| Abd paracentesis w/imaging (49083) |
$1,049.80 |
$1,810 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$817.80 |
$1,410 |
0.9× |
| Abdomen Surgery Procedure (22999) |
$1,287.60 |
$2,220 |
5.0× |
| Ablate inf turbinate submuc (30802) |
$1,568.03 |
$2,703.50 |
1.0× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,855.60 |
$11,820 |
0.4× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$10,791.48 |
$18,606 |
1.0× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$7,281.90 |
$12,555 |
0.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,236.16 |
$10,752 |
1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,773.06 |
$3,057 |
1.1× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,480 |
$6,000 |
1.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,211.75 |
$5,537.50 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$4,021.33 |
$6,933.33 |
1.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,368.61 |
$5,807.94 |
1.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,621.73 |
$7,968.50 |
2.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$7,163 |
$12,350 |
3.4× |
| Amniocentesis diagnostic (59000) |
$530.12 |
$914 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$29 |
$50 |
0.0× |
| Amputate metacarpal bone (26910) |
$5,510 |
$9,500 |
1.6× |
| Amputation Finger/Thumb (26951) |
$4,900.71 |
$8,449.50 |
1.4× |
| Amputation foot transmetarsal (28805) |
$5,756.50 |
$9,925 |
1.7× |
| Amputation metatarsal with toe single (28810) |
$3,743.90 |
$6,455 |
1.1× |
| Amputation of penis; partial Facility (54120) |
$6,380 |
$11,000 |
1.7× |
| Amputation toe interphalangeal joint (28825) |
$5,486.22 |
$9,459 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,486.22 |
$9,459 |
1.6× |
| Anoscopy Ablation Lesion (46615) |
$1,522.50 |
$2,625 |
0.5× |
| Anoscopy diagnostic (46600) |
$2,581 |
$4,450 |
18.7× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,157.60 |
$3,720 |
1.7× |
| Anoscopy w/control bleeding (46614) |
$4,857.50 |
$8,375 |
3.9× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$1,470.30 |
$2,535 |
0.5× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$1,800.41 |
$3,104.16 |
0.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,161 |
$5,450 |
1.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$7,250 |
$12,500 |
1.4× |
| Anterior tibial tubercleplasty (27418) |
$6,318.52 |
$10,894 |
0.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$197.20 |
$340 |
1.2× |
| Application finger splint static (29130) |
$257.52 |
$444 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$388.02 |
$669 |
2.3× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) unusually low: confirm this is the full procedure |
$5,786.72 |
$9,977.10 |
0.4× |
| Application of rigid total contact leg cast (29445) |
$295.80 |
$510 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$435 |
$750 |
3.2× |
| Application uniplane external fixation system (20690) |
$5,214.49 |
$8,990.50 |
0.7× |
| Apply long leg splint (29505) |
$461.68 |
$796 |
2.7× |
| Apply short leg splint (29515) |
$353.22 |
$609 |
2.1× |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Facility (66179) likely a partial charge, not the full procedure |
$1,605.88 |
$2,768.75 |
0.3× |
| Arterial puncture (36600) |
$114.84 |
$198 |
0.8× |
| Arteriovenous Anastomosis Open Direct (36821) |
$10,074.60 |
$17,370 |
3.1× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$11,443.54 |
$19,730.25 |
0.9× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) unusually low: confirm this is the full procedure |
$4,785.80 |
$8,251.38 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$612.48 |
$1,056 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$480.82 |
$829 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,492.15 |
$2,572.68 |
4.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$493 |
$850 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$508.95 |
$877.50 |
1.6× |
| Arthrodesis ankle open (27870) |
$12,823.80 |
$22,110 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,472.80 |
$11,160 |
0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,804.85 |
$11,732.50 |
0.9× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$4,463.10 |
$7,695 |
1.3× |
Arthrodesis pantalar (28705) unusually low: confirm this is the full procedure |
$8,870.53 |
$15,294.02 |
0.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$10,512.50 |
$18,125 |
0.6× |
| Arthrodesis triple (28715) |
$11,929.15 |
$20,567.50 |
0.9× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$19,140 |
$33,000 |
0.7× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) likely a partial charge, not the full procedure |
$1,619.17 |
$2,791.67 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) likely a partial charge, not the full procedure |
$2,020.33 |
$3,483.33 |
0.1× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) likely a partial charge, not the full procedure |
$3,411.85 |
$5,882.50 |
0.3× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) unusually low: confirm this is the full procedure |
$2,803.33 |
$4,833.33 |
0.4× |
| Arthrodesis; subtalar (28725) |
$12,771.02 |
$22,019 |
1.0× |
Arthroplasty Ankle W/Implant (27702) unusually low: confirm this is the full procedure |
$11,457.32 |
$19,754 |
0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,756.70 |
$30,615 |
1.0× |
| Arthroplasty interphalangeal joint each (26535) |
$2,644.80 |
$4,560 |
0.8× |
| Arthroplasty patella w/prosthesis (27438) |
$10,643 |
$18,350 |
0.8× |
| Arthroplasty radial head (24365) |
$8,918.52 |
$15,376.76 |
0.7× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$3,355.59 |
$5,785.50 |
1.0× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) |
$14,028.75 |
$24,187.50 |
1.1× |
| Arthroplasty, radial head; with implant Facility (24366) |
$9,468.50 |
$16,325 |
0.7× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) unusually low: confirm this is the full procedure |
$5,349.20 |
$9,222.75 |
0.4× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$10,146.14 |
$17,493.34 |
6.1× |
| Arthroscopy Hip W/Femoroplasty (29914) |
$7,821.78 |
$13,485.84 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$6,136.40 |
$10,580 |
1.8× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$7,238.40 |
$12,480 |
2.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,688.14 |
$8,083 |
1.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$4,303.60 |
$7,420 |
1.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$6,685.47 |
$11,526.67 |
2.0× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$2,459.49 |
$4,240.50 |
0.7× |
| Arthroscopy, elbow, surgical; debridement, extensive Facility (29838) |
$1,909.94 |
$3,293 |
0.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$290 |
$500 |
0.1× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) |
$5,745.48 |
$9,906 |
1.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,940.94 |
$10,243 |
1.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,239.88 |
$5,586 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$7,129.65 |
$12,292.50 |
2.1× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,134.40 |
$3,680 |
0.3× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$9,854.20 |
$16,990 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,239.88 |
$5,586 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,745.48 |
$9,906 |
0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$10,295 |
$17,750 |
1.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,464.53 |
$5,973.33 |
1.0× |
| Arthroscopy, wrist, surgical; synovectomy, complete Facility (29845) |
$3,239.88 |
$5,586 |
1.0× |
| Arthroscopy, wrist, surgical; synovectomy, partial Facility (29844) |
$3,239.88 |
$5,586 |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$1,357.20 |
$2,340 |
0.4× |
| Arthrotomy wrist joint with synovectomy (25105) |
$4,315.20 |
$7,440 |
1.3× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$2,921.46 |
$5,037 |
0.9× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$6,542.40 |
$11,280 |
1.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,863.64 |
$13,558 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$5,940.94 |
$10,243 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$959.32 |
$1,654 |
1.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$432.68 |
$746 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,402.86 |
$5,867 |
1.6× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$6,423.50 |
$11,075 |
2.7× |
| Autochondrocyte implant knee (27412) |
$10,262.38 |
$17,693.75 |
1.4× |
| Av fistula revision (36833) |
$8,874 |
$15,300 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$596.53 |
$1,028.50 |
2.9× |
| Axillary lymphadenectomy; complete (38745) |
$9,048 |
$15,600 |
1.4× |
| Axillary lymphadenectomy; superficial Facility (38740) |
$8,758 |
$15,100 |
1.4× |
| Biopsy bone open superficial (20240) |
$5,380 |
$9,275.85 |
1.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,251.64 |
$2,158 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,044 |
$1,800 |
0.6× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$3,448.10 |
$5,945 |
3.6× |
| Biopsy muscle deep (20205) |
$4,988 |
$8,600 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$864.49 |
$1,490.50 |
0.5× |
| Biopsy Muscle Superficial (20200) |
$5,985.60 |
$10,320 |
3.5× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$5,307 |
$9,150 |
1.5× |
| Biopsy Nerve (64795) |
$5,582.50 |
$9,625 |
2.8× |
| Biopsy of breast; open, incisional (19101) |
$4,514.14 |
$7,783 |
1.1× |
| Biopsy of penis (54100) |
$507.74 |
$875.42 |
0.3× |
| Biopsy of urethra (53200) |
$1,113.60 |
$1,920 |
0.5× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,906.80 |
$10,184.14 |
1.5× |
| Biopsy Salivary Gland,Needle (42400) |
$389.76 |
$672 |
0.5× |
| Biopsy soft tissue back,superf (21920) |
$1,859.10 |
$3,205.34 |
1.1× |
| Biopsy soft tissue neck/thorax (21550) |
$6,432.78 |
$11,091 |
3.8× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,371.12 |
$2,364 |
0.8× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,920.96 |
$3,312 |
1.1× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$4,640 |
$8,000 |
1.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$4,654.50 |
$8,025 |
4.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$2,907.25 |
$5,012.50 |
3.0× |
| Biopsy/removal lymph nodes (38525) |
$4,611.87 |
$7,951.50 |
1.1× |
| Biopsy/removal lymph nodes (38510) |
$11,136 |
$19,200 |
2.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$941.92 |
$1,624 |
1.3× |
| Bladder Irrigation Simple (51700) |
$3,610.50 |
$6,225 |
14.0× |
| Blepharoplasty lower eyelid (15820) |
$4,631.30 |
$7,985 |
2.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$4,796.60 |
$8,270 |
2.2× |
| Blepharotomy drain absc eyelid (67700) |
$378.74 |
$653 |
1.2× |
| Blood patch (62273) |
$1,451.74 |
$2,503 |
2.0× |
| Blood transfusion service (36430) |
$2,563.60 |
$4,420 |
5.6× |
| Blood/Lymph System Procedure (38999) |
$440.80 |
$760 |
1.0× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
$4,712.50 |
$8,125 |
0.6× |
| Bone marrow aspiration only (38220) |
$1,370.54 |
$2,363 |
0.8× |
| Bone Marrow Biopsy (38221) |
$1,187.26 |
$2,047 |
0.7× |
| Breast augmentation with implant (19325) |
$10,935.32 |
$18,854 |
1.3× |
| Breast Reduction (19318) |
$9,272.75 |
$15,987.50 |
1.3× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$3,393 |
$5,850 |
1.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,393 |
$5,850 |
1.8× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,200.60 |
$2,070 |
0.7× |
| Brnchsc removal bronchial valve initial (31648) |
$2,401.20 |
$4,140 |
0.6× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$4,730.24 |
$8,155.58 |
0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,403.38 |
$4,143.75 |
0.6× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$5,315.70 |
$9,165 |
1.4× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$2,914.50 |
$5,025 |
0.8× |
| Bronch ebus samplng 1/2 node (31652) |
$3,693.15 |
$6,367.50 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$4,350 |
$7,500 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$5,173.60 |
$8,920 |
2.8× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,186.20 |
$12,390 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$6,277.05 |
$10,822.50 |
0.9× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,714.40 |
$4,680 |
0.7× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$4,312.88 |
$7,436 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$5,063.40 |
$8,730 |
2.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,053.70 |
$5,265 |
1.7× |
| Bronchoscopy w/tumor excise (31640) |
$2,639.10 |
$4,550.17 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$4,162.95 |
$7,177.50 |
2.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$3,754.63 |
$6,473.50 |
2.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,565.92 |
$4,424 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,920.11 |
$5,034.67 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$1,786.40 |
$3,080 |
1.0× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$1,357.20 |
$2,340 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$1,490.22 |
$2,569.34 |
0.9× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$2,450.50 |
$4,225 |
0.7× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) |
$11,851.72 |
$20,434 |
1.6× |
| Carpectomy All Bones Proximal Row (25215) |
$3,006.43 |
$5,183.50 |
0.9× |
| Cataract surgery complex (66982) |
$2,544.46 |
$4,387 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,104 |
$8,800 |
1.5× |
| Change Cystostomy Tube Complicated (51710) |
$4,532.70 |
$7,815 |
6.3× |
| Change of cystostomy tube simple (51705) |
$1,460.44 |
$2,518 |
5.6× |
| Chemical cautery tissue (17250) |
$235.48 |
$406 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$585.80 |
$1,010 |
0.8× |
| Chemodenerv musc migraine (64615) |
$497.06 |
$857 |
1.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$731.09 |
$1,260.50 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$585.80 |
$1,010 |
0.8× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$878.70 |
$1,515 |
1.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,292.08 |
$5,676 |
1.5× |
| Chromotubation oviduct (58350) |
$2,968.74 |
$5,118.52 |
0.6× |
| Circum 28 days or older (54161) |
$4,887.37 |
$8,426.50 |
2.3× |
| Circumcision (54150) |
$144.42 |
$249 |
0.1× |
| Circumcision Neonate (54160) |
$144.42 |
$249 |
0.2× |
| Claviculectomy partial (23120) |
$5,816.64 |
$10,028.70 |
1.7× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,903.13 |
$3,281.25 |
7.5× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$2,324.93 |
$4,008.50 |
0.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$4,466 |
$7,700 |
2.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$8,004 |
$13,800 |
2.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,244.48 |
$2,145.66 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$321.30 |
$553.96 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$605.45 |
$1,043.88 |
0.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$509.24 |
$878 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$508.95 |
$877.50 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$509.24 |
$878 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$509.24 |
$878 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,706.12 |
$8,114 |
2.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$4,466 |
$7,700 |
2.7× |
| Closed tx septal&nose fx (21337) |
$1,773.06 |
$3,057 |
0.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$509.24 |
$878 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$509.24 |
$878 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,450 |
$2,500 |
5.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$509.24 |
$878 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,376.92 |
$2,374 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$509.24 |
$878 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$508.95 |
$877.50 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$2,809.52 |
$4,844 |
11.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$701.66 |
$1,209.75 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$509.24 |
$878 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$435 |
$750 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$440.80 |
$760 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,017.90 |
$1,755 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$509.24 |
$878 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$509.10 |
$877.75 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,466 |
$7,700 |
2.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$509.24 |
$878 |
2.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$509.24 |
$878 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,181.75 |
$2,037.50 |
4.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$509.10 |
$877.75 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$509.10 |
$877.75 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$509.24 |
$878 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$509.24 |
$878 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$509.10 |
$877.75 |
2.0× |
| Cltx post ankle fx w/mnpj (27768) |
$509.24 |
$878 |
0.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$509.24 |
$878 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$509.10 |
$877.75 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$509.24 |
$878 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$509.10 |
$877.75 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$509.10 |
$877.75 |
0.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$509.10 |
$877.75 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$170.52 |
$294 |
1.2× |
| Colonoscopy flex w/blln dilat (45386) |
$1,430.67 |
$2,466.67 |
1.2× |
| Colonoscopy flex w/inj submuc (45381) |
$1,421 |
$2,450 |
1.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,624 |
$2,800 |
1.3× |
| Colonoscopy stoma w/biopsy (44389) |
$1,082.66 |
$1,866.66 |
0.9× |
| Colonoscopy thru stoma (44388) |
$1,624 |
$2,800 |
1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,464.50 |
$2,525 |
1.2× |
| Colonoscopy w/ablation (45388) |
$2,073.50 |
$3,575 |
1.7× |
| Colonoscopy w/endoscopic fnb (45392) |
$913.50 |
$1,575 |
0.7× |
| Colonoscopy w/fb removal (45379) |
$1,089.92 |
$1,879.16 |
0.9× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,464.50 |
$2,525 |
1.2× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,624 |
$2,800 |
0.6× |
| Colpocleisis (le fort type) (57120) |
$7,250 |
$12,500 |
1.4× |
| Colpoperineorrhaphy non ob (57210) |
$1,063.14 |
$1,833 |
0.3× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) likely a partial charge, not the full procedure |
$1,812.50 |
$3,125 |
0.2× |
| Colporrhaphy Suture Injury Vagina (57200) |
$7,714 |
$13,300 |
2.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$2,196.26 |
$3,786.66 |
7.0× |
| Colposcopy vulva (56820) |
$522 |
$900 |
2.5× |
| Colposcopy vulva w/biopsy (56821) |
$1,914 |
$3,300 |
6.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$713.40 |
$1,230 |
2.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$3,741 |
$6,450 |
3.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) |
$3,451 |
$5,950 |
0.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$14,940.80 |
$25,760 |
2.9× |
| Conization of cervix (57520) |
$4,406.55 |
$7,597.50 |
1.3× |
| Conization of cervix (57522) |
$3,602.60 |
$6,211.38 |
1.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$393.82 |
$679 |
1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$522.29 |
$900.50 |
3.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$974.40 |
$1,680 |
7.1× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$6,670 |
$11,500 |
1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,068.86 |
$3,567 |
1.2× |
| Correction hammertoe (28285) |
$5,606.67 |
$9,666.67 |
1.7× |
| Correction of bunion (28298) |
$6,107.40 |
$10,530 |
0.8× |
| Correction of bunion (28292) |
$5,792.75 |
$9,987.50 |
1.7× |
| Correction of bunion (28299) |
$11,136 |
$19,200 |
1.5× |
| Correction of bunion (28297) |
$10,022.40 |
$17,280 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$7,685 |
$13,250 |
2.3× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$9,587.40 |
$16,530 |
1.7× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$5,541.32 |
$9,554 |
0.6× |
| Csf shunt reprogram (62252) |
$560.86 |
$967 |
1.8× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$522 |
$900 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$487.20 |
$840 |
3.5× |
| Curettage postpartum (59160) |
$3,414.02 |
$5,886.25 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,871.50 |
$6,675 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,571.14 |
$4,433 |
1.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$5,541.32 |
$9,554 |
1.5× |
| Cysto w/destruction of lesions (52214) |
$4,403.66 |
$7,592.51 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$4,341.30 |
$7,485 |
1.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$5,698.50 |
$9,825 |
1.6× |
| Cysto w/removal of tumors small (52234) |
$6,570.24 |
$11,328 |
1.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$5,274.81 |
$9,094.50 |
2.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,421.78 |
$7,623.75 |
1.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$2,033.54 |
$3,506.10 |
0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$3,692.57 |
$6,366.50 |
0.7× |
| Cysto/uretero w/lithotripsy (52356) |
$8,817.45 |
$15,202.50 |
1.6× |
| Cysto/uretero w/up stricture (52345) |
$3,404.60 |
$5,870 |
0.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$3,342.25 |
$5,762.50 |
0.6× |
| Cystolithotomy (51050) |
$9,309 |
$16,050 |
1.7× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) unusually low: confirm this is the full procedure |
$4,553 |
$7,850 |
0.5× |
| Cystoscopy implant stent (52282) |
$3,990.40 |
$6,880 |
1.1× |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
$3,812.05 |
$6,572.50 |
1.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,532.70 |
$7,815 |
2.1× |
| Cystouretero & or pyeloscope (52351) |
$4,640 |
$8,000 |
1.3× |
| Cystourethroscopy (52000) |
$2,092.06 |
$3,607 |
2.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,249.53 |
$3,878.50 |
1.0× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$6,670 |
$11,500 |
1.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,092.06 |
$3,607 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$5,464.08 |
$9,420.84 |
1.5× |
| Cystourethroscopy with biopsy (52204) |
$3,229.15 |
$5,567.50 |
1.5× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$4,837.49 |
$8,340.50 |
0.9× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$5,075 |
$8,750 |
2.3× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$417.60 |
$720 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,813.50 |
$6,575 |
1.3× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$9,638.73 |
$16,618.50 |
2.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$581.35 |
$1,002.33 |
0.8× |
| Debride tissue/muscle (11043) |
$2,535.76 |
$4,372 |
3.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,665.68 |
$4,596 |
6.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,152.30 |
$5,435 |
1.8× |
| Declot vascular device (36593) |
$776.04 |
$1,338 |
2.3× |
| Decomp forearm,1 compart,w/o debride (25020) |
$9,454 |
$16,300 |
5.7× |
| Decompression Of Tibia Nerve (28035) |
$1,740 |
$3,000 |
0.9× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$9,483 |
$16,350 |
4.4× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$9,635.25 |
$16,612.50 |
2.6× |
| Destroy cerv/thor facet jnt (64633) |
$1,989.69 |
$3,430.50 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,725.60 |
$4,699.30 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$2,320 |
$4,000 |
11.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,305 |
$2,250 |
1.4× |
| Destruction Lesions Vulva Extensive (56515) |
$4,654.50 |
$8,025 |
2.2× |
| Destruction Lesions Vulva Simple (56501) |
$4,654.50 |
$8,025 |
2.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,726 |
$4,700 |
1.3× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$2,664.52 |
$4,594 |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,921.46 |
$5,037 |
1.4× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,433.60 |
$5,920 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$3,014.26 |
$5,197 |
0.9× |
| Diagnostic anoscopy (46601) |
$3,132 |
$5,400 |
6.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$952.94 |
$1,643 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,392 |
$2,400 |
1.4× |
| Dilation and curettage (58120) |
$5,104 |
$8,800 |
1.5× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$5,452 |
$9,400 |
5.8× |
| Dilation of cervical canal (57800) |
$3,448.10 |
$5,945 |
1.0× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$2,618.70 |
$4,515 |
0.7× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$3,625 |
$6,250 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$928 |
$1,600 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,331.68 |
$2,296 |
1.8× |
| Drainage Finger Abscess Simple (26010) |
$343.94 |
$593 |
1.7× |
| Drainage Mouth Roof Lesion (42000) |
$467.77 |
$806.50 |
1.9× |
| Drainage of gum lesion (41800) |
$594.06 |
$1,024.25 |
4.3× |
| Drainage of hematoma/fluid (10140) |
$4,966.25 |
$8,562.50 |
2.9× |
| Drainage of scrotal wall abscess (55100) |
$1,368.80 |
$2,360 |
0.8× |
| Draw blood off venous device (36591) |
$262.06 |
$451.83 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$377 |
$650 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$333.50 |
$575 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$320.16 |
$552 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$4,857.50 |
$8,375 |
1.7× |
| Dstrj Lesion Penis Simple Laser (54057) |
$2,664.52 |
$4,594 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$1,783.50 |
$3,075 |
0.8× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$2,030 |
$3,500 |
2.2× |
| Dx bone marrow bx & aspir (38222) |
$1,798 |
$3,100 |
0.6× |
| Ear Cartilage Graft (21235) |
$5,297.33 |
$9,133.33 |
0.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,784 |
$4,800 |
1.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,291 |
$3,950 |
1.2× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,972 |
$3,400 |
1.0× |
| Egd control bleeding any (43255) |
$1,662.67 |
$2,866.67 |
0.8× |
| Egd dilate stricture (43245) |
$2,136.34 |
$3,683.34 |
1.1× |
| Egd endo mucosal resection (43254) |
$1,827 |
$3,150 |
0.9× |
| Egd endoscopic stent place (43266) |
$3,712 |
$6,400 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$258.10 |
$445 |
0.1× |
| Egd flexible foreign body removal (43247) |
$2,252.72 |
$3,884 |
2.4× |
| Egd guide wire insertion (43248) |
$1,972 |
$3,400 |
2.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,232.05 |
$5,572.50 |
1.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,617.25 |
$4,512.50 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,581 |
$4,450 |
1.3× |
| Egd remove lesion snare (43251) |
$1,363 |
$2,350 |
0.7× |
| Egd us exam duodenum/jejunum (43259) |
$3,625.01 |
$6,250.01 |
1.8× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$8,874 |
$15,300 |
1.5× |
| Endocervical Curettage (57505) |
$2,726.16 |
$4,700.28 |
2.9× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$3,448.10 |
$5,945 |
0.7× |
| Endometrial Biopsy (58100) |
$3,448.10 |
$5,945 |
16.5× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$4,099.88 |
$7,068.75 |
0.5× |
| Endoscopic us exam esoph (43237) |
$2,710.05 |
$4,672.50 |
1.4× |
| Endoscopy bowel pouch/biop (44386) |
$899 |
$1,550 |
0.9× |
| Endoscopy of bowel pouch (44385) |
$1,972 |
$3,400 |
2.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,754.50 |
$3,025 |
0.9× |
| Endoven ther chem adhes 1st (36482) |
$7,801.34 |
$13,450.58 |
1.4× |
| Endovenous rf 1st vein (36475) |
$9,665.12 |
$16,664 |
3.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,146 |
$3,700 |
1.0× |
Ercp Duct Stent Placement (43274) unusually low: confirm this is the full procedure |
$2,755 |
$4,750 |
0.4× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,596 |
$6,200 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$2,059 |
$3,550 |
0.5× |
Ercp lithotripsy calculi (43265) likely a partial charge, not the full procedure |
$1,058.50 |
$1,825 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,886.01 |
$6,700.01 |
1.0× |
| Ercp remove forgn body duct (43275) |
$3,596 |
$6,200 |
1.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,857 |
$6,650 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,610 |
$4,500 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,125.04 |
$5,388 |
0.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,059 |
$3,550 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,972 |
$3,400 |
2.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,784 |
$4,800 |
0.7× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$4,611 |
$7,950 |
2.3× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$3,315.28 |
$5,716 |
0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,436.50 |
$5,925 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$196.04 |
$338 |
1.4× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,640 |
$8,000 |
2.7× |
| Exc arm/elbow les sc < 3 cm (24075) |
$4,640 |
$8,000 |
2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$4,640 |
$8,000 |
6.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$3,895.86 |
$6,717 |
2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,664.52 |
$4,594 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,340.80 |
$5,760 |
2.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$4,640 |
$8,000 |
6.3× |
| Exc back les sc < 3 cm (21930) |
$4,640 |
$8,000 |
2.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,320 |
$4,000 |
3.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,150.61 |
$1,983.81 |
0.7× |
| Exc ganglion wrist recurrent (25112) |
$1,370.25 |
$2,362.50 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$3,219.58 |
$5,551 |
1.9× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$4,060 |
$7,000 |
1.2× |
| Exc neck tum deep < 5 cm (21556) |
$6,482.66 |
$11,177 |
2.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,701.12 |
$6,381.25 |
1.8× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$8,510.51 |
$14,673.30 |
4.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$7,453 |
$12,850 |
2.6× |
| Exc rect tum transanal part (45171) |
$7,453 |
$12,850 |
2.6× |
| Exc skin abd (15830) |
$6,960 |
$12,000 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$2,664.52 |
$4,594 |
3.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,664.52 |
$4,594 |
6.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,664.52 |
$4,594 |
3.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,652.26 |
$6,297 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,586.80 |
$4,460 |
1.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$6,066.70 |
$10,459.83 |
2.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$7,163 |
$12,350 |
4.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,320 |
$4,000 |
0.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$6,039.25 |
$10,412.50 |
2.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,071.10 |
$5,295 |
1.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$11,368 |
$19,600 |
3.8× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$4,640 |
$8,000 |
1.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$6,532.26 |
$11,262.52 |
3.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$3,030.50 |
$5,225 |
1.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$4,654.50 |
$8,025 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,320 |
$4,000 |
1.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,923.20 |
$5,040 |
1.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$3,387.20 |
$5,840 |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$6,786 |
$11,700 |
2.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$11,333.20 |
$19,540 |
6.6× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$14,152 |
$24,400 |
4.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,091.40 |
$5,330 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,724.54 |
$8,145.75 |
1.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$9,584.50 |
$16,525 |
5.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,290.34 |
$5,673 |
0.9× |
| Exchange intraocular lens (66986) |
$6,423.50 |
$11,075 |
2.7× |
| Exchange nephrostomy cath (50435) |
$1,609.98 |
$2,775.84 |
0.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,317.76 |
$2,272 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$2,664.52 |
$4,594 |
1.3× |
| Excise Wrist Tendon Sheath (25118) |
$5,842.92 |
$10,074 |
3.5× |
| Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) |
$3,443.46 |
$5,937 |
0.6× |
| Excision Breast Lesion (19125) |
$6,960 |
$12,000 |
1.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$4,872 |
$8,400 |
1.4× |
| Excision external ear partial simple repair (69110) |
$3,652.26 |
$6,297 |
1.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$1,546.48 |
$2,666.34 |
0.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,652.26 |
$6,297 |
1.2× |
| Excision interdigital morton neuroma single each (28080) |
$2,482.40 |
$4,280 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,160 |
$2,000 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$5,608.60 |
$9,670 |
7.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$4,640 |
$8,000 |
11.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$6,003 |
$10,350 |
8.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$8,758 |
$15,100 |
11.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,664.52 |
$4,594 |
3.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$2,177.41 |
$3,754.16 |
3.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$2,320 |
$4,000 |
3.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$7,163 |
$12,350 |
4.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,320 |
$4,000 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$3,915 |
$6,750 |
2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$6,249.50 |
$10,775 |
3.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,857.50 |
$8,375 |
1.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$2,401.49 |
$4,140.50 |
3.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$2,320 |
$4,000 |
3.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$9,584.50 |
$16,525 |
2.8× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Facility (60200) unusually low: confirm this is the full procedure |
$3,101.12 |
$5,346.75 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,740.50 |
$4,725 |
1.6× |
| Excision of hydrocele unilateral (55040) |
$3,932.98 |
$6,781 |
1.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$2,664.52 |
$4,594 |
2.6× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Facility (40814) |
$3,388.01 |
$5,841.40 |
1.0× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$4,640 |
$8,000 |
1.3× |
| Excision of lesion of tongue without closure (41110) |
$9,599 |
$16,550 |
2.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,664.52 |
$4,594 |
1.6× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$2,664.52 |
$4,594 |
1.1× |
| Excision of local lesion of epididymis (54830) |
$2,553.74 |
$4,403 |
0.7× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$18,096 |
$31,200 |
3.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$9,657 |
$16,650 |
1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,322.66 |
$9,177 |
1.8× |
| Excision of single external papilla or tag, anus (46220) |
$3,930.66 |
$6,777 |
3.2× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$3,538 |
$6,100 |
1.6× |
| Excision of submandibular (submaxillary) gland Facility (42440) |
$7,453 |
$12,850 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,865.20 |
$4,940 |
2.3× |
| Excision of tongue lesion (41112) |
$6,131.76 |
$10,572 |
1.8× |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair Facility (51500) |
$9,671.50 |
$16,675 |
1.5× |
| Excision of vaginal cyst or tumor (57135) |
$2,327.25 |
$4,012.50 |
0.7× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
$4,388.86 |
$7,567 |
1.2× |
| Excision olecranon bursa (24105) |
$3,555.40 |
$6,130 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,228.96 |
$2,118.90 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$2,528.80 |
$4,360 |
0.7× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) unusually low: confirm this is the full procedure |
$3,239.88 |
$5,586 |
0.4× |
| Excision or fulguration; Skene's glands Facility (53270) |
$2,543.30 |
$4,385 |
0.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,791.46 |
$6,537 |
1.3× |
| Excision prepatellar bursa (27340) |
$6,090 |
$10,500 |
1.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$7,018 |
$12,100 |
2.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,597.16 |
$6,202 |
1.1× |
| Excision tendon finger flexor/extensor each (26180) |
$1,199.05 |
$2,067.33 |
0.7× |
| Excision Torus Mandibularis (21031) |
$3,514.80 |
$6,060 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,652.26 |
$6,297 |
2.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,147.95 |
$5,427.50 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$5,568 |
$9,600 |
3.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$4,033.42 |
$6,954.17 |
1.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$14,012.80 |
$24,160 |
4.7× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Facility (15941) |
$5,626 |
$9,700 |
1.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$9,280 |
$16,000 |
3.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$3,555.40 |
$6,130 |
2.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,256.20 |
$2,165.86 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,640 |
$8,000 |
1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$4,206.94 |
$7,253.34 |
1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,813 |
$4,850 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$7,235.50 |
$12,475 |
2.4× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$4,268.80 |
$7,360 |
1.3× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$3,194.83 |
$5,508.33 |
1.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,711 |
$2,950 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$5,582.50 |
$9,625 |
3.3× |
| Exploration of knee joint (27310) |
$5,582.50 |
$9,625 |
1.6× |
| Explore for undescended testis (54550) |
$391.50 |
$675 |
0.1× |
| Explore Parathyroid Glands (60500) |
$7,845.44 |
$13,526.62 |
1.3× |
| External cephalic version (59412) |
$2,132.08 |
$3,676 |
0.6× |
| Fasciectomy Palm Only (26121) |
$5,080.22 |
$8,759 |
1.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,635.31 |
$2,819.50 |
0.5× |
| Fasciectomy, plantar fascia; radical (separate procedure) Facility (28062) |
$2,400.62 |
$4,139 |
0.7× |
| Fasciotomy foot and/or toe (28008) |
$5,626 |
$9,700 |
1.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,576.86 |
$6,167 |
1.1× |
| Fetal non-stress test (59025) |
$578.84 |
$998 |
2.8× |
| Filleted finger/toe flap (14350) |
$3,194.84 |
$5,508.34 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,712.55 |
$2,952.67 |
2.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,340.96 |
$2,312 |
1.8× |
| Fixation contralateral testis separate procedure (54620) |
$3,236.40 |
$5,580 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$290 |
$500 |
1.2× |
| Forehead flap w/vasc pedicle (15731) |
$15,219.20 |
$26,240 |
4.1× |
| Foreskin manipulation (54450) |
$1,465.66 |
$2,527 |
5.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,921.46 |
$5,037 |
1.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,915 |
$6,750 |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,915 |
$6,750 |
1.8× |
| Fusion of foot bones (28740) |
$10,642.13 |
$18,348.50 |
1.4× |
| Gastrocnemius recession (27687) |
$6,318.52 |
$10,894 |
1.9× |
| Glossectomy; less than one-half tongue Facility (41120) |
$8,816 |
$15,200 |
1.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,915 |
$6,750 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,113.60 |
$1,920 |
1.5× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) unusually low: confirm this is the full procedure |
$3,726.50 |
$6,425 |
0.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$5,289.60 |
$9,120 |
1.6× |
| Hemorrhoidectomy (46255) |
$4,857.50 |
$8,375 |
1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,588.80 |
$11,360 |
2.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,247.22 |
$2,150.38 |
0.4× |
| Hip arthro acetabuloplasty (29915) |
$7,543.68 |
$13,006.34 |
1.0× |
| Hip arthro w/labral repair (29916) |
$4,901.42 |
$8,450.72 |
0.7× |
| Hymenotomy Simple Incision (56442) |
$2,266.35 |
$3,907.50 |
0.7× |
| Hysteroscopy biopsy (58558) |
$8,228.27 |
$14,186.67 |
2.5× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$3,448.10 |
$5,945 |
0.7× |
| Hysteroscopy removal leiomyomata (58561) |
$6,771.79 |
$11,675.50 |
1.3× |
| Hysteroscopy w endometrial ablation (58563) |
$3,448.10 |
$5,945 |
0.7× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$4,290.55 |
$7,397.50 |
1.3× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$4,305.05 |
$7,422.50 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$537.66 |
$927 |
2.2× |
| I&d abscess simple (10060) |
$1,184.94 |
$2,043 |
5.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,393 |
$5,850 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,451 |
$5,950 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$2,772.40 |
$4,780 |
3.8× |
| I&d vulva/perineal abscess (56405) |
$1,302.97 |
$2,246.50 |
4.1× |
| Ileoscopy thru stoma (44380) |
$1,174.50 |
$2,025 |
1.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,097.67 |
$3,616.67 |
2.2× |
| Image Cath Fluid Colxn Visc (49405) |
$2,438.90 |
$4,205 |
1.4× |
| Image Cath Fluid Peri/Retro (49406) |
$2,438.90 |
$4,205 |
1.4× |
| Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) |
$15,426.38 |
$26,597.20 |
1.8× |
Implant cochlear device (69930) unusually low: confirm this is the full procedure |
$15,457 |
$26,650 |
0.5× |
| Implant neuroelectrodes (63650) |
$7,273.20 |
$12,540 |
1.1× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) |
$13,901.88 |
$23,968.75 |
1.0× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$11,121.50 |
$19,175 |
0.8× |
| Incise external hemorrhoid (46083) |
$557.38 |
$961 |
2.2× |
| Incise finger tendon sheath (26055) |
$2,424.40 |
$4,180 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$3,381.11 |
$5,829.50 |
8.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$498.80 |
$860 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,930.53 |
$3,328.50 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,773.06 |
$3,057 |
4.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,229.60 |
$2,120 |
5.9× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$4,901 |
$8,450 |
1.7× |
| Incision and drainage perianal abscess superficial (46050) |
$2,508.50 |
$4,325 |
2.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,656.61 |
$6,304.50 |
1.2× |
| Incision bone cortex hand/finger (26034) |
$883.91 |
$1,523.98 |
0.5× |
| Incision extensor tendon sheath wrist (25000) |
$3,474.20 |
$5,990 |
2.1× |
| Incision of eardrum (69421) |
$1,923.86 |
$3,317 |
0.6× |
| Incision of eyelid fold (67715) |
$736.60 |
$1,270 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,334 |
$2,300 |
0.8× |
| Incision of rectal abscess (46040) |
$2,987 |
$5,150 |
2.4× |
Incision of tibia (27705) unusually low: confirm this is the full procedure |
$3,248.58 |
$5,601 |
0.4× |
| Incision of urethra (53020) |
$3,564.10 |
$6,145 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$3,407.58 |
$5,875.12 |
4.5× |
| Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory… (0311U) |
$104.43 |
$180.05 |
12.9× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Facility (38760) |
$6,867.20 |
$11,840 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$290 |
$500 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,534.10 |
$2,645 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$834.62 |
$1,439 |
2.6× |
| Inj therapeutic carpal tunnel (20526) |
$182.12 |
$314 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,287.81 |
$3,944.50 |
2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,534.10 |
$2,645 |
1.7× |
| Inject Intravitreal Pharmcologic (67028) |
$1,362.61 |
$2,349.33 |
4.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,478.16 |
$2,548.54 |
1.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,534.10 |
$2,645.01 |
1.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$2,187.18 |
$3,771 |
2.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,127.23 |
$1,943.50 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,534.10 |
$2,645 |
1.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$3,262.50 |
$5,625 |
3.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,808.44 |
$3,118 |
2.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$982.52 |
$1,694 |
1.3× |
| Injection aa&/strd pudendal nerve (64430) |
$2,301.15 |
$3,967.50 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,080.54 |
$1,863 |
3.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$720.36 |
$1,242 |
2.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$4,118.14 |
$7,100.25 |
4.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,702.30 |
$2,935 |
2.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,534.10 |
$2,645 |
2.1× |
| Injection for identification of sentinel node (38792) |
$508.96 |
$877.50 |
1.2× |
| Injection into skin lesions (11900) |
$2,853.10 |
$4,919.13 |
13.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$651.92 |
$1,124 |
1.0× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$2,889.94 |
$4,982.66 |
6.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$476.76 |
$822 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$443.99 |
$765.50 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$5,408.79 |
$9,325.50 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$4,305.92 |
$7,424 |
1.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,313.96 |
$9,162 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$6,939.12 |
$11,964 |
1.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$13,148.60 |
$22,670 |
1.2× |
| Ins/Rep Subq Defibrillator (33270) |
$22,582.88 |
$38,936 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$7,221 |
$12,450 |
54.2× |
| Insert cath pleura w/ image (32557) |
$1,996.07 |
$3,441.50 |
1.2× |
| Insert cervical dilator (59200) |
$393.24 |
$678 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$1,502.20 |
$2,590 |
0.8× |
| Insert heart pm atrial (33206) |
$11,055.38 |
$19,061 |
1.0× |
| Insert heart pm ventricular (33207) |
$11,851.14 |
$20,433 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$3,185.07 |
$5,491.50 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,972 |
$3,400 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$433.84 |
$748 |
3.1× |
| Insert testicular prosthesis (54660) |
$7,312.64 |
$12,608 |
1.3× |
| Insert Tissue Expander(S) (11960) |
$6,467 |
$11,150 |
1.8× |
| Insert tun ip cath perc (49418) |
$4,308.24 |
$7,428 |
1.2× |
| Insert tunneled cv cath (36561) |
$4,457.30 |
$7,685 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116 |
$200 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,508.50 |
$4,325 |
0.7× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Facility (53445) |
$12,644 |
$21,800 |
0.6× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$5,800 |
$10,000 |
2.4× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) unusually low: confirm this is the full procedure |
$9,604.80 |
$16,560 |
0.4× |
Insertion of penile prosthesis; non-inflatable (semi-rigid) Facility (54400) likely a partial charge, not the full procedure |
$783 |
$1,350 |
0.1× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$18,985.72 |
$32,734 |
0.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,754.10 |
$11,645 |
0.8× |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
$18,794.61 |
$32,404.50 |
0.9× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$10,988.10 |
$18,945 |
1.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$5,881.20 |
$10,140 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$1,458.12 |
$2,514 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,738.47 |
$4,721.50 |
0.8× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,787.50 |
$16,875 |
1.2× |
| Insj/rplcmt defib w/lead(s) (33249) |
$29,163.85 |
$50,282.50 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,878.30 |
$10,135 |
0.7× |
| Insrt/redo spine n generator (63685) |
$21,767.11 |
$37,529.50 |
0.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$4,857.50 |
$8,375 |
1.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,201.68 |
$3,796 |
1.5× |
| Intro cath dialysis circuit (36901) |
$3,920.80 |
$6,760 |
2.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,447.32 |
$35,254 |
1.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$10,267.45 |
$17,702.50 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$1,190.16 |
$2,052 |
4.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$5,662.25 |
$9,762.50 |
21.9× |
| Island pedicle flap graft (15740) |
$3,286.67 |
$5,666.67 |
1.5× |
| Knee Arthroscopy/Surgery (29874) |
$3,845.40 |
$6,630 |
1.1× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$11,875.50 |
$20,475 |
1.6× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$13,798.20 |
$23,790 |
1.8× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) likely a partial charge, not the full procedure |
$938.49 |
$1,618.08 |
0.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$5,017 |
$8,650 |
0.7× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$17,078.10 |
$29,445 |
2.3× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$16,340.92 |
$28,174 |
2.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$10,034 |
$17,300 |
1.3× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$11,423.10 |
$19,695 |
1.5× |
| Lap ing hernia repair init (49650) |
$12,839.46 |
$22,137 |
2.1× |
| Lap insert tunnel ip cath (49324) |
$6,742.50 |
$11,625 |
1.1× |
| Lap paraesoph her rpr w/mesh (43282) |
$17,089.36 |
$29,464.42 |
1.6× |
| Lap paraesophag hern repair (43281) |
$12,934 |
$22,300 |
1.2× |
| Lap revision perm ip cath (49325) |
$9,512 |
$16,400 |
1.5× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$11,260.70 |
$19,415 |
1.8× |
| Laparoscopy appendectomy (44970) |
$8,120 |
$14,000 |
1.3× |
| Laparoscopy biopsy (49321) |
$4,812.26 |
$8,297 |
0.8× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$15,494.70 |
$26,715 |
1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,545.18 |
$23,353.75 |
1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$8,265 |
$14,250 |
1.3× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$14,355 |
$24,750 |
1.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$18,491.85 |
$31,882.50 |
1.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$9,106 |
$15,700 |
1.5× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$8,468 |
$14,600 |
2.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$5,660.80 |
$9,760 |
1.4× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$14,120.82 |
$24,346.25 |
2.3× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Facility (55550) |
$4,388.86 |
$7,567 |
0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$13,895.35 |
$23,957.50 |
1.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) |
$17,402.18 |
$30,003.75 |
1.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) |
$11,952.35 |
$20,607.50 |
1.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$14,292.65 |
$24,642.50 |
1.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$28,161.90 |
$48,555 |
2.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,672 |
$18,400 |
1.7× |
| Laparoscopy, surgical; orchiectomy Facility (54690) |
$12,934 |
$22,300 |
2.1× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$18,246.80 |
$31,460 |
1.7× |
| Laparoscopy, surgical; pyeloplasty Facility (50544) |
$10,179 |
$17,550 |
0.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$14,439.10 |
$24,895 |
2.3× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Facility (50947) |
$10,382 |
$17,900 |
0.9× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
$6,870.83 |
$11,846.25 |
1.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$8,387.96 |
$14,462 |
0.8× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) |
$6,904.03 |
$11,903.50 |
1.1× |
| Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673) |
$8,265 |
$14,250 |
0.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,088.18 |
$12,221 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$8,932 |
$15,400 |
1.4× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$21,112 |
$36,400 |
1.9× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$9,338 |
$16,100 |
1.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$11,522.67 |
$19,866.67 |
1.8× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) unusually low: confirm this is the full procedure |
$2,266.35 |
$3,907.50 |
0.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$356.70 |
$615 |
1.7× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$356.70 |
$615 |
0.9× |
| Laryngoscopy w/biopsy (31535) |
$5,500.34 |
$9,483.34 |
1.4× |
| Laryngoscopy w/bx op scope (31536) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscopy w/exc of tumor (31540) |
$5,974 |
$10,300 |
1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,611 |
$7,950 |
2.5× |
| Larynscop w/tumr exc + scope (31541) |
$5,974 |
$10,300 |
1.5× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$6,862.85 |
$11,832.50 |
1.2× |
| Laser treatment of retina (67040) |
$6,423.50 |
$11,075 |
1.5× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$5,380.66 |
$9,277 |
1.0× |
| Late closure of wound (13160) |
$5,626 |
$9,700 |
1.5× |
| Lateral retinacular release open (27425) |
$6,318.52 |
$10,894 |
1.9× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,433.60 |
$5,920 |
1.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$8,520.20 |
$14,690 |
1.1× |
| Ligamentous reconstruction knee intra-articular (27428) |
$7,863.64 |
$13,558 |
0.6× |
| Ligate/strip long leg vein (37722) |
$4,570.40 |
$7,880 |
1.4× |
| Ligation of a-v fistula (37607) |
$8,874 |
$15,300 |
2.7× |
| Ligation of hemorrhoid(s) (46221) |
$2,173.26 |
$3,747 |
2.3× |
| Ligation or biopsy temporal artery (37609) |
$7,308 |
$12,600 |
4.3× |
| Lip Surgery Procedure (40799) |
$8,042.67 |
$13,866.67 |
32.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$7,866.83 |
$13,563.50 |
2.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$2,717.16 |
$4,684.75 |
0.7× |
| Lithotripsy (50590) |
$10,440 |
$18,000 |
2.9× |
| Liver Biopsy (47000) |
$1,482.10 |
$2,555.34 |
0.9× |
| Lysis of labial adhesions (56441) |
$1,978.96 |
$3,412 |
0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,553.74 |
$4,403 |
1.2× |
| Male sling procedure (53440) |
$13,363.20 |
$23,040 |
1.0× |
| Manipulation hip joint general anesthesia (27275) |
$765.60 |
$1,320 |
0.5× |
| Manipulation knee joint under general anesthesia (27570) |
$3,922.25 |
$6,762.50 |
2.4× |
| Manipulation, elbow, under anesthesia (24300) |
$4,988 |
$8,600 |
3.0× |
| Manipulation, wrist, under anesthesia (25259) |
$2,494 |
$4,300 |
1.5× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,287.52 |
$3,944 |
0.7× |
| Mast mod rad (19307) |
$10,440 |
$18,000 |
1.5× |
| Mastectomy partial (19301) |
$6,786 |
$11,700 |
1.7× |
| Mastectomy simple complete (19303) |
$9,686 |
$16,700 |
1.4× |
| Mastopexy (19316) |
$9,956.57 |
$17,166.50 |
1.4× |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Facility (24301) unusually low: confirm this is the full procedure |
$3,239.88 |
$5,586 |
0.4× |
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) likely a partial charge, not the full procedure |
$1,713.87 |
$2,954.95 |
0.2× |
| Muscle-skin graft trunk (15734) |
$11,507.20 |
$19,840 |
3.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,090.40 |
$1,880 |
1.5× |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
$3,668.50 |
$6,325 |
0.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$7,273.20 |
$12,540 |
1.9× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$8,700 |
$15,000 |
1.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$4,611 |
$7,950 |
2.5× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Facility (31239) |
$2,726 |
$4,700 |
0.7× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) unusually low: confirm this is the full procedure |
$2,528.80 |
$4,360 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$5,800 |
$10,000 |
3.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,233.50 |
$5,575 |
1.8× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$5,723.44 |
$9,868 |
0.8× |
Nasal/sinus ndsc total with sphenoidotomy (31257) unusually low: confirm this is the full procedure |
$3,266.56 |
$5,632 |
0.4× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$4,350 |
$7,500 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$528.96 |
$912 |
1.1× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$5,392.55 |
$9,297.50 |
1.5× |
Nerve pedicle transfer; first stage Facility (64905) likely a partial charge, not the full procedure |
$2,668 |
$4,600 |
0.3× |
| Nerve repair w/nerve allograft first strand (64912) |
$4,639.42 |
$7,999 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$2,204.29 |
$3,800.50 |
1.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$5,220 |
$9,000 |
2.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$5,760.36 |
$9,931.66 |
2.8× |
| Nipple exploration (19110) |
$4,514.14 |
$7,783 |
1.1× |
| Nipple/areola reconstruction (19350) |
$4,514.14 |
$7,783.01 |
1.1× |
| Njx aa&/strd sciatic nerve (64445) |
$2,445.86 |
$4,217 |
3.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$4,872 |
$8,400 |
18.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,683.08 |
$4,626 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,290.34 |
$5,673 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,680.15 |
$2,896.81 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,600.80 |
$2,760 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,534.10 |
$2,645 |
2.1× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$4,346.52 |
$7,494 |
2.0× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$4,570.40 |
$7,880 |
2.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$3,132 |
$5,400 |
4.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,182.04 |
$2,038 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$3,976.58 |
$6,856.16 |
9.4× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$4,350.29 |
$7,500.50 |
0.6× |
| Occipital Nerve Block (64405) |
$814.32 |
$1,404 |
2.6× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$4,368.42 |
$7,531.75 |
1.2× |
| Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) |
$2,851.72 |
$4,916.75 |
1.1× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$6,718.43 |
$11,583.50 |
1.7× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$6,423.50 |
$11,075 |
1.0× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$19,082 |
$32,900 |
0.6× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,535.66 |
$14,716.66 |
1.1× |
| Open treatment calcaneal fracture (28415) |
$9,425 |
$16,250 |
1.3× |
| Open treatment interphalangeal joint dislocation (28675) |
$12,620.80 |
$21,760 |
3.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$10,266 |
$17,700 |
1.4× |
| Open treatment metatarsal fracture each (28485) |
$5,524.39 |
$9,524.81 |
0.7× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) |
$3,805.53 |
$6,561.25 |
0.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$6,984.65 |
$12,042.50 |
0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,425 |
$16,250 |
1.3× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$7,351.50 |
$12,675 |
1.2× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) |
$9,280 |
$16,000 |
0.7× |
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) unusually low: confirm this is the full procedure |
$2,087.42 |
$3,599 |
0.3× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) |
$8,729 |
$15,050 |
0.7× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$23,756.80 |
$40,960 |
1.8× |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
$4,901 |
$8,450 |
0.8× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) unusually low: confirm this is the full procedure |
$5,321.50 |
$9,175 |
0.4× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$9,425 |
$16,250 |
1.3× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$9,338 |
$16,100 |
1.2× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$12,620.80 |
$21,760 |
0.9× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$10,208 |
$17,600 |
1.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) |
$7,439.95 |
$12,827.50 |
1.0× |
Open treatment of ulnar styloid fracture (25652) unusually low: confirm this is the full procedure |
$3,689.76 |
$6,361.66 |
0.5× |
Open treatment posterior malleolus fracture (27769) unusually low: confirm this is the full procedure |
$3,692.66 |
$6,366.66 |
0.5× |
| Open Treatment Proximal Humeral Fracture (23615) |
$9,169.05 |
$15,808.71 |
0.7× |
| Open treatment talus fracture (28445) |
$10,266 |
$17,700 |
1.4× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$5,524.39 |
$9,524.81 |
0.7× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$5,028.02 |
$8,669 |
1.5× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$4,656.82 |
$8,029 |
1.4× |
| Open tx carpal scaphoid navicular fracture (25628) |
$5,028.02 |
$8,669 |
0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,988.50 |
$10,325 |
0.8× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$5,974 |
$10,300 |
0.8× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$5,727.50 |
$9,875 |
1.7× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$13,920 |
$24,000 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$7,563.20 |
$13,040 |
2.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,950.01 |
$8,534.50 |
1.5× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$10,734.35 |
$18,507.50 |
1.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$10,266 |
$17,700 |
1.4× |
| Open tx ulnar fx proximal end (24685) |
$9,425 |
$16,250 |
1.3× |
| Open/Perq Place Stent Same (37238) |
$24,568.03 |
$42,358.67 |
2.1× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$27,639.03 |
$47,653.50 |
2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,425 |
$16,250 |
1.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$9,425 |
$16,250 |
1.3× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$9,657 |
$16,650 |
1.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$18,884.80 |
$32,560 |
1.4× |
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) likely a partial charge, not the full procedure |
$578.23 |
$996.94 |
0.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,593.60 |
$7,920 |
1.2× |
| Ostectomy calcaneus (28118) |
$5,655 |
$9,750 |
1.7× |
| Ostectomy complete 5th metatarsal head (28113) |
$9,584.50 |
$16,525 |
2.8× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$4,168.75 |
$7,187.50 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$7,685 |
$13,250 |
2.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$5,104 |
$8,800 |
1.5× |
| Osteoplasty, radius OR ulna; shortening Facility (25390) |
$6,929.07 |
$11,946.67 |
0.9× |
Osteot shrt corrj prox phalanx 1st toe (28310) unusually low: confirm this is the full procedure |
$2,505.60 |
$4,320 |
0.3× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure |
$3,712 |
$6,400 |
0.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,264.32 |
$3,904 |
0.7× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$5,373.70 |
$9,265 |
0.7× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$1,413.75 |
$2,437.50 |
0.2× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$14,662.40 |
$25,280 |
2.0× |
| Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457) |
$12,356.90 |
$21,305 |
1.6× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$4,333.18 |
$7,471 |
0.6× |
| Palatoplasty for cleft palate, soft and/or hard palate only Facility (42200) |
$9,338 |
$16,100 |
1.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
$4,640 |
$8,000 |
0.6× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Facility (25151) |
$3,576.86 |
$6,167 |
1.1× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$2,714.40 |
$4,680 |
0.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$4,872 |
$8,400 |
1.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$9,584.50 |
$16,525 |
2.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,664.52 |
$4,594 |
1.6× |
| Partial excision of lip (40520) |
$6,743.47 |
$11,626.67 |
2.0× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,332.26 |
$2,297 |
0.8× |
| Partial hymenectomy or revision (56700) |
$2,287.52 |
$3,944 |
0.7× |
| Partial removal of thyroid (60220) |
$9,925.74 |
$17,113.34 |
1.6× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$15,462.80 |
$26,660 |
2.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,194.83 |
$5,508.33 |
0.9× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,232.13 |
$3,848.50 |
0.7× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$6,236.74 |
$10,753 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$8,878.06 |
$15,307 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$679.76 |
$1,172 |
0.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$6,273.86 |
$10,817 |
0.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,141.66 |
$5,416.66 |
0.9× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
$9,657 |
$16,650 |
2.8× |
| Pericardiocentesis W/Imaging (33016) |
$1,218 |
$2,100 |
0.7× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$6,264 |
$10,800 |
1.7× |
| Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) |
$11,107 |
$19,150 |
0.8× |
| Perq dev breast 1st strtctc (19283) |
$1,084.31 |
$1,869.50 |
1.5× |
| Perq dev breast 1st us imag (19285) |
$2,603.04 |
$4,488 |
3.6× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,555.77 |
$4,406.50 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$483.14 |
$833 |
1.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,273.68 |
$2,196 |
1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$9,279.42 |
$15,999 |
2.7× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$21,127.66 |
$36,427 |
1.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,427.97 |
$23,151.67 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,567.92 |
$11,324 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$12,003.49 |
$20,695.67 |
1.6× |
| Perq Vertebral Augmentation (22513) |
$16,292.70 |
$28,090.86 |
2.2× |
| Phleb veins - extrem 20+ (37766) |
$2,934.26 |
$5,059.07 |
0.9× |
| Picc line placement (36569) |
$1,267.30 |
$2,185 |
0.8× |
| Place Cath Subclavian Art (36225) |
$4,923.04 |
$8,488 |
1.5× |
| Place Cath Vertebral Art (36226) |
$10,728.84 |
$18,498 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$333.50 |
$575 |
0.7× |
| Placement of seton (46020) |
$2,600.86 |
$4,484.25 |
0.9× |
| Plastic operation on penis to correct angulation Facility (54360) |
$9,744 |
$16,800 |
2.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,938.62 |
$10,239 |
0.9× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$4,274.60 |
$7,370 |
3.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,675.83 |
$4,613.50 |
1.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,560.70 |
$4,415 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,730.56 |
$6,432 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,487.25 |
$6,012.50 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,487.25 |
$6,012.50 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$11,966.56 |
$20,632 |
2.3× |
| Prim art mech thrombectomy (37184) |
$10,136.66 |
$17,477 |
0.5× |
| Prostate Saturation Sampling (55706) |
$5,336 |
$9,200 |
1.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$2,297.96 |
$3,962 |
3.1× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$12,669.66 |
$21,844.25 |
1.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$5,028.02 |
$8,669 |
1.5× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$3,945.88 |
$6,803.25 |
1.2× |
| Prq skel fixj metar fx w/manj (28476) |
$3,693.92 |
$6,368.83 |
1.1× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$6,516.01 |
$11,234.50 |
1.9× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$9,657 |
$16,650 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$1,460.73 |
$2,518.50 |
3.5× |
| Puncture Aspiration Cyst Breast (19000) |
$770.24 |
$1,328 |
1.1× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$475.60 |
$820 |
1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$3,091.40 |
$5,330 |
4.2× |
| Puncture/clear windpipe (31612) |
$1,670.40 |
$2,880 |
0.5× |
| Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other… (25115) |
$3,480 |
$6,000 |
2.1× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$2,900 |
$5,000 |
0.9× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,266.56 |
$5,632 |
1.0× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,150.40 |
$8,880 |
0.7× |
| Re-explore parathyroids (60502) |
$6,264 |
$10,800 |
1.0× |
| Realignment extensor tendon hand each tendon (26437) |
$6,318.52 |
$10,894 |
1.9× |
| Reconstruct extra finger (26587) |
$4,514.43 |
$7,783.50 |
1.3× |
| Reconstruct Finger Joint (26548) |
$5,930.50 |
$10,225 |
1.8× |
| Reconstruct Shoulder Joint (23470) |
$15,274.30 |
$26,335 |
1.1× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Facility (24344) |
$9,048 |
$15,600 |
1.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$8,922.72 |
$15,384 |
1.2× |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
$4,669 |
$8,050 |
0.6× |
| Reconstruction Toe Polydactyly (28344) |
$4,219.50 |
$7,275 |
1.2× |
| Reduce testis torsion (54600) |
$4,618.25 |
$7,962.50 |
1.3× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$9,094.40 |
$15,680 |
1.2× |
| Reinsertion of spinal fixation device Facility (22849) |
$9,274.20 |
$15,990 |
0.7× |
| Release of big toe (28240) |
$3,016 |
$5,200 |
0.9× |
| Release wrist/forearm tendon (25295) |
$2,760.22 |
$4,759 |
0.8× |
| Relocation of skin pocket for pacemaker (33222) |
$2,146 |
$3,700 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$5,646.88 |
$9,736 |
1.7× |
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) unusually low: confirm this is the full procedure |
$10,541.50 |
$18,175 |
0.5× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$11,592.75 |
$19,987.50 |
0.5× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) likely a partial charge, not the full procedure |
$5,468.92 |
$9,429.18 |
0.3× |
| Removal biliary drg cath (47537) |
$1,044.58 |
$1,801 |
1.1× |
| Removal foreign body intranasal (30300) |
$414.70 |
$715 |
3.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,320 |
$4,000 |
1.4× |
| Removal foreign body pharynx (42809) |
$414.70 |
$715 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$142.10 |
$245 |
2.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$522 |
$900 |
8.5× |
| Removal implant deep (20680) |
$4,964.51 |
$8,559.50 |
1.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$4,095.38 |
$7,061 |
2.4× |
| Removal Intact Mammary Implant (19328) |
$5,552.20 |
$9,572.75 |
1.4× |
| Removal of adenoids (42831) |
$2,702.22 |
$4,659 |
0.8× |
| Removal of adenoids (42830) |
$3,989.38 |
$6,878.25 |
1.2× |
| Removal of anal fissure (46200) |
$4,732.80 |
$8,160 |
1.6× |
| Removal of bone for graft (20902) |
$10,160.44 |
$17,518 |
1.4× |
| Removal of breast capsule (19371) |
$5,452 |
$9,400 |
1.3× |
| Removal of cervix (57530) |
$5,814.50 |
$10,025 |
1.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$3,422 |
$5,900 |
2.8× |
| Removal of finger lesion (26210) |
$4,656.82 |
$8,029 |
2.8× |
| Removal of foreign body in scrotum (55120) |
$2,305.50 |
$3,975 |
1.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$413.54 |
$713 |
0.9× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$2,321.28 |
$4,002.20 |
1.0× |
| Removal of heel spur (28119) |
$7,439.95 |
$12,827.50 |
2.2× |
| Removal of implant from finger or hand (26320) |
$615.48 |
$1,061.16 |
0.4× |
| Removal of implant material (19330) |
$2,257.07 |
$3,891.50 |
0.6× |
| Removal of implanted material, anterior segment of eye Facility (65920) |
$1,361.06 |
$2,346.66 |
0.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$2,715.56 |
$4,682 |
4.2× |
| Removal of iud (58301) |
$909.88 |
$1,568.75 |
2.9× |
| Removal of kidney stone (50081) |
$8,946.50 |
$15,425 |
0.9× |
| Removal of kidney stone (50080) |
$12,761.45 |
$22,002.50 |
1.3× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$6,423.50 |
$11,075 |
1.5× |
| Removal of nail bed (11750) |
$1,995.20 |
$3,440 |
4.7× |
| Removal of posterior segmental instrumentation Facility (22852) |
$9,372.80 |
$16,160 |
1.2× |
| Removal of tail bone (27080) |
$5,582.50 |
$9,625 |
1.6× |
| Removal Of Tendon Lesion (27630) |
$2,842 |
$4,900 |
0.8× |
| Removal of testis (54520) |
$6,895.04 |
$11,888 |
1.9× |
| Removal of thyroid (60271) |
$9,280 |
$16,000 |
1.5× |
| Removal of tonsils (42825) |
$5,520.88 |
$9,518.75 |
0.9× |
| Removal of tonsils (42826) |
$5,434.60 |
$9,370 |
1.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,786 |
$11,700 |
2.1× |
| Removal of wrist bone (25210) |
$2,237.06 |
$3,857 |
0.7× |
| Removal ppm generator only (33233) |
$4,808.78 |
$8,291 |
0.6× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,626 |
$9,700 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$2,695.26 |
$4,647 |
13.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,109.54 |
$1,913 |
1.5× |
| Removal, under anesthesia, of external fixation system (20694) |
$5,382.40 |
$9,280 |
3.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$216.92 |
$374 |
0.7× |
| Remove anal fist subq (46270) |
$4,092.87 |
$7,056.67 |
1.4× |
| Remove cerclage suture (59871) |
$1,701.33 |
$2,933.33 |
0.5× |
| Remove drug implant device (11982) |
$1,928.79 |
$3,325.50 |
4.2× |
| Remove Elbow Joint Lining (24102) |
$1,022.55 |
$1,763.01 |
0.3× |
| Remove ext hem groups 2+ (46250) |
$3,861.35 |
$6,657.50 |
1.3× |
| Remove intrvas foreign body (37197) |
$5,070.36 |
$8,742 |
1.6× |
| Remove Lower Leg Bone Lesion (27635) |
$3,885.52 |
$6,699.17 |
1.1× |
| Remove muti-comp penis pros (54406) |
$4,944.50 |
$8,525 |
1.4× |
| Remove Pilonidal Cyst Exten (11771) |
$7,702.40 |
$13,280 |
2.6× |
| Remove Prostate Regrowth (52630) |
$7,888 |
$13,600 |
1.4× |
| Remove pulse generator (33241) |
$4,849.89 |
$8,361.88 |
1.3× |
| Remove renal tube w/fluoro (50389) |
$2,226.18 |
$3,838.25 |
3.1× |
| Remove spine eltrd perq aray (63661) |
$5,073.07 |
$8,746.67 |
2.5× |
| Remove spine eltrd plate (63662) |
$4,177.16 |
$7,202 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$2,664.52 |
$4,594 |
1.6× |
| Remove thyroid duct lesion (60280) |
$4,002 |
$6,900 |
0.6× |
| Remove tissue expander (11971) |
$4,230.52 |
$7,294 |
1.4× |
| Remove ureter stent, percut (50384) |
$3,301.36 |
$5,692 |
1.5× |
| Remove uro sphincter (53446) |
$12,644 |
$21,800 |
2.3× |
| Remove&replace pm gen singl (33227) |
$10,830.34 |
$18,673 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$380.48 |
$656 |
2.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$413.54 |
$713 |
3.0× |
| Remv&replc cvd gen dual lead (33263) |
$19,314 |
$33,300 |
0.8× |
| Remv&replc cvd gen mult lead (33264) |
$34,336.29 |
$59,200.50 |
1.1× |
| Remv&replc cvd gen sing lead (33262) |
$19,691 |
$33,950 |
0.9× |
| Remv&replc pm gen dual lead (33228) |
$12,244.96 |
$21,112 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$15,593.30 |
$26,885 |
0.8× |
| Renal Biopsy Percutaneous (50200) |
$4,421.92 |
$7,624 |
2.6× |
| Repair achilles tendon (27650) |
$6,318.52 |
$10,894 |
0.8× |
| Repair brow defect (67900) |
$5,236.24 |
$9,028 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,320 |
$4,000 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$788.80 |
$1,360 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$870 |
$1,500 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$435 |
$750 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$4,060 |
$7,000 |
5.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$7,241.30 |
$12,485 |
4.3× |
| Repair eyelid defect (67916) |
$2,753.06 |
$4,746.66 |
1.1× |
| Repair eyelid defect (67923) |
$5,824.17 |
$10,041.67 |
2.4× |
| Repair eyelid defect (67904) |
$3,918.48 |
$6,756 |
1.6× |
Repair Fibula Nonunion (27726) unusually low: confirm this is the full procedure |
$3,422 |
$5,900 |
0.5× |
| Repair hand tendon (26410) |
$8,031.26 |
$13,847 |
4.8× |
| Repair incomplete circumcision (54163) |
$2,168.62 |
$3,739 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$9,860 |
$17,000 |
2.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,204 |
$3,800 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$10,312.40 |
$17,780 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$652.50 |
$1,125 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$770.53 |
$1,328.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$870 |
$1,500 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$906.25 |
$1,562.50 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$435 |
$750 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$652.50 |
$1,125 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$2,653.50 |
$4,575 |
6.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$652.50 |
$1,125 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$484.84 |
$835.93 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,773.06 |
$3,057 |
4.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,276 |
$2,200 |
3.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,018.62 |
$1,756.25 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,817.96 |
$3,134.42 |
2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,193.83 |
$2,058.33 |
2.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,226.70 |
$2,115 |
0.6× |
| Repair lead pace-defib one (33218) |
$4,031 |
$6,950 |
1.0× |
| Repair Lower Leg Tendons (27675) |
$3,445.44 |
$5,940.42 |
1.0× |
| Repair Mouth Laceration (40831) |
$1,103.75 |
$1,903.01 |
2.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$22,054.50 |
$38,025 |
3.3× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$10,718.40 |
$18,480 |
1.9× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Facility (54408) |
$10,541.50 |
$18,175 |
1.9× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$2,971.92 |
$5,124 |
0.6× |
| Repair of eye wound (65270) |
$3,211.75 |
$5,537.50 |
1.3× |
| Repair of humerus (24430) |
$30,531.20 |
$52,640 |
2.3× |
| Repair of nail bed (11760) |
$928 |
$1,600 |
1.2× |
| Repair of nasal septum (30520) |
$5,167.22 |
$8,909 |
1.5× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) unusually low: confirm this is the full procedure |
$4,669 |
$8,050 |
0.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$8,569.50 |
$14,775 |
1.1× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$9,425 |
$16,250 |
1.3× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$6,106.24 |
$10,528 |
0.8× |
| Repair of shoulder (23420) |
$4,927.10 |
$8,495 |
0.7× |
| Repair of sperm duct (55400) |
$1,915.30 |
$3,302.25 |
0.5× |
| Repair of tibia (27720) |
$8,468 |
$14,600 |
1.1× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$9,106 |
$15,700 |
2.5× |
Repair rotator cuff acute (23410) unusually low: confirm this is the full procedure |
$3,431.45 |
$5,916.29 |
0.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,318.52 |
$10,894 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$6,380 |
$11,000 |
1.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,807.54 |
$10,013 |
0.8× |
| Repair Tongue Laceration (41250) |
$435 |
$750 |
0.9× |
| Repair tooth socket (41874) |
$1,757.40 |
$3,030 |
0.5× |
| Repair tympanic membrane (69610) |
$1,460.73 |
$2,518.50 |
0.9× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) likely a partial charge, not the full procedure |
$2,233 |
$3,850 |
0.3× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Facility (27696) |
$9,048 |
$15,600 |
1.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$8,468 |
$14,600 |
1.1× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$4,524 |
$7,800 |
0.6× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Facility (28202) |
$7,253.94 |
$12,506.80 |
1.0× |
| Repair/graft achilles tendon (27652) |
$4,792.25 |
$8,262.50 |
0.6× |
| Repair/graft wrist bone (25440) |
$8,569.50 |
$14,775 |
1.1× |
Repair/transpose nerve (64856) likely a partial charge, not the full procedure |
$1,656.21 |
$2,855.53 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$684.98 |
$1,181 |
0.7× |
| Replace elbow joint (24363) |
$11,803 |
$20,350 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$897.84 |
$1,548 |
1.0× |
| Replace Tissue Expander (11970) |
$11,374.96 |
$19,612 |
1.5× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,739.42 |
$2,999 |
1.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$5,824.55 |
$10,042.33 |
1.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,211.75 |
$5,537.50 |
0.9× |
| Revis reconst shoulder joint (23473) |
$9,468.50 |
$16,325 |
0.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$11,196.90 |
$19,305 |
0.8× |
| Revise finger/toe nerve (64702) |
$3,505.33 |
$6,043.67 |
1.7× |
| Revise Lower Leg Tendon (27691) |
$7,863.64 |
$13,558 |
1.0× |
| Revise Lower Leg Tendons (27686) |
$4,524 |
$7,800 |
1.3× |
| Revise spine eltrd perq aray (63663) |
$14,043.74 |
$24,213.34 |
2.1× |
| Revise ulnar nerve at elbow (64718) |
$5,684 |
$9,800 |
2.8× |
| Revise vag graft via vagina (57295) |
$1,812.50 |
$3,125 |
0.5× |
| Revise/Implant Finger Joint (26536) |
$10,672 |
$18,400 |
1.4× |
| Revise/Remove Neuroreceiver (63688) |
$8,852.62 |
$15,263.14 |
2.4× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) |
$8,294 |
$14,300 |
1.1× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$9,135 |
$15,750 |
0.5× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
$9,686 |
$16,700 |
1.6× |
| Revision of foot (28116) |
$6,969.42 |
$12,016.25 |
2.1× |
| Revision of lower leg tendon (27685) |
$7,958.47 |
$13,721.50 |
2.3× |
| Revision of penis (54300) |
$1,972 |
$3,400 |
0.5× |
| Revision of reconstructed breast (19380) |
$7,581.47 |
$13,071.50 |
1.1× |
| Revision of scrotum (55180) |
$5,800 |
$10,000 |
1.0× |
| Revision of tips (37183) |
$10,483.50 |
$18,075 |
1.8× |
| Revision of toe (28312) |
$1,654.93 |
$2,853.33 |
0.5× |
| Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) |
$10,643 |
$18,350 |
0.8× |
| Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) |
$15,928.25 |
$27,462.50 |
0.9× |
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) unusually low: confirm this is the full procedure |
$4,881.66 |
$8,416.66 |
0.4× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$9,744 |
$16,800 |
1.7× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$14,363.70 |
$24,765 |
1.1× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$15,381.60 |
$26,520 |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$5,413.86 |
$9,334.25 |
1.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,587.01 |
$6,184.50 |
1.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$414.70 |
$715 |
3.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$8,932 |
$15,400 |
3.0× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$4,817.62 |
$8,306.25 |
2.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,593.76 |
$4,472 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,489.20 |
$7,740 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,413.75 |
$2,437.50 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,257.15 |
$2,167.50 |
1.9× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$5,375.15 |
$9,267.50 |
1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,285.86 |
$2,217 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,510.24 |
$4,328 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,087.42 |
$3,599 |
0.6× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$9,570 |
$16,500 |
2.7× |
Rplcmt/revj csf shunt valve/cath shunt sys (62230) unusually low: confirm this is the full procedure |
$4,268.80 |
$7,360 |
0.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$13,458.90 |
$23,205 |
2.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$5,879.46 |
$10,137 |
1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$12,249.60 |
$21,120 |
1.8× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$9,860 |
$17,000 |
1.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$13,873.60 |
$23,920 |
3.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$5,879.46 |
$10,137 |
0.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$12,780.30 |
$22,035 |
2.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$6,930.52 |
$11,949.16 |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$948.30 |
$1,635 |
0.6× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$5,882.65 |
$10,142.50 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$870 |
$1,500 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$870 |
$1,500 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$870 |
$1,500 |
0.5× |
| Rpr non-union mtcrpl/phalanx (26546) |
$5,727.50 |
$9,875 |
0.8× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$6,774.40 |
$11,680 |
1.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,248 |
$5,600 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,867.20 |
$11,840 |
2.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$2,135.56 |
$3,682 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$1,317.57 |
$2,271.67 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,218 |
$2,100 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$734.86 |
$1,267 |
0.6× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,218.50 |
$3,825 |
0.8× |
| Shoulder arthroscopy (29805) |
$7,767.65 |
$13,392.50 |
2.3× |
| Shoulder Arthroscopy/Surgery (29825) |
$8,569.50 |
$14,775 |
2.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,392 |
$2,400 |
1.1× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,392 |
$2,400 |
1.1× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$2,431.36 |
$4,192 |
2.5× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,392 |
$2,400 |
1.1× |
| Sigmoidoscopy place stent (45347) |
$3,709.10 |
$6,395 |
0.6× |
| Sigmoidoscopy w/biopsy (45331) |
$1,218 |
$2,100 |
1.3× |
| Sigmoidoscopy w/fb removal (45332) |
$1,392 |
$2,400 |
1.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,610 |
$4,500 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$435 |
$750 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$672.22 |
$1,159 |
3.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$435 |
$750 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$870 |
$1,500 |
4.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$435 |
$750 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$509.24 |
$878 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$435 |
$750 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$522 |
$900 |
2.5× |
| Skin splt grft trnk/arm/leg (15100) |
$5,432.18 |
$9,365.82 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$3,161 |
$5,450 |
4.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,070.60 |
$3,570 |
2.7× |
| Skin sub grft t/arm/lg child (15273) |
$937.66 |
$1,616.66 |
0.4× |
| Skin Tissue Procedure (17999) |
$1,926.32 |
$3,321.25 |
9.3× |
| Skin tissue rearrangement (14040) |
$2,466.06 |
$4,251.83 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,678.66 |
$8,066.66 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,705.96 |
$11,562 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,923.04 |
$8,488 |
1.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,058.94 |
$17,343 |
1.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,557.53 |
$16,478.50 |
1.8× |
| Slitting of prepuce (54001) |
$7,221 |
$12,450 |
3.3× |
| Small bowel endoscopy (44366) |
$1,754.50 |
$3,025 |
0.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,754.50 |
$3,025 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$762.70 |
$1,315 |
3.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$435 |
$750 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$435 |
$750 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$5,382.40 |
$9,280 |
1.9× |
| Spinal puncture lumbar diagnostic (62270) |
$742.40 |
$1,280 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,431.20 |
$7,640 |
1.4× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$8,062 |
$13,900 |
1.3× |
| Sternal Debridement (21627) |
$5,753.60 |
$9,920 |
1.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$2,475.44 |
$4,268 |
0.7× |
| Suction assisted lipectomy; head and neck (15876) |
$2,141.16 |
$3,691.66 |
0.6× |
| Surgery of breast capsule (19370) |
$13,050 |
$22,500 |
3.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$4,284.75 |
$7,387.50 |
1.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$8,723.20 |
$15,040 |
3.0× |
| Suspension of testis (54640) |
$5,701.40 |
$9,830 |
1.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$3,692.66 |
$6,366.66 |
1.8× |
| Suture infrapatellar tendon primary (27380) |
$6,116.97 |
$10,546.50 |
0.8× |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
$9,744 |
$16,800 |
1.3× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$969.28 |
$1,671.17 |
0.5× |
| Sympathectomy; radial artery Facility (64821) |
$969.28 |
$1,671.17 |
0.3× |
| Sympathectomy; superficial palmar arch (64823) |
$969.27 |
$1,671.16 |
0.3× |
| Sympathectomy; ulnar artery (64822) |
$969.27 |
$1,671.16 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,858.07 |
$3,203.57 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$321.90 |
$555 |
0.8× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$56,058.74 |
$96,653 |
1.9× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$13,427.72 |
$23,151.25 |
0.7× |
| Tenodesis long tendon biceps (23430) |
$9,976 |
$17,200 |
1.3× |
| Tenolysis extensor tendon hand/finger each (26445) |
$2,760.22 |
$4,759 |
0.8× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$5,858 |
$10,100 |
1.7× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,412.72 |
$5,884 |
1.0× |
| Tenotomy Hip Flexor Open (27005) |
$9,613.50 |
$16,575 |
2.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,827.50 |
$4,875 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$4,694.81 |
$8,094.50 |
1.4× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$6,293 |
$10,850 |
1.9× |
Tenotomy shoulder area single tendon (23405) unusually low: confirm this is the full procedure |
$3,538 |
$6,100 |
0.5× |
| Tenotomy Shoulder Multiple Thru Same Incision (23406) |
$5,088.34 |
$8,773 |
0.7× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,809.60 |
$3,120 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,797.79 |
$3,099.64 |
1.1× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$6,262.26 |
$10,797 |
1.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$58 |
$100 |
0.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,506.76 |
$4,322 |
1.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$952.94 |
$1,643 |
1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$20,387 |
$35,150 |
1.5× |
| Throat Surgery Procedure (42999) |
$378.74 |
$653 |
1.5× |
| Thyroid biopsy (60100) |
$670.48 |
$1,156 |
0.9× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
$9,193 |
$15,850 |
1.5× |
| Thyroidectomy, total or complete (60240) |
$22,086.40 |
$38,080 |
3.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$9,396 |
$16,200 |
1.5× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$14,313.84 |
$24,679.04 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$8,526 |
$14,700 |
2.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,434.60 |
$9,370 |
1.6× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$16,357.74 |
$28,203 |
0.9× |
| Total hip arthroplasty (27130) |
$20,131.80 |
$34,710 |
1.5× |
| Total Knee Arthroplasty (27447) |
$16,965 |
$29,250 |
1.3× |
| Tracheostoma revision; complex, with flap rotation Facility (31614) |
$10,592.25 |
$18,262.50 |
1.7× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$4,825.60 |
$8,320 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,550.34 |
$2,673 |
1.0× |
Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$1,795.10 |
$3,095 |
0.3× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$4,516.26 |
$7,786.66 |
2.2× |
| Transfer of tendon to restore intrinsic function; ring and small finger Facility (26497) |
$13,006.51 |
$22,425.01 |
3.8× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$14,137.50 |
$24,375 |
1.9× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,001.34 |
$8,623 |
0.9× |
| Transplant hand tendon (26480) |
$2,921.46 |
$5,037 |
0.9× |
| Transur electr resection of prostate (52601) |
$8,060.26 |
$13,897 |
1.5× |
| Transurethral resection bladder neck (52500) |
$7,830 |
$13,500 |
2.1× |
| Treat elbow dislocation (24615) |
$7,795.20 |
$13,440 |
1.0× |
| Treat fracture radius/ulna (25575) |
$13,705.40 |
$23,630 |
1.8× |
| Treat knee fracture (27532) |
$1,490.02 |
$2,569 |
0.4× |
| Treat Knee Fracture (27535) |
$9,338 |
$16,100 |
1.2× |
| Treat Knee Fracture (27540) |
$5,073.06 |
$8,746.66 |
0.7× |
| Treat Kneecap Fracture (27524) |
$9,425 |
$16,250 |
1.3× |
| Treat Lower Leg Bone Lesion (27607) |
$2,385.25 |
$4,112.50 |
0.7× |
| Treat Lower Leg Fracture (27828) |
$15,741.62 |
$27,140.73 |
1.2× |
| Treat Metatarsal Fracture (28475) |
$509.24 |
$878 |
2.0× |
| Treat radius fracture (24665) |
$9,425 |
$16,250 |
1.3× |
| Treat scapula fracture (23585) |
$7,765.62 |
$13,389 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$509.24 |
$878 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$509.24 |
$878 |
2.0× |
| Treatment extensive retinopathy photocoagulation (67228) |
$3,364 |
$5,800 |
5.9× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$3,448.10 |
$5,945 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$5,104 |
$8,800 |
1.5× |
| Trim skin lesion (11055) |
$288.26 |
$497 |
1.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,284.16 |
$10,834.76 |
1.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$7,544.64 |
$13,008 |
1.3× |
| Trurl rescj postop bladder neck contracture (52640) |
$1,392 |
$2,400 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$884.21 |
$1,524.50 |
0.5× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$11,137.45 |
$19,202.50 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,412.85 |
$9,332.50 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$5,626 |
$9,700 |
7.4× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$9,629.74 |
$16,603 |
0.7× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$9,222 |
$15,900 |
1.5× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) unusually low: confirm this is the full procedure |
$2,648.67 |
$4,566.67 |
0.4× |
| Tympanostomy general anesthesia (69436) |
$4,316.36 |
$7,442 |
2.7× |
| Unlisted Cardiac Surgery (33999) |
$5,163.74 |
$8,903 |
8.0× |
| Unlisted laparoscopic procedure liver (47379) |
$5,134.94 |
$8,853.34 |
0.8× |
| Unlisted laparoscopic procedure, ureter (50949) |
$3,353.13 |
$5,781.25 |
0.5× |
| Unlisted laparoscopy procedure stomach (43659) |
$11,657.42 |
$20,099 |
1.9× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,904.03 |
$11,903.50 |
1.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$15,404.80 |
$26,560 |
2.5× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$9,106 |
$15,700 |
1.5× |
| Unlisted laparoscopy procedure, oviduct, ovary (58679) |
$9,251 |
$15,950 |
1.5× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$5,939.20 |
$10,240 |
0.9× |
| Unlisted laparoscopy procedure, spleen (38129) |
$11,991.50 |
$20,675 |
1.9× |
| Unlisted procedure anus (46999) |
$2,865.20 |
$4,940 |
3.0× |
| Unlisted procedure arthroscopy (29999) |
$8,569.50 |
$14,775 |
33.6× |
| Unlisted procedure colon (45399) |
$1,624 |
$2,800 |
1.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$2,365.82 |
$4,079 |
9.6× |
| Unlisted procedure femur or knee (27599) |
$9,628 |
$16,600 |
37.7× |
| Unlisted procedure foot or toes (28899) |
$7,453 |
$12,850 |
29.2× |
| Unlisted Procedure Male Genital System (55899) |
$3,447.52 |
$5,944 |
13.3× |
| Unlisted Procedure Muscskeletal System General (20999) |
$3,185.07 |
$5,491.50 |
12.5× |
| Unlisted procedure nervous system (64999) |
$2,088.58 |
$3,601 |
6.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$8,399.85 |
$14,482.50 |
32.9× |
| Unlisted procedure shoulder (23929) |
$8,460.07 |
$14,586.33 |
33.1× |
| Unlisted Procedure Small Intestine (44799) |
$1,276 |
$2,200 |
1.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$5,597 |
$9,650 |
27.1× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,913.18 |
$8,471 |
7.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$5,127.20 |
$8,840 |
5.5× |
| Unlisted procedure, leg or ankle (27899) |
$3,692.67 |
$6,366.67 |
14.5× |
| Unlisted procedure, maternity care and delivery (59899) |
$3,961.40 |
$6,830 |
18.9× |
| Unlisted procedure, stomach (43999) |
$2,581 |
$4,450 |
2.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$4,654.50 |
$8,025 |
22.2× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$8,004 |
$13,800 |
1.4× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$14,848 |
$25,600 |
2.7× |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
$10,440 |
$18,000 |
1.9× |
| Urology Surgery Procedure (53899) |
$1,708.97 |
$2,946.50 |
6.6× |
| Us urine capacity measure (51798) |
$122.96 |
$212 |
2.0× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$5,104 |
$8,800 |
1.5× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$14,929.20 |
$25,740 |
2.9× |
| Vasc embolize/occlude artery (37242) |
$27,773.01 |
$47,884.50 |
1.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$18,426.02 |
$31,769 |
1.5× |
| Vasc embolize/occlude organ (37243) |
$18,426.02 |
$31,769 |
1.5× |
| Vasc embolize/occlude venous (37241) |
$18,426.02 |
$31,769 |
1.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,441.82 |
$5,934.16 |
1.6× |
| Venipuncture (36415) |
$40.02 |
$69 |
4.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,607.62 |
$2,771.75 |
0.5× |
| Vitrectomy mechanical pars plana (67036) |
$4,817.62 |
$8,306.25 |
1.1× |
| Vitrectomy pars plana remove int memb retina (67042) |
$7,387.75 |
$12,737.50 |
1.7× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$5,011.20 |
$8,640 |
1.2× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Facility (67041) |
$6,206 |
$10,700 |
1.5× |
| Vulvectomy Simple Partial (56620) |
$6,517.75 |
$11,237.50 |
1.9× |
| Wedge excision skin nail fold (11765) |
$397.30 |
$685 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,649.24 |
$2,843.51 |
3.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$5,183.26 |
$8,936.66 |
6.8× |