| Abd paracentesis w/imaging (49083) |
$1,194.61 |
$1,783 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,011.70 |
$1,510 |
1.1× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,466.02 |
$18,606 |
1.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$3,199.25 |
$4,775 |
2.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$5,360 |
$8,000 |
2.5× |
| Amputation metatarsal with toe single (28810) |
$6,365 |
$9,500 |
1.9× |
| Amputation toe interphalangeal joint (28825) |
$6,337.53 |
$9,459 |
1.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,569.06 |
$6,819.50 |
1.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$4,576.10 |
$6,830 |
3.7× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,510.49 |
$3,747 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$227.80 |
$340 |
1.4× |
| Appl Multlay Comprs Arm/Hand (29584) |
$227.80 |
$340 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$341.70 |
$510 |
1.2× |
| Application finger splint static (29130) |
$529.97 |
$791 |
3.9× |
| Application long arm splint shoulder hand (29105) |
$304.85 |
$455 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$220.43 |
$329 |
1.6× |
| Apply long leg splint (29505) |
$306.52 |
$457.50 |
1.8× |
| Apply short leg cast (29405) |
$250.58 |
$374 |
0.9× |
| Apply short leg cast (29425) |
$661.96 |
$988 |
2.3× |
| Apply short leg splint (29515) |
$224.12 |
$334.50 |
1.3× |
| Arterial puncture (36600) |
$77.05 |
$115 |
0.6× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,824.82 |
$8,693.75 |
1.8× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,604.50 |
$11,350 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$615.06 |
$918 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$532.32 |
$794.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,377.18 |
$2,055.50 |
4.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$569.50 |
$850 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$3,198.58 |
$4,774 |
10.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,532.50 |
$9,750 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$9,547.50 |
$14,250 |
2.8× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$16,723.20 |
$24,960 |
0.9× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$5,168.38 |
$7,714 |
1.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$7,088.60 |
$10,580 |
2.1× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,742.62 |
$5,586 |
1.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,802.92 |
$5,676 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,415.61 |
$8,083 |
1.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,742.62 |
$5,586 |
1.1× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$5,879.81 |
$8,775.84 |
0.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,116.17 |
$12,113.69 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,091.76 |
$1,629.50 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,647.48 |
$5,444 |
1.7× |
| Av fistula revision (36833) |
$5,125.50 |
$7,650 |
0.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,847.38 |
$11,712.50 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$573.86 |
$856.50 |
2.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,445.86 |
$2,158 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,279.70 |
$1,910 |
0.8× |
| Biopsy muscle deep (20205) |
$5,762 |
$8,600 |
1.9× |
| Biopsy muscle percutaneous needle (20206) |
$996.96 |
$1,488 |
0.6× |
| Biopsy of tongue (41100) |
$6,197.50 |
$9,250 |
11.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,075.25 |
$7,575 |
1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$3,064.58 |
$4,574 |
3.2× |
| Biopsy/removal lymph nodes (38525) |
$234.50 |
$350 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$5,906.05 |
$8,815 |
1.5× |
| Blood patch (62273) |
$1,943 |
$2,900 |
2.7× |
| Blood transfusion service (36430) |
$1,437.16 |
$2,145 |
3.2× |
| Blood/Lymph System Procedure (38999) |
$1,332.63 |
$1,989 |
2.9× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$739.59 |
$1,103.86 |
0.4× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,695.77 |
$2,531 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,232.46 |
$1,839.50 |
0.7× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,763.75 |
$4,125 |
0.8× |
| Carpectomy All Bones Proximal Row (25215) |
$5,829 |
$8,700 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$227.13 |
$339 |
1.0× |
| Change of cystostomy tube simple (51705) |
$486.42 |
$726 |
1.9× |
| Chemical cautery tissue (17250) |
$226.46 |
$338 |
1.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,611.02 |
$2,404.50 |
0.7× |
| Chromotubation oviduct (58350) |
$5,160.68 |
$7,702.50 |
1.0× |
| Circum 28 days or older (54161) |
$3,535.26 |
$5,276.50 |
1.6× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$470.34 |
$702 |
1.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$308.20 |
$460 |
0.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$588.26 |
$878 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$588.26 |
$878 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$588.26 |
$878 |
2.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$529.30 |
$790 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,595.94 |
$2,382 |
6.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$588.26 |
$878 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$529.30 |
$790 |
2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$470.34 |
$702 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$588.26 |
$878 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$227.80 |
$340 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$529.30 |
$790 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$588.26 |
$878 |
2.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$470.34 |
$702 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,299.80 |
$1,940 |
5.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$710.20 |
$1,060 |
2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$470.34 |
$702 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$588.26 |
$878 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$482.40 |
$720 |
1.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$588.26 |
$878 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$588.26 |
$878 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$406.02 |
$606 |
1.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$470.34 |
$702 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$129.31 |
$193 |
0.9× |
| Colonoscopy flex w/inj submuc (45381) |
$1,675 |
$2,500 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,691.75 |
$2,525 |
1.8× |
| Colpocleisis (le fort type) (57120) |
$8,375 |
$12,500 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$6,787.10 |
$10,130 |
21.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$5,896 |
$8,800 |
18.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,983.15 |
$5,945 |
1.2× |
| Conization of cervix (57520) |
$3,581.15 |
$5,345 |
1.1× |
| Conization of cervix (57522) |
$4,939.58 |
$7,372.50 |
1.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$454.93 |
$679 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$553.76 |
$826.50 |
4.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$544.71 |
$813 |
4.0× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$4,790.50 |
$7,150 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,233.78 |
$3,334 |
1.3× |
| Correction hammertoe (28285) |
$6,532.50 |
$9,750 |
1.9× |
| Correction of bunion (28297) |
$10,586 |
$15,800 |
0.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$6,532.50 |
$9,750 |
1.9× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$8,090.25 |
$12,075 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$553.76 |
$826.50 |
4.0× |
| Curettage postpartum (59160) |
$3,983.15 |
$5,945 |
1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,130.55 |
$6,165 |
1.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$8,341.50 |
$12,450 |
2.3× |
| Cysto w/insert ureteral stent (52332) |
$4,472.25 |
$6,675 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$8,341.50 |
$12,450 |
2.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,860.88 |
$5,762.50 |
1.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,576.32 |
$3,845.25 |
0.7× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,676.63 |
$5,487.50 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$6,482.92 |
$9,676 |
1.2× |
| Cystouretero & or pyeloscope (52351) |
$2,442.71 |
$3,645.84 |
0.7× |
| Cystourethroscopy (52000) |
$5,236.05 |
$7,815 |
7.3× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$7,604.50 |
$11,350 |
2.1× |
| Cystourethroscopy with biopsy (52204) |
$4,109.34 |
$6,133.34 |
1.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$3,802.25 |
$5,675 |
0.7× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$5,236.05 |
$7,815 |
2.4× |
| Debride nail 1-5 (11720) |
$567.49 |
$847 |
9.3× |
| Debride nail 6 or more (11721) |
$203.68 |
$304 |
3.3× |
| Debride tissue/muscle (11043) |
$902.46 |
$1,346.96 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$3,680.54 |
$5,493.34 |
8.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,413.62 |
$6,587.50 |
2.6× |
| Declot vascular device (36593) |
$448.23 |
$669 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,540.98 |
$3,792.50 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$3,713.48 |
$5,542.50 |
1.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,985.83 |
$5,949 |
2.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,068.65 |
$1,595 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,608 |
$2,400 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,541 |
$2,300 |
2.1× |
| Drainage Finger Abscess Simple (26010) |
$419.76 |
$626.50 |
2.0× |
| Drainage of gum lesion (41800) |
$934.98 |
$1,395.50 |
6.8× |
| Drainage of hematoma/fluid (10140) |
$2,041.49 |
$3,047 |
1.2× |
| Draw blood off venous device (36591) |
$149.08 |
$222.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$448.23 |
$669 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$367.50 |
$548.50 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$304.18 |
$454 |
1.5× |
| Dx bone marrow bx & aspir (38222) |
$1,782.87 |
$2,661 |
0.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,551 |
$5,300 |
1.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$5,359.33 |
$7,999 |
2.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,987.89 |
$2,967 |
1.0× |
| Egd dilate stricture (43245) |
$1,987.89 |
$2,967 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,976.50 |
$2,950 |
2.1× |
| Egd place gastrostomy tube (43246) |
$3,056.42 |
$4,561.83 |
1.5× |
| Egd remove lesion snare (43251) |
$2,367.44 |
$3,533.50 |
1.2× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,168.74 |
$6,222 |
1.3× |
| Endoven ther chem adhes 1st (36482) |
$8,337.48 |
$12,444 |
1.5× |
| Endovenous rf 1st vein (36475) |
$11,693.51 |
$17,453 |
3.6× |
| Episiotomy or vaginal repair (59300) |
$1,005 |
$1,500 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,976.50 |
$2,950 |
2.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$5,359.33 |
$7,999 |
1.3× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$7,604.50 |
$11,350 |
3.8× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$3,969.75 |
$5,925 |
1.0× |
| Esophagoscopy rigid trnso dx (43191) |
$2,768.53 |
$4,132.13 |
1.4× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$11,122 |
$16,600 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$502.50 |
$750 |
3.7× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$2,991.98 |
$4,465.64 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,010.98 |
$2,297 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$4,465.55 |
$6,665 |
6.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,077.98 |
$4,594 |
1.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,412.67 |
$3,601 |
1.5× |
| Exc neck tum deep < 5 cm (21556) |
$5,092 |
$7,600 |
1.7× |
| Exc rect tum transanal part (45171) |
$3,075.30 |
$4,590 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$6,155.96 |
$9,188 |
14.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$4,331.55 |
$6,465 |
5.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,810.65 |
$4,195 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,077.98 |
$4,594 |
1.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$5,092 |
$7,600 |
3.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,077.98 |
$4,594 |
1.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$6,655.78 |
$9,934 |
2.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,618 |
$5,400 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,092 |
$7,600 |
1.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,077.98 |
$4,594 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$10,502.25 |
$15,675 |
6.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,077.98 |
$4,594 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,571.80 |
$3,838.50 |
1.2× |
| Excise Inferior Turbinate (30130) |
$2,572.80 |
$3,840 |
0.8× |
| Excise lesion testis (54512) |
$1,687.40 |
$2,518.50 |
0.5× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$9,782 |
$14,600 |
1.6× |
| Excision Breast Lesion (19125) |
$7,571 |
$11,300 |
1.9× |
| Excision external ear; complete amputation Facility (69120) |
$5,951.84 |
$8,883.34 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,359.33 |
$7,999 |
1.8× |
| Excision interdigital morton neuroma single each (28080) |
$3,819 |
$5,700 |
2.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,680 |
$4,000 |
6.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,611.25 |
$8,375 |
2.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,412.67 |
$3,601 |
1.5× |
| Excision of hydrocele unilateral (55040) |
$2,531.10 |
$3,777.75 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,941.30 |
$4,390 |
1.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$11,155.50 |
$16,650 |
1.8× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) |
$11,155.50 |
$16,650 |
1.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,379.79 |
$6,537 |
1.5× |
| Excision of single external papilla or tag, anus (46220) |
$6,507.04 |
$9,712 |
5.3× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$13,078.40 |
$19,520 |
2.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,309.80 |
$4,940 |
2.7× |
| Excision of tongue lesion (41112) |
$6,130.50 |
$9,150 |
1.8× |
| Excision of vaginal cyst or tumor (57135) |
$2,510.49 |
$3,747 |
0.8× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$8,364.95 |
$12,485 |
2.5× |
| Excision or fulguration; Skene's glands Facility (53270) |
$1,687.06 |
$2,518 |
0.5× |
| Excision tendon finger flexor/extensor each (26180) |
$2,287.38 |
$3,414 |
1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,077.98 |
$4,594 |
1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,733.55 |
$7,065 |
1.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,207.60 |
$6,280 |
2.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,360 |
$8,000 |
1.8× |
| Explore Parathyroid Glands (60500) |
$5,326.50 |
$7,950 |
0.9× |
| External cephalic version (59412) |
$2,141.32 |
$3,196 |
0.6× |
| Fasciectomy Palm Only (26121) |
$4,131.89 |
$6,167 |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$6,398.50 |
$9,550 |
1.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,131.89 |
$6,167 |
1.2× |
| Fetal non-stress test (59025) |
$339.36 |
$506.50 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,153.40 |
$1,721.50 |
1.6× |
| Fluoro exam of g/colon tube (49465) |
$335 |
$500 |
1.4× |
| Fusion of foot bones (28740) |
$11,725 |
$17,500 |
1.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,286.40 |
$1,920 |
1.8× |
| Hemorrhoidectomy (46255) |
$3,309.80 |
$4,940 |
1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,309.80 |
$4,940 |
1.2× |
| Hysteroscopy biopsy (58558) |
$5,234.71 |
$7,813 |
1.6× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$11,021.50 |
$16,450 |
2.1× |
| Hysteroscopy removal leiomyomata (58561) |
$3,983.15 |
$5,945 |
0.8× |
Hysteroscopy w endometrial ablation (58563) unusually low: confirm this is the full procedure |
$2,453.88 |
$3,662.50 |
0.5× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$5,963 |
$8,900 |
1.8× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$3,983.15 |
$5,945 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$437.51 |
$653 |
1.8× |
| I&d abscess simple (10060) |
$416.74 |
$622 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,713.50 |
$4,050 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$570.17 |
$851 |
0.8× |
| I&d vulva/perineal abscess (56405) |
$3,077.98 |
$4,594 |
9.8× |
| Image Cath Fluid Colxn Visc (49405) |
$2,817.35 |
$4,205 |
1.7× |
| Image Cath Fluid Peri/Retro (49406) |
$2,817.35 |
$4,205 |
1.7× |
| Implant neuroelectrodes (63650) |
$14,170.50 |
$21,150 |
2.2× |
| Incise external hemorrhoid (46083) |
$643.87 |
$961 |
2.5× |
| Incise finger tendon sheath (26055) |
$2,349.69 |
$3,507 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$4,506.76 |
$6,726.50 |
10.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$576.20 |
$860 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$457.61 |
$683 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$437.51 |
$653 |
2.1× |
| Incision and drainage perianal abscess superficial (46050) |
$2,038.33 |
$3,042.28 |
2.1× |
| Incision extensor tendon sheath wrist (25000) |
$2,412.67 |
$3,601 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,505.49 |
$2,247 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$2,952.36 |
$4,406.50 |
9.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,966.45 |
$2,935 |
2.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,187.78 |
$3,265.34 |
2.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,221.08 |
$1,822.50 |
1.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,729.60 |
$2,581.50 |
1.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,940.32 |
$2,896 |
2.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,302.14 |
$1,943.50 |
1.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,788.90 |
$2,670 |
2.0× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,293.10 |
$1,930 |
1.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$2,913.83 |
$4,349 |
3.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,772.15 |
$2,645 |
2.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$859.28 |
$1,282.50 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$804.67 |
$1,201 |
2.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,554.40 |
$2,320 |
2.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$881.05 |
$1,315 |
1.2× |
| Injection for identification of sentinel node (38792) |
$323.18 |
$482.36 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$498.48 |
$744 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,092.77 |
$1,631 |
3.4× |
| Ins cath ren art 1st bilat (36252) |
$5,553.63 |
$8,289 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$4,974.08 |
$7,424 |
1.5× |
| Ins cath ren art 2nd+ bilat (36254) |
$7,751.90 |
$11,570 |
2.4× |
| Ins endovas vena cava filtr (37191) |
$8,015.88 |
$11,964 |
1.4× |
| Ins tun ip cath for dial opn (49421) |
$5,192.50 |
$7,750 |
1.4× |
| Ins Vag Brachytx Device (57156) |
$445.55 |
$665 |
1.4× |
| Insert cath pleura w/ image (32557) |
$1,596.61 |
$2,383 |
1.0× |
| Insert gastrostomy tube percutaneous (49440) |
$1,508.84 |
$2,252 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$2,167.45 |
$3,235 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$169.84 |
$253.50 |
1.2× |
| Insert tun ip cath perc (49418) |
$4,976.76 |
$7,428 |
1.3× |
| Insert tunneled cv cath (36561) |
$5,087.98 |
$7,594 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.97 |
$191 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,100.09 |
$4,627 |
0.8× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$2,047.52 |
$3,056 |
1.3× |
Insertion/rplcmt peripheral/gastric npgr (64590) likely a partial charge, not the full procedure |
$3,787.73 |
$5,653.33 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$1,603.98 |
$2,394 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,298.02 |
$7,907.50 |
1.6× |
| Insrt/redo spine n generator (63685) |
$24,977.26 |
$37,279.50 |
0.8× |
| Intro cath dialysis circuit (36901) |
$1,982.20 |
$2,958.50 |
1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$23,620.18 |
$35,254 |
2.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$10,809.11 |
$16,133 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$507.86 |
$758 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$452.25 |
$675 |
1.8× |
| Lap ing hernia repair init (49650) |
$10,318 |
$15,400 |
1.7× |
| Lap insert tunnel ip cath (49324) |
$10,318 |
$15,400 |
1.7× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,648.24 |
$17,385.44 |
1.1× |
| Lap paraesophag hern repair (43281) |
$7,346.55 |
$10,965 |
0.7× |
| Lap revision perm ip cath (49325) |
$6,415.25 |
$9,575 |
1.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$8,308 |
$12,400 |
1.3× |
| Laparoscopy appendectomy (44970) |
$10,150.50 |
$15,150 |
1.6× |
| Laparoscopy biopsy (49321) |
$5,944.40 |
$8,872.24 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,189 |
$16,700 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,189 |
$16,700 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$9,547.50 |
$14,250 |
1.5× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$13,322.28 |
$19,884 |
1.2× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$14,912.86 |
$22,258 |
1.4× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,770.54 |
$10,105.28 |
1.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$9,782 |
$14,600 |
2.5× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$13,433.50 |
$20,050 |
1.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$13,433.50 |
$20,050 |
1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$10,364.90 |
$15,470 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$11,909.25 |
$17,775 |
1.9× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$7,437 |
$11,100 |
0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,023.30 |
$8,990 |
1.0× |
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) likely a partial charge, not the full procedure |
$1,750.58 |
$2,612.81 |
0.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$6,403.86 |
$9,558 |
0.6× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$8,020.57 |
$11,971 |
1.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$10,150.50 |
$15,150 |
1.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,290.24 |
$12,373.50 |
1.3× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$7,456.43 |
$11,129 |
0.7× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$10,318 |
$15,400 |
1.7× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$5,963 |
$8,900 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$6,689.95 |
$9,985 |
1.7× |
| Laryngoscopy diagnostic (31505) |
$399.99 |
$597 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$406.02 |
$606 |
2.0× |
| Laryngoscopy w/biopsy (31535) |
$3,859.20 |
$5,760 |
1.0× |
| Laryngoscopy w/bx op scope (31536) |
$3,551 |
$5,300 |
0.9× |
| Larynscop w/tumr exc + scope (31541) |
$3,551 |
$5,300 |
0.9× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$7,839 |
$11,700 |
1.4× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$8,341.50 |
$12,450 |
1.5× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$8,914.35 |
$13,305 |
2.7× |
| Ligation of a-v fistula (37607) |
$5,824.82 |
$8,693.75 |
1.8× |
| Ligation of hemorrhoid(s) (46221) |
$1,467.30 |
$2,190 |
1.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,549.25 |
$9,775 |
1.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,426.33 |
$6,606.46 |
1.2× |
| Liver Biopsy (47000) |
$1,178.53 |
$1,759 |
0.7× |
| Lysis of labial adhesions (56441) |
$3,417 |
$5,100 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,234.45 |
$3,335 |
1.3× |
| Mast mod rad (19307) |
$19,212.25 |
$28,675 |
2.8× |
| Mastectomy partial (19301) |
$5,214.61 |
$7,783 |
1.3× |
| Mastectomy simple complete (19303) |
$8,399.57 |
$12,536.67 |
1.2× |
| Myringoplasty (69620) |
$2,859.56 |
$4,268 |
0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,772.15 |
$2,645 |
2.4× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) unusually low: confirm this is the full procedure |
$2,647.84 |
$3,952 |
0.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,910.43 |
$7,329 |
1.3× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$3,660.04 |
$5,462.75 |
0.5× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) likely a partial charge, not the full procedure |
$201 |
$300 |
0.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,277.44 |
$3,399.16 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,507.50 |
$2,250 |
0.8× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$4,724.17 |
$7,051 |
0.6× |
Nasal/sinus ndsc total with sphenoidotomy (31257) unusually low: confirm this is the full procedure |
$3,232.75 |
$4,825 |
0.4× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$11,127.58 |
$16,608.33 |
1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$10.39 |
$15.50 |
0.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$10.39 |
$15.50 |
0.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$4,013.30 |
$5,990 |
2.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$464.98 |
$694 |
1.1× |
| Njx aa&/strd sciatic nerve (64445) |
$1,665.79 |
$2,486.25 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,687.06 |
$2,518 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,593.60 |
$2,378.50 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,636.14 |
$2,442 |
2.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$3,249.50 |
$4,850 |
7.7× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$4,757.34 |
$7,100.50 |
0.7× |
| Occipital Nerve Block (64405) |
$956.76 |
$1,428 |
3.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,197.50 |
$4,750 |
1.5× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$7,575.47 |
$11,306.67 |
1.2× |
| Open thrombect av fistula (36831) |
$8,810.50 |
$13,150 |
1.5× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$10,653 |
$15,900 |
1.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$3,728.55 |
$5,565 |
0.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,760.28 |
$11,582.50 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$21,285.23 |
$31,769 |
1.8× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$10,887.50 |
$16,250 |
1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,195.13 |
$10,739 |
1.0× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$10,887.50 |
$16,250 |
1.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$12,864 |
$19,200 |
3.8× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$11,071.75 |
$16,525 |
3.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$5,360 |
$8,000 |
1.6× |
| Palatopharyngoplasty (42145) |
$11,356.50 |
$16,950 |
1.9× |
| Partial removal of thyroid (60220) |
$8,090.25 |
$12,075 |
1.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$10,854 |
$16,200 |
1.7× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,510.49 |
$3,747 |
0.8× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,753.24 |
$11,572 |
0.7× |
| Perq av fistula creation uxtr sep access sites (36837) |
$24,562.20 |
$36,660 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$8,576 |
$12,800 |
11.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$487.76 |
$728 |
1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$7,298.98 |
$10,894 |
2.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$8,274.50 |
$12,350 |
1.4× |
| Phleb veins - extrem 20+ (37766) |
$4,046.80 |
$6,040 |
1.2× |
| Placement of seton (46020) |
$3,543.30 |
$5,288.50 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,958.05 |
$4,415 |
1.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$9,219.20 |
$13,760 |
1.8× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$8,098.29 |
$12,087 |
1.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$11,256 |
$16,800 |
3.3× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$11,155.50 |
$16,650 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$542.03 |
$809 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$507.19 |
$757 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$6,523.12 |
$9,736 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$502.50 |
$750 |
0.7× |
| Removal foreign body intranasal (30300) |
$479.05 |
$715 |
3.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$164.15 |
$245 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$542.70 |
$810 |
8.9× |
| Removal implant deep (20680) |
$4,355 |
$6,500 |
1.5× |
| Removal of adenoids (42835) |
$3,121.53 |
$4,659 |
0.9× |
| Removal of adenoids (42831) |
$4,790.50 |
$7,150 |
1.4× |
| Removal of adenoids (42830) |
$4,101.74 |
$6,122 |
1.2× |
| Removal of adenoids (42836) |
$4,015.98 |
$5,994 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$479.05 |
$715 |
1.0× |
| Removal of iud (58301) |
$532.65 |
$795 |
1.7× |
| Removal of nail bed (11750) |
$982.89 |
$1,467 |
2.3× |
| Removal of sesamoid bone (28315) |
$3,251.73 |
$4,853.33 |
1.0× |
| Removal of testis (54520) |
$3,982.48 |
$5,944 |
1.1× |
| Removal of tonsils (42826) |
$4,790.50 |
$7,150 |
1.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,798.85 |
$8,655 |
1.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,852.50 |
$5,750 |
1.8× |
| Remove anal fist subq (46270) |
$4,485.65 |
$6,695 |
1.6× |
| Remove ext hem groups 2+ (46250) |
$4,460.52 |
$6,657.50 |
1.6× |
| Remove Prostate Regrowth (52630) |
$3,752 |
$5,600 |
0.7× |
| Remove thyroid duct lesion (60280) |
$9,246 |
$13,800 |
1.5× |
| Remove/Insert Drug Implant (11983) |
$2,048.19 |
$3,057 |
4.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,953 |
$5,900 |
2.3× |
| Remv Ext Canal Foreign Body (69200) |
$237.52 |
$354.50 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$430.14 |
$642 |
3.1× |
| Renal Biopsy Percutaneous (50200) |
$2,554.04 |
$3,812 |
1.5× |
| Repair achilles tendon (27650) |
$11,256 |
$16,800 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,005 |
$1,500 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,005 |
$1,500 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$964.80 |
$1,440 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$753.75 |
$1,125 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$11,155.50 |
$16,650 |
6.7× |
| Repair incomplete circumcision (54163) |
$2,950.01 |
$4,403 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$723.60 |
$1,080 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$723.60 |
$1,080 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$723.60 |
$1,080 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$753.75 |
$1,125 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$723.60 |
$1,080 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,173.91 |
$1,752.11 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$482.40 |
$720 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$723.60 |
$1,080 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,031.80 |
$1,540 |
2.5× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$12,462 |
$18,600 |
1.9× |
| Repair of nail bed (11760) |
$301.84 |
$450.50 |
0.4× |
| Repair of nasal septum (30520) |
$3,942.28 |
$5,884 |
1.2× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$7,703.46 |
$11,497.70 |
2.1× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$10,720 |
$16,000 |
2.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$10,452 |
$15,600 |
3.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,964.07 |
$11,886.67 |
1.1× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$9,165.60 |
$13,680 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$688.09 |
$1,027 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$901.82 |
$1,346 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$901.82 |
$1,346 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,470.50 |
$11,150 |
2.1× |
| Revise spine eltrd perq aray (63663) |
$16,196.58 |
$24,174 |
2.5× |
| Revise ulnar nerve at elbow (64718) |
$2,412.67 |
$3,601 |
1.2× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$19,728.15 |
$29,445 |
1.1× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$7,847.38 |
$11,712.50 |
1.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,470.50 |
$11,150 |
2.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$399.99 |
$597 |
2.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,234.12 |
$3,334.50 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$3,232.75 |
$4,825 |
5.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,449.88 |
$2,164 |
0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,102.10 |
$4,630 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,677.58 |
$8,474 |
1.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$10,988 |
$16,400 |
1.8× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$9,413.50 |
$14,050 |
2.5× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$8,334.46 |
$12,439.50 |
1.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$3,296.40 |
$4,920 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$11,390 |
$17,000 |
3.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$9,139.80 |
$13,641.50 |
1.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$11,390 |
$17,000 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$482.40 |
$720 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$492.45 |
$735 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$502.50 |
$750 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$663.97 |
$991 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$502.50 |
$750 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$3,736.28 |
$5,576.54 |
4.9× |
| Skin sub graft trnk/arm/leg (15271) |
$2,405.97 |
$3,591 |
3.2× |
| Skin Tissue Procedure (17999) |
$694.50 |
$1,036.56 |
3.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,113.39 |
$10,617 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$482.40 |
$720 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$482.40 |
$720 |
1.1× |
| Sphincterotomy anal division sphincter spx (46080) |
$4,589.50 |
$6,850 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,379.86 |
$2,059.50 |
1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,025 |
$7,500 |
1.5× |
| Strapping unna boot (29580) |
$375.87 |
$561 |
2.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,623 |
$6,900 |
1.4× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$6,074.56 |
$9,066.50 |
1.0× |
| Surgical closure tracheostomy or fistula; with plastic repair Facility (31825) |
$6,130.50 |
$9,150 |
1.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,070.28 |
$4,582.50 |
1.1× |
| Suspension of testis (54640) |
$3,374.79 |
$5,037 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$371.85 |
$555 |
0.9× |
| Tenodesis long tendon biceps (23430) |
$5,412.79 |
$8,078.79 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$819.41 |
$1,223 |
1.3× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
$16,080 |
$24,000 |
2.8× |
| Thrombolytic Therapy Stroke (37195) |
$487.76 |
$728 |
1.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$10,854 |
$16,200 |
1.8× |
| Thyroidectomy, total or complete (60240) |
$9,983 |
$14,900 |
1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$7,705 |
$11,500 |
2.3× |
| Total hip arthroplasty (27130) |
$10,937.75 |
$16,325 |
0.8× |
| Total Knee Arthroplasty (27447) |
$10,937.75 |
$16,325 |
0.8× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$3,266.25 |
$4,875 |
1.6× |
| Transoral Lower Esophageal Myotomy (43497) |
$7,885.90 |
$11,770 |
1.3× |
| Transur electr resection of prostate (52601) |
$7,437 |
$11,100 |
1.3× |
| Treat fracture radius/ulna (25575) |
$10,887.50 |
$16,250 |
1.5× |
| Treat Knee Fracture (27540) |
$7,088.60 |
$10,580 |
0.9× |
| Treat Vaginal Bleeding (57180) |
$3,852.50 |
$5,750 |
18.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$588.26 |
$878 |
2.3× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$5,879.25 |
$8,775 |
1.8× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,698.40 |
$5,520 |
1.1× |
| Trim skin lesion (11055) |
$213.73 |
$319 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$245.89 |
$367 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$11,110.61 |
$16,583 |
1.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$8,291.25 |
$12,375 |
1.4× |
| Trurl rescj postop bladder neck contracture (52640) |
$7,604.50 |
$11,350 |
2.1× |
| Tube thoracostomy includes water seal (32551) |
$720.25 |
$1,075 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,309.80 |
$4,940 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,879.25 |
$8,775 |
1.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$588.26 |
$878 |
0.4× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$7,212.55 |
$10,765 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$4,254.50 |
$6,350 |
2.7× |
| Unlisted laparoscopic procedure liver (47379) |
$5,829 |
$8,700 |
0.9× |
| Unlisted laparoscopic procedure, ureter (50949) |
$4,246.13 |
$6,337.50 |
0.7× |
| Unlisted laparoscopy procedure stomach (43659) |
$9,135.12 |
$13,634.50 |
1.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,264.97 |
$7,858.16 |
0.8× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$3,637.46 |
$5,429.04 |
0.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$5,402.96 |
$8,064.12 |
0.9× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$3,264.62 |
$4,872.56 |
0.5× |
| Unlisted procedure anus (46999) |
$3,309.80 |
$4,940 |
3.4× |
| Unlisted procedure dentoalveolar structures (41899) |
$6,164 |
$9,200 |
25.2× |
| Unlisted Procedure Esophagus (43499) |
$4,970.95 |
$7,419.33 |
5.3× |
| Unlisted Procedure Male Genital System (55899) |
$436.17 |
$651 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,245.12 |
$6,336 |
6.6× |
| Unlisted procedure, stomach (43999) |
$8,676.50 |
$12,950 |
9.3× |
| Us urine capacity measure (51798) |
$137.35 |
$205 |
2.3× |
| Uvulectomy excision of uvula (42140) |
$5,561 |
$8,300 |
1.6× |
| Vasc embolize/occlude artery (37242) |
$21,285.23 |
$31,769 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$7,689.92 |
$11,477.50 |
3.6× |
| Venipuncture (36415) |
$23.12 |
$34.50 |
2.5× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,349.33 |
$4,999 |
1.0× |