinate (30140) |
$5,275.75 |
$13,189.37 |
1.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,089.34 |
$47,723.36 |
1.5× |
| Revise arm/leg nerve (64708) |
$7,567.45 |
$18,918.62 |
4.0× |
| Revise leg vein (37700) |
$9,099.89 |
$22,749.72 |
3.0× |
| Revise median n/carpal tunnel surg (64721) |
$4,549.53 |
$11,373.83 |
2.4× |
| Revise ulnar nerve at elbow (64718) |
$7,461.88 |
$18,654.71 |
3.9× |
Revision of big toe (28310)
unusually low: confirm this is the full procedure |
$2,503.68 |
$6,259.19 |
0.4× |
| Revision of lower leg tendon (27685) |
$3,307.48 |
$8,268.69 |
1.0× |
| Revision of toe (28312) |
$2,866.89 |
$7,167.23 |
0.9× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$20,472.46 |
$51,181.16 |
1.2× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$7,153.14 |
$17,882.85 |
0.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$7,545.32 |
$18,863.29 |
2.2× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$2,640.84 |
$6,602.11 |
0.8× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$23,263.83 |
$58,159.58 |
4.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,640.84 |
$6,602.11 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$246.22 |
$615.55 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$255.10 |
$637.75 |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$4,267.38 |
$10,668.46 |
3.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$6,099.70 |
$15,249.25 |
4.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$4,454.10 |
$11,135.24 |
7.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$10,809.75 |
$27,024.37 |
3.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,138.72 |
$17,846.80 |
1.2× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$9,015.22 |
$22,538.04 |
1.4× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$7,105.47 |
$17,763.68 |
1.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$8,030 |
$20,075 |
2.3× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$11,880.77 |
$29,701.92 |
2.0× |
| Rpr blood vessel direct lower extremity (35226) |
$37.20 |
$93 |
0.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$350.03 |
$875.07 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,568.59 |
$3,921.47 |
3.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$6,164 |
$15,409.99 |
10.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,120.28 |
$2,800.70 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,769.74 |
$4,424.34 |
1.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$3,169.59 |
$7,923.98 |
2.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$3,625.94 |
$9,064.84 |
4.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$357.71 |
$894.27 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$342.57 |
$856.43 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$342.57 |
$856.43 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$367.73 |
$919.33 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$386.27 |
$965.67 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$318.71 |
$796.77 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$639.72 |
$1,599.29 |
3.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$332.59 |
$831.47 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$2,271.78 |
$5,679.44 |
3.1× |
| Skin Tissue Procedure (17999) |
$8,376.67 |
$20,941.67 |
42.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$10,170.54 |
$25,426.35 |
2.1× |
| Slitting of prepuce (54001) |
$7,014.31 |
$17,535.77 |
3.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$330.39 |
$825.97 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$349.01 |
$872.52 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$840.63 |
$2,101.58 |
1.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,813.37 |
$7,033.42 |
0.9× |
| Strapping unna boot (29580) |
$137.59 |
$343.98 |
0.9× |
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
unusually low: confirm this is the full procedure |
$2,006.03 |
$5,015.07 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$9,070.14 |
$22,675.36 |
3.3× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$40,501.80 |
$101,254.51 |
2.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$3,096.92 |
$7,742.30 |
1.0× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,536.56 |
$3,841.40 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,324.68 |
$3,311.70 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$482.20 |
$1,205.51 |
0.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,176.19 |
$2,940.47 |
1.9× |
| Thrombolytic Therapy, Stroke (37195) |
$278.42 |
$696.04 |
0.9× |
| Thyroid biopsy (60100) |
$925.40 |
$2,313.51 |
1.3× |
| Thyroidectomy, total or complete (60240) |
$15,182.06 |
$37,955.15 |
2.6× |
| Tongue and mouth surg unlisted (41599) |
$296.11 |
$740.28 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,234.79 |
$15,586.98 |
1.9× |
| Total hip arthroplasty (27130) |
$16,861.27 |
$42,153.17 |
1.3× |
| Total knee arthroplasty (27447) |
$25,369.98 |
$63,424.96 |
2.0× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure |
$2,740.94 |
$6,852.35 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,986.40 |
$4,966 |
8.6× |
| Transurethral resection of bladder neck (52500) |
$8,241.97 |
$20,604.92 |
2.4× |
| Treat ectopic pregnancy (59151) |
$9,309.56 |
$23,273.89 |
1.6× |
| Treat elbow fracture (24586) |
$7,493.94 |
$18,734.84 |
0.6× |
| Treat fx rad extra-articul (25607) |
$5,335.04 |
$13,337.61 |
0.8× |
| Treat heel fracture (28415) |
$6,044.33 |
$15,110.83 |
0.9× |
Treat lower leg fracture (27828)
unusually low: confirm this is the full procedure |
$4,407.15 |
$11,017.88 |
0.4× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$5,883.43 |
$14,708.58 |
0.5× |
| Treat Metatarsal Fracture (28475) |
$541.22 |
$1,353.06 |
2.2× |
| Treat ulnar fracture (24685) |
$10,650.66 |
$26,626.64 |
1.5× |
| Treatment closed elbow dislocation req anes (24605) |
$207.41 |
$518.54 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$243.41 |
$608.53 |
1.0× |
| Treatment of ankle fracture (27822) |
$7,597.94 |
$18,994.84 |
1.1× |
| Treatment of ankle fracture (27792) |
$4,499.34 |
$11,248.36 |
0.6× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$3,285.01 |
$8,212.53 |
0.5× |
| Trim skin lesion (11055) |
$243.63 |
$609.08 |
1.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,356 |
$13,390.01 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,467.70 |
$16,169.25 |
2.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,784.18 |
$14,460.46 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$295.66 |
$739.14 |
0.4× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$4,910.80 |
$12,277 |
24.9× |
| Unlisted laparoscopic procedure liver (47379) |
$4,465.02 |
$11,162.56 |
0.8× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$5,326.11 |
$13,315.27 |
0.9× |
| Unlisted laparoscopy procedure, bladder (51999) |
$10,854.96 |
$27,137.40 |
1.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,094.41 |
$17,736.02 |
1.2× |
| Unlisted laparoscopy procedure, uterus (58578) |
$4,487.12 |
$11,217.81 |
0.8× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$14,516.92 |
$36,292.31 |
2.5× |
| Unlisted procedure anus (46999) |
$3,810.74 |
$9,526.85 |
4.2× |
| Unlisted Procedure Breast (19499) |
$2,879.08 |
$7,197.71 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$7,166.33 |
$17,915.82 |
31.0× |
| Unlisted procedure foot or toes (28899) |
$4,371.28 |
$10,928.21 |
18.1× |
| Unlisted procedure leg/ankle (27899) |
$6,964.19 |
$17,410.48 |
28.9× |
| Unlisted Procedure Nervous System (64999) |
$835.35 |
$2,088.37 |
2.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,961.31 |
$12,403.27 |
8.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,024.36 |
$12,560.91 |
5.7× |
| Unlisted procedure, male genital system (55899) |
$4,365.70 |
$10,914.25 |
17.9× |
| Unlisted px female genital system nonobstetrical (58999) |
$5,662.94 |
$14,157.36 |
28.7× |
| Urology Surgery Procedure (53899) |
$15,755.58 |
$39,388.94 |
64.6× |
| Vasectomy (55250) |
$5,669.72 |
$14,174.30 |
2.8× |
| Venipuncture (36415) |
$19.48 |
$48.71 |
2.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,268.35 |
$10,670.88 |
1.3× |
| Vulvectomy simple partial (56620) |
$5,329.96 |
$13,324.91 |
1.7× |
Xfer single deep low leg tendon (27691)
unusually low: confirm this is the full procedure |
$3,262.15 |
$8,155.37 |
0.5× |